P - 84244�-�8--153 E�
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RE(]UEST FOR ELECTRICAL INSPECTION �
Minnesota State Board of Electricity
1821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800 C I TY �/(��1�
Home Duplex Apt. Bldg. Other: New X Ad
Commercial Industrial Farm Remod Re
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the whife copy only.
TM8826 - WIRE FOR LARGER HP MOTOR ON SPRAY BOOTH EXH. FAN.
PLUS ADD'L SPRAY BOOTH EXH.
Calculate Inspection Fee - This Inspection Request will not be acce
Other Fee # Service Entrance Size
Mobile Home Park Stall 0 to 200 Amps
Street Ltg./Tra�Fic Sig. Above 200 Amp
Transformer/Generator INSPECTOR'S USE ONLY
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control
S ' P I
without the correct fee:
Fee # Circuits/Feeders Fee
0 to 100 Amps
Above 100 Amps
TOTAL
20.50
wimming o0
I hereb certi that I ins cted the electrical installation
Irrigation Boom Rough-In
SD@CIOI If15D � �;'
herein on the dates stated
Date
Imestigative Fee r���� ����'�" P—��-� � w��-�C-✓ ���
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFlCE USE ONLY This request void 18 months from validafion date printed in fhis box.
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* � 4 3 8 1 5 3 9* PLEASE PRINT OR TYPE
�uest Date Rough-in inspecfion required? ❑ Yes � No Inspection Other Than Rough-In: ❑ Ready Now �/ Will Call
1/ 7/ 97 (You must cal) the inspector when ready) Date Ready:
I, [� licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address �Sfreef, Box, or Roufe No.) Cily Zip Code
5250 INDUSTRIAL BLVD FRIDLEY 55421
Section No. Township Name or No. Range No. Fire No. County
Occupant
ATLAS MFG.
Power Supplier
Address
ANOKA
Phone No.
NSP
Elecfrical Conhactor �Company Name� Confracfor License Nc. Masfer Lic. No. (Pla
MUSKA ELECTRIC COMPANY CA01287
Mailirg Address �Conhacfor or Owner Performing Insfallafion)
1985 OAKCREST AVENUE ROSEVILLE, MN 55113
Authoriz igna e(�y nhacfor o Own rf ing sfallafion� Phone No.
_ _ iY �i�� _ _ �`% 2 4 � C ; 636-5820