P - 80459REQUEST FOR ELECTRICAL iNSPECTION
1 �^ O ��� Minnesota Board of Eleclricity
r b � 7827 Universiry Avenue Suite 5-128, Saint Paul, Minnesota 55104
, (657j 64Z-OB00 TTY/MRS 7-800-6273529
www.electricirystare.mn.us
Itlentiry ihe work corered Ly this request: i',� �� o� ���r/�QGe �/J ��
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InGutles ihe Service ard/or Power Supply up to 500 Amperes, AIl
Circuits and Two Insceclion Trios Each Dwellino Unit � 880
50 VOLTS
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FOH OFFICE USE ONLV
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� � Vou must wll Ne inspector wnen readyl � I �ate Reatly I
I certi(y that I am ihe LICENSED CONTRACTOR ❑ COMPANV ❑ OWNER and herelry request inspec1ion ot ihe elecirical xrork at:
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Section Township `�� Ranpe Fire No. Counry �
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