P - 78928�
REQUEST FOR ELECTRICAL INSPECTION
1� CJ` 6�� U g 5 a Minnesota Board of Electricity -
1821 University Avenue Suite 5-128, Saint Paul, Minnesota 55104
, (651) 642-08Q0 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us
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and hereby reyuest inspection of the electric�l work at: