P - 82858r;� �IItIIIIII��II�IlI11II�IIIIIIIIIIII��lI1�lIIlIIIII M82�1 U�iverstyO A aLRo SR1C8,LStN SPEMNION04 �����,,��
* * Phone (612) 642-0800 �`'�'-"'
03798535
Home Duplex Apt. Bidg. Other: New Addn
Commercial Industrial Farm �^� `SC Remod Repair
Air Cond. 4itg. Equip. Water Htr. oad 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 IHSTALLATIOH
Calculate Inspeciion Fee - This lnspection Request will not be accepted without the conect fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg.lTraffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL �
Sign/Outline Ltg. Xfmr.'
15.�
Alarm/Remote Control
SWimmillg PO I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boo Rough-In Date
peciallnspection •
Final Da i /
Investigative Fee � j�
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
�a•n���—.--r-�.-.�.—�.—.--•---_---�— _
OFFICE USE ONLY This request void 18 months from validation date pri�ted in this box.
379-853�]
� �, �� �
I� �� �� JOB NUMBER #970600
PLEASE PRINT OR TYPE
Request Da Rough-in inspection required? ❑ Yes ❑ N Inspection Other Than Rough-In: ❑ ady Now ❑ Will Catl
(You must call the inspector when ready) Date Ready: G I 19I 98
I, ❑ icensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job A�����t, BoX, o� R�t�AN RD c�t'FR I DLEY Z�P �5421
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
LAURA L JOHNSON 572-2663
Power Supplier Address
NSP lIPLS OFFICE
Electrical Contractor (Comparry Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
MASTER ELECTRIC CO.,INC. CA01192
. Mailing Address (Contractor or Owner Performing Instailation) .
12467 BOONE AVE S. SAVAGE �[N. 55378
Authorized gnaj�xe (Contractor or Owner Performing Installation) Phone No.
� - 7'� — �! ! / ti 10 —
11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS N CK OF YELLOW COPY