P - 80191REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Eleciricity
1-382-154 � 1821 University Avenue Suite 5428, Saint Paul, Minnesota 55104
(651) 642-0800 TTYMiRS 1-800-627-3529
www.electricity.state.mn. us
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I certily that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of ihe elec1rical work aC