P - 81043FRIDLEY v'J v Fridley, Minnesota 55432 FAX (612j 571-1287
REQt1EST FOR ELECTRICAL INSPECTION
"X'" Below Work Covered by This Request
Add ReD• Type ol Building Appliancea Wired
Home Range
Duplex Water Heater
Apt. Building Dryer
Comnercial Bldg. Furnace
Industrial Bldg. Air Conditioner
Farm o�ne� Deci �
t r yeUfy t er
r
�te lnspect�on Fee Below
Kse SsrviceEntrancoSize
0 to 100 Am S
101 to 200 Amps
Above 200 Am :
Transtormers
n
Final
This request va�Q�
18 nanths from �J �i
IGI (
This request vo�d
18 mo�ths from
�quest D� � � I Fne
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Licensed Eiectr�cai Contr»ctor
Owner
Fee Feeders/Subfeeders p
O2o30Am s
31 to 100 Amps
A bove 100 ___,_ AmPs
Remote Control Circ.
Special Inspection S
te
iL.";��
Equ�pment Wirgd
Tem�orary Service
Lighting Fixtures
Electric Heatinq
Silo Unloader
Bulk Milk Tank
�+�er iSpec�tyl
Othgr
Dnte
d "�,
fee Circuits
0 to 30 Am
31 to 100 Am s
Above 100 Amp!
artial!Other Fee
! TOTAL FEE
1, th� Electricsl
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certHy thst the abovs
inspect�on F�ss Cssn
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elsctrical work inatallsd at: