P - 80619-- 4 REQUES"�FOR EtECTRICAL INSPECTION
1 �^� O�� Minnesota Board of Electricity
� b � ,. 7821 Universiry Avenue Suite 5428, Saint Paul, Minnesota 55704 '; .
a"..+ (651) 642-0800 TTY/MFS 1-500-6273529 �-
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I cenity that I am the
Job Ftltlre (SYreaq , or
Section Townahip
��Pant �
Power Suppller
Electncal CoMracl Compe
EPENDA EL
li
•on Rapids. MN
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Vou must wll the inspedor when rea�ty! I Date Reatly: ��
NSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the eledrical work at:
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IC. INC.
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Phone
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