P - 78997REQUEST FOR ELECTRICAL INSPECTION
1� 6 0 1� 6�� �.,! � Minnesota Board of Electricity
�_ J 1821 University Avenue Suite 5-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us
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Roughi� Inspection Required7 ❑ Yes �No Inspedion Oth� Than RougMn: �Ready Now II-Gali
You must wll the inspector when ready! Date Ready:
NSED CONTRACTOR ❑COMPANY ❑ OWNER and hereby request inspection of the electrical uirork at:
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ise Number Masler Electriaan a Power Limited Technician
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E&OOOOtMt4 8.1.2002