HomeMy WebLinkAboutElectrical Examining Board 2_Page_095APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant }�, ,�ia d �h t>S� a n
Address d(4- 6 �a, D-E
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Home Phone �)% q -�2 S) ;i-
Name and Address of Company
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Business Phone I''%
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77
Year for Which
License
is Sought
Number of Years of Experience 2�
Qualifications (Schools, Special Courses, etc.)
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Experience in Electrical Work /NG-f.
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.
3 `/11/ -q3
Application Date
Signature of Applicant