P - 81395--� � I�I�IIIII�III�I�IIIII�II IIIIII�IIIII�I��III�I� M8 Q UESe FO eeLRm. SR1P8, StNP PEMNIONO4 �� �� �'..
* 0 3 9 2 3 6 6 1* Pnone(si2�sa2-aaoo '�`�
Home Duplex Apt. Bldg. Other: New Addn
4ir Cond. Htg. Equip. Water Htr. R Load Mgmt. Other
Jryer Range Elec Heat emp. Service
abwe the wak covered by this request Enter remaiks in this space arxi w the back o� [he whlte copy
SAVEk'S SWITCH INSTALLATION
Ca7cu/ate /nspectbn Fee - This Inspection Request will not be acceptetl without the cwrect tee.�
Oliter Fee � Service Enirance Size Fee � Circuiis/Feetlew Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 10U Amps
INSPECTOF1'S USE ONLV
Ltg. Xfmr.
that I
Boom
ispectic
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ihe electrical InstallaCan describetl hsrein on the tlates stated
oa�e
:.�......... .. — - _ _ Final [ ��- —/
I nvestigative fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MON7}IS.
OFFILE USE Ot�IY This re�est witl 18 rtronths imm valitlation Cete pnMetl io ihis Gox.
392-36C�1 � �s �
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JDB NUMBER #9$06000
PLEASE PRINT OR TYPE
Requei Qaif ^, j� � e38 aoigh-m vr�sr�oron req�ired? p ves pjao mspecro� omer ihan Ro�gn-�n: �{ fteadv Now p wn Can
(YOU must call the ir�.spector when ready) oa�e fteady. S 1/^d 0/ e� �,
I, �y licensed contrador ❑ owr�r hereby request inspection ut the above electrical work at:
Job Adtlress (Sirec�, Box, or qoute No ] Clty Z'i0 Cotle
�6R57 7TH ST HE FRIDLEY 55432
Seotion No. Townshtp Name o� No. Range Nn Fire No- CounN
nNOxn
Pno�e No
THOMAS J KENNEDY 571-4018
Power Suppller Pddre=s
NSP MPLS OFFICE
Beotricel Contractor (ComFeny Neme) (,bnhactor Licsnse No. �
lIASTER ELECTRIC Cf7. , INC. GA011'32
Maillqq Atldress (COnhec�or or Owner Petlorming Inatalla�ion)
12467 B1]ONE AVF. S. SAVAGE MH. 5537R
EB-00001A-11 B/95 STATE 60ARD COPY - SEE INSTRUCTIONS ON eqCK OF YELLOW COPY
(Plflnl Elect Onlyj