P - 78975REQUEST FOR ELECTRICAL INSPECTION
,.� - 6 3 4- 4 3 6 8 Minnesota Board of Electricity
❑ 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 �
(651) 642-0800 TTY/MRS 1-800-627-3529 www.electriciry.state.mn.us
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U� � NO InSpection Other Than ROUgh-In: OReadY Now Cell
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Date Ready:
I certify tl�at I am the ICENSED CONTRqCTpR ❑ CpMpANY ❑ OWNER and hereby uest inspec6on of the e�ctri�l �� a�:
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License Number
OFYE4LOW�6ny - J v.Y
�� 80ARD OF ELECTRICT' COpy
EB-OOOOtA-71 8.1.2002