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P - 79390
l.,l l 1 Vf 643t Universii Avenue�NOr�heast FRIDLEY Fridley, Minnesola 55432 FAX (61� 571 1267 REQUEST FOR ELECTRICAL INSPECTION '"X" Below Work Covered by Th�s Requesr Add Neo. Tvoe ol Bwlainy Apo��ances wi.ee Home Range Duplea Water Heater Ap�. Bwlding Dryer _ Commercial Bldg. Fumace Industrial Bldg. Air Conditioner cuon ree veiow rvicaEMrence5iae a Fae Faeders�Sutfaxdrrs � to lU0 qm 5 0 to 30 Am 5 )1 to 200 qmps 31 m 100 qmps bove 200 Amps Above 100_Am�s a ers RemoteControl Circ. gn5 Special�nspec[��on 5 Rm � i � �✓� :A/�f Finai T�I�S !¢p11251 v0'itl �� I1q111�15 �IOT I V T�is repues[ voiE 18 mpmAS Irom I ❑ � Elecvical Mailinp 4 En���ome�� w��e Tem�mrary $ervice L�gnhng F�ztures Elecin�� HeaLnq SJo Unloader BWk Miik Tank Fea Clrcul�s 0 to 30 Am s -- 31 to 100 Amps Ahove 100_Amp � Partial!Other Fee '� � � TOTAL FEE I.the Elec�nca� Insoector, berebv cer�ily that �M1e nbove ' Ilnle insDeciian Aas been �`j•Zj � de. ���'b�! ,. �� F� Fve No. RouB�'��� InsDectmn �q AeQwrea° �qeatly Now � Will Nobfy InsOec- �pS ❑�es ❑NO tor When Peapv Elecv/cal Conv�o(� i �-, i haraby reQUes� inxoection ol above J� r3 �,.� elechicai work ina�n�leC ac es;. Box or aqqte No. n _ —�'—; _ ----� �G ��s�ailavoN 4inp Installabon �no��e Nc. Coneacmr's L�cense