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P - 84113I! IIII��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Mg �U� ae sa0 Be R� SR1C8 StNP PEMNION04 * 0 3 7 1 6 6 6 9* Phone (612) 642-0800 Home Duplex Apt. Bldg. Other: New II Commercial Industrial Farm Remod 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 of the white copy only. SAVER'S SWITCH ITISTALLATIOH ��� ��.,� �; Addn Repair Ca/culate Inspection Fee - This Inspection Request will not be accepted without the correct tee: 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 Sign/Outline Ltg. Xfmr. 15. 50 Alarm/Remote r� � � ��; Swimming Pool ��� ~ I hereby certify that I inspected the electrical installation described herein on the dates stated Irrigation Boom Rougn-i� Date }{ Special inspection 1• S� Final � / Investigative Fee � THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. OFFICE USE ONLV This request void 18 months from validation date printed in this box. 371-666 � � ����� ��� JOB NUMBER #9706000 PLEASE PRINT OR TYPE Requ�f�a�e17 � 97 Rough-in inspection required? ❑ Yes [�Jo Inspection Other Than Rough-In: � Ready Now ❑ Will Call (You must call the inspector when ready) Date Ready: 10I 1% I 9% I, �] licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Code 00040 64TH WAY HE FRIDLEY 55432 Section No. Township Name or No. Range No. Fire No. County Occupant PAUL C Power Supplier MATT; Address AN�KA Phone No. SA�— Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only) Mailing Address (Contractor or Owner Performing Installation) Aut ori � at e( ontractor or wner Per orming Insta ation Phone No. P' '+ � i, l� EB-00001A-11 8 95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY ,