P - 83020.f If�l �I�li III�I 1I�II III�I IIIII IIIIi I�III �III I�I� M8 n� Uota SsaO B aLRm. SR 1C8,cSt PaPEMN 5O5N04 ��� '
* * Phone (612) 642-0800 �`'"���
Q3$04341
Home Duplex Apt. Bidg. Other: �1 New Addn
Commerciai Industrial Farm ��j �c Remod Repair
Air Cond. Htg. Equip. Water Htr. X Load Mgmt. Other:
Dryer Range Elec. Heat emp. Service
"X" above ihe work covered by this request. Enter remarks in this space and on the back of the white copy only,
SAVER'S SWITCH INSTALLATION
Calculate lnspection Fee - This /nspection Request will not be accqoted without the carect 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 20Q Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL /s� SO
SignfOutline Ltg. Xfmr. �
AlarmlRemote Contrai
SWlfilfplllg P I hereby certify that I i�spected the electrical installation described herein on the dates stated
Irrigation Boo Rough-In Date
X Special Inspection 1. S0 Final e
Investigative Fee � �%
�THIS INSTALLATION MAV BE ORDERED DISC ___,CTED IF NOT COMPLETED WITHIN 18 MONTHS.
� OFFICE USE ONLY This request void 18 months from validation date printed in this box.
380-434�1] �� �
�`� ��3! 9
JOB NUMBER #9706000
PLEASE PRINT OR TYPE
R��� �§� 07 � 98 Rough-in inspection required? ❑ Yes ❑� Inspection Other Than Rough-In: �Ready Now ❑ Will Catl
(You must call the inspector when ready) Date Ready f/ 07 / 98
I, � licensed contraCtor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
05920 STIHSON HLY FRIDLEY 55432
SecSion No. Township Name or No. Range No. Fire No. Goun[y
ANOKA
Occupant Phone No.
KRIS O RINGGOLD 586-9688
Power Supplier Address
NSP MPLS OFFICE
Electrical Cqntractor (Comparry Name) Contracior License No. Master Lic. No. (Plani Elect. Ony)
liASTER ELECTRIC CO. , IHC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
Authorized ' nature (Contractor or Owner Performing Installation 6 4.� � Phone No.
�/
EB-00001A-11 8/95 STATE BOARO COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY �