HomeMy WebLinkAboutElectrical Examining Board 2_Page_035APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant �p�ME� ti Iy�EOs-1AM
Address -:nQ8
�-fNil �� -77802
Home Phone -_74 ^Q22G cBusiness Phone QjTS"t�D�
Name and Address of Company J ��
Year for Which License is Sought 19 3
Number of Years of Experience I±
Qualifications (Schools, Special Courses, etc.)
Co�r�vcil MC�M� TML
Experience in Electrical Work iL )F--GT
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