P - 79960�
1-032-193
NEW
❑ REPAIR
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1821 Univereity Avenue Suite S-12B, SaiM Paul, Minnesota 55104 _
(651) 642-0800 7"fY/MRS 1-800-827-3529
www.eleciricity.state.mn.«s
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InGuUes 1he Sernce arWor Power Supply up ro 500 Amperes, Ail
(minimum total
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