P - 82854' �IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII) M8 �Uoia SsaO B aLRm. SR1C8, St PaPEMNION04 ����
* 0 3 7 9 8 6 4 2* Phone (612) 642-0800 ����.��
Home Duplex Apt. Bidg. Other: �1 New Addn
Commercial Industrial Farm �" � C Remod Repair
Air Cond. Htg. Equip. Water Htr. oad Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above the work covered by this requesf. Enter remarks in this space and on the back of the white cqoy only.
SAVER'S SWITCH INSTALLATION
Ca/culate Inspection Fee - This Inspection Request will not be accepted without the cwrect 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 ONLV TOTAL �Q
Sign/Outline Lt . Xfmr. 15. �@'
Alarm/Remot
Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
peciallnspection 5.0
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 priMed in this box.
379-864� i�,�,r� �
�� 531y
.IOB NUMBER �970600
PLEASE PRINT OR TYPE
Request Date � 19 � 9� Rough-in inspection required? ❑ Yes ❑ Nox Inspection Other Than Rough-In: ❑�eady Now ❑ Will Call
O
(You must call the inspector when ready) Date Ready:
I, ❑�icensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Raite No.) City Zip Code
01420 KERRY CIR NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant Phone No.
KARL KRETER 571-6141
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
MASTER ELECTRIC CO.,INC. CA0.t292
Mailing Address (Contractor or Owner Performing Installation)
124 7 BOOME AVE S. SAVAGE MN. 55378
Authorized Signatu ( ractor or Owner Performing Installation) , � e1 Phone No.
� � �:�
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY