HomeMy WebLinkAboutElectrical Examining Board 2_Page_015APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address 1 1'q D 9
\SIP hN G, b,OH
IN• ��S, L, kc kl
Home Phone ��3`1-a666 Blusiness Phone
Name and Address of Company C b5,,
a
Year for Which License is Sought
Number of Years of Experience
M `�, 3
Qualifications (Schools, Special Courses, etc.)
Experience in Electrical Work
**********
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