P - 81383I` � REQUEST FOR ELECTRICAL INSPECTION ir�.r��;,��,�,.
1,II��II�IIIII�I�I�IIIIIIII�III�IIIII�IIII� 1�821eUnlvesityAvearRm SIe28cSt Paul MN55104 ����t��
� * 0 3 9 2 4 0 7 3* Pnone�s�2)saz-osoo �'� l
� Home Duplex Apt. Bldg. Other: New Addn I,
Farm
\ir Cond. Htg. Equip. Water Htr. X Load M9mt Other:
>ryer Range Elec. Heat Temp. Service
abwe the work covered by this request Entei remarks in this space and on !
Remod
copy only.
SAVER'S SWITCH IHSTALLATION
ulate Inspectiwr Fee - This Inspection Request wil! not 6e accepteo without the cwrect tee:
Other Fee * Service Entrance Size Fee � Circuits/Feetlers
Mobile Home Park Stall . 0 to 2D0 Amps 0 to 100 Amps
Sireet Ltg./Traffic Sig. Above 200 Amps Above 100_Am
TransPOrmer/Generator MSPECTOR'S OSE ONLV TOTAI
Sign/Outline Ltg. Xfmr. I
Alarm/Remote Control
Fee
F�
""y' I hereDy cerlify iM1a:l'mepocred iM1e aletlrioal installation daecnbod herein on Ihe dates s�aterl
Irrigation Boum ao��n-i� o,�e
�{ Special Inspection 1. 50 F_ ai — o �E�
�investigative ree I I ��"'—`" '� �� ���
THIS INSTALLATION MAY BE ORDERED DISCONNEC'fE� IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE On ! This request witl 58 mon�
392-407�f �-
/
JOB NUMBER
PLEASE PRINT OR TVPE
R���� i�i�;3(a � 98 Rough-ir Im-pec[ion reqwretl4 � Yes �o Inspeclipn Othei Than Rou9h-Im � Reatly No
iYCe must call ihe inspedor when readyl Date R=_]y. 11 j�0
I, u licensed contractor ❑ owner here6y request inspectlon o� the above elechlcal work at
Job Atltlress (Street, Boz, or Foute No] Qry Zip Code
046Q10 3RD ST NE FRIDLEY 55422
Secfion No. Township Nama or No_ Range No. Fre No. CounN
ANOKA
GccuPant Phone No.
TRULSON � 572—
Address
Gonhpctor Gcense No_
PhonE No.
EB-Op001A-11 8/95 $TATE BOAFU COPY - SEE INSTRUCTIONS ON BACK OF VELLOW COPY