P - 79978REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of ElectriciTy
1��I C%� ri 0� : 1821 Universiry A�enue Sude 5-128. Saint Pau�, Minnesota 55104
1 J( G (651) 642-0800 TTY/MRS 1-800-627-3529
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www.edecbiciry.stare.mn.us
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❑NEW ❑flEMO�EL ❑ADDITION ❑REPAIR �rd� w1T1r1CJ
50 VOLTS
Indudes iha Service anNor Power Supply up to 500 Amperes, All
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FOP OFFlCE USE ONLY
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I� �� 3 ��� � I Vou must calt tY�e inspeCror when readyl I Da[e Ready " I
I cerAfy ihat I am the � LICENSE� CONTRACTOR ❑ COMPANY ❑ OWNER and hereby reques[ inspeqion M the elecVical xrork at:
Job Atltlress (Street, Bax, ar floWe No.) Ciry Lp Code
7600 Fast River Road ���c�,. ` Fridley 55432
Section Township Range Fire No. County
Ailbk3 II
occuva�� PYwne
Jon McGinn 763-574-1909
PoWer Supplier Adtlress
Eleclrical Contrec[or / Canpany Name ConVactor License Number Master L�se Nu�
City View Electric, Inc. CA00384 AM02777
Mailiig AOtlress (Contrec[oq Company or Owner Pedo�ming Ins�allation)
1145 Snellinq Ave No St Paul, I+IN 55108
� � UUf�t.A�. �—� � 651-659-9496 �
Eb00Wt 43 ]tl2000 . — BOAH�OFELE4TqItT/COPY INSTPIICTIONSON9ACKOFYEILOWCOPY