P - 84065�
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* 0 3 7 1 6 2 0 6* Phone (612) 642-0800 � '��'� =�r
Home Duplex Apt. Bidg. 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 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 ONLY TOTAL
Sign/Outline Ltg. Xfmr. 15. 50
Alarm/Remote Cqptr I
Swimming Po t;,� j� ;Y '_} I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In oate
Special Inspection • � -
Final � ` .! :- � � .,� �i G�
Investigative Fee ___.-. C:--�• --°� �- , ! o
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 �
371-620 � /5, �
������ .70B NUMBER �9706000
PLEASE PRWT OR TYPE I
Requ Rough-in inspection required? ❑ Yes o Inspection Other Than Rough-In: Ready Now ❑ Will Call li
(You must call the inspector when ready) Date Ready: 10 �], %� 9% '
I, licensed contractor ❑ owner hereby request inspection of the above electrical work at:
�o�nga�s��treet, Box, oJACK�ON ST NE F�2I DLEY Z� 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
dIAHE N BRAZI[. 572-0680
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No. Master Lia No. (Plant Elect. Only)
KASTER ELECTRIC CO. IHC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
GE 55378
Ai�j15'�c �d�ignature (Contractor or Owner Performing Installglipr� ,_ Phone No.
11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY