P - 80584REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Eleciriqry
` 1-380-315 � 1821 University Avenue Suite S42Q Saint Paul, Minnesota 55104
(651) 642-0800 TfY/MR5 1-800-627-3529
Www.eleCtricity.state.mn. us
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You mvst rall (he inspecror when readyl Date Reatly:
I certity that I am Ihe li.i LICENSED CONTRACToft ❑ COMPANY ❑ OWNER and hereby �equest inspectlon of the electrical work at: