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P - 79413— ��'� � � �� 6431 Universily Avende Nor�heast F[tIDLEY Fridley, Minneso�a 55432 f�QUEST FOR ELECTRICAL INSPECTION "X" 8elow Wo�k C'overed by This Reques� GdE Rao. Tvoe ot BwIEin9 4DO��ancas Wiretl Fange Wate� Heater Dryer Fumace Air Conditioner (fri2� 777�78�5 PAX (612) 571�128i Industtial Farm Ss�vics 0 t0 iL 101 to in { F�na� / I �il Tn�s reQUes� vo-itl 18 non�hs iwm rn�s .eauesr vo�e , e ,.e�ms r.om Nequest Oate �b �s a ❑ lice�setl Electnc Convacme^ �Ownar J /] 1 I Qccupen� ;Inca� 1 � linp Ad honzetl Fee feec G IO 31 ro � . _l Eqaipm0�t W��ed �.m�rary Service ghimg Flxiures ectnq Neabnq lo Urrloader ilk Milk T2nk Fee U (p � J7 [o JSpecial inspectron y d0 TOTAL FEE 2.Ti�C� E. �OL�" 1 t�e Elacviaal In9D6CtOq he�Bby ce�idv ��et 1he nhove �^��' inspect�on �as bean --^'�� Q /,f0"� meae. �� .5�73se f :�'�O OD �pM1-in InsoecPan iweed� �Reativ Nuw �Wi�l Nopfy Insoec- ��es �No ��r WM1en FeaOV � hars�y raquest inspec��on o� sbova elecM1icel wmk inatalle� at. ns�anation 'none No. v.