P - 81385�.IIIIIjIIIIIIIIIIIIII IIII IIIIIIIIII III Mg�UEaeSaOBeLRo SRC8CSNaPEMNION04 ���_
* 0 3 9 2 4 1 5 8 `r Phone (672) 642-0800 `���
Home Duplex Apt. Bldg. Other: New Addn I
Htg. Equip. Water Htr. "' Load MgmL Othec
Range Elec Heat emp. Service
covered by this iequest Enfer remarks in this space arrd on the back o� the white ccpy only.
�AVER'S SWITGH INSTALLATION
W6Ye In�ecfla' Fee - This Ms�tion Reques[ will irot t� accepfcd wiUwut the corJect lee:
O[her Fee � Service Entrance Size Fee � Circuits/Feeders Fee
Mo6ile Home Park Stall O to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200_Amps A6o�re 100_Amps
Transformer/Generator INSPECTOR'S USE ONLV TOTp�! 5�
Sign/Outline Ltg. Xfmr. fl
Alarm/Remote C tr
SWIfIlfplOQ POO� I hareby oertify that I hispectetl the elecidcal instelletion deecribetl herain or the dates sYa�etl
Iffl9d}IOII gOOfil _ _ _ Rough-In Date
Investigative Fee F��a� ( —��j--_-- I oy� �/� jn q
J /
�tU� INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTH$.
OFFICE USE C°" � :equest wd 1N monihs trom validation tlale prinigd 1n SM1is box
392-41 � • /a 6�5. �
JOB NllMSEk �5�06N�Oe
PLEASE PRINT OR TYPE
Requ RougM1-in Inspecibn requlretl2 0 Yes ❑ o Inspec0on Other Than Rough-In: Reetly Now 0 Will Gell
�VOU must calf [he inspecior when rseoy) Oala Fbatly .� 1� 30 � 9�'
I, licensed contractor ❑ owner hereby request inspection of the above electriwl work at'.
�ot���s����ee�,eox,o��NO�T NE ��2IDLEY ZP��432
Section No. Township Name or No. Pange No. Flre No. Counry ANOKA
STEVEN M
powv. suoa���
NSP
WRANES'CHETZ
MPLS �FFIL'E
otrical Contractor (GOmpany Name1 Gonhactor Lcense No.
MASTER ELECTRIC CO.,ING. CA01192
iling Address (Conba„ta �r Owner Pertcrrriing Instalbtirn)
12467 BOONE AVE S.SAVAGE MN. 553'78
No
572-9349
Mesler Llc. No. (Plznt Elect.
� �� 2�Q�� 941�}4712/890-3555 �
E6-00001H-11 8/95 STATE BOARO COPV - SEE MSTRUCTIONS ON BACK OF YELLOW COPV