P - 80588REOUEST FOR ELECTRICAL INSPECTlON
Minnesota 8oartl c� Electricity
1-380-319 � 1821 University Avenue Suite 5-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTYIMRS 1-800�827-3529
www. electn ci fy. sta te. m n. us
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I ceNty that I am the L�J LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER arid herehy request inspectlon of the electrical work at.