P - 80604REQUEST FOR ELECTRICAL INSPECTION �
�J�� O�� _.. Minnesota Board of Electricity
� 1 � 1821 Universiry Avenue Suite S-128, Saint Paul, Minnesota.55104
_-� (651) 642-OB00 TTY/MFS 1-800-627-3529
� K�ww.electricirystate.mn.us , .
� FOH OFFICE USE ONLY
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I cedify that I am ihe „tp ��CENSEG CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspedion of ihe eleCrical work aF.
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BO�FO OF ELECTHILffY COPY INSTPUCfIONS ON BRCK OF YELLOW COPY