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P - 81885
�..� � T Ur. munici ai �.emer w.� � FI2IDLEY 6431 University Avenue Northeast F&-fi� 777-7885 Fridley, Minnesota 55432 FAX (612) 571-1287 REQUEST FOR ElECTRICAL INSPECTION "X'" Below Work Covered by This Request Add Rep. Type ot Building Appliances Wired Home Range Ouplex Water Heater Apt. Building Dryer Commerciai Btdg. Furnace Industriat 81dg. Air Conditioner F�..., �her peu v r F�nal Fse �ect�on Fee Below Sarvice Entrencs Siie 0 to 1 UO Amos This rpquesl void 18 munths from � Fee Feeders�Subfeeders Oto30Am s 31 to 100 Amps Abnve 100-Am �1�1-f�3 Equipment Wired Temporary Service Lighting Fixtures Electnc HeaUng Silo Unloade. Bulk Milk 7ank Iher ($DeGfVI Othgr �te l:ontroi l.�rc. — ial Inspect�on S/� � Ci�cuits 0 to 30 Amo� 31 to 100 An Above 100_ Partial!Other TOTAL FEE --- 1, ths Elect.;csl Inapector, heroby csrt�fy thst ths ebovs � Dnte insDSCtion bss bssn '�?idr mads. •ivwi��.r� �r�r 1rr. �+�-i �� � ����: �.� �r.��� w� .s4 �a '���� .� � 10173 ---'--- Fire No. Rouph-�n Inspection i,,{ s i� � flequired? �Ready Nuw Q W�II Not�fy Inspec- CiC..NC.� ( []Ves �No tor When Ready Ucensed �%���nt,qctor � h�roby rsquest �nsaec�+ort of abovs ��e� � O � alsctrical work installed at: