P - 80417REQUEST FOR ELECTRICAL INSPECTION
1�5 9 8 4 7 Minnesota Board of Electriciry `
� � 1821 University Avenue Suite S-12B, Saint Paul, Minnesota 551M
` (651) 642-0800 TTY/MRS 1-800-627.9529
- www.eleciriciry.state.mn.us �-
Inclutles ihe Service anNor Power Suppy up ro 500 Amperes, NI
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FOR OFFlCE USE ONLY
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LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the elecirical work at
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