P - 81349� .Iii11�IIlIIII IIIIIII III I II III III M82�i U�iv SstyOABea Rm SR1PS,cSt PaPEMNION04 %���.
` * 0 3 9 2 3 9 2 7* pno�e�si2�saz-oaoo �.�."�
Home Duplex Apt. Bldg. Other: New Addn
Htg Equip. Water Htr. X �oatl Nlgmc piher.
Range Elec. Heat Temp. Service
covered by fhis request Enter remarks in [his Space arxl on the back ol the whi[e cq�y
SAVER'S SWITCH INSTALLATZON
ulate lnspection Fee - 7his Ing�ecfion Requesf will not be accepted wiihoui the comeci tee:
Other Fee � Service Entrance Size Fee � Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireet Lig.lTraffic Sig. Above 20D_Amps Above 100_Amps
Transformer/Generator INSPECTOR'S USE ONLV TOTAL
Sign/Outline Ltg. Xfmr. �• 5�
Alarm/Remote Control
Swimming Pool i ne.eUr cem�y ma� i���soec�ed me eiecvlca+�ms��uaron aesaleed no.e�� on me da�es �atea
Yriqation BNrm r� .. ao�an-i� oace
I Investigative Fee � � � ��--�.--�— ��- �/` Z �' T�
_. THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This reques� �roid 18 mon�M1S imm valitlztion tlate printatl in Ihis box.
392-39?�7] ,/�65; �
JOB NUMBER N9$0Em00
PLEASE PR�NT OR TYPE
aea�e� RaJp 30 /`-J$ ao�en-�� ��sPe�eo� rea��rea� p ves plto i�aac�o� ana� rne� ao�9n-m�. q( ae�dv Now p w�u ceu
(�ou rmst cal� tne mspeceor wnen ready) oeie aeady 11 / 30 / 9E'�
4� Ilcensed contractor ❑ owner here6y request Inspection of Ihe above electricel work at:
.Y h Address (Sheet, Box, w Rcute No.1 Gity Zlp Gotle
Q�I938 N UANUBE RD FRIDLEY 3543<
Section No. Township Name or No. Rango No Fire No_ Gounry
ANUKA
Occupan� Phone No.
DONALB C PETERS 204-5016
Powzr Supplier ACtlress �
NSP MPLS OFFIL'E
Elecincal GonVaotor �GOmpany Name) ConV6ctor IJOense No. Mas�er Cie. Na (Plant Eleq. Only)
MAS'TEk ELE�TRIC Ct]., INC. t;A0i192
Maling Adtlress (GOnVactor or Oumer Porformirg Ins�allatan�
12467 800NE AVE S.SAVAGE MN. 55378
Authorizetl SignaWre (Con�raclor or Owner Perfor n9lnslallatlon) Phone Na
�GS 54� ������s
E&00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OP VELLOW COPV