P - 83686., IIII�I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII M82�1 U�niverstyOAv eLRm. SR1C8, St PaPEMN 5O5N04 ����'
* 0 3 6 3 9 4 4 0* Phone (612) 642-0800 '������
Home Duplex Apt. Bldg. Other: New Addn i
Commercial Industrial Farm Remc
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the wo�k 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 TOTALS o��
Sign/Outline Ltg. Xfmr.
1
Alarm/Remote Control
Swimming Pool I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rough-In Date
Special Inspection
Investigative Fe z F�na� ��-c�.—�� �� ? — % �
THIS INSTALLATI N A ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
� � OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-944
� � �d �
/5�so `�
JOB NUMBER �9706000
PLEASE PRINT OR TYPE
rtequestp�el // 7/ Rough-in inspection required? ❑ Yes ❑1410 Inspection Other Than Rough-In: [
(YOU must call the inspector when ready) Date Ready:
I, u licensed contractor ❑ owner hereby request inspection of the above electrical work at:
�o�,�d�s�c�treet, Box, o������ON ST NE �t�2IDLEY
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
PATRICIA SIBERT
Power Supplier Address
NSP MPLS OE'F'ICE
Electrical Contractor (Company Name) Contractor License No.
HASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE KN. 55378
Ready Now ❑ Will Call
7/17/97
Z�p�i�432
S71-8758
Master Lic. No. (Plant Elect. Only)
Authyri�ed Signature�(Contractor o�wner Performing Installation) Phone No.
EB-00001A-11 8/95
STATE BOARD COPY - SEE
941�4712/890-3555
ON BACK OF YELLOW COPY