P - 81350REQUEST FOR ELECTRICAL INSPECTION ���
���I�IIII III I I I II III (I II II I I III 1ng21 UntveS Ify BoarRmf Sle 28ciSt Paul, MN 55104 ����`
* 0 3 9 2 3 7 0 3* Pno�e(s�2)sa2-oaoo �
Home Duplex Apt Bldg. Other: New Addn
Htg. Equip. Water Htr. }( Load Mgmt. Other:
Range Elec. Heat emp. Service
work covered by this requesG Entei remarks i� this space and wr [he back ot the white copy
SAVER'S SWITCH INSTALLATION
ulate /nspecflon Fee - Thls Inspectiw Request will not be accepted wiihout the conect 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 INSPECTOF1'SUSEONLV TOTAL
Sign/Outline Ltg. Xfmr. � � 5�
Alarm/Remote Conhol
Swirlllltl � hsreyy certiN ���at � irspeated tho ekc!ncel instanation deswibetl Y�ereN on ihe tlates s�eietl
II(IJ32i011 OOfll FouaM1-In Da�e
Speciallnspection 1 . 5@
Flnal � �.Z � S�i
Investigative Fee � /
THIS INSTALLATION MAY BE ORDERE� DIS NECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY T�is request wid t8 nonihs irem valld'atior da�e Orin�etl �•n ih�s box.
392-37(�3] ,/�65 �
JOB NtJMBER N9$0600�1
Rea�ej! ��f �0 �c�g Roueh-�n mspecbon reamreav p ves pxao �nspecnon other r�an ao�gn-h: �{ aozdv Now p wu can
(�'Ol11nu51 Cdll fhf Il19p2C10! WIIBn lGetly� D9I8 RBB�iy: 11 � J0 � CJ. C
I, �iJ Ilcensed contractor ❑ owner hereby request'mspection of the above electrical work at'.
Job Atldress IStreel, Boz or Route No-1 City ZIpCOCe
01498 N BANUBE RD FRIDLEY °�593:'
Section No- Tvrvnship Nxme o• No. Range Na Fire No- Goun�y
ANOKA
TERESA KOLLER
rowe,s�ppr�, . aea,���
NSP MPLS OFFICE
Electrical Corrtactor (Compa�ry Name) GonVac�or Liceris= No_
ttASTER ELECTRIC Ct�. , INC. CA01192
Me�ling Ptltlress (Conhector or Owner Perlorming Instellatio�l
12467 B�IINE AVE S.SAVAGE MN. 55378
571-6676
EB-(bGOfA-11 8/95 STATE BOABD COPY , SEE INSTHUCTIONS ON BFCK OF YELLOW COPV
Lic. No.