HomeMy WebLinkAboutElectrical Examining Board 2_Page_128APPLICATION FOR A
MASTER ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant �Q /) 1�1 �uCC451 / i
Address y�fL t�a;c ao3o ��� An TIC 77203
Home Telephone a79-5g47 Office Telephone /1on'L
Name and Address of Firm You Represent
Year for Which License is Sought jq 9 3
Qualifications (Schools attended, special courses, etc.)
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.5.44 CIAS$ fweA /hook rs ANoi FS ooD o F O� ��e Job
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Actual Experience in Electrical Work Z 43 t L U 7/4
c�,Re5ent
I hereby certify that the above statements are true and
hereby make application to the City of College Station for
the privilege of taking the qualifying examination for a
Master Electrician's License, for which I attach a $50.00
examination fee. Said fee shall be refundable if the
Examining Board denies applicant the privilege of taking the
examination because of qualifications or experience being
unacceptable. Failure to appear for the examination, when
so informed, shall result in forfeiture of the $50.00
examination fee.
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Date of Application Signature of Applicant