P - 82859�. �I�fllll�IfIII�II�fIIIIIIIfIIIIIIIII1lI�IIfI�Ill1 1ng21eUni eSsty BearRmr S1C8, St PauPIEMN 5O5N04 ���
* * Phone (612) 642-0800 ��*�;�
0379850y
Home Duplex Apt. Bldg. Other: �� S C New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. oad Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter �emarks in this space and on the back of the white co�y only.
SAVER'S SWITGH IHSTALLATIOA
Calculate lnspection Fee - This lnspection Request will not be accepted without ihe 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 j^8
Sign/Outline Ltg. Xfmr. 15. �'
Alarm/Remote Control
Swimmina Po�if � r, � .. . _
peciallnspection. S ma�
Investigative Fee ^ d �-
THIS INSTALLATION MAY BE ORDERED DISCONNEC'TED IF NOT COMPLETED '►s ���'—'g-
_ _ _ _, — , -----
�—� �-� ���i_ �� OFFICE USE ONLY This �que<� �onths from validation date printed in this bo
379-850� 4� �� „
� �,�� �
�� ���� JOB HUMBER �970600
PLEASE PRINT OR TYPE
Request Da� � 19 � 98 Rough-in inspection required? ❑ Yes ❑ Nq� Inspection Other Than Rough-In: ❑ Beady Now ❑ Will Call
f1 ll
lYou must call the inspector when ready) Date Ready:
I, ❑�censed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
06831 7TH ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Pho�e No.
A JOYCE JOHNSON 786-9543
Power Supplier Address
NSP KPLS OF'FICE
Electrical Contractor (Comparry Name) Contractor License No. Master Lic. No. (Plant Elect. Ony)
IYASTER ELECTRIC C0. � INC. CA01192
Mailing Address (Contractor or Owner Perfaming Installation)
2467 O N AVE S. S VA E!iN 553'78
Authorized Signa r( ractor or Owner Performing t i Phone No.
��`��9
E&00001A-71 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY