P - 80210REQUEST FOR ELECTfl1�Al IMSI3ECT10N ,�y7�
1� 1.3 9��� p Minnesota Board of Electricity
� 7821 Universiry Avenoe Sude 5-128. Saint Pau6 Minnesota 5510a
��? i (657) 642�0800 TlYfh9RS 1 eIX1-6 2 735 2 9
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dentify Me work caveretl by this request �� ��� ��� ` �� C:-C n
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CNEW ❑HEMOOEI ❑ADDITION ❑REPAIR . -
OF IESS THAN
OPoE & TWO FAMILY OWEIIIN(35, EAGH Urvu
I�xlutles ihe Service anNor Power Supply up to 500 Amperes, All
Cimuits and Two Insoeciion Trins Each CweHinq Ilnit �$BC
total tee is
FOli OFFlCE USE ONLV
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Rouqn-in Inspection Paquired? es No inspection Olher Than Rau�-In: Fleatly No Will Call
1 Vou must ca11 �he inspecror wnen readyl Date Ready:
am t�e �ICENSE� GONTRAC70R ❑ COMPANY ❑ OWNER antl hereby request inspection of the elecirical work at
� tsveet, eox, rn floute Nal ciN . zio cade
a 6wner Perlomnnp InsWlktionj
uc�se rvunwer
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INSIPUCiIONS OH BACK OF YELLOW COPY