P - 79937� REClUEST FOR E
�j Minnesota Bosrcl of E ''��=� �-
��=16 8 ��� L •�' 1821 University Avenue Suite 5-128, Saint Paul, Minnasotd 55104
� .;w.': (85Q 642�0800 iTY/MP5 t-Ba0-627-3529 � -
Fvww.electncity.streie.mti.ttS
me�rtrcymewoncco�eream��msreq�esc: Loose Wire in Laundry Room
❑Nen ❑REMQDEI OADDITION�Paw 3 red wires were to�ether, NE wire on block
TNAN SQ
Inciutles the Senrice ar�d/or Power Suppty upio 500 Amperas, A1f
GirmiBs and Two Inaoection Trins Each DwHGno Unli �$BG
total fee is $?Ol � Z�
FOp OFi10E USE ONIY
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� 10-4-01 ( Vou must ca�� the inspectw when readv! � Oare Peatly �
i certify Viat 1 am the [*LlCENSEO CONTRACTOR ❑ COMPANY ❑ OWNER and hereby requcist i+�spectron of ttre eleUncel work at:
Job Ae�ess tstreec, BaY, or Rwte No.) etty 7�P ��
1383 76th Ave NE Fridley 55432
2920U �..._._ �ds-�
Total Electric Inc. � CA02749
iiW�g Atldresa {�onfraaor, Compeny or Owner PeAorming Installation)
11967�1dorado St NE _Blaine MN 55449
OF�ELLOW COPY