P - 80089REQUEST FOR ELECTRICAL INSPECTION
��� V�- 5 5 8� Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
' (651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us
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st Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough-In: ❑�teady NOw ❑ VWII Call
07��� You must call the inspecta when ready! Date Ready: �
I certi(y Ihat I am the ��ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspec.fion of ttie electrical work at:
IN87RUC710N8 ON BACK OF YELLOW COPY BOARD OF ELECTRICT' COPV E&00001Mt4 8.1.2002