HomeMy WebLinkAboutElectrical Examining Board 2_Page_029APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of
Applicant
00.ry�
0
_Aasse--,
Address
502
D/+'e_
S
Home
Phone Lfv9-SV6-Z/kLl
Business Phone IVG9-�S-Z2
zyP`Z
Name
and Address of Company
F,,,K Seale_ C l e� f (/c C& .
�//6 'Ulkc & -v4_� x i%,�U �!
Year for Which License is Sought
Number of Years of Experience
U
Qualifications (Schools, Special Courses, etc.)
61g}icgpp
CehS4/}din/$ /Etf'+�4/r5f'Jn,afiK�
C/4fS ✓khe
pfLrl/iw-\
Experience in Electrical Work
Sf4 c/ 4S L 2e- in l7Z 4 i�- t
197G
h.5 Str /9�s0 //5 S OLOKe/ - j u.2 6/Pc cZ
Yt****hR**k
I hereby certify that the above statements are true and I
hereby make application to the City of College Station for
renewal of Electrician's License, for which I attach a $25
renewal fee. Said fee shall be refundable if the Examining
Board denies applicant the renewal of Electrician's License.
12-ej -y Z-
Application Date
Signat re of Apply ca tl