P - 83596,I��I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1^82�1 U�iverstyOAve.LRm. SR1C8,cSt PaPEMNION04 ����,,���
� * �r Phone (612) 642-0800 '�'=1Be' �`
03924057
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this request. Enter remarks in this �nace and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate lnspection Fee - This Inspection Request will not be accepied without the carect 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 iNSPecrort•s use oN�v TOTAI,,,/�� 50
Sign/Outline Ltg. Xfmr. ��
Alarm/Remote Control
Swimming Pool ���by certify that I inspected the electricai installation described herein on the dates stated
Irrigation Boom • Raigh-In Date
Speciallnspection '
Final � Date
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request vdd 16 rtanths from validation date printed in this box.
39�-405 � �� �5 � �
JOH NUMBER #9�06000
PLEASE PRINT OR TYPE
rsequest �a�e ..7�[i / 7o Rough-in inspection required? ❑ Yes ��Yo 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:
.�o����(�treet,eoX,o��t�.�,i,ENSON WAY H ��?IDLEY
Section No. Township Name or No. Range No. Fire No. ��Ty ANOKA
�F�tOBIH THAHGKE ���N�.
Power Supplier Address
N5P MPLS OFFICE
Electrical Contractor (Company Name) Cqntractor License No.
MASTER ELECTRIC CO.,INC. CA0Z192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
Authorized Sgnature (Contractor or Owner Performing Installation) �
Ready Now � Will Call
11/30/98
zip�432
502-1063
Master Lic. No. (Plant Elect. Only)
� �j'i/� �� r!� ry� 941 t4712/890—
e
EB-00001A-11 S/95 STATE BOARD COPY - SEE INSTRUCTIO S ON BACK OF YELLOW COPY