HomeMy WebLinkAboutApplication Headrick 02/14/2014 k 5
14 0d4
PQJKTAN.G-E.L.IE.S
G � .................-"-,- 1".,
war A i i N (°-a 1 0 N, 0, S. A Ly
�w,....
Alalal.lt"'ATIO I+'m l"POIN'I'MEE °I"TO BOARD, COMMISSION OR COMMITTEE
Board, Commission car° C'trraarraitilee to which youare seekitrf a atrfroiratirrerat:
Planning Commission
Applicant Name and d;eracr all lofaai-m ation
.>catatt R, Headrick
Firs( Pull Iasi
824 Joshua, Stroot
I tonal,Stria Address
Port Angelos, WA 98363
.... .....---
City State lila
360-457-9458 360-417-0501 360-460-2138
Coiru:phonc Work phone _ ('ill phone
s catf�<7cc novic:.net
N.'suail adds-css
02-15-1973
Date of Rirtla to be cortc rle(ed tartly Na as r alicalit _.
( N k Y l l �Nar� Public;tiarN't�ty Advisory lBtanr�cN for lrrarlarases rrN'r°rairrrirral
Idslory check to ensure colralrliarnce with Pori Arieles Municipal Code 2.26.020)
C:'er°tif'ic<ation sulci Vocation farfor°m aticrta (circle ogre)
Are you employed by the City of F'ort Ang elcs? Yeas C,N,1
Are you tt citizen of ilac Unitcd St atcas7 C No
Ari^you a Registered Voter? Cc;.s No
Ari;you tr ('it),resident? No
ll"so, how\,
Do you owvnir1rtur,tg e a bussrtcss ill the City? �1'."s No
Do you hold array laroC'essional licenses, regislralioils or certilic ales in ally Field? (c No
Iwo,please lia: -rg "`ietsa Engineer, Ccritttrd :ro>t>r � ,
Control E'rNC
Aocyou aware*[uuycot ill imu[in(crest»1 Iiohmigh|mischyYour wvkcoil uCity Board o1-Commi`miou7 It'mo, p|uwo
cgp|uhr
At times o decision oyih� PC will be required for pn�moidha(myaeKor the oompnny that} work for and mm e minority
pat-trier in. Ili those instances i|will require mntorecuse myaeKfrom unydmds|onmuking�
Work or Professional 0nperiwucm~ L|ut mout rcueo(uxpu,icxoc:firs(, v,oxncb o uxomo
Zenov|oond Associates, Inc, Senior Design Engineer 5/2003 pnmaant
kmp|vycr TN�
From (M/Y) 7o(&4/Y)
Civil and Structural Design work on rc)s|donUmi commercial, |nduaNa| and inad|uUuo pnojeCta
U,infjohdux riphon
Black Ball Tianmpoi't Deck Hand 5/1994 8V1099
adoljnhJoa6yovn ----
BriclJob description
Education ~ |is|most recent exporieuootiws/
Contnm|VV&Univ. (B|onmburg. WA) Master's ofScience i E i dng Toch
/omkmion�*uuioo D�8�o�nnxxK��nrumuo[xku� u�3uubd?
Central WA Univ, (Ellensburg, WA) Bachelor's of Science in Mechanical Eng, Tech.
__s
|n*6Nhvn8ucoi"o Du&mucun^x/Majvrurenoyvmdy 01udoo(ed?
(. 1w1-ttwh|«4 Social and Ovic Activities and M*mnb¢nuhip* - Lim .mdproudvkiou you have pun|u|rx/eJ in
durioJ!,(hC |xv| Dvr yva*
Ouean *fAngels Church Worship
o��xiz,Uon/�ouuhm� Gmup`vpuqov6^b,j*:/ivr #nfwc.nhum
Bhofdomximi"oo/ymu pun|uipu\ion: AttendKxumo
Orl"'auizxholl/Lo ou(iou Vmxp`xpuq`vxC/vbJQ4ivC Vof'm0mhom
Bricfdcxu,ip/ioxvyynu,p,niuipu|iun:_________________
Questions
Why aro you interested in serving;on this particular Board or Commission?
To be involved In the corrrnauraity arId provide some insight to the development.
What in your background or experience do your think would help your in saving oil this Board?
Engineorinp
WIIat iS your urrdCI-sttrrrdint,of"the responsihiIiIies ot•t1Iis particuI'rr Board or Commission?
To rocorrirrrpnd approval or denial to various actions, including zoning a Iminqe s ccarttlitromu71 rrso Irorr�rri4; �rnd
other permits issurc,d by governillerlt t.,igencies,
Plcasc t'ccl ti•ce to acid any additional corrrrraerrts your wish to maks regm-ding your application.
!...have enjoyed serving oil the CSO MoliSSiOn and (rope to corltintAcI rr?y sic".rvico.
0
Clic Gr"tits utur u, t arc
Slll init completed fonus to; 0FFI(;E 01 I'tIE CITY C."1,E,14
JANESSA 1,11)IM,CI,I, Q:'I,t<,Idtc
360-417-4634 iir jlturcl(rr,cityrrfpa.rr;
City ol`Port Angeles
321 F, "'Street
PO Box 1 150
Port AngoIcs,WA 98:162
In compliance with the Amaic,ans with Disaabilitics Act, ifyou rrcc:cl a+ix tial accommodations because ol'a physical
Iiraaitatiorl, please Contract the City Manataa's Office at 417.4500 So appropriate ar r allgcrarc11is cars be Iaaade,