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