HomeMy WebLinkAboutElectrical Examining Board 2_Page_104APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant �Ack N 014\,-11
Address I r5av 3'
Home Phone Business Phone 77L! -esl y
Name and Address of Company (Ile yc S lz 4 o�, &-4 —r Tvc,
J . r � 3�% L
13iz c✓ %t 76? J
Year for Which License is Sought 1593
Number of Years of Experience z
Qualifications (Schools, Special Courses, etc.)
Experience in Electrical Work
G,
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