HomeMy WebLinkAboutElectrical Examining Board 2_Page_169APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address
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Home Phone 726 �T
Name and Address of Company
J , 961d &tc-
Business Phone 1' i i-
Year for Which License is Sought
Number of Years of Experience
Qualifications (Schools, Special Cour es, 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