P - 84042� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II�II�IIIIIIIIII 1^82�1 U�iverst0 BeLR� SR1 8 St PaPEMNION04 ����
* 0 3 7 1 6 2 1 4* 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 Temp. 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 In�oection 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
Sign/Outline Ltg. Xfmr. 1S. �J0
Alarm/Remote Control
Swimming Poo � r I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
Specia� Inspection
Investigative Fee Final � p �_�
� / l d�
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
371-621 � �50 �
�� �{4�' 15
JOB NUMBER �9?06000
PLEASE PRINT OR TYPE
Reque�t�a}217 � C37 Rough-in inspection required? ❑ Yes �{Jo 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:
Job Address (Street, Box, or Route No.) City
00137 CHRISTIANSEN CT FRIDLEY
Section No. Township Name or No. Range No. Fire No. County
axoxA
Occupant
CIJRT I5 F
Power Supplier
BRITZ
Address
Electrical Contrector (Company Name)
lIASTER ELECTRIC CO..II�
Mailing Address (Contractor or Owner Performing Installation)
8/95
(Contractor or Owner
Ready Now ❑ Will Call
L0/17/97
Zip Code
55432
Phone No.
571-1439
Contractor License No. Master Lic. No. (Plant Elect. Only)
CA01192
STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Phone No.