P - 78976REQUEST FOR ELECTRICAL INSPECTION
1�� U�- 2 4 4❑5 Minnesota Board of Electricity
1821 Universiiy Avenue Suite S-128, SaiM Paul, Minnesota 55104
. (6511642-0800 TlY/MRS 1-800-627-3529 www.electricity.state.mn.us
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(�� l You must call the inspecta when ready! ( Date Ready:
I cerMy U�at I am ❑ SED CONTRACTOR ❑ COMPANY ❑ OWNER and hereb request ins ction of the electrical work
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IN87RUCTONS ON BACK OF VELLOW COPM � BOARD OF ELECTRICT' CAPV EB-0OOO1M14 8.1. 2002