P - 80571REQUEST FOR ELECTRICAL INSPECTION _
Minnesota 8oartl of Eleciricity
� 1-380-352 � 1821 Universiry Avenue Suite 5-128, Saint Paul, Minnesota 55104
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www.electricity.state.mn.us -
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I certily ihat I am ihe � LICENSEO CONTRACTOR ❑ COMPANY ❑ OWNER and here6y request inspeciion of the elecMCal work at: