P - 83017�I hii� IIIII IIII) IIII� IIIII (IIII IIIII IIItI �t�l �I{I M8 � U� ae sa0 B e LR � SR 1C8 LStNP PEMN ION04
* 0 3 7 9 8 1 2 1 * Phone (612� 642-0800
Home Duplex Apt.6ldg. Other: New
Gommercial Industrial Farm �^� S� Remc
Air Cond. Htg. Equip. Water Htr. oad Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this �equest Enter remarks in ihis space and on the back of the white co,oy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This lnspection Request will not be accepted without the conect fee:
Other Fee � Service Entrance Size Fee # Circuits/Feeders
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps Above 100 Amp
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr.
����=
�`�?.;�;�
Addn
Fee
0
�wn i u nn iy revv -,x c I hereby ceRify that 1 inspected ihe electrical installation described herein on the daTes stated
Irrigation Boom Rough-In Date
pecial Inspection ���
Date ��y �.
Irnestigative Fee b
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONIY This request void 18 months from validation date printed in this box.
379-812� l��� �
�� 5`3/� JOB NUMBER �970600
PLEASE PRINT OR TYPE
Request Da� � 19 � 98 Rough-in inspection required? ❑ Yes ❑ Ndx Inspection Other Than Rough-In: ❑ l�ady Now ❑ Will Call
(You must call [he inspector when ready) Date Ready: 6� 9 � 98
I, ❑}�censed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route NoJ City Zip Code
06549 FRIDLEY ST HE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. Counry
ANOKA
Occupant Phone No.
DAVID BRUCE CARSTBNSEN
Power Supplier /uldress
NSP MPLS OF'FICE
Electrical Contractor (Company Name) Contractor License No.
ttASTER ELECTRIC C0. INC. CA01192
Mailing Address (Conhactor or Owner Performing I�stallation�
Authorized Sig tur (Contractor or Owner Performing Instaliation) �
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON ACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Ony)
No.