P - 79194j REQUEST FOR ELECTRICAL INSPECTION
��` � V�- 513 � Minnesota Board of Electricity -
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TfY/MRS 1-80Q-627-3529 www.electriciry.state.mn.us
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st Date: RoughJn Inspection Required? U Yes
�7��� You must call the inspecta when �ready!
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Inspeclion Other Than Rough-In: ❑lieady Now O WNI Cali
Date Ready:
I certify that I am the D�fCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electr�al work at:
INBTRUGTON8 ON BACK OF YELLOW COPY BOARD OF ELECiF21CRV COPY EB-00001M14 8.1. 2002