P - 81382Ilil�ll (IIII I II II III I III III II III�III M82�i UEverstyOAve.LRm. SR1C8, St PaPEMNION04 �,`��¢_
' * 0 3 9 2 3 9 6 8'F Phone (612) 642-0800 �'���
Home Duplex Apt Bldg. Other: New Addn
Other
above the work covered by fhis requesG Enter remarks in this space and on the back ot the wnrte copy
SAVER'S SWITGH INSTALLATION
Inspection Fee - TbLS ln�oecbon Request will not be accepted witfrout the correct /ee:
Other Fee � Service Enirance Sixe Fee ++ ClrcuiLS/Feeders Fee
le Home Park Stall 0 to 200 Amps 0 to 100 Amps I
�t Ltg./Traffic Sig. Above 200_Amps Above 100 Amps I
;former/Generator MSPECTOR'S USE ONLV � TOTA� i
Xfmr.
50
JWIlilrlllrty rWl �� I hereby cer6fy that I Inspecistl �he elecincal inslallatbn tlescribetl herein on ths tle[es sfated
Irrigafion Boom ao�yn-in oace
Special Inspection 7- • 50 F_n� p��e
Investigative Fee L C�—�
THIS INSTALLA710N MAY 8E ORDERED DISCONNECTED IF NOT COMPIETED WITHIN 18 MONTHS.
___ .__ ________.___�.___.___'� _ �
OFFICE USE ONLV This reques[ mid 1B moMhs irom valitla[� date Ori��� this box.
392-39� � S
la6
JOB NUMBER #5$0600�i
PLEASE PRINT OR TYPE
pe9"�f�%'930 / 98 ao�gn;o ��saoono�,ea��.ea? p ves p�o msae0000 ome, mao aw3n-m: � aeaay Now ❑
(Vw must cau me �inspecmr wnen ready� Date asady: � 7�-��y �
I. � Ilcensed contrac[or ❑ owner hereby request inspection of the a6ove electrical work at
Job Piltlress (S[ree[ Box, or Routa No-) City Zlp Code
04732 2 1/2 ST NE FRIDLEY 55�121
Section No. Township Name or No. Range Na Fire No. County
ANOKA
PATRICK R
ROWAN 50'.�.-9289
Atldress
tdSP MPLS OFFICE
ElecMCal Corrtrac�or I�mpany Namc) ConVactor �icense No.
MAST�R ELECTRIC CD.,INC. CAfb1192
AAailirg Atltlress (CwN`ector m Owner PerFOrming Ins�allatlon)
12467 BOt7NE AVE S.SAYAGE MN. 5537$
Authorized Slgne��qa(Qonhac�ororOwnar Performinglnstallation)
_ j
EB-00001A-11 8/95 STATE 80ARD COPV - SEE INSTqULTIONS ON BACK OF VELLOW COPY