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P - 82462�"� �� �� 6431 University Avenu� Northeast �i'rtij 777-7885 FRIDLEY Fridley, Minnesota 55432 FAX (612) 571-1287 � �,� i v l REQUEST FUR ELECTRICAL INSPECTION ""X'" Below Work Covered by This Request Add Rep. yDe ot Building ADP�iances Wired Home Range Duplez Water Heater Apt. Building Dryer Commercial 91dg. Furnace Industrial Bldg. Air Co�ditioner Fdrm Other DBCi 0 � r uec� v t er Compute lnspection Fee Below p Fss ServiceEntrancsSlzs t+ Fee Feeders�Subteeders 0to100Am 0to30Am s 101 Yo 200 Amps 31 to 100 Amps Above 200 Am s Above 100_Am � Transformers Remote Control Circ. . Q pdqs,,� Special Inspection Equ�pment Wired Temporary Service Lighting Fixtures Electnc Heahnq Si lo Unloader Bulk Milk Tank ther (Soec�ty� Other fea Circuii 0 to 30 Am 31 to 100 A rartia i � vtn S /g � TOTAL FEE �n�s repue5t vtr�0 This request void 18 months from :quest Date /O � 1 lo -oo Licensed Electr�cal Contractor Owner ,e��a 3 l 9�00 F��e No. 10157 iph-in InsDecl�on uired? �Ready Nuw Q Wil1 Noufy I�saec- � Yes ❑ No tor When Ready I h�r�by rsqusst inspection ot sbove alectricai work installed at: