P - 80547.
'� REQUEST FOR ELECTRICALINSPECTION
Minnesota Board of Electriciry
1-379-979 �; 1821 University Avenue Suite 5�128, Saint Paul, Minnesota 55104 �
(651) 642-0800 TTY�MRS 1-800�627-3529
.. www. electricity. s ta te. mn. us
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FOR OFFICE USE ONLY
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ves ❑No Inspection OtherThan Rough-in: eatly Naw
tlV! Date Reativ:
I cer6h/ [hat I am the d LICENSE� CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of ihe electrical work at: