HomeMy WebLinkAboutElectrical Examining Board 2_Page_173APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
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Name of Applicant �y�rk��-,e W, �
Address �1//% J&Xl VA/l49U!;��
Home Phone? Business Phone �CJ
Name and Address of Company ez n Lrz ef 601� 2rt�
�f}G�tr A -nn-ld 0-
Year for Which License is Sought ! 3 - 7
Number of Years of Experience 170
Qualifications (Schools, Special Courses, etc.)
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