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