P - 79659' REQUEST FOR ELECTRICAL INSPEGTION
�� 2 2 4- 2 4 6 w: Minnesota ryard of Electncity "�
� 1821 Unrversi Avenue Smte S428, Saint Paul, Minnesota 55104
** (651) 642 0800 TTY/MRS 7 800-627-3529 �� ��
www.ele<tnciry.state.mn.us �
xrork coveretl by iNS request:
❑REMODEL ❑A�DITION
CIRCUITS OF
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Inclutles the Service anNor Power Supply up ro 5�� Amperes, All �
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FOR OFFICE USE ONLY
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ReoueA Date: n Rouqh-in Insceclion Reauiretl? es I-1 No Irtspection Olher Than Rouqh-In:
� y��� Y� U d.. � 1'ou must can Me inspecbr wnen ready! � �ate Reatly: �
I cfrnfy that I am ihe ICENSED CANTRACTOR ❑ COMPANY ❑ OWNER and herehy requesl i�spectioo of the electrical wu�k at
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OF ELECTqILITY COPY