P - 84082IIIIII�l�IIIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIII Mg � �� ae sa0 B aLR� SRiC8LStNS PEMNION04
`� * 0 3 7 1 6 8 9 7 * Phone (612) 642-0800
Home Duplex Apt. Bldg. Other: New
Commercial Industrial Farm Remc
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"' above the work covered by this request. Enier remarks in this .�ace and on the back of the white copy only.
SAVER'S SWITCH IHSTALLATION
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Calculafe Inspeciion Fee - This Inspection Request will not be accepted without the correct tee:
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 TOTA�5. 50
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control
Swimming Po ��/ -'� I hereby certify that I inspected the electrical installation described herein on the dates siated
Irrigation Boom Rough-In Date
Special Inspection �
Final � �te� J �(
Investigative Fee —� � ' 2 Z —C 'J
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
371-689 [� ���
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JOB NUMBER #9706000
PLEASE PRINT OR TYPE
Reque�t�aJe17 � 97 Rough-in inspection required? ❑ Yes [�Vo Inspection Other Than Rough-In: � Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: 1� I 1% I 9%
I, �] licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
00418 RICE CREEK BLV NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant Phone No.
ALLAN SEEFELD 572-2380
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
Mailing Address (Contractor or Owner Performing
or
1 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
No.