P - 80572REQUEST FOR ELECTRICAL INSPECTION �
Minnesota Board ot Electriciry
1=380-353 � 1821 University Avenue Suite 5-128, Saint Pau�, Minnesota 55104 �' 9
(651) 642-0800 TTY(MRS 1-800-6273529
www. electricity. state. mn. us
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i certity that I am the L�t LICENSE� CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspectlon of the electrical work at: