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�*' 0 3 9 2 3 7 8 6'� Phone (612} 642-0800 '�'-
Home Duplex Apt. Bidg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. X Load Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this request. Enter remarks in ihis 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 carect fee:
Other Fee n 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 oN�v TOTA
Sign/Outline Ltg. Xfmr. � 50
Alarm/Remote Control
SWIfiIR'ilflg � I hereby certify that I inspected the electrical installation tlescribed herein on the dates stated
Irrigation Boom Rough-In Date
X Special Inspection 1. 50 �
Investigative Fee Fin� � �
THIS I,�ISTALLATION MAY BE ORDERED DISCONNECT'ED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
392-378�] �5-, �
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JOB NUMBER #9�06000
PLEASE PRINT OR TYPE
Reque�t Da� �� / 98 Raigh-in inspection required? � Yes ��o Inspection Other Than Rough-!n: � Reatly Nav ❑ Wil! Call
t
(You must call the inspector when ready) Date Ready:
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zjp Codg
0�314 IRONTOH ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant Phone No.
RANDALL P LOBASH 784-1122
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Comparry Name) Contractor License No. Master Lia No. (PIaM Elect. Only)
MASTER ELELTRIC CO.,INC. CA011�32
Mailing Address (Contractor or Owner Perfaming Installation) .
I�467 BOONE AVE S. SAVAGE liN. 55378
Authorized Signature (CoMr or Owner Performing Installati ' Phone No.
� � � 9 U 941 4712/890-3555
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY �