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P - 78936REQUEST FOR ELECTRICAL INSPECTION 1�- � 2 9� 7 0 7 � Minnesota Board of Electricity - 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 ' (651) 642-08Q0 TTYlMRS 1-800-627-3529 www.electricity.state.mn.us ' :! ^ Iiiiflilliilllilllllifilllllililliiillll��ll� �`' � 16297079 � �Oo�- Oac�3?� �� KeQ uate: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Ofher Than RougMn: �(Zeady Now O VWII Call . Q You must call the inspecta when ready! Date Ready: i� �r � 1 certi(y that I am tlie [�LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the elactrical v�rork at: ` Y _ � ury.�� . �� t.onQaccor ucense ninnoer �nascer e�a �i'r', ii�C. �1A/�� i 7 /_ u�e ►�a,m�. ��1._ .1». �i'!1%L�,r� 1�*�� ►�ll�l��`�L�