HomeMy WebLinkAboutElectrical Examining Board 2_Page_176APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant '�)e A0 7�
Address b7l 5
Home Phone / b 2 Business
Phone
Name and Address of Company
W t
Year for Which License is Sought `U!
Number of Years of Experience 11
Qualifications (Schools, Special Courses, etc.)
Experience in Electrical Work
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