P - 80200REQUEST FOR ELECTRICAL INSPECTION I
1 O�� ��� Minnesota Board ot ElectnciTy
� / 1g21 University A�enue Suite 5-128, Saint Paul, Minnesota 55104
ax t. (651) 642-0800 1T1'M1NS 1-800-6273529
v✓v✓w.eiectrici[y.state.mn.us �
y ihis request:
60.DDST10N ❑REPAIF
LESS
Includes �he Service anNar Power Supply up to >00 Amperes, All
Cimuits and Two Insoectlon Trps Each Dwelling Unit B$BC
ur3
Ihe
FOp pFFILE USE ONLY
I11NII INII II{Il IINI IIIII INII IfIINlf11111! NII
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/� � '� V/ Vou must call 1M1e inapector w�en reatly! Date Reatly
1 wrtAy tl�at I am the ENSED CONTRACTOR ❑ COMPANV ❑ OWNER and here6y requesl inspection of the electrical work at:
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