P - 80008REQUEST FOR E�ECTRICAL INSPECTION
Minnesota Board of Electricity
1-381-467 � 1821 University Avenue Suite S•12$ Saint Paul, Minnesota 55104
(651) 642-0800 TTYlMRS 1-800-627-3529
www.electriciry.state.mn.us �
i ian� � b� �i�� �ii iiai a�u �nii �ii i�i�
FOR OFFICE lISE ONLY
b�o°
oate
�sa
Now � Will Call
I certity ihat I am the I� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER -and hereby request inspeCtion of the electrical work at: