3900 Danbury Tr - Electrical PermitsThis request void
18 months from
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Licensed Electrical Contractor I hereby request inspaction ot above
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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
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Inspeclor, herehy
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