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P - 80954fu� REOUEST FOR ELECTRICAL INSPECTION �+� �� ,-r��t��ll IIII III I�I (II II I I IIII (( IIII 8121 Unlversity AvearRmf S-128'CSt. Paul, MN 55104 �,���- * 0 2 1 6 3 8 4 8 s Phone (612) 642-0800 � Calculate covered Fee - This Street Ltg./TraHi< Sig. Tra nsfo rmedGene rato r Sign/Outline Lfg. Xfmr. Alarm/Remote Con}rol Swimming Pool Irtipa}ion Boom � Htr. : request. Enler remarks in fhis space ond on 2lc�fi»nb+ril� %YG�✓ Requesf will not be occepied withoW �he mrrect fee: m INSPECTOP'S USE ONLY /r//-� /-�sm Yf 0 to he�e � copy Fee Imestigafive Fee � - ` �—� THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 216 - 3 8 4 � OFFICE USE ONLY TMs reqmst void 18 manihs irom validanon date prinkd in this box. � �s sv � q90 PLEASE PflINT OR TVPE Reqoesf DoM Rough-in inzpedion required2 ❑ Yes �IJo Inspedion Olher Than kaugh-Im �[Ready Now � Will Coll i �� (You m�s1 wll fie Inspedorwhen ready) Date Ready: � I,_f� licensed contrador ❑ owner hereby request inspedion af the above elechi<al work ai: up i�ame or rvo. I rtange 1 � ^ Addre % Campany Nome� •�����; ; ikaclor or Ownec Pedormine InsbllatiaA Phone No. COPY- SEE INSTXUCTIONS ON BACK OP YELLOW COPY onirl