P - 79355� REQUEST FOR ELECTRICAL INSPECTION ` �
1� 3 5 0���} 2 Minnesota Board of Electricity
1827 University Avenue Suite S428, Saint Pjj�� ul, Mi�e�Ota 55104 ��,
� '� aF� (651) 642-0800 TTY/MqS 1-SOOfi273529 ( � �
www.electriciry.saate.mn.us � �Q
I �NEW �[REMOOEL ❑ADDITION ❑REPAIR
Includes the Service anNor Power SuDPry up to 500 Amperes, All
CircuAS and Two Insoection Tnos Each �wellino Untl �$&
����. �%! 2 �c L
�rtiN Ma� I ireoected ihe eleclnral ins
FOR OFFlCE USE ONLY
Ililllf lIIIIIIIIIIIRIIIIfNIIIIIiIIiNlIllilNlll
3c 1 3 S D 6 4 2 3*
���35� �as�
� � �' �.l� V✓�[ I You must call ihe irepector when ready! I De�e Reetly: I
I certily that 1 am the I7U tICENSED CONiRAC70R ❑ COMPANY ❑ OWNER and hereby request inspecfion of fhe elechical wark at
P�
Job Atltlress (Street, Box, or Route No.) Ciry Zip Cotle
zZ l-1a��ma.v� Ikv �d �543Z
Section Tavnship Renge Fire No. C unlv I
I Occuperit
Center Point Energy MGCO
13562 Central Ave Ne
Hnoka, MN 55304^
� _
Es-oaomn-ie >itrzooa � � —� . . ..
-- 1 --
N�eSS a99
Atltlress
rer Pertamtirq Iristallation)
� i�
�9�
- - � . . JAPD OF
2-
Mester
�