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P - 76313• REQU�EST FOR ELECTRICAL INSPECTION �� Q°-°-� z� `� �� � Minnesota Board of Electricity 1821 University Ave de S-128, Saint Paul, Minnesota 55104 . (651) 642-0800 Tf�9�9-8p0-627-3529 www.electricity.state. 0 to 4U0 � CIRCUITS, CIRCUffS OF LESS THAN 50 VOLTS Each Svstem Device or Aoaaratus id $.50 Unit @ Cerder Pivot � 1�I�II�1���I���������II����I���������0� �� 20871612 l Fee Includes the Service and/or Power Supply up to 500 Amperes, All Circuits and Two Insp�,fion Tdps Each Duvellir�g Unit �$80 AdditlonallnspecUon Trips @ $20 Inve.stiaative Fee total fee is I 6� the el�Orical 6�tallaticn de�d here6i nn fhe dat� ste�d: I REC� Jl����'�E°�1 ��7���� � ��� , �� � masoer ttecmdan or N � Llcen� Number �l� �Two (2) han umbers I t(� f