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HomeMy WebLinkAboutElectrical Examining Board 2_Page_197APPLICATION FOR A MASTER ELECTRICIAN'S LICENSE CITY OF COLLEGE STATION, TEXAS Name of Applicant/ V Address L IV vV� , I r 32YArU, i-x 77 boa Home Telephone �09-Z—O 9bff Office Telephone Name and Address of Firm You Represent Year for Which License is Sought / 923 Qualifications (Schools attended, special courses, etc.) (tv FPgZUAr'to )AL LICCILQ, C6JP l�ofk�hc P ia� TnduS�r)A� Con�Rol �i Elect�Ronic- C-oh1P,o f�r7 S %� E�CcircniL r1i Actual Experience Electrical 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. Date of Application Signature of Applicant OZ- Mt> —to 2 C' 0,'1T fz o - l}age Sa�e+y a; rB Iv J Tu