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Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. }{ Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered By this request. Enter remarks in this ,�ace 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 TOTAL
Sign/Outline Ltg. Xfmr. 15. rJ0
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
�' . 50 Final
invescigative ree � I L I/` �%J i
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
w.,,,.__._�.__.._�- �_____._�_._____��_____.._.___�_ �
F OFFICE USE ONLY This request void 18 months from validation date printed in this box.
' 378-909�] • �5.,,�
yf�3�
JOB NUMBER #970600@
PLEASE PRINT OR TYPE
Request,Da�l �/ gg Rough-in inspection required? ❑ Yes fiAlo Inspection Other Than Rough-In: f1 Ready Now ❑ Will Call
b -�t 7[
(YOU must call the inspector when ready) Date Ready:
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I, � licensed contractor ❑ owner hereby request i�spection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
05825 MAIN ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
Occupant
CHARLES JOHN
Power Supplier
Electrical Contractor (Company Name)
Mailing Address (Contractor or Owner Performing
ANOKA
Phone No.
PETERSON 571-9433
Address
MPLS �FFICE
Contractor License No. Master Lic. No. (Plant Elect. Only)
(Contractor or Owner Performing Installation
EB-00001A-11�/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
No.