P - 83710I I�II� IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII III) MEQeso a S at�e B aLd of EReotAc'tyNSPECTION ����;�
1821 University Ave., Rm. S-128, St. Paul, MN 55104 �-
i * * Phone (612) 642-0800 ������`"�
Q3639366
Home Duplex Apt. Bidg. Other: New Addn
� Commercial Industrial Farm Remod Repair
� Air Cond. Htg. Equip. Water Htr. X Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate Inspection Fee - This Inspection 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 TOTAL �i
15.r 0
Sign/Outline Ltg. Xfmr.
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
Speciallnspection • a�c d
M Final .� -�l / O
Investigative ✓` «'
THIS INSTAL A 10 A BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
,„,_, _ _ a�,....-�����—�-
�� � � OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-936 � � ����
��� �� JOB NUMBER �9706000
PLEASE PRINT OR TYPE
Request�a� 1'� � t3'�' Rough-in inspection required? ❑ Yes �(Jo Inspection Other Than Rough-In: [X Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: "J � 1'7I97
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route NoJ City Zip Code
07169 RIVERVIEM TER NE FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
GORDON W SANGSTER 571-5152
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No. Master Lia No. (Plant Elect. Only)
C[ASTER ELECTRI� C0. , INC. CA01192
Mailing Address (Contractor or Owner Performing Installation) I
1�467 BOONE AVE S.SAVAGE HN. 55378 I
Auth d Signa e(Contracto or Owner Performing Install on Phone No.
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EB-00001A- 1 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY