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3900 Danbury Tr - Electrical PermitsThis request void 18 months from D 3914 NoN, Q Will Notify. Inspec- tor When ReadY Licensed Electrical Contractor I hereby request inspaction ot above 14 nlnrtri?al urMk 111A1AllBd Ht: LJ VWn@( Street Address, Boz or Route No. ? C?t? 3 941,7 D#rv?vr ection o. Township Name or . Range No. Coun ? Occupant (PRINT?,.?? /? C,, ` _ ' Phone No. Power_Supp ier? f-rXu V i F% Address [ Q f Electr cal Contractor (Company Namel? Contractor•Os Lic?s, No. ap / ?e?h?w Mailing Address (Co tractor or Owner Mak?n Inst ailation) o y ?v +V'? 4lfR' ? d' 14 Autfioriz i nature Contractor O r Making I nstallation) Ph Number ..,...,..r?`.w? o?nI icc-r w.i i .nT MINNESOTA SATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-791 1821 Universitv Ave.. St. Peul. MN 55104 Phone (612) 642-0800 BE ACCEPTED 8Y THE STATE BOARD UNLESS PROPER INSPECTION FEE 1S ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION AP,% Ea-ooooi-os See instrUctions for completing this fcxm on back of yellow copv. "X" Below Work Covered by Th;s Request Appllaoces Wired EquipmeM Wired I e o1 Building _ . -? r I, the EZ?? Inspeclor, herehy cerlilV lhat the aho%o Insoection has been This