P - 83469��I��I�yIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII M82�j U�nis SstyO Ave.LRm. SR1P8, St PaPEMN 5O5N04 '����E
* 0 3 7 8 9 1 7 g* 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 ot the white copy only. �I
SAVER'S SWITCH INSTALLATION
Calculate lnspection Fee - This Inspection Requesi will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 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
Siqn/Outline I�ta. Xfmr. 15. 50
Swimming Pool '�
I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
X Speciallnspection 1 . 50
Investigative Fee Final p �z , / �
T'—
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
378-917�] • �s:�
��� �
JOB NUMBER #9706000
PLEASE PRINT OR TYPE
Reques��16 � gg Rough-in inspection required? ❑ Yes �Jo Inspection Other Than Rough-In: � Ready Now ❑ Will Call
(YOU must call the inspector when ready) Date Ready: �j I 1 G I 98
I. � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
06044 4TH ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant Phone No.
THE�DORE R TRUEiiL 571-3529
Power Supplier Address
NSP MPLS OFF'ICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
MASTER EI.ECTRIC CO. INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
(Contractor or Owner Performing Installation) � Phone No.
EB-00001A-11 95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY