P - 80205REQUEST FOR ELECTRICAL INSPECTION ,�,�
1. 14 3 5 5 9 Minnesota eoard of Electriciry
� � � 1821 University Avenue Suite 5428, Saint Paul, Minnesota 55104
(651) 642-OS00 TTY/MRS t-800-627-3529
www.elec�nciiy.state.mn.us
FOP OFFICE USE ONLY
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I cenify that I am ihe LICENSED COMRAC70R ❑ COMPANY ❑ OWNER and hareby request inspedion of the electrical work at:
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, maore L.K
Township � qanae � Fire
or
or
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License Number