P - 80065� REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board ot Elecincity
" 1-382-152 � 1821 Universiry Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electncily.state.mn.us
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Fequ¢st Da[a: Fough-in Inspection
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FOR OFFICE USE ONLY
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InspecGOn
Date Reac
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I certity ihat I am ihe Cj LICENSE� CONTRACTOR ❑ COMPANY ❑ OWNER antl hereby request inspection of ihe electrical work at:
Jab Atltlress (SVe9q Boz, or Roule No.) CAy Zip Cotle
1332 HILLCREST DR NE FRI�LEY 55432
Secfion Township Fange Fire No. Counry
ANOKA
Oxupant > Phone
GANNUCCI MICHAEL W�•! n.� �F i
Power SuppOer Atltlress
XCEL ENERC3Y
ElecNCal Contrector I Company Name Contraclor License Number Master License Number
HUNT ELECTRIC CORPORATION CA 00883
Mailing Atltlrew (ConVactoq Company or Owner Petlorming Inslallation)
23d0 TERRITORIAL ROAD , SAINT PAUL, MN 55114
Authonzetl SignaWre (Coniractor, Company or Owner Performing Installation) Phone
'�iaqae 6S1 646-�1 i
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