HomeMy WebLinkAboutElectrical Examining Board 2_Page_101APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant_
Address
O.S
Home Phone y- - '/ '� Business Phone -S �4
Name and Address of Company 514 /7I �
Year for Which License is Sought/
Number of Years of Experience C;1 0
Qualifications (Schools, Special Courses, etc.)
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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.
Application Date Signature of Applicant