P - 84036' III�II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII REQUESTFORELECTRICALINSPECTION ���
Minnesota State Board of Electncity �
, 1821 University Ave., Rm. S-128, St. Paul, MN 55104 �
" * 0 3 7 1 6 2 8 9* Phone (612) 642-0800 ��`"°°y'�
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. 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
Calculate Inspection Fee - This Inspection Request will nof 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
Sign/Outline Ltg. Xfmr. 15. 50
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
Special Inspect�
Final Dat
Investigative F � ( J =Z�— �
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.
371-628
��* �95 /���
� JOB NUMBER #9706000
PLEASE PRINT OR TYPE
Requ��l'� � 9'] Rough-in inspection required? ❑ Yes �{Jo Inspection Other Than Rough-In: � Ready Now ❑ Will Call �
(You must call the inspector when ready) Date Ready: 10 � 17 f 97
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code ,
06679 ARTHUR ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant � Phone No.
GERALD D CLINE 571-4669
Power Supplier Address '
NSP MPLS OF'F'ICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
KASTER ELECTRIC CO. IHC. CA01192 �
Mailing Address (Contractor or Owner Performing Installation)
12467 HOONE AVE S.SAVAGE MN. 55378
Aut r S� ature (Contractor or Owner Performing Installation) Phone No.
2 "�
� - -
� EB-0000 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY