P - 79440REQUEST FOR ELECTRICAL INSPECTION � yY
1 15 4 0 8 3 Minnesota Board of Electricity
� � 1821 University Avenue Suite 5-128, Sain[ Paul, Minnesota 55104
- (651) 642-0800 TTV/MRS 1-800-627-3529
- www.electriciry.smte.mn.us
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mus[ call ihe inspeclor when reatlyl � Dale
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I ceNty that I am the �LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER � and hereby request inspection of Ne electnral work at I
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