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P - 83666� � , II�II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII REQUESTFORELECTRICALINSPECTION ��a Minnesota State Board of Electncity � 8 1 Un versity Ave., Rm. S 128, St. Paul, MN 55104 * 0 3 6 3 2 9 7 3* Phone (612) 642-0800 '����� Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair 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 space and on the back ot the white copy only. SAVER'S SWITCH INSTALLATION Calculate Inspection Fee - This Inspection Requesi will not be accepted wiihout ihe 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.�e° I Alarm/Remote Control i Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated Irrigation Boom Rough-In Date X Speciallnspec 0 Final > Date Investigative F � �- � � � � �. �� -/�_ F THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. . OFFICE USE ONLY This request void 18 months from validation date printed in this box. 363-297�] � o � ; �5��� � � � oe HU�BER �9706000 � I PLEASE PRINT OR TYPE i RequesN�ja� 1'� � 13"� Rough-in inspection required? ❑ Yes �Jo Inspection Other Than Rough-In: � Ready Now ❑ Will Call (You must call the inspector when ready) Date Ready: '� � 1"J I Cj'� I I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Code 07255 E RIVER RD FRIDLEY 55432 Section No. Township Name or No. Range No. Fire No. County Occupant YVONNE Power Supplier NSP Electrical Contractor (Company Name) Mailing Address (Contractor or Owner Performing ANOKA Phone No. GRAVES 571-5999 Address NPLS OF'FICE Contractor License No. Master Lic. No. (Plant Elect. Only) �d Sign ure (Co a r r�rfp�m�l�allation), Phone No. a -� � :;� 47� A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY