P - 80427REQUEST FOR ELECTRICAL WSPECTION
Minnesota Board oi Electricity
, 1-397-378 � 1821 University Avenue Suite 5-128, Saint Paul, Mlnnesota 55104 �'
(651) 642-0800 TTYlMRS b800�627-3529
� www.electricity.sta[e.mn.us
FOq OFFICE USE ONLY
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Rougp-in Inspection Required? LJ Yes Inspeclion OUer Than /po/ug��-in' � /N�ow � Will Call
You must nll [�e Inspeclor when ready! Da[e Reatly. I�/ p J {�
� I cedity that I am ihe�xICENSED CONTRACTOR ❑ COMPANY ❑ OWl1ER antl hereby /equest inspection of ihe eledrical work at:
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BOARD OF ELECTRICITV COPY INSTRUCTIONS ON