P - 83697, II��I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII M8 �U� ae sa0 BeLR� SRIC8LSt PaPEMNION04 '����a,
* * Phone (612) 642-0800 '�"'�''"`
03638996
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" above the work covered by this request. Enter remarks in this space and on ihe back of the white copy only.
SAVER'S SWiTCH INSTALLATION
Calculate Inspection Fee - This Inspection 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
Street Ltg./Traffic Sig. Above 200_Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLV TOTAL �
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
}t Special Inspe tion i. 00
Final Da►e^ �
Investigative "" .0 � % —
THIS INSTALLATION MA E ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-899 �] � � � �
�S,Sa �
JOB NUMBER �9706000
PLEASE PRINT OR TYPE
rtequest-yoajel-� � y� Rough-in inspection required? ❑ Yes �(Jo Inspection Other Than Rough-In: �
(You must call the inspector when ready) Date Ready:
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) Cit
01621 OHONDAGA ST NE F�tIDLEY
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
F MILLIAK OLSEN
Power Supplier Address
NSP MPLS OF'FICE
Electrical Contractor (Company Name) Contractor License No.
MASTER ELECTRIC C0. INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 $OONE AVE S. SAVAGE ![N_ 55378
or Owner Performing Installation)
Ready Now ❑ Will Call
7/17/97
Zip Code
55432
786-3990
11 S/95 STATE BOARD COPY - SEE INSTRECTJONS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)
Phone No.