HomeMy WebLinkAboutElectrical Examining Board 2_Page_088APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant 1j.C.-t) A.) /-ISAIS-A IZ Z / AIG,
Address :95497 7�UStLIV w
Tx 92 a�
Home Phone %�lla
489 -
Business
Phone
Name and Address of Company �/�iL�SA� �t�✓G G�t���'��
LSD Z A�S�iN6 L+ i
Year for Which License is Sought
Number of Years of Experience /4 3 X-6±4
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