P - 81351II REQUEST FOR ELECTRICAL WSPECTION �?
�°) I I) (� I(' III II I III II) II) 821 Uni ess ty A earRmf S-128CSt Paul, MN 55104 ���-
* 0 3 9 2 3 b 4 7* Pnor,e �sizJ saz-osoo ��!��
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indushial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. X Load Mgmt. Other
Dryer Range Elea Heat emp. Service
' above the work coveretl by Ihis request Enter remarks in fhis space 2nd on the back o/ Ihe white copy wly.
�AVEk'S SWITGH INSTALLATION
kulate lnspection Fee - 7his Inspectirn Request wil! not be acceptetl without fhe covect /ee:
Other Fee � Service Entrance Size Fee � Circuits/Feeders Fee
Mobile Home Park Stall O to 200 Amps 0 to 100 Amps
Street LtgJTraffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOH'SUSEONLV TOTAL
Sign/Outline Ltq. Xfmr. 1r1� .9P,
°`y' I hereby certify tFat I Inspoctotl 1M1a alectncel Installation tlescribetl hereln on fhe tlates sYVtetl
Irrigation Boom ao�yn-i� o,�e
j( Speciallnspection 1 -..5�
InvestigativeFee F��al –. ° �LU—�y�
THIS INSTALLATION MAY BE ORDERED DISC NECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLV This requesl void 18 months from valitlation date printetl in [his box.
392-354�] • �� 5 �
30B NUMBER �i9906Q��i�r
PLEASE PRINT OR TYPE
a�uef �� 3� � 98 aa�gr-ir �mspectan req�ired? p �es p�o ��s��uo� omer Tna� qo�gh-��: [� Readv Nmv p w�� ca��
(YOU musi call �he ins0ector when reatly) Date Reatly: �-
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at'.
Job Atltlress (SVeet, Box, or Rou[e No.l City Zip CoCe
0��518 MEI��TER RD FRIDLEY 5:,432
Section No. Township Name or No. Rarge Nn Fire No. County
ANOKA
Occupant PMrie No.
LFNDA L FOBSCHEN 571-5549
PoWar SupPlier qtltlmss
HSP MPLS' C�FFICE
Elacltical ConUador (COmparry Name) GonVactor Llcense No. Maeter Lk. No. (Plant EIecL Only)
MA�TER ELECiFtIL �u.,EFlt�. ��A01i9�
Mailln9 Atldress �COn[rdctor or Owner Periwming Installa�ion)
Aulhodzed Slgnature IC�nVactor or Owner Periorming I�$yllplbryh �� Phone No-
N V �j�
� ^c
EB-00001A-11 8/95 STATE 80ARD COPV � SEE INSTHUCTIONS ON BACK OF YELLOW COPY