P - 82847,! III��II�Ij I�I�I �I�II I�II� III�I �I�II lll�l ll�l llll R$ QUESe SFORve.LRm. SRIC8 St PauPIEMN 5O5N04 � ��:
Minnesota State Board of Electricity �
* 0 3 7 9 8 7 9 0* Phone (612) 642-0800 ������
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm �� 'S � Remod Repair
Air Cond. Htg. Equip. Water Htr. oad Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this s,oace and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate ln�tion Fee - This lnspection Request wrl! 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 �
Sign/Outline Ltg. Xtmr.
15. �
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
pecial inspection '
Final = r �
Investigative Fe ��
THIS INSTALLATION MA B ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
379-879�
j� �so �
�:�" �j �y JOB KiJMBER �970600
PLEASE PRINT OR TYPE
Request Da Rough-in inspection required? ❑ Yes ❑ N Inspedion O[her Than Raigh-In: ❑ ady Now ❑ Will Call
(You must call the inspector when ready) Date Ready: G/ 19% 98
I, ❑ icensed contractor ❑ owner hereby request inspection of the above electrical work at:
.�b n�����, BoX, o� R�`�i�ARDALE CT NE ���'FRIDLEY Z�P ��5432
Section No. Township Name or No. Range No. Fire No. County pNOKA
Occupant Phone No.
NICK T ![AVROGENIS 57Z-8350
Power Supplier Address
NSP MPLS OFF'ICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Ony)
MASTER EL.ECTRIC CO. , INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
Authorized Signat r ontractor or Owner Performing Installation) Phone No.
94 —4712/890-355
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTR OF YELLOW COPY