P - 84068I I' II IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII MEQ Uo ae satOeA eLRo SReC8 StNPaPEMNION04 � ��
IIIEtI��III I 8 Y � �::;�:�
I' * 0 3 7 1 6 5 6 0* Phone(612)642-0800 =
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. X 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 whiie copy only.
SAVSF!' S SWITCH ITiSTALLATION
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 Contro�
Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom ��'-- j• Rough-In oace
X Special Inspection i • 5� Final /%' oa
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.
371-656 � � f �, �-��
� �����
JOB HUMHER #9706000
PLEASE PR�NT OR TYPE
Reque�t�a�17 � 97 Rough-in inspection required? ❑ Yes [�JO Inspection Other Than Rough-In: [� Ready Now ❑ Will Call
(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 NoJ City Zip Code
0Q►710 KENNASTON DR NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
Occupant
Power Supplier � Address
AHOKA
Phone No.
571—
Electrical Contractor (Company Name) I Contractor License No. I Master Lic. No. (Plant Elect. Only)
or
Phone
8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY