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P - 76032/� REQUEST FOR ELECTRICAL INSPECTION 1��1, � 2 7 3 � Minnesota Board of Electriaty 1821 Unfversity Avernie Suite 5-128, Sairrt PaW. Min� 55104 (651) 842-0800 7l'Y/MRS 1-800-827-3529 www.electricitystate.mn.us IIWU�u�IIIII�II�I�IuIIuIIIIII��I� 1714273A � � � r��-m a�� ❑ re ��, ,� You must catl tlre IrepeGOr when ready! �oR oF�tC� usE o�f�.Y `. (� �� , omv n,� r�nao: ❑r�y nrow ❑ ano cau � �Y . I c�erdfjr ffiat I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER ar�d herebY r¢�at h�sPe�on of Qre �I work at: