HomeMy WebLinkAboutElectrical Examining Board 2_Page_188APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of A
Address
K 7 5115
Home Phone (:Z-L) 3-7y17 Business Phone
Name and Address of Company
Year for Which License is Sought g 3 -9�
Number of Years of Experience Z I
Qualifications (Schools, Special Courses, etc.)
N e
51 LI u 4{ -me- PPZMK Ta'47h
ss c-
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.
%-/V- 43
Application Date Signature of Applicant