P - 75564Minrtesota Depa nt of Lab�r and Industry
443 Lafayette Ro' North
Sti Paul, MN 55 5-4342
Phone: (651) 2 SD64
TlY/MRS: (6 297-4196 ,
wv�nr.elec�ri ' .state.mn.us
Homeowner Re
Date R�ugh-In Inspec4on Required?
Homeowner Must 5chedule �,II Rou h�
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By signing this
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RESIDENTIAL ELECTRICAL PERMIT BY HOMEOWNER
PERMIT #
RECENED:
uest for Electrical Ins ctib�n .
y� Inspecii�n OfherThan Rough-ln: Ready A1�v�
Insr��tions Homeowner Must Schedule Ail Fnal Insaedions n li�iq Schedule
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Project Descripiion �
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as defined by Minn. Stat § 326.01 and will
New Home or Assacfated Structure
New F{ome Servi ower Supply 0— 400 ampere @$35
New I-lome Se •- ower �uPPty 40'f �