P - 78385(� REQUEST FOR ELECTRICAL INSPECTION
1 f'415 ��� J� Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
� (651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us
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•— :�,a— (� 'S I You must call the inspector when ready!
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Inspeclion Other Than Rough-In: �Ready Now Will Call
Date Ready: .
I certify that I am the �LICENSED CONTRACTOR ❑COMPANY ❑ OWNER and hereby request inspection of ihe elecdical work at: