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P - 83292tIt1ULtY Fridley, Minnesota 55432 FAX (612) 571-1287 REQUEST FOR ELECTRICAL INSPECTION "X" Below Work Covered by This Request Add Rsp. pe oi 8uildinq Appliancss Wirsd Home Range Ouplex Water Heater Apt. Building Dryer Commercial Bldg. Furnace Industrial Bldg. Air Conditioner Farm ther pec� v t er ueci�i- ite lnspecUon fee Below Fsa SsrviceEntrsna�5�ze 0 to 1 UO Am s 101 to 200 Amos in Flnal gns Feeders�Su4feeders p Oto30Am s 31 to 100 Amps Above 100—..Am 5 Remote Control Circ. Speciallnspection S � � ��4 Equipme�t Wired Temporary Service Lighting Fixtures Electric HeatinQ Silo Unloader Bulk Mllk Tank the� (Soec�tyl Olher ' D�+le fee Circuit� 0 to 30 Am 31 to 100 Am s Above 100_A . Partial�Other Fee � TOTAL FEE � 1, the Eleetrieal . Inspsetor, hersby certify th�t tlp ebpve _ iASOaetion hss basn TMS reQue�t void - - - - , e �b�b°� 5 � -------_-_ - --- -�.-� ---.- Th�s rWwst voJ.d�-�' ''� � �� �� j(�� �18 mpnt�416m � (�j) � O O " � - - �--�� Nwquest �� F1re No. AReoquh-��Inspecuon ��adY Now pw�n Nolify I�sPec- -g- q ❑�es ❑No �o� wnen qeadv Licensed Electncal Contractor 1 1��reby r�qwst inSplCt�Of� O: abOVf ❑ ��e� slectrical work in�tallsd st: