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P - 76035
REQUEST FOR ELECTRICAL INSPECTION 1— 5� 0—� 4 4� ;"�; � B� enue Suibe &128, �;� Pe�, M;� �,� (651) 642-0600 TfY/MRS 1-800-627-3529 www.electricitystate.mn.us � ��� --- � "���� �,.� ���i���l�����{����0����������������� ��'� .��� � 15808447 st ua[e: Rough-In UispeeHon Required4 ❑ Y� �o Irspedion Other Than Raigh-!n: eady Now O Wip Call ��� You must cell tha hispector whmi readY� Dale Re�iy. I certNy tliat I am the ❑ LICENSED CONTRACTOR ❑ COW�ANY ❑ OWNER arid hereby requ�t inspection of tlre electrical work at: