P - 83726�, III�II�IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Mg �uoia SSaO B aLRo SR1C8, St PSPEMN 5O5N04 �,���
* 0 3 6 3 2 3 4 6* Phone (612) 642-0800 ����_�
Home Duplex Apt. Bldg. Other: New '. Addn
Commercial Industrial Farm Remod Repair ,
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This lnspection Requesi will noi be accepted without the correct fee:
Other Fee n Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stail 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL v.Si
Sign/Outline Ltg. Xfmr. 1S. �'
Alarm/Remote Control
Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
}t Special Inspection i . �0
Final
Investigative F `--�_ _ �_ ��'
« THIS INSTAL __^ � ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-234�] � �3� �
���sd JOB HUMBER �9706000
PLEASE PRINT OR TYPE
Request'j7alE 1'� � Cj'� Rough-in ins ection re uired?
p q ❑ Yes �Jo Inspection Other Than Rough-In:
(YOU must call the inspector when ready) Date Ready:
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) Ciry
04712 2 1/2 ST NE FRIDLEY
Section No. Township Name or No. Range No. Fire No. Countv
AHOKA
Occupant Phone No.
SHERI K ANDERSOH 299-1036
Power Supplier . Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No.
NASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S.SAVAGE MH. 55378
Auth9cir�d Sig�at e(Cont�tp/or Owner Performing Installation)
Ready Now ❑ Will Call
7/17/97
Zip Code
55421
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EB-00001A-11 S/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)
No.