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REQUEST FOR CHANGE OF NAME AND/OR ADDRESS Mail Completed Form to: N.C. State Board of Examiners of Electrical Contractors, P. O. Box 18727, Raleigh, NC 27619 SEE INFORMATION ON BACK OF THIS FORM LICENSE
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1996 1999 North_Carolina PROPRIETORSHIP licensee NCGS Raleigh conjunctions 18B NC licensees distinguishable fulltime Issuance REISSUED prepositions deleting numeral Examiners additions Eff abbreviated Amended substitution punctuation CONTRACTING certify E

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