P - 83659I I I�I IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII ME n�eso a S atOe BoaLd of E�IeotAc tyNSPECTION �,����
�,i��l� 1821 University Ave., Rm. S-128, St. Paul, MN 55104 �-
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* 0 3 6 3 2 3 6 1 * Phone (612) 642-0800 `—
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. X 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 white cqoy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This Inspection Request will 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 e
Sign/Outline Ltg. Xfmr. 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
Speciallnspection Final Dac� �,
Investigative Fee °� �
THIS INSTALLATION MAY_ E ORDERED DISC� ECTED IF NOT COMPLETED W�THIN 18 MONTHS.
OFFICE USE ONLY This request void 18 moMhs from validation date printed in this box.
363-236 � � � � � � �
/ �,sa �
JOB NUMBER �9706000
PLEASE PRINT OR TYPE
Request'ga3k 1'� � 9'� Rough-in inspection required? ❑ Yes �lo Inspection Other Than Rough-In: [� Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: %� 1%� 9%
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
06881 CHANNEL RD NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
HAItRY O ASPGUND 571-5398
Power Supplier Address
NSP MPLS OF'FICE
Electrical Contractor (Company Name) Contractor License No. Master Lia No. (Plant Elect. Only)
MASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
Auth z d Sign re (Co c r o erforming Instal o Phone No.
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-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY