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P - 83023. i ��li�� ilfil flilf II(I( Ilflf lilli Illll Ilfll iili 1111 *n�R(1d�1 7* REQUEST FOR ELECTRICAL INSPECTION ��'�, Minnesota State Board of Electricity � �' 1821 University Ave., Rm. S-128, St. Paul, MN 55104 � Phone (612) 642-0800 ��"�°'" � Home ` Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm �� � �� Remod Repair Air Cond. Htg. Equip. Water Htr. j{ Load 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 ot the white copy only. SAVER'S SWITCH IRSTALLATION Calculate lnspection Fee - This lnspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Siae 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 1�'; SO Sign/Outline Ltg. Xfmr. �� Alarm/Remote Control Swimming oo I hereby certify that I inspected the electrical installation described herein on the dates stated Irrigation Rough-In Date Special Inspection Final � Date �rwestigative Fee �G � THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. _ ^_ --,-,.�.....,.,—� �� OFFICE USE ONLY This request void 18 months hom validation date printed in this box. 380-431 �] � �,�, � �v�/ y � JOB NUMBER #�9706000 PLEASE PRINT OR TYPE Request p�� 07 / 98 Rough-in inspection required? 0 Yes ❑�o Inspection Other Than Rough-In: �Ready Now ❑ Will Call / (You must call ihe inspector when ready) Date Feady: 1, [$ licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Code 05571 E BAVARIAN PAS FRIDLEY 55432 Section No. Township Name or No. Range No. Fire No. County ANOKA Occupant Phone No. MONICA KAY MORAH 572-2116 Power Supplier Address Electrical Contractor (Compam/ Name) Contracfor License No. Master Lic. No. (Plant ElecT. Only) Mailing Address (Contractor or Owner Performing Instal ation) Aut a or r4ii I o Phone No. EB-00001A-11 8/95� STATE BOARD COPY - S I NS ON BACK OF YELLOW COPY