P - 79453REQUEST FOR ELECTRICAL INSPECTION
1 �� O ��� Minnesota Board of ElectriciTy " '
� � '� 7821 UniversiTy Avenue Suite 5-128, Saint Paul, Minnesota 55104 ?
(651) 642-0800 TTV/MRS 1-800-6273529
� www.e2ech-iciN.state.mn.us
IOentiry the woM1 covered by this request: /!�� (G ����`, //�7e�C O�S fdkSl+rPr O/�OOS4
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I ONEW ❑REMO�EL ❑ADDITION
ONE 8 TWO FAMILY DWEWNGS, EACH UNIT
Inclutles ihe Senice anNar Power Supply up to 500 Amperes, All
�.1!-/- 7 z ty �+ /
TMIS INSTALLATION MAY BE ORDERED UISCONNECTED IF I
FON OFFlCE USE ONLY
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� You must call the inspector when reatly! I Date Feady: �j�— SO I I
IL CENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspedion of the eledrical work at:
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