P - 83062`,�'i�IIII ��I11 III�I �I�I1 IIIII III�I fIIII IIIII IIII III� R82�1 UEiSersFORve.LRm. SR1C8, St PaPEMN ION04 �����
Minnesota State Board of Electricity �
* 0 3 8 6 9 7 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 rn this ,�ace and on the back ot the white cqoy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This Inspection Request will not be accepted without the conect 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 ONLV TOTAI 15. �0
Sign/Outline Ltg. Xfmr.
Alarm/Remote ol
Swimming Po I hereby certify that I inspected the electrical installation described herein on the daTes stated
Irriqation Boom Rouqh-In Date
' '� Final _�� Date
Investigative Fee ,_.� 1. // � 6—'%��
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MON7FlS.
OFFICE USE ONIY This request void 18 from validation date printed in this box.
386-97 i�] � �s�.�
�7i�
JOB NUMBER �97@l60�
PLEASE PRINT OR TYPE
Request Da Rough-in inspection required? ❑ Yes ❑ N Inspection Other Than Rough-In: ❑
(You must call the inspector when ready) Date Ready:
I, ❑ icensed contractor ❑ owner hereby request inspection of the above electrical work at:
.�b`����`.e°x,°`R��`�� ST NE ��tyFRIDLEY
Rwr.tinn Nn Tnwn.chin Name nr Nn Rannc Nn � Fira �In (`fv �nN
��PEt B REYNOLDS PhoneNo.
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name} Contractor License No.
ltASTER ELECTRIC CO. , INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
124b7 BOONE AVE S. SAVAGE liH. 55378
Authorized SignaJur �(Contractor or Owner Performing Installation)
/ Now ❑ Will Call
$/14/98
432
ANOKA
780-1249
Master Lic. No. (Plant Elec}. Only)
Phone No.
� �- ��( �i"� U 74 Jl. —
� EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
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