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* % 1 2 6 3* Phone (612) 642-0800 �'"��`°
03 6
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 Temp. Service
"X" above the work covered by this requesi. Enter remarks in this space and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate 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.
15. 50
Alarm/Remot C t I
Swimming Po I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
Speciallnspection � _
Final � �
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
371-626 �
PLEASE PRINT OR TYPE
���,�95
/5� 5�
JOB NUI9BER �9706000
Rough-in inspection required? ❑ Yes �lo Inspection Other Than Rough-In: [X Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: 10 � 17 � 9'7
I, �] licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route NoJ Ciry Zip Code
00985 HILLWIND RD HE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
Occupant Phone No.
PATRICIA A CHRISTIE
Power Supplier Address
NSP lIPLS OFFICE
Electrical Contractor (Company Name) Contractor License No.
MASTER EC.ECTRIC CO. INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
(Contractor or Owner Performing Installation� }� �' _� �`
...� � ��
� �J
ANOKA
571-4663
1 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect Only)
Phone No.