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HomeMy WebLinkAboutElectrical Examining Board 2_Page_163APPLICATION FOR RENEWAL OF ELECTRICIAN'S LICENSE CITY OF COLLEGE STATION, TEXAS Name of Applicant �-�R4 N Ji(G Address 0 LOA 7,Y19'U D U l i % ZP6 - c) ZO Home Phone S-;L2- 1�= Business Phone %jtM �� G-/1?111-� Name and Address of Company Year for Which License is Sought Number of Years of Experience Qualifications (Schools, Special Courses, etc.) Experience in Electrical Work CO3v/r,?-A46L 66e, ********** 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