P - 78801REQUEST FOR ELECTRICAL INSPECTION .
1 a 4�� - 9 6 4� Minnesota Board of Electricity -
1821 University Avenue Suite S-128, Sairrt Paul, Minnesota 55104
� (651) 642-0800 T'fY/MRS 1-800-627-3529 www•e%ctricity.state.mn.us
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RequesyD�/�� Rough-inlnspection Required7 ❑ Yes
�/ You must call the inspecta when readyl
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Inspection Othw Than Ragh-In: ❑Ready Now �I Call
Date Ready. ,
❑ OWNER and hereby request �spection of the electrical work at:
INSTRUC �ONS ON BACK OF VELLOW COPV BOARD OF ELECTRICITV CAPV EB-00001M14 8.7. 2002