P - 81344I�� IIIII�III�IIII (IIIII�II �IIIIIIIII I(II MEQUota S atOe B aLd of ERe�ALtYNSPECTION ���t�o-
� � � 1821 University Ave, Rm. S-128. SL Paul, MN 55104 �
* 0 3 9 2 3 8 8 5 y` Phone (612) 642-0800 �"°�'�
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Hta Eouip. Water Htr. H Load Mgmt Other:
kyer I IRange � IElec Heat I �Temp. Service �
abo�e the work coveretl by thLS request Enter rema�ks in this space antl on ine back ol the white copy
SAVEk'S .r�WT_TCH INSTALi.ATI�?N
ulate Inspection Fee - This Mspeciiar Request wi!! not be accepted without [he conect fee:
Other Fee � Service Entrance Size Fee � C�rcuils/Feedere 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 MSPECTOH'S USE ONLV TOTA
Siqn/Outline Ltg. Xfmr. ' S�'
alectriczl'mst=llation tlescnbetl herein on
Boom
- -�---- -�— F��Qi
Investigative Fee `� � -- ��
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
_ _. .�_ __ -_' _ __. . _ _ _ _ _ _ _ _ ____ ___"' _____�..-� ._.--...�...�.�e,,..�,v�.wc—
OFFICE USE ONLY This request voitl 16 monihs hom valitlation date printetl in Ihis tov..
392-388 � /5 ��
•�ad'
;SOEi hUMREA #9�fd6NCnm
PLEASE PRINT OR TYPE
aea�p` Q°`� 30 / 98 ao�en-�� ��oE��o� reow,Ea? p v� p�o msozu�o� oma� m�, ao�en-m: q{ aeaay Now p wn c�i
(VOU muet oali �he Inspoo�or wnen ready) Date Aaavg_ 11 r�� / q�y
I, d licensed cont2ctor ❑ owner hereby request Inepection of tFe above elechlcal work aY
Jab Aatlress (Siraet. Ba, ar Rou�e No 1 GI�y Lp Gotle
�'�6?31 MAUISON ST NE f=R.TJLEY 5543?
Section No. Townshlp Name or No. Fenge No. Fre Nc. County
ANCtKA
Occuoant Phone No.
3a�r� x�� ir3��
Powrer Supplier Address
NSF MPL'; E7FFICE
Eleotncal Gontraotor �GOmpany Namel Qentracior Gcense No-
MA::TER ELLCTRZ�: CJ..INC. CA0119'
Mailing Addross (COntraotor or Owner Periorming Insi�Jlatlorl
i'�467 800tdE AVE S. �AVAGE �"9N. 553�$
Aothorizetl 5ignature �C�arM.�ctor or Owner Pedc(�nfpi:{3rpyop��
EB-0p001A-11 e; 05 STATE BOARO COPV - SEE WSTRUCTIONS ON BACK OF VELLOW COPY
Master Ga No. IPlant Eect