P - 83717f I��111� �III IIII� IIIII IIIII IIIII IIIII IIII) IIII III) 1n82�1 U�niverst0 B e LR o SR 1C8 StN SPEnCN ION04 ����-
* 0 3 6 3 3 4 0 1 * 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 of the white copy only.
SAVER'S SMIITGH INSTALLATION
Calculate Inspection Fee - This Inspection Request will noi 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
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
Speciallnspection ,r .
Final te
Investigative Fee - � �
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.
363-34��] �
.� ��go
��.�0 JOB NUMBER �9706000
PLEASE PRINT OR TYPE
Request Rough-in inspection required? ❑ Yes o Inspection Other Than Rough-In: Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: %� �, %� 9%
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code '.
07381 SYMPHONY ST NE FRIDLEY 55432 '
Section No. Township Name or No. Range No. Fire No. County �
AHOKA
'� Occupant Phone No.
SANDI R KING 784-6699
Power Supplier Address
NSP ![PLS OFf ICE
Electrical Contractor (Company Name) Contractor License No. Master Lic. No. (Plant Elect. Only)
NASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
Authoriz anatura (Obntractocor wner.Performinp Installation) Phone No.
EB-00001A-11 �/95 STATE BOARD COPY - SEE MSTRUL`TIbAS ON BACK OF YELLOW COPY