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P - 757741- 5 9 9- 7 51 �` REQUEST-FOR ELECTRICAL INSPECTION � Minnesota Board of Efiecbicliy 1821 Univers(ty Averttre Stdte S-1'18, Seint pgul, AAinnegpta r�r� {851) 642-0800 TTY/MRS 1-800-627-3529�ii ww_e%tricidystate.»m.res REMODEL a ADDITION ❑ REPNR D�cdbe -using the back of 8re �tite co{q ii necessary- t4re wadc cove`t�i � tMs requ� Y9 ,�� : -- — _ GENERAL FEES putdoor Standard $1 ` SF.6VICES /�WER SUPPLIES � Trsdfic sim�a� Srsmdsml rrB .P.�, W� v ro� ONE 8 TWO FAMILY DINEWNGS, EACH UMT 200 10 It�clud� fhe Service andlor Po�er SuPP�' W��P�. � )MMUNICI�TION, REMOTE COPITROL, SIGNALING CUcuits and Taro InspecUon Td{� E�h Darelfmg Unit @$80 CIRCURS OF LESS THAN 50 VOLTS Addifinna� I��r.Hen Tm�c rni R7f1 iuuva Ktscatnia _ TQTAk: FEE S5o Per umt (minimum total fee fs $20) �.`. UN't@$25 nusax�a var�craus�amr I fre�r cer6fy E�at I k� 6re � h�n d�edhad t�in on 6re dates s�ed: on�Rnoomor� �Es $.25 r Fahae � a - � G� BHon Boom $40 RQ°' �re � � � s� °L- /-2� � _ �e r� s� ss _ �.�T� /�. �„� � �9 �nso�on Q $� - -- P f ?.�'—�o -..- � .�.a- . .... �, _. �,� � o =a�? tae�'tiz3��LP �= �asi�.�,C�� L � � � . .-.� �� ., �.T" c�'�" � n �� t t�--�s�� Illlllllllllllllllllllllllllllllllllllll��ll�l �-- �-- u�- � � � _ 1599?513 � ��,�� i Request Date: Rough-in Uispec6on Reqid2dY �es ❑ No U�specllon Other Than Rough-In: OReedy Now �WN Ce0 / � � + � _ ,�- �� ;i"1 �.. You muatcall the i�Pector when readYl _ _ - ._ Date Ready: . _- - - — - i I certity tfiati'arti�tl�e �ICENSED GONiRAGTOR- flGONff'ANY ❑ OWNER and hereby ieque.at Uspec�on of.the electrical work at: