HomeMy WebLinkAboutElectrical Examining Board 2_Page_194APPLICATION FOR
RENEWAL OF
ELECTRICIAN'S LICENSE
CITY OF COLLEGE STATION, TEXAS
Name of Applicant
Address G1 1
/���
Phone 71-G
Business Phone
Home
Name and Address of
Company
�G /3 /73
94
-
Year for Which License is Sought / %" �
Number of Years of Experience > C,
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
•5 .
Signature of Applicant