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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