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P - 80624�'p� �� v��/ 6481 University Avenue Northeas� (,fHt� 777-7885 a� FIV�LLI Fridley, Minnesota 55432 FAX (612) 571-1287 I'�; _" �� REQUEST FOR ELECTR�CAL INSPECTION � , "X" Below Work Covered by Th�s Requesl 9�Q � AAd Aeo. Tyne ol Buildinq AoD��ances Wlretl _ Home .� � `.,�,�= 1 Range Duolex Water Heater ;ommer � i a l ndustrial 8 � � u�re� mVe<��vi rte Inspect�on Fee Be/ow Fse Sovic�EnVenpSize Otp100Am 5 101 to 204 Amps Above 200 Amoe � I I Finai Av Cordi ro ou to ll �nvc 1 Equipmem WiiBd �ito Unloatler Bu�k Milk T�n ine�� ome. to ll Clrc. i Partial!Other Fee I C[%U!1 5� �'J TOTAI FEE Da�e I. Ihe Elacblcal Inspec�oq herab�y cerbfy t�ett�e bove �°�P insPecbon has bean �22r.o1 �aa. This reques� w�C � � .� �_ ...�— . . . .. . � e �„�n: �,om --P� iGr7 � � � � c n ��t 3 � , , . R��7.5 � o77:.OG� AP�ues[ Date Fire No, qouph-in InsOeccron �� 2. U� ReQUiretl? ,g9eadv Now � Wiii N��if� Insoeo ❑Yes �tya �or WM1en F ❑yfLmenseC Electncal Convac�or 1 hareb� rea�ast insPacnon ot e0ove Fy+.�'^e' elecvicel wo�4 mstalina ar. ,