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P - 83614IF�II��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Rg �j UEiSersFORVELRm. SR7C8, S! PaPEMNIONo4 ����� Minnesota State Board of Electricity � ' * �r Phone (612) 642-0800 �''�=� 03923984 Home Duplex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Repair Air Cond. Htg. Equip. Water Htr. 4C Load Mgmt. Other: Dryer Range Elec. Heat emp. Service "X" above the work covered by this request. Enter remarks in this space and on the back oi the white copy only. SAVER'S SWITCH IHSTALLATION Calculate Inspection Fee - This Inspection Requesi will not be accepted without the correci 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 ONLY TOTAL Sign/Outline Ltg. Xfmr. � 50 Alarm/Remot Co trol Swimming Po I hereby certify that I inspected the electrical installation described herein on the dates stated Irrigation Boom Ra,9n-in Date X Speciallnspection 1. 50 F�r,a� oat Investigative Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHI 18 MONTHS. � OFFICE USE ONLY This request vokl 18 months from validation date printed in this box. 392-398�] �5 5a �.26 JOB HUMBER �9�Q16000 PLEASE PRINT OR TYPE Reque�t ila� �� � 9$ Rough-in inspection required? ❑ Yes �o Inspection Other Than Rough-In: � Ready Now ❑ Will Call (You must call the inspector when ready) Date Ready: 1 1 I30I S8 I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Rou[e No.) City Zip Code 0@560 IRONTON ST NE FRIDLEY 55432 Section No. Township Name a No. Range No. Fire No. Counry ANOKA Occupant Phone No. KEITH E SCHILL 717-3082 Power Supplier Address NSP MPLS OFFICE Electrical Contractor (Comparry Name) Contractor License No. Master Lic. No. (Plant Elect. Only) MASTER ELECTRIC C1]. , INC. CA01192 Nlailing Address (Contractor or Owner Performing Instailation) 12467 BOONE AVE S. SAVAGE MN. 55378 Authorized Signature ( actor or Owner Pe�mj� {pgtalJat� Phone No. /irJ�� �� � ��� 941 4712/890-3555 E&00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY