P - 80061+ REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
- 1-382-151 %' 1821 University Avenue Suite 5�128, Saint Paul, Minnesota 55104
(661) 642-0600 TTYIMRS 1-600�627-3529
www.elecfncity.state.mn.us
FOR OFFICE IISE ONLV
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Requast Date: Rough-in Inspection Requiretl? LJ Yes LJNO Inspec�ion Other Than Rough-in: LJ Featly Now LJ Will Call
� �ro9�� you must call Ihe inspec�or wM1en reatly! Date Reatly: _
I cedity that I am the LICENSED COMfRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of ihe elecirical work at:
Job AGtlress (SVeet, Box, or Rou�e No.) Ciry Zip Cotle
7847 FIRW006 WAY NE FRI�LEY 55432
Semion Township Range Fire No. COUmy
ANOKA
Occupant PM1one
CAMERON SCOTT A C� r�;:,�..
Pourer Supplier Atldrefi9
XCELENERGY
Electncal Con[raclor / Company Name Comracror License Number Mascer License Number
HUNT EIECTRIC CbRPORATION CA dOB83
Mailing Atltlress (COn[rac�og Company or Qwner Pertortning Insialla�ian)
2300 TERRITORIAL ROAD , SAINT PAUL, MN 55114
Authorizetl Slgnature (Contracmq Gompeny or Owner Petlortning Installation) Phone
651 6�6-2811
EB-00001A-13 ]/i/2000 BOARD OF ELECTRICITV COPV INSTRUCTIONS ON BACK OF VELLOW COPY