P - 81405"III��IIIII�II�IIII (II III II III III M8 n�UEaSsatOeBeLR�cTReCB�LSYNS PECN ON� ���
" 0 3 9 2 3 6 0 4* PFrone (612) 642-0800 "�-��
Home Duplex Apt Bldg. Other: New Addn
Other:
abwe the work covered by this request Enter remarks in this space antl on fhe back or tne wnite copy
SAVER'S SWITCH INSTALLATION
Cakulate Inspection Fee - This In.;oection Reques[ will not be accepted without the cortect /ee:
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 irvsPecroa�suseowiv TOTA
Sign/Outline Ltg. Xfmr.
Alarm/Remote Conhol
LA. SQ�
`�"•,,,,,,,,,,y ,""' •'� I M1rleby certlty ihat I inspec[ed [he electncal Installa�ion tlesaibetl herein on �he tlatss statea
Irrigation Boom � aouGn-in oafe
X Special Inspeciion ] , 50 �
Investigative Fee �l' ���a� �t- ..� � I V �� Z —C P �%
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This reques[ mid 18 mor�ihs irom valitlation tla�e printed in ihis box.
392-36t�4 •l�� S �
JUB NUMBER 11580E00Jm
PLEA�S(pEtP6RINT OR TYPE
RQQ�1 la/ 30 �gi� Rough-in Inspeotion rsqui�ed? � Yas ��10 Inspeclron OtheY Than RwgMirt [x Reatly Now 0 WIII Call
IVOU must cell the inspeclor when reatly) Date Ready 1 1 /`�0 f 9
I, � Ilcensed contractor ❑ owner here6y request inspecilon of tha above elect�icel work at
00133 75TH WAY NE IFkIDLEY
Section No. Township Name or No. Ranqe No. Fire No.
o���wm Pn�
AMTH�NY J HOGEN
Powar Suppller Address
NSP MPLS' OFFICE
EleclricalConVSCtor�Compeny Name) Conbac�orGcensa No.
MASTEk ELECTRIC CU. , IFiC. CA�D11'32
Mallifg Adtlress (C�n\ractw o� Owner Perfert�rnno Inslallation)
124b7 BOOKE AVE S.SAVAGE MN. 55378
Authorizetl SlqnaWre IConhsclor or Owner Putortnlnq InstallaM1Onl
Zip Cotle
S;i432
ANOKA
571-0183
EB-00001A-11 8/BS STATE BOARD WPV - SEE INSTRUCTIONS ON BACK OF VELLOW COPY
Phone No.