HomeMy WebLinkAboutElectrical Examining Board 2_Page_191APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant W +�K
Address 90(o Bi A41c LN
Home Phone 8��„ 3&�� Business Phone
Name and Address of Company (��t2WCf i��/�tnl'%t���3nJC2 S/JeCl�15'J�
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77 ?0!
Year for Which License is Sought ltii
3 -
Number of Years of Experience * 5/
Qualifications (Schools, Special Courses, etc.)
Experience in Electrical Work 25 4/1,: Ze
W�
**********
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