Laserfiche WebLink
(This copy to be retained by COUNTY <br />Board of County Commissioners) cLASS <br />APPLICATION <br /> <br /> WMo Po HODGES, COMMISSIONER OF INSURANCE <br /> NORTH CAROLINA ~SURANCE DEPARTMENT <br /> RALEIGH, NORTH CAROLINA <br /> <br />Attention: No Eo CANNADY, STATE ELECTRICAL ENGINEER AND INSPECTOR <br /> <br />lo This is to certify that I have been duly appointed as electricaI inspector for <br /> C~bml~ml County, North Carolina, by the Board Of County Commissioners o£ said <br /> county° I hereby apply for Certificate of Authority as electrical inspector for <br /> <br /> ~11 of said county, and enclose <br /> (all, or if part, state what part) <br /> <br /> $1o00 to cover registration fee° <br /> <br />2° Nationality. U, S. <br /> Color Age Marital Status <br /> <br />3. Education: <br /> Grammar School yrSo Where o High School_~__yrso Where <br /> College ' 7 ' yrso Where ~="m~iAm~ Degree . <br /> Correspondence Course ~ yrso What School Elee~Ae~ - <br /> <br /> How long have you been serving as electrical inspector for your County? <br /> <br /> Approximately how many years experience have you had doing electrical work? <br /> <br />6. Have you ever taken an examination for Electrical Contractor's License? <br /> <br /> When Where Passed? <br /> <br />7o Is your position as electrical inspector FULL TT~. or PART T~? _~_~,~ <br /> If part time, what other work do you do? <br /> <br />8. Are you working on a salary or fee basis?~. <br /> <br />AS ELECTRICAL INSPECTOR FOR MY COUNTY, I HEREBY AGREE TO ENFORCE TO THE BEST OF MY ABILITY <br />ALL STATE AND LOCAL ELECTRICAL LAWB FOR THE PROTECTION OF LIFE AND PROPERTY° <br /> <br />Approved by: BOARD OF <br /> ~~ISSI~NE~~~~Signa~u~ of electrical-inspector <br /> i~ Street~ ~ddr~s s- - <br />Date: Bm ~.~lq ~mm~, ! ~ ~ , <br /> Cit~ <br /> <br /> Telephone Nee ~ L <br /> <br /> " " " " <br /> <br /> <br />