Transcription of Boiler engineer license exam application
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Boiler engineer license exam application
I ndividual Boiler Engin eer Li cense Examination application application Fee = $ IN BOX FOR OFFICE USE ONLY SELECT THE license YOU ARE APPLYING FOR: Chief A Class 1A C las s 2 A C las s Chief B Class 1B C las s 2 B C las s Chief C Class 1 C Class 2 C Class Spec ial E ngi neer H istorical Boiler E ngi neerAccount Number 632448 STK B42 BOILLIC Check Number Amount Paid PCK CCK MODLI Deposit Date NOTICE: Pursuant to M innesota Statute , checks returned for non payment will be charged a $30 service charge and may s ubject the issuer to additional civil pe nalti this a license exam retest? YES NO If YES, submit application form and fee.
Below is an example of an entry on a boiler affidavit in which the applicant would be qualified to take a 2C examination: STEAM BOILER PLANT. Total Horsepower . 15 . Maximum W orking Pressure (psi) 15 . From Month Day Year . 06 01 2016 . TO (must have end date) Month Day Year .
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