P - 80899(3A7 REQUEST FOR ELECTRICAL INSPECTION ��'�"""��
O V 1- 4 6 5� Phone (612) 642-0800 m' SI 28cist. Paul, MN 55104 �.�-
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Farm Remod
Water Htr. Load Mgmt. Other W1II�0�T AC & OthOY
Elec. Heat Temp. Service 011L e S
requesG Enfer remorks in Ihis space and on the bcck oF /he white copy <
Colcula�e Inspection Fee - This Inspecfion Requesf will no� be accepled wi�houl �he correct fee:
Other Fee q Service Enhanre Size Fee # Circuits/Feeders Fee
Mo6ile Home Park Siall 0 fo 200 Amps 0 Io 100 Amps
Street Ltg./kaffic Sig. Above 200 Amps � Above 100_ Amps
Transformer/Genera�or - ir+saecroa'S use or+�v TOTAL .. �_
Sign/Outline Ltg. Xfmr.
Alarm/Remole CoMrol
Swimming Pool
Irriqotion Boom
ihm I Inscecred �he elxtncal Ins�olla�ion
� THIS 1y,iTALLATION MAY BE ORDERED UISCONNECTED IF NOT COMPLETED WITHIN 16 MONTHS. �
OFFIGE USE ONLY This request void 18 monlf�slrom validafion dare printed in ihls bax.
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PLEASE PRINT OR TYPE
Aeqoes� DWe Rough-in inspxnon reqoiied? QYes [�No Inspection OMar Tfion Raugh�lm [�Aeody Now O Wili Co�i
8/6/99 �o�mu:�wll�helnspectwwhenreody) DakReady:
I, � licensed confmctor ❑ owner hereby requesf inspeclion of the above elechical work al:
bb Address �Srcee�, Bo., o� Rouk No.� Ciy 2p Code
6373 Pierce Street NE (upper) Fridley 55432
Secfion No. Townshio Name or No. Ranae No. Rrn Nn. (�i��a
Occuponl
Adrian Palmer
lecvical Conhaciw �Compony Name) Comracbr License No.
Total Electric, Inc. CA02749
m�im9 nda,�, ic�,v«ro� o� a.,�, vedo,m��9 i�,muma��
10760 Mankato St. NE �uite lll Blaine MN
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STATE BppqD COPY
ne No.
(612) 574-2091
Moster
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ON BACK OF YELLOW COPY