P - 81343� _��IIIIIIIII (�I III II I I III III MS QUoiSersaO ��R� SR128 St PaPEMNI0N04 �����:
* 0 3 9 2 3 6 8 7* Pnor,e(si2�saz-oaoo �_�-"
Home Duplex Apt.8ldg. Other: New Addn
Air Cond. Htg. Equip. Water Hh. )L Load Mgmt. Other:
Dryer Range Elea Heat emp. Service
above the work coveretl by Ihis reques[ En[er rcvnaiks in fhis space and on the back o/ Ihe white copy only.
3AVEh't:� �lw�'fCH INSTALiATION
ou/a[e lnspectan Fee - This Inspection Request will no[ 6e accepted wi[hout the cwiect tee:
Other Fee +� Service Entrence Size Fee � Circuit5/Feeders Pee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street LtgJTraffic Sig. Above 200_Amps pbove 100_Amps
TransformeNGenerator INSPECTOR'S USE ONLY TOTAL/
Sipn/Outline Ltq. Xfmr. p.� 5�
"""""""y' " I heab [i [M1at I ine ectetl ihe elccNCal ins�alla�lon tlescr'
y oer y p ibetl herein on tM1e tlates statetl
Irrigation Boom Rough-li•. Date
7S Special Inspection 1�. 5r0
Final D
Investigative Fee .��,.,.,..�..
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLV This request voitl 18 months fmm valida�ion date pnnted in this box.
392-368�] �,5 �
�026
JOB NUMBEEt #9�06Q�CnE�
PLEASE PRINT OR TYPE
Requebt Qa� �� � t�� Raign-in InsOecibn requiretl? p Ves pj�0o Inspec�ion O�her Than Rough-In: [j{ ReatlY Now � Will Gall
�Vw musl call [he inspec�or when ready) Oa�e Featly: � 1/ j'y.� f`i f'.
I, u licensed contractor ❑ owner hereby request inspection oi the above electrical work at:
.bb Atltlress (SVee�, 6ox, ar Rou�e No.) ���R' Z�P�-CiO�e
N54Q�1 MAF�ZSUN ST NE FRIDLEY �_�421
Seclion No. Township Name a No. Rarge No. Flre No. County
A1dOKA
Occupant Phone No.
JONI R KAUDSEN 574-1767
Power Supplier PAdress
N�p f1PL� �1PFICE
Elwhical GonVaclor (COmpeny Name) ConVac�or License No. Mae[er l.b-No.IPlant EIecL Onry)
MASTER �LECTRIC Cu.. IN{�. CA�71192
Malirg Atltlrass (Conhactor or Owrrer Performing IristallaYnn� '
12467 Bl7t7NG AVE S. f3PVAGc MN. S537H
AWhodzetl Slgna�yre (GOrrtractor or Owrier Performing Inslalla�bnl Phone IJo.
� EB-00001A-11 8.�95 STATE BOARD COPV - SEE INSTRUCTIONS ON BACK OF YELLOW COPV