HomeMy WebLinkAboutElectrical Examining Board 2_Page_076APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address
71
Home Phone S jz--3 2 l -7 W
Name and Address of Company
C�
Business Phone
Year for Which License is Sought % '2
fyy
Number of Years of Experience iX
Qualifications (Schools, Special Courses, etc.)
c ;
Experience in Electrical Work
r
1
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