P - 75811REQUEST FOR ELECTRICAL INSPECTION
1- 5 8 0- 8 6 5''� 821 U�'�ersityAve �ES� ��. ���, �� �,�
(851) 642-0800 TTY/MRS 1-BDO-627-3529 www.e%tricitv.stnte.rroius
��T-;:
�,.��
� C
� :����:
�I U I� �I III II III If I�I Illu �W u III �W IU�
15808652
�+�t� Ga��t�� us� o�sa.�
Z-C ,s"`'(
"°"91hQ1'�°" KeQ""e°7 �' `{�S �-1 ^ro I Ir�� on�r nian Ra�nan: ❑Ready nlow $�wm can
Yar must � the h�spaGor whmi readyl D� Readr.
I cerdfy B�at I am tlre J�LICENSED CONTRACTOR �CAAt�ANY ❑ OWNER and he�eby reQuest fisPection of the ele�al xrork at: