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P - 81301F1V�LL1 �� Fritlley, Mlnnesola 55432 FAX (672) 571-1207 RE�UEST FOH ELECTRICAL INSPECTION '"X" Below Work Coveied by Th�s Request Ade Reo. Tyoe ot Bwleinq aoo��anws wvee Home Range Duplex Water Heater ApL 9uilding Dryer Commercial Bldg. Fumace Industrial Bldq. Av Conditioner r Fsa SsrviceEnbanmSixe 0 to100Am s 101 to 200 Amps Above 200 Amn l � inis �eQUesl vo��a �� 16 nqnlhyl.�� N y �,_a_ �� .�_ Tpis reduest vmtl • � 18 momhs Irom pPnues� te fire � � i- q 1� licensed Electncal Convacto� Owne� SVee� A�Irass, Box or Route jP�. � Ocwoant IPNINiI a Fae< 0 ro 31 ro ct o� S I�._, . . �-- Equipmam Wired �ilo UnIOBC. Bulk Milk T . i'S ne� ;soe�.- to TOTAL FEE 1. tne Elactncal Ingoector, M1areby cartifY ��a� t�e xbove ��spaction has been mada. �n�� i a � ti, _ RouO�-�� Inspecuon Nepurtetl? �Reaay Now n Will NobW Insper ❑�es �N� ior When Reatly � hsnhy rspwst insoection ol abava elechlcel wor4 ina�alled an Ele � Convacmr ICOmpan Namel Ae � f� Mailinp Atltlress IComr o� o� Owner Makinp tns ,Igvon� 351�z ,��_ Authorlxed Sipnatura ICmvac�or Owner Makinp Insaaiia�n .� Vnone �e license