HomeMy WebLinkAboutElectrical Examining Board 2_Page_107APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address
Home Phone o2 R q Business Phone
Name and Address of Company
Ab✓ -
Year for Which License is Sought-Z
Number of Years of Experience
Qualifications (Schools, Special Courses, etc.)
Experience in Electrical Work / Ik5A(- rH' cat uL `e-�e /IV-
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.
Dj-01- �3
Application Date
Siknat of Applicant