P - 83082,t i'IIIII�IIIIIIIIIIIIIIII�III�II�IIlII1III�III�II�I 1n82�11U�niverstyUAve.LRm. SR1C8, St PauPIEMN 506104 ����'
�" 0 3 8 6 9 8 6 4'r Phone (612) 642-0800 ����
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. oad Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this request Enter remarks in this space and on the back of the whiie cqoy only.
SAVER'S SWITCH IHSTALLATION
Ca/cu/ate lnspection Fee - This lns�oeCtion Request will not be accepted without the conect 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. �
Alarm/Remote Control
Swimming Pool � ` r" °
I hereby certify that I inspected the eledrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
pecial Inspection `"j. �
inal D e p
Investigative Fee - � "2 �—!
THIS INSTALLATION MAY BE ORDERED DiSCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request vdd 18 months fran validation date printed in this box.
386-986� � �5,�
� 7 /�
JOB NUMBER �970600
PLEASE PRINT OR TYPE
Request Da� r i 4/ 98 Rough-in inspection required? ❑ Yes ❑ Noj{ I�spection Other Than Rough-In: ❑ I�ady Now ❑ Will Call
(You must call the inspector when ready) Date Ready: 8/ 14 / 98
I, ❑�censed contractor ❑ owner hereby request inspection of the above electrical work at:
.Job Address (Street, Box, or Route No.) City Zip Code
06410 7TH ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. CouMy
AN(lKA
Occupant Phone No.
GOMAZ J SINGH
Power Supplier Address
NSP MPLS OF'F'ICE
Electrical Contractor (Company Name) Contractor License No.
MA�TER ELECTBIC C0. INC. CA01192
Mailing Address (Contractor or Owner Pertorming Installation)
w
EB-OOOOtA-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
571-6738
Master Lic. No. (Poant Elect. Ony)
No.