HomeMy WebLinkAboutElectrical Examining Board 2_Page_079APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF —COLLEGE STATION, TEXAS
Name of Appl'` antYv+CJ
Address O
Home Phone �D� 3lj'-1Sy'Z Bus'ness Phone yC)
c
Name and Address of Company
Year for Which License is Sought Z�J7 3
Number of Years of Experience `1"/
Qualifications (Schools, Special Courses, etc.)
lA -s' 77�9 e-o� 716
Experience in Electrical Work o� �iLi/15
**********
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.
,l - 1 -1 V
Application Date
Signature of Applicant