HomeMy WebLinkAboutElectrical Examining Board 2_Page_098APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address Af
Home Phone
Name and Address of Company
/Business Phone 4J36�1
Year for Which License is Sought /773 r Z
Number of Years of Experience / 5��
Qualifications (Schools, Special Courses, etc.)
.. , .-Z7/1 —
Experience in Electrical Work
**********
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 renewa
/e 3
Application Date
Signature of Applicant