P - 79263- REQUEST FOR ELECTRICAL INSPECTION
�� 3 6 8- 4 5 8 Minnesota Board of Electricity
1821 Universiry Avenue Suite S-12B, Saint Paul, Minnesota 551q4
�' (651) 642-OB00 TTV/MRS 7-800-62 73529 � �
www.elecdncity.state.mn.us (9 .
Identify the work covered by this requesc ���%�� ����,� �C� ��
C(NEW ❑flEMODEL ❑ADDITION OREPAIR
Inclutles ihe Service anNor Power Suppty up to 500 Amperes, NI
CircuAS and Txro Insoection Tnos EacA Dwellino Uni� � Eel
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� ceniry that I am the �ICENSE� CONTRACTOR �
� COMPANV ❑ OWNER and hereby request inspedion of ihe eledrical work at
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