Loading...
P - 84050r I�� I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII M$ QUo a SsatOe B aLRo SR1C8,cStNS PEMNION04 ����� * 0 3 7 1 6 7 8 4* Phone (612) 642-0800 �'��� Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. SAVER'S SWITCH INSTALLATION �alculate Inspection Fee - This Inspection Request will not 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 ONLV TOTAL Sign/Outline Ltg. Xfmr. 1S. 50 Alarm/Remote Control Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated Irrigation Boom Rough-In Date K Special Inspection 1 . �J0 , Final Date Investigative Fee 6 "Z � — THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. �� t - ----- - - — --- _--- _._ _ _ _ ---- — OFFICE USE ONLY This request void 18 months from validation date printed in this box. 371-678 [� ����, ,�� � JOB NUMBER #9706000 PLEASE PRINT OR TYPE Reque�f�aje17 � C,"f Rough-in inspection required? ❑ Yes [�Jo Inspection Other Than Rough-In: � Ready Now ❑ Will Call (You must call the inspector when ready) Date Ready: 10 � 17 � C.�7 I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Code 0?347 EVERT CT NE FRIDLEY 55432 Section No. Township Name or No. Range No. Fire No. County Occupant RICHARD E OTTO Power Supplier Address NSP 1 Electrical Contractor (Company Name) MA�T .R . .t`TRT . CO_ ! ?NG. Mailing Address (Contractor or Owner Performing Installation) i �a�� Rf1t11JG' ev� c �evsr.i Aufhnriaw.d�.Siaoafure (Conhactor or Owner Performinq Installation AxoxA Phone No. 783-0289 Contractor License No. � Master Lic. No. (Plant Elect Only) 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY Phone No.