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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" a6ove ihe work covered by this request. Enter remarks in this space and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
ulate Inspection Fee - This Inspection Requesi 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. lr'J. S0
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
Speciallnspection 1. 50 Final � Date
Investigative Fee '��-"---L- �� �'
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
371-613 [� � / �-�a
� ���
JOH NUMBER �9706000
PLEASE PRINT OR TYPE
Reque,st,Qat�17 / 97 Rough-in inspection required? ❑ Yes f1No Inspection Other Than Rough-In: p, Ready Now ❑ Will Call
1 i0 / �� pate Read �S
(You must call the inspector when ready) Y� ����.����
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
06711 MONROE ST NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant
CHRISTOPHER
Power Supplier
Electrical Contractor (Company Name)
or
Phone No.
BAUER
Address
Contractor License No.
i lation)
7 sa �
` � �
1 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF
Master Lic. No. (Plant Elect. Only)
Phone No.