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REp�1ES'<<c0 goa dC ER�C� INSPEMN � oa
M���esoiaS��e Rm. S-128, St. Paul,
1621 UriNe�s�11 Ave.,
612�642-0800 New Addn
p�10(� � o ..n�r
Farm
Elec. Heat
this request. E���
�gmt. Other.
Service Ce and on the ba
ck of the white copy only.
in fhis spa
K•• av�,.., --
lZ���
uest w��� not be a�ce
This Insp�tion Re9
Ca����p� ��Spection Fee - F� #�MCe Entrance Size
pther p to 200 Amps
►d�obile Hom a�°c g59ai1
Above 20��– Am�
$treet Ltg.%T �NgpECTOR'S USE ��Y
Transformer/Generator
Sign��udine Ltg. X4mr.
Control �ed
,�,;�oor rhe corfecr fe��
# Circuits/F�ers
Fee s
0 to 10� �+mp
pbove 1�
oo�
Alarm/Remote 1 her ce^' �'a' ���s e� ,��
$wimming Pool Ro�s�„ �
N 1g MONTHS.
irrigation Boo�^ F� 7 COMPLETE� W
Special Insp�tio ONN�C�p IF � .��
rinted in 11�is box.
Irnesti ative F� MAY BE ORpERED �----
TION ��LY This req�� `�Oid 18 months kom validafion a� P
THIS INS7ALLA — � � ' ✓ �
��,
� �g �Ci
��II��I � SE PRINT OR NPE N� � w;n can
IIII�I� LEA e�r
I ►►���11 R� M�.
III�IIIIII * , r Than 9
IIIIIIIIII y 5 0��
II��I ? 8 0 �� �
* O � a O O tion re9uired$ ❑ Yes pote Ready.
/j Rough-in insp� ,�en readY� .
Rey�est D� ���� �`(ou must call 1F�e inspe��
�•.� tion oF the above elechical work at: Z.P c�
� hereby req�est inspeC
contractor ❑ o`Nner �;y �
� licensed �
try� or Roure No�1 p
JSib %�ddr iss (5E J\ �x,/1� 1 i D i . � �'L�� _ __ ..�,. ire No � �., /�/lI �� ��
or
power
a����c°"n�« ��om�,,, .._ . In� .
EleCtrl�'
I� a r r i s o n ,�5rou���
Controdor a�^'ner Perf��^ing N o r th
F/wiling Address �
2525 vada � P � ;�^,�Sro� ��'�`
��_...,,�tw _ AI'AYl
Phone No. • ��
� � Q
�.�OSter Lic. No. (Plant EIcK
'.ontrac�a License No.
CA008�$
Valle 55�2�
1� G o 1 de n �o�e No.
r n A.�i�Q