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P - 83599•" I�I���IIIIIIIIII�IIIIIIIIIIIIIIIIII�III�I�IIIII� 1^82�1 U�niverstyOAve.LRm. SR1C8,cSt PaPEMNION04 ���� * 0 3 9 2 3 0 Q 0'� Phone (612) 642-0800 ��T�'� Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. X Load Mgmt. Other: Dryer Range Elec. Heat emp. Service "X" above the work covered by thrs requesL Enter remarks in this space and on the back ot the white copy only. SAVEf�' S SWITCH INSTALLATIOTI Calculate lnspection Fee - Thrs Jnspectron Request will rrot 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 TOTA Sign/Outline Ltg. Xfmr. �• �0 Alarm/Remote Control Swimming Pool ��reby certiry that I inspectetl the electrical installation described herein on the dates staied Irrigation Boo Rough-In Date Special Inspec i Fnal Da Investigative Fee -r _ THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MON S. OFFICE USE ONLY This request void 18 months from validation date printed in this box. 392-300 � �.- � la� JOB NlIMBER #9806�00 PLEASE PRINT OR TYPE Reque�tl�aje�9 � c3$ Rough-in inspection required? ❑ Yes �Oo Inspectbn Other Than Rough-In: [�( Ready Now ❑ Nfill Call (You must call the inspector when ready) Date Ready: � 2/ 0 t3 � tJ 8 , I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at: .bb Address (Street, Box, or Route No.) City Zip Code 07416 GONCERTO CURV FRIDLEY 55432 Section No. Township Name a No. Rarx,�e No. Fire No. Counry ar�oxa Occupant Phone No. ROBERT W LARSON 71?-3094 �� Power Suppiier Address NSP MPLS OFFICE Electrical Contractor (Comparry Name) Contractor License No. Master Lic. No. (Plant Elect. Ony) MASTER ELELTRIC �Q.,INC. CA0119� �. Mailing Address (CoMractor or Owner Performing Installafion) 12457 80t7�tE AVE S. �AVAGE MM. SS3'78 � Authorized na (Contractor or Owner Performirg In�tal Phone No. � '�� 94I 4?12l890 EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY