P - 82467� aiiy.,veiiuc rv�iineasi �p+e� i�i-i000
FfZlDLEY V�V u Fridley, Minnesota 55432 FAX (612) 571-1287
REQIDEST FOR ELECTRICAL INSPECTION
""X'" Below Work Covered by This Request
dd psp. Type ot Bwlding Appliances Wirad
Home Range
Duplex Water Heater
Apt. Building Dryer
Commercial Bldg. Furnace
Industrial Bldg. Air Conditioner
Fdfm � Other pec� v
t r Veci(y the�
Compute lnspecuon Fee Below
M Fes SsrvicsEntrsncsSi:e p Fee Feeders/Subfeeders p fee
0 to tU0 Am s 0 to 30 Am s
101 to 200 Amps 31 to 100 qmps
Above 200 Am s Above 100-Am s ��
Transformers Remote Control Circ.
Signs Speciallnspect�on S „�
I�;j��
fqu�pment Wired
Tem�orary Service
Lighting Fixtures
Electnc Heat�ng
Silo Unloader ^
Bulk Milk Tank
Iher ISPeCity)
� ��Rough-in
F�nal
7hrs reQuesi void
18�n�h f��
This request void
18 monthg from
ao�oo � �51�
te
y:��P
ay
Circuits
0 to 30 Amos
37 to 100 Amps
Ahove 100,.Ampe
Partial!Other Fee
TqTAL FEE
1, th� Electrical
Inapector, hersby
ceruty thst ths nbov
inapsction h�s Aeen
mede.
10158
L Mequest Uate Fire No. Fouph-in tngpecNOn
% � Requi�ed? �Ready Nuw Q W�u Nonfy tnspec-
! O" ��� ❑ Yes � No to� Whe� Ready
� Licensed Electncal ContrTCtor I hers�y �sqwst inspechon of above
❑ Owner slsatrical work �natallsd at: