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P - 759821— 5 9 8—� 4 9� ��UEST FOR ELEC�RICAL INSPECTION Minnesota Board of Elechiaty 1821 University Avenue Suibe S-128. Safrd Paui, Minnesote 55104 (651) 642-0800 TTY/MRS 1-800�27-3528 www.e%tnctdy.stat�mn.ur �� x�� o��r ��6 � IIIII��II�IIIIIBIilll�llllll�llla��li�l /,� 15988496 �lf��° �� Requ�t Date: Rough-in Ump�lon Requtred? L1 Yes XJ No Uisped)nn Oth� Than RaigtNn: J�Ready Now ❑ Wlm Cap ��,Jv(o Y��,�� -� ��,, . ��,��,�u��sm��,�� o�a�,� o � ��: .��,�,��.a��.� � ��e�/ g%! �/ssi ss� oP' �T. �r l��-� b c�f '7 3 L asOn �%a r'ow �7� ; �� X �.,�,� C�-Qt.�Tr`l t. l 6 �k.l �-� Me�ng Address (Contraidor. � Owrrer F /�g9 l�o� l�� s�g�e...�camaam o�ow �� n� �� j n Nr,� —, ��q Plee� Provme Two (2) Pharre Wanber(s f��13ov-7�53 ( ) �� .,�� ,.�' e� �' ��P'�� J�� o�.c r- � soa�o � ¢ECtwcm coPr �`�i1��of 1 s ,� , °�t�-�-/�/o � �a0000u-�a a�.zooz