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P - 77453REQUEST FOR ELECTRICAL INSPECTION � �� 1�� -'�j �� 2 6 � 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 O NEW 0 REMODEL ❑ ADDITION ❑ REPPIR Describe -u;iqg lhe back of the,white copy 'rf necessary - the work covered by this request: ONE 8 TWO FAMILY DWELLINGS, EACH UNII Includes the Service andlor Power Supply up to 500 Amperes, All Circuits and Two Inspection Trips Each Dwelling Unit � S80 I CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS 'IFAMILY DWELLINGS PER UNI TOTAI. FEE � �i(J 3 to 12 Units � E50 Per Unit (minimum total fee is $20) EeChAdd16W121U1111 $25 r�su�Faarua�cr aar � I hereby certity that I inspecBed the elecbical installa6on described herein on the dates staled: OTHER ADDITIONAL FEES �% / �) 6� — �� ' htin Retrofit E•25 FixWre �'��'��'''J � Center Pivot Irriga6on Boom @ E40 R01GN" wTE � ,^G� - - - . i�'S .�� . �:� � `; � A i.l�.�' �,. � \�� -, j,�.,, . . y . . ,� � �}�� P `ii ; � �� _�� _� . ��". . . � -.:� '� �- �4'.3 s 1. ' �f.� " �•�' .::a °� F }Y. � Y �: ! . . . . -� . a�am�� . . Uab: � ' Rp�+y�'�C�l�qi�teCt ' Yes ', kNprsCNoesfi�c'A1Y1� :' !��w, �`i� 1NW G'ak> �'� � Yourtlwi[�BiFtl�Ynp�darwhen!eadY! ir �M�edY: .. � � � 1 i. � i f�'`° � Of � MlDfk'�: " a �rY�!'- „ ��f,(�i L��P *ry, , tfWN�Ft �eby�.req�t tl�... . . �,,�-�D ��' �« �� d � �'�/d.f � � SeCtion Tp�rtqHp lilflqe Fiie No.f;� Camty ' ;, ,'. • . '. , ' _..:. �.. `. . .�> , (h�e►JOteuPMR � � �` 6f. �d£<!/ `:._. j.� .. . � \ .. � � . . !� � " SuDDlier Addre�s :� , Ff . - �. / COmpniq� PNme t � � � #M�mbq► [SIe6M► ' � at Pd�roc EMnlbd Tedinkian � � ` f(/ ` � , ::; � . �j � `�.° "�,�,°a �d /�1 > -' :�� ,�"�� , . a _ : _: . . � • � ��''�°"'�r �� ' ��Y��, <� � `�v ,�;, ��y.; r�@ou+k,: at �aa : . w.�. ....�K ... . . - �� .�,+�,�.•: