P - 80047REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Eleciricity
1-382-148 � 1821 Universiry Avenue Suite 5-128, Saint Paul, Minnesola 55104
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www. eleciricify. s ta te. m n. us
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st Date: Roug�-in Inspection RequiredP LJ Yes
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Inspec�ion O[her Than
Date Readr.
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I certify ihat I am ihe 8 LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of ihe elecirical work at:
Jab Atldress (Sireet, Box, ar Route No.) Ciry Zip Cotle
7614 BRIGAOOON PL NE FRIDLEY 55432
Sec[ion Township ange Fire No. County
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Occupant Phone
OLSON KENNETH C
Power Supplier Atltlress
XCELEMEROY
ElecVical ConVactor / Cdnpany Name ConVactor License Numbe� Masfer License Number
HUNT ELECTRIC CORPORATION CA OD683
Mailing Atltlress (ConlreQOr. Company or Owner Pedorming Installation)
2900 TERRITORIAL ROAD , SAINT PAUL, MN 55114
Aul�onzetl Signature (COntrdctoq Company ar Qwner Pedorming Installation) Phone
65 64�2911
E0�00001A-13 ]/1/2000 BONF� OF ELEGTRICITY CaPY INSTPUCTtONS ON BACK OF VELLOW COPY