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P - 75991
REQUEST FOR ELECTRICAL INSPECTION 1- 5 7 7° 6 2 3� 82; �er�y Avenua Suite S- 28, �� ��. Minnesota 55104 (651) 642-0600 TTY/AARS 1-800-627-3529 www.electricity.state.mn.us ��, -�� s_. ������������I����I�1�������������� ��0 �(� ( "��� 1577623� � �e� Rough-in I�pection Required� ❑ Y� ❑ No Ir�peUfon Other Than Rough-In: ❑Ready N�r O Wpl Cell You muat call the irrepector when readyl p� R¢�y; I certify tl�at I am Ute �UCENSED CONTRACTOR ❑ CON�ANY ❑ OWNER and heieby iequest mspection of ihe electrical xrork at: