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P - 75754
REQUEST FOR ELECTRICAL INSPECTION� 1� 1 1�� �� 0 � 821 U,�niversity A enue Stdte S-�28,'Sairrt PaD�/ ` 10J4 (651) 642-0800 TTY/MRS 1-800-627-3529 www.elecdicidy.st�e.mnus CiiR %`�a F'8�,£ CD�E C3£�,L'�! IIIII�IIIIIIII�III��I�lllll�llllll��l � 17132101 RouBh'in U��da� R�uU�? ❑ Y� ❑ Nn It�� Other Then Rough-In: OReady Nw� I Ca0 -�� Ya� must tep tlre 6ispednr when ready! p� R�y; . I c�rtif� tt�t I am ffie ❑ LICENSED CONTRACTOR ❑ COIV�ANI' ❑ OWNER and hereby requ�t insp�r► of tlie e�ctrical wotk at: