P - 79966REQUEST FOR ELECTRICAL INSPECTION �
�{ (� Minnesota BoarU of Electricity �,
,J� � 1'�6 4� V 8 8 1821 University Avenue Suite 5-128, Saint Paul, MinneSOW 55104
, (651) 642-0800 TTY/MRS 1-800-627-3529
� www.etectricity.statz.mn.us �3Q�CZ
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Includes the Service anNor Paver Suppty up to 500 Amperes, All
� FON OFFICE USE ONLY
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qequest Date: Rough-in Inspection Requi�etl? ❑ Ves No Inspection Olper Than Rough-In: ❑ Featly Now Will Call
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I cedity that I am Ne�IGENSED CANTRACTOR ❑ COMPANY ❑ OWNER and hereby reqoest inspection of the electrical work at
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