P - 83705� I I�Illf �IIII IIIII IIIII IIIII IIII�IIIII IIIII IIII IIII 1^82�j U�iverstO Be LR ° SR1CA�L yNSPECTION
Y , 8, St. Paul, MN 55104
* 0 3 6 3 2 3 5 3* Phone(612)642-0800
Home Duplex Apt. Bldg. Other: New
Commercial Industrial Farm Remod
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request Ente� remarks in this space and on the back ot the white copy only.
SAVER'S SWITCH INSTALLATION
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Addn
Repair
:ulate lnspection Fee - This lnspection 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 ONLY TpTpLS�
Sign/Outline Ltg. Xfmr. T
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
Speciai lnspection '
Final �`� Dat _� �
Investigative ,c 1 �
THIS INSTAL _ I_,_AV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
�� � OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-235 �
/� ,50 �` ���C� �
JOB HUMBER �!9?06000
r�tASt PFtINT OR TYPE
Request e Rough-in inspection required? ❑ Yes o 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:
�or���reet,Box,o�iWilqpl0.) CREEK BLV NE ��IDLEY
rcl�.n
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Ready Now ❑ Will Call
7/17/97
zi`�i�432
Occupant Phone No.
RONALD J ANDRLE 571-5327
Power Supplier Address
NSP HPL.S OF'F'ICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
NASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
Auth ze Signatu (Contr o r Owner orming Installation) Phone No.
!, 941 4712/890-3555
I EB-00001A-11 8/95 STATE BOARD P CTIONS ON BACK OF YELLOW COPY