P - 84063IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Rg �j UEiSersFORve.LRm. SRiC8, StNPaPEMN'5O5N04 ����'
Minnesota State Board of Electricity �
�* � 3 7 1 6 3 8 8* Phone (612) 642-0800 �'��'�
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 request. Enter remarks in this space and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This Inspection Requesf will not be accepted wifhout the correct tee:
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/Remote Control
Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
3C Special Inspection 1. S0
Final - Date ^ �
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.
371-638 � f� ��
��(07� JOB NUMBER #9706000
PLEASE PRINT OR TYPE
Requ2�t� 1'� � 9'] Rough-in inspection required? ❑ Yes �{Jo Inspection Other Than Rough-In: [
(You must calltheinspector whenready) Date Ready:
I, }J licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City
00649 HUGO ST RE FRIDLEY
Section No. Township Name or No. Range No. Fire No. Counry
ANOKA
Occupant Phone No.
RICHARD C GRAEN
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No.
MASTER ELECTRIC CO. NC. C 0
Mailing Address (Contractor or Owner Performing Installation)
(Contractor or Owner Performing Installation)
Ready Now ❑ Will Call
10/17/97
Zip Code
55432
785-0757
EB-00001A�]fd/95 STATE BOARD COPY - SEE INSTRUCTIONS bN BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)
Phone No.