P - 83657I � IIIbIItfiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Mg � �° ae saO g aLR� SR�C8 StNS PEMNIONo4 � ����q.
' * 0 3 6 3 2 5 6 9* Phone (612) 642-0800 �`�_'"
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
"iC" above the work covered by this request. Enter remarks in this space and on the back ot the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This Inspection Request will not be accepted without the correcf 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 TOTALS ��
1
Sign/Outline Ltg. Xfmr.
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
Speciall i
Final �_ Df " i�'% -�i�f
nvestiga�P��' �+�j � �/ `� I ) - / o < "
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
---...—_._Y.. -- ---_ .�.n.,Y,� --- r-- .r.�.r.�.r+r.rwir��
OFfICE USE ONLY This request void 18 months from validation date printed in this box.
363-25�6 � ,
/ �S� � ' �" � JOB NU?lBER �9706000
PLEASE PRINT OR TYPE
Request e Rough-in inspection required? ❑ Yes o 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:
�o��reet, Box, of.1iP1S9�AL AVE NE �``f�IDLEY
1.L14
Section No. I Township Name or No. I Range No. I Fire No. I County AHOKA
Ready Now ❑ Will Call
7/17/97
z�"���32
Occupant Phone No.
MARK DUANE BUE 574-1802
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No.
MASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Pertorming Installation)
12467 BOONE AVE S. SAVAGE ltN. 553'79
Authorized Sianature.(CorKractor or ner Performing.�pst�tion) __
� O�j / ,G e7 cs t� ,e.� 941-
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)
one No.
712/890-3555