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P - 79209REQUEST FOR ELECTRICAL INSPEC710N ��` 1 V�- 5 31 � Minnesota Board of Electricity - 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 ' (651) 642-0800 TTl'1MRS 1-800-627-3529 www.electricity.state.mn.us � R4699 ; � �� { � �� l, 7 6� 5 3 1 4 �� 4 0��t ��G �S6 Request Dffie: Rough-in Inspection Required? ❑ Yes ❑�10 Inspection Other Than Rough-In: ❑Fieady Now LJ VWI Call �7i3�i� You must call the inspector when ready! Date Ready: I certify that I am ttie ❑ktCENSED CONTRACTOR ❑ COPAPANY ❑ OWNER and herieby request inspection of the electrical work at:: mtsrnucnons ow swcK oF rruan covr sonao oF E�cnaicm covv ee�0000u-�� e.+. zooz