P - 75738REQUEST FOR ELECTRI L INSPECTION
1- 6 3� �� � 7 4 � Minnesota Board of El�tridty �0��•. (��� / f
r- 1821 Urriversity Aven� Suite S-128, Saint Paul, Minrresota 55 04
(651) 642-0800 TTY/MRS 1�00-627-3529 www.elecbicilystate.mnus
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'�'�� �(�� Yai must eaU tlre Mspedor when readyl Date Ready.
I c�rdfjr O�t I am �e ,I�UCENSED CONTRACTOR ❑ COMPANY ❑ OWNER end hereby reql�t hispedion oF 9re elecfic�al wo�C et:
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