HomeMy WebLinkAboutElectrical Examining Board 2_Page_038APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant �J/n me5 Wi�S i
Address S `1 C Cl 2 oza-,
Home Phone ` *78-15 3 z Business Phone 779-03O2
Name and Address of Company 61t ) E/GG�'Z c
Year for Which License is Sought
Number of Years of Experience L2 j� 5
Qualifications (Schools, Special Courses, etc.)
G SC �C, /e
Experience in Electrical Work
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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.
/,�--30- o
Application Date Signature of Applicant