P - 80597, REQUEST FOR ELECTRICAL INSPECTION
' �• Minnesota Board of Elecinciry ��.
1-3$0-321 � 1821 University Avenue Suite 5-128, Saint Paul, Minnesota 55104
�651) 642-0800 TTY/MRS 1-800-627-3529 -
www. elect�icity. sta te. mn, us
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I�8�� 7ro� I Vou must call ihe inspector when reatly! I Dale Reatly: I
I ceRily ihat I am ihe C3i LICENSED CONTFACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of ihe elecMCal work at:
Job Atltlress (Slreet, Box, or Route No.) City Zip Code
Fire No. �Counry
ANdKA
Phone
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