P - 81386��I��IIIIIII III II IIII I I (I) III M8 n�Uota SsaO B erdRm. SR1PS,cSt PSPEMNIONOa ���,��
� �� " 0 3 9 2 2 9 9 4* Phone�siz>saz-oaoo
Home Duplex Apt Bldg. Other: New Addn
1ir Cond. Htg. Equip. Water Htr. X Load Mgmt Other.
lryer Range Elec. Heat Temp. Service
above the work coveretl by this requesi. Entei remarks i� this space and on [he back ot the white copy onty
SAVER'S SWITCH INSTALLATION
:ulafe Inspecfion Fee - 7his Inspection Request will not be accep[ed wifhout fhe conect tee:
Other Fee < Service Entrance Sire Fee � Circuits/Feetlers 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'SUSEONLV TOTAL)�!
Siqn/Outline Ltq. Xfmr. F7.r. 5Ql
,..����������y�....�-� v
I hereby certif� roat I lnspec[etl the ekohical lrstella�ion described herein on �he Cates stated
rigation Boom Ro�n-m oare
ipecial lnspection 1 . SE'�
I Gat 1
ivestigativeFee ���� � .�- Z
fHIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTI
OFFICE USe O,��y Thls �9ues� voitl 1
392-299�]
Joe Hu
PLEASE PRINT OR TYPE
Requs�t�a�e�y ��� Rough-in inspecfior require0? 0 Yes �(Jo I�spectior plher Thar Rough-Irt.
IVOU must caJl ihe Inspector wM1en reatly) pa�a Ready: 1
I, �] licensed contractor ❑ owner hereby request inspectlon of the above electrical work at.
Job Address (Sheet, 8ox, or Route Na 1 Clty Z'p Cotle
CA5432 STH ST NE FkIDLEY 5542
Sec[ion No_ Township Name or No. Ren�e Nn Flre No. Gounry
ANCKA
o�cuve�� Pnane No.
JASON E JOHNSON 785-8841
Powrer Supplier Adtlress
NSP MPLS OFFICE
ElacVical Conirector (GOmpany Name) Conhzctor Llcense No. Mes�er Lin No_ IPlant Ele
Mailirg Atltlress (COntractor or Owner Perkrming Installaton)
J ' ^ f`
Authoriz re (Contractor or Owner Performing Inelallation) Phone No.
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EB-00001A-11 8/95 $TATE 80AH� COPY - SEE INSTRUCTIONS ON BACK OF VELLOW COPY