P - 83692i II�.� I REQUEST FOR ELECTRICAL INSPECTION �,�€"'�
I IIII�� ��II IIIII IIIII IIIII IIIII IIIII IIIII IIII (III 1ng21eUnl ess ty A earRmf SI 128 St. Paul, MN 55104 �_��
� * * Phone (612) 642-0800 '�`"�'�
03633427
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. X Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work 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 lnspection 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
I� Street Ltg./Traffic Sig. Above 200_Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL S
Sign/Outline Ltg. Xfmr. 15. ��
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
I }� Speciallnspection i . 00
Final � ,/ D�te, , � "
Investigativ@ � ,..--- --�'- __. L �-- %
THIS INS L' BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
"� OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-342 �] �
# � 38a � �
�s/ S � JOB HUI7BER �l9706000
PLEASE PRINT OR TYPE
Request'Qa� 1'� � 9'� Rough-in inspection required? ❑ Yes [�Jo Inspection Other Than Rough-In: � Ready Now ❑ Will Call I
(YOU must call the inspector when ready) Date Ready: 7� 1'� � 97
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code �
07330 MEMORY LN NE PRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County '�,.
ANOKA
Occupant Phone No.
KEITN O KLEINKNECHT 780-5202
Power Supplier Address .
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
![ASTER ELECTRIC CO. , INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAYAGE MN. 55378
Authorized � nature ontrac Owner P ���jiqp� Phone No.
t �
EB-00001A-11 S/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY