P - 80564� REQUEST FOR ELECTRICALINSPECTION
Minnesota Board of Electricity
, 1-380-345 � 1821 University Avenue Suite 5-128, SaiM Paul, Minnesofa 55104
(651) 642-OBOD TTY/MRS 1-800-627-3529
www. electri ciry. sta te. mn. us
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I cetlity that I am the C� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work aC