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P - 79366l.,l I i VP sa3i Unive�sity nvenue�NOrtneas� (�aay rn-�ea5 FRIDLEY Fritlley, Minnesota 55432 FAX (612) 571 1287 REQUEST FOR ELECTRICAL INSPECTION "X" Below Work Cave�ed Ay TMS Request Add Meo_ TVpe ol BuJame Apui�ances wlree Fiome Flange ❑unlez Wdter Hpater Uon hee Uelow nro Enhenp Size 0 100 AmVS � to 200 AmoSf. PoaB�'in F�nal Th�s reGUes� vo+d TMS reduas� void 1B rmn�ns trom ��'f�`vo� ice�setl Elecv�wi Ca�vactar wner ret AAdress_ BoM or oure No. actncal IPBINTI ��_ � Air Condrtioner Fee to 3U prt to 1 00 � wve 100 rmote Ca �ecial Ine I �.� _ .. � Eauiument Wiretl rorarv Servlce Ele�tnc He Silo Uril��c 3Wk Milk i OJ,er ,Sce..i fBP C��C1lit9 � !O 3� Am = � 31 to 100 An ���n S�O VU TOTAL PEE � � Dale I, the Elaenieal InsOecb�, M1eraby O^ p certlH [�et tha nbave inspectron has bean �aa. �a.. , , �,� ire No, qouen��n insoec�w�i ReQUVetl� �Reativ Now � Will Noiifv Inspeo �Yes ❑No br When Reativ � AaraOV �equest inspectwn of ebave elec�ncal work Ins�alletl e��. � C ty ; ft�� �j -1�( ��\ � Pnone No. �ur8 ICanlydClof/Uw�IBr Mdk�np �,2.��i Ul�. COII�l8C10��5 LiCCl15P. Np,