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P - 80940�7 RE�UES OR ELECTRICAL INSPECTION `� �� � r T�� � 8'218Univ rs(ty A e�,rRm. S-12r8,'SL Paul, MN 55104 k��� . - Phone (672) 642-0800 u,.,,,e n��,.lA„ Ao� eldo. Othec New Addn Air Cond. -H�g Equip. Water Htr. Load Mgmt. Other. Dryer Range Elec. Heal Temp. Service "X" above fhe work covered by fhis requesG EnQfer �rem�arks ryin t�his space and on the back of /he whi�e copy only. ��YJYJ l:..l1iM-.�� n �X S �'1 ��-7 D�s Calculate Inepecfian Fee - This Inspxtion Request wi(1 not be oc<epted withouf /he <orrecf fee: Other Pee n Service Enhance Size Fee # Circuits/Feeders Fee Mobile Home Pork Smll 0 to 200 Amps 0 to 100 Amps Street Ltg.(Tmffic Sig. Above 200 Am s Above 100_Amps TrnnsFnrmer/Generabr INSPECTOR'S USE ONLY TOTAL � I hereb cern that I I�s ecled the elenriml Instollation described herein on ihe dc e.,��„h.lo Dote Invesliyafive Fee '��'�'� —� Q THIS INSTALLATION MAY BE ORDERED DISCO ED IF NOT COMPLETED WITHIN 18 MONTHS. OFPICE USE ONLY Thls requefiwid IS monihs hom validalion dme prin�ed in �his boz. �������I�������������5�������������������� • aa� * � 8 1 7 4 7 2 4 s J�O3 PLEASE PRINT OR TYPE Reqoest Dote Roigh in inspecnon � -�z eqwr ❑ Yex No Inspecfion OMer Than Ragh�ln: ❑ Reody Now III Coll � 1— (Vev m�si mll the ��epe<t« when ready� �ore Ready: I, licensed confroctor 0 owner hereby request inspecfion of rhe obove elechicol work at: lob Address Isrear, eo., « eo�r� No.l . r�, .. ,. , .t t� G l c'� �t. ►�,1 Z� I t-r? dLl2�V I SSy'�Z N T h p N r Na. Range No. Fire No. Counro Occupani �� Vower Sun�l�e. BLAINE HTG. A, C ELECT., WC. , i ro�� �G'i ANO FI!N 5�:?�4 more �C nho o Owner Pedorming Insmllofion� �_,� I— 3�d 35