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ELECTRICAL EXPERIENCE VERIFICATION

Updated 6/1/2017 1 of 3 PSI ELECTRICAL EXPERIENCE VERIFICATION NEW MEXICO CONTRACTOR LICENSING SERVICE THIS WORK EXPERIENCE VERIFICATION MUST BE SUBMITTED WITH AN APPLICATION AND APPROVED BEFORE EXAMS MAY BE SCHEDULED. TYPE OR PRINT CLEARLY. INCOMPLETE OR ILLEGIBLE FORMS WILL NOT BE PROCESSED. PLEASE READ THE FOLLOWING INSTRUCTIONS PRIOR TO COMPLETING THE ATTACHED WORK EXPERIENCE VERIFICATION . FOLLOWING INSTRUCTIONS COMPLETELY WILL AVOID DELAYS IN PROCESSING APPLICATION. INSTRUCTIONS FOR THE APPLICANT Only the top portion of the Affidavit is to be completed by the Applicant.

Overhead distribution (pole, conductor installations, transformer installations, terminations) Overhead transmission (poles/towers, tower foundations, conductor installations, terminations) Substations (transformers, switches, terminal facilities) TOTAL HOURS _____ ES2J/ES-2 CATHODIC LIGHTNING PROTECTION ...

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