P - 75630REQUEST FOR ELECTRICAL INSPECTION � °{ �..
1��� � 6 91 � Minnesota Board of Electrjcity
1821 University Avenue Suite S-128, Sairit Paul, Minnesota 55104
�651) 642-0800 TTY/MRS 1-500-627-3529 www.electricity.state.mn.us
Describe -using the back of the udhite copy'rf necessary - the work cavered by this reque.ct: � � �� E:
0
GENERAL
0 to 400
Includes the Service andlor Power Supply up to 500 Amperes, lW
Circwits arid Two Ir�pection Trips Each Dwelling Unit @$80
CIRCUITS OF LESS THAN 50 VOLTS
3 to 12 Unfts @$50 Pe
Each AddiUonal Unit @
Hour
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IIuI�WU�uW��I�. .
19376912
Rough-In Inspection Required7 �lea ❑ No
You must call the i�p�tor when ready!
total fee is
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elachical instel�aticn desaibed hereln on
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`���D MAY 312007
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Inspectlon OtherThan Rough-Irc � Ready Now �Will Call
Date Ready.
� �..;�, .�..,+ �.,�, *tie�i irFNCFn r.ntarRACTOR ❑ COMPANY ❑ OWNER and hereby r�uest inspecfion of the. elechical work at