P - 82848,- i Ifi111 IIIII Illil IIIII IIIII IIIII IIIII IIIII IIII Illi
*03798766*
REQUEST FOR ELECTRICAL INSPECTION ��
Minnesota State Board of Electricity � �
1821 University Ave., Rm. S-128, St. Paul, MN 55104 ��_�
Phone (612) 642-0800 �'�`�%°
Nome Duplex Apt. Bldg. Other: �� �� New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. oad 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 not be accepted without the cwrect 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 ,s'D
Sign/Outline Ltg. Xfmr. 15.'��'
Alarm/Remote Control
Swimming Pool I hereb cert� that I ins
y fy pected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
pecialinspec' n �'j� 0 ��
Investigative F �. z�"'_ �
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED_WITH�N 1$ MOl�1T1iS. —_
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
379-876�] r ��� �
� 5 �+-�3�q
JOB NUMBER #970600
PLEASE PRINT OR TYPE
Request Dag � 19 � 138 Rough-in inspection required? � Yes ❑ Ndx Inspection Other Than Rough-In: ❑�ady Now ❑ Will Call
(Yai must call the inspector when ready) Date Ready: � �
I, ❑Xicensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
00132 CHRISTENSON CT N FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
nxoxA
Occupant Phone No. �
NANCY B LINDGREN 506-1700
Power Supplier Address
NSP MPLS OPFICE
Electrical Contractor (Comparry Name) Contractor License No. Master Lic. No. (Plant Elect. Ony)
MASTER ELECTRIC CO. INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
Authorized Si t ntractor or Owner Performing Installation) 2 6 Phone No.
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY