P - 83059IIIIIII�IIIIIIIIIIIIII�I�IIIIIIIIIIII�II��IIIIII� M8 n� Uo a SsatOe BoaLRo SRiC8cStNS PEMNIONo4 ���,,,��'�
` * ,r Phone (612) 642-0800 �'��
03869583
Home 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 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
Sign/Outline Ltg. Xfmr. 15. Qi
Alarm/Remote Control
Swimming Po I hereby certiry that I inspected the electrical installation described herein on the dates stated
Irrigation Boo R«,9n-in �a�e
peciallnspection 15.0
i� � ^ ��
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
386�V� ��E USE ONLY This request wid 18 m�from validation d��ed i�s box.
� �/
� �
JOB NUMBER #97@600
PLEASE PRINT OR TYPE
Request Da� � 14 �,38 Rough-in inspection required? ❑ Yes ❑ Nc� Inspection Other Than Rough-In: ❑ f'�,ady Now ❑ Will Call
(You must call the inspector when ready) Date Ready:
I, ❑�censed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Add2ss (Street, Box, or Route Na.) City Zip Code
00152 CHRISTIANSEN CT FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupan[ Phone No.
ANNA 1"ICGONIGLE 571-4389
Power Suppfier Address
MSP MPLS OFFICE
Electrical Contractor (Company Name) Contrador License No. Master Lic. No. �Plant Elect. Only)
Mailing Address (Contractor or Owner Performing Installation)
Authorize Sig ntractor or Owner Performing Insta tion � Phone No.
EB-OOOOtA-11 8/95 STATE BOARD COPY - SEE INSTRUCTIO OF YELLOW COPY