P - 78773REQUEST FOR ELECTRICAL INSPECTION �
� � 7 Cr � .., % � � � Minnesota Board of Electricity � "
� v � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651)642-0800TTY/MRS1-800-627-3529 www.electricity.state.mn.us
I��I �III II III IIIII �III I) Ilf II�I I) III II� I IIII.
i�7527334
Dete: Rough-in Inspec8on Required? lJ Yes pa.No Inspection Other Than Rough-In:
_// �j j You must call the inspecta when ready! Date Ready:
3038�
t{�'�°
3c�, S�
eady Now � Will Call
i certify that I am the �LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
nietrtucnows on ewcK oF reuow corr eoato oF e�crnicm coPr ee-0000��-�e e.�. zooz