P - 79195" REQUEST FOR ELECTRICAL INSPECTION
���� O- 514 � Minnesota Board of Electricity °-
� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTYIMRS 1-800-627-3529 www.electricity.state.mn.us
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°'- RougMn Inspection Requiretl? ❑ Yes ❑ Inspedion Ofher Than Rough-In: ❑ dy Now ❑ 1l�ill Call
07��� You must call the ins
P�a When ready! Date Ready:
� certify that I am ihe �ICENSED CONTRACTpR [] CpMpqWy ❑ OWNER and hereby request inspection of tlie electricz� work at::
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7$° 1 PEAR30N WAY NE I~� FRID�Y
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STEAKMAN DAVID A ���\�
P� ���� r Suppli� Address � /
XCEL ENEROY
���a � Company Name
Hun�r e�crR�c eaR�ot�-norv �'tr�. "�"� "'�
AAailing Address (Contractor. Company pr pw�er perf�ing Installation) e� DO�B3
230b TERRlTOR6qL ROAD , Sqllv'f pqUL, MN 55114
�0�� ���re � ^���Da^Y a Owner Perfortning Installation)
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ANOKA
: rwo (2) Fn«,e Number(s) �nduar�g aea code
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M�� �ectriaen or Power Limited echnidar
License Number
�ne (s)
65! 646-2911
E&00001A-74 8.7.2002