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P - 83714� I REQUEST FOR ELECTRICAL INSPECTION �'�°'E� ' I,I��II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 1^g2leUniveSsty A earRmf SI 128cSt. Paul, MN 55104 ��.�_ �� , :,.a. "" * 0 3 6 3 9 3 0 9'�` Phone (612) 642-0800 Home Duplex Apt. Bldg. 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 ot the white copy only. SAVER'S SWITCH INSTALLATION Calculate Inspection Fee - This Inspeciion 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 s G Sign/Outline Ltg. Xfmr. 15.-��" 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 j( Special Inspection 1. 00 Final �� �g —�'� Investigative ' 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. 363-930 �f i /�,�b '� �38a JOB NUMBER �9706000 PLEASE PRINT OR TYPE Request�a�e 1^� �{3'� Rough-in inspection required? ❑ Yes �lo Inspection Other Than Rough-In: [X Ready Now ❑ Will Call (You must call the inspector when ready) Date Ready ^� � 1'� � 9'] I, ►J+ licensed contractor ❑ owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.) City Zip Code 06190 STARLITE BLV HE FRIDLEY 55432 Section No. Township Name or No. Range No. Fire No. County � ANOKA Occupant Phone No. CONSTANCE J RIVARD Power Supplier Address NSP MPLS OFFICE Electrical Contractor (Company Name) Contractor License No. NASTER ELELTRIC CO.,INC. CA01192 Mailing Address (Contractor or Owner Performing Installation) or Owner 586-0588 1A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY Master Lic. No. (Plant Elect. Only) Phone No.