P - 79954�"REQUEST'POR ELECTRICAL INSPECTION ��
1 1�9 0 2 3 3 Minnesota Board of ElectriciTy
� � 1827 Universiry Avenue Suite 5-128, Saint Paul, Minnesota 55104 �';
(651) 642-0000 TTYlMRS 1-800-627�529
� www.electricitystare.mn.us '�
Itler�tiry ihe work coaeretl by ihis request: /, I//, �. �J
❑NEW ❑qEM00EL ❑ADDITION ❑REPAIq (/�/(/�X� �/v�-���C"'ei
CIRCUITS
Indudes ihe Service anNor Power Supply up to 500 Amperes, All
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FOP OFfICE USE ONLV
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Req t Oa�e � Fiough-in Inspection Required? ❑ Ves o Inspection Other TM1an Fough-In: ady Now Q Wiil Cell
Vou must call Uie inspxtor when reatly! Date Reatly:
I ceeiy that I am the�k CENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspedion of the elearical work at:
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BORXO DF ELECTRMRY COPV INSTFUCTIONS ON BACH OF YELLOW LOPY