P - 81367' h4�IIIII II IIIII III II I IIII I II REaUEST FOR ELECTRICAL WSPECTION ���
Minnesota State Board of Electriciry ����_
�', i 1821 University Ave., Rm. 5-128, St Paul, MN 55104 �
* 0 3 9 2 3 7 4 5 i` Phone (612) 642-0800
Home Duplex Apt Bldg. Other New Addn
4ir Co�. Htg Equip. Water Htr. H Load Mgmt. Other
Jryer Range Elec. Heat emp. Service
above [he work coveretl by this request. Entcv iemarks in ihis space and on the back o/ the white copy
SAVEk'S SWITCH INSTALLATZ(]N
ulate In§uec[ion Fee - This Inspection Request will not be accepfetl wi[hout the carect tee:
Other Fee n Service Entrance Size Fee .� Circuks/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Tratfic Sig. Above 200_Amps Above 100_Amps
TransformeNGenerator INSPECTOF'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr. � �. SP.1
Alarm/Remote Control
""`� t I hereby oer6ly tfiat I Inspectad �he elac�ncal IristallaYan tlescribetl hsrein on the tletes sta�ed
Irrigation B N� aouqn-in o.,�e
Special InSpeCtion 1. . $0
Investigative Fee "a� ��'_���� — I oa�� � y
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
OFFICE USE ONLY This reQUest witl 1
�
r� � 9� I Rough-in ins�ecfion required2 0 Ye6 D�o I Inspecibn Ofies Than Raugham,
(Vou must call ihe Inspecror when reatly] Da�e Reaqy
contractor ❑ owner hereby request inspection of ihe above electrical work at�.
�.et, 9ax, ar Houte Nol Gity
SKYWOOD LN NE FRIDLEY
�sM1ip Name or No. Range No. Fire No. Gounty
ANQKA
YUM HO LEE
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NSP MPLS OFFICE
Elac[ncal GonVector�Company Name) ConlractorGOense No.
MASTER ELECTRIC CU.,INC. CA01192
Malling Htltlrsse (Con[rac�or or Owner Pertorming Ins[allallon)
124b7 BOONE AVE S.SAVAC.E MN. S537d
Authodzetl Slgna�ers (C�wt{acbr or Owrier Per�orminq Inslallatloo)
EB-OOpptq-1i e/95 STATEBOAFDCOVV-SEE
OW COPV
571-69fl3
Gc. No_ (Plam Elect Only�