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P - 80922
FIVULt.Y Fridley, Minnesota 55432 FAX (612) 571-1287 REUUEST fOR ELECTRICAI INSPECTION "'X"' Be/ow Wo�k Covered by Thrs Reques� na nso. *vae o� e�na��e nno��.�cea w�.ad Home Flange Duplex Wate� Heater Api. Building Dryer Commercia� Bldq. Fumace �ca to I Final / ' / I i �y T�is �eQUast vtrid _'_8 _°_'�i27� -=--__. __- -- - -- - �--==--- Tpis reqoes[ voitl n 18 mum�s Irom � �Oli' _r� dy-�y i � L�censeA Elec�ncai Conbactor 7wnel reet/ AAArass, Boa or Poule No. (�%�� � �c� :cuo � ��iNTI � S , ^ we� $uODl�m . S acvmal C t ctor ICo.m+peny Name) I�7 ihnp Ad ress�fGpnlracwr w Owner Mekinp Instal to 30 AmG to 100 A i � _ ea��cma�� w�.ea Temporary Service Lighhny Fixtures Electnc Heaunq Sllo UnloaAer Bu�k Milk Tank Oibe� i5cecilyl pinnr is to S�UU TOTAL FEE 'Jate I. th� Eleclncal �. . InsDector, �sreby ce�bly ihet tne nbove �''�" �nspace�on Nes been �z7� mede. �,�33� �on-�n insoe<��on luned? �Reatly Nuw Q Wiii 40� ]res �NO �o� WTen I M1e��Ey raqueat ms0lcbon ol eEove elactricai warM �nalalled al. � r �„v_ No.