HomeMy WebLinkAboutElectrical Examining Board 2_Page_166APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant Joe- O i QuCeX
Address a700 G liZKJA(el
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Home Phone K0, 721(-0355 Business Phone k(Ye- 77�1`d35
Name and Address of Company c� 14
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va K I-X 77Po �— p 2
Year for Which License is Sought
Number of Years of Experience ('y
Qualifications (Schools, Special Courses, etc.)
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Experience in Electrical Work / &6 Z yeti 114Y/ 1 i0�
**********
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.
5-
Application Date Signature of Applicant