P - 83650I9IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII M8 � U°ia SsaO BELR� SR1C8 St PaPEMN 5O5N04
� * 0 3 6 3 2 5 0 2* Phone(612)642-0800
Home Duplex Apt. Bldg. Other: New
Commercial Industrial Farm Remod
Air Cond. Htg. Equip. Water Htr. X Load 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 white copy only.
SAVER'S SWITCH INSTALLATION
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Calculate Inspection Fee - This lnspeciion Request will not be accepted without the 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 „ 0
Sign/Outline Ltg. Xfmr. 15. 0�
Alarm/Remote Control
Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
K Special Inspec � n 1. 00
Final D
Investigative F � � 2 -- �
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-25�� � _ ��
1��s.s-� �' v
JOB NU�BER �9706000
PLEASE PRINT OR TYPE
rsequesryaye 1-� � y-� Rough-in inspection required? ❑ Yes �(Jo Inspection Other Than Rough-In:
(You must call the inspector when ready) Date Ready:
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City
06452 ABLE ST NE F'RIDLEY
Section No. Township Name or No. Range No. Fire No. County
Occupant
ANOKA
Phone No.
MAE A BOYCE
Power Supplier Address
NSP MPLS OF'F'ICE
Electrical Contractor (Company Name) Contractor License No.
ltASTER ELECTRIC CO. , INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AYE S. SAVAGE ![N. 55378
Ready Now ❑ Will Call
7/17/97
Zip Code
55432
�71-1797
8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)