P - 78982REQUEST FOR ELECTR{CAL INSPECT1flNt��;��
1— 6 5 4���F �� r Minnesota Board of Electricity �
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800�27-3529 www.electricity.state.mn.us
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rc uat Rough-in Inspection Required? Ll Yes � No Inspeqion OMer Than Rough-In;/BRP�dy Now O VWI Call
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You must eall the inspector wh� ready! Date Ready:
I ce' that am the LICENSED CONTRACTOR OC�ANY ❑ OWNER and hereby request inspection of tl�e electrical work at:
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5182 WEST
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Number
INSTRUG710NS ON �K OF YELLOW dooY BOARD OF EIECTRICITY COPY E&00001M4 8.1. 2002
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