HomeMy WebLinkAboutElectrical Examining Board 2_Page_032APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address 14 O, 60-K II 3
Home Phone 46596- a45-
Name and Address of Company
Business Phone 770 B9O�B
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Year for - is Sought
Number of Years of Experience I& YX"S
Qualifications (Schools, Special Courses, etc.)
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Experience in Electrical Work
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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.
Application Date Signature of Applicant