P - 79424REQUEST FOR ELECTRICAL INSPECTION �
.L �-L� 1.� - 0 91 Minnesota Board of Electriciry
1827 Universiry Avenue Suite 5-728, Saint Paul, Minnesota 55104
. a.. � (651) 642-0800 TTY/MRS 1-800-627-3529
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II ceeify that I am the�{A;CENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection ot ihe electrical work at:
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