P - 83735' IIIi�1IIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIII REQUESTFORELECTRICALINSPECTION ���
Minnesota State Board of Electncity �
, � 1821 University Ave., Rm. S-128, St. Paul, MN 55104
, * 0 3 6 3 9 5 5 6* Phone (612) 642-0800 ��'��'�5�
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repa
Air Cond. Htg. Equip. Water Htr. X 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 INSTALLATION
Calculate Inspection Fee - This Inspection Request will not be accepted withoui the correct fee:
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 C7
Sign/Outline Ltg. Xfmr. 15. �}'
Alarm/Remot C ntrol
Swimming P I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rougn-in Date
}{ Speciallnspection 1 .0(D .
Final � � Z �
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. _
� OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-955� �►,��
/�5d
JOH NUMBER �19706000
PLEASE PRINT OR TYPE
Request'jJa�E 1'� � C3'� Rough-in inspection required? ❑ Yes �lo Inspection Other Than Rough-In: � Ready Now ❑ Will Call
(You must ca�l the inspector when ready) Date Ready: 7� 1%� 97
I, {J licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route NoJ City Zip Code
06150 7TH ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant
JAltES E
Power Supplier
Electrical Conhactor (Company Name)
Mailing Address (Contractor or Owner Performing
Phone No.
STEINERT
Address
Contractor License No.
571-3604
Master Lic. No. (Plant Elect. Only)
�ed Sign re (Con�ct or r Performi�gtdlla�n� � Phone No.
V
e �4� d���
1A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY