P - 83718� REQUEST FOR ELECTRICAL INSPECTION ���,
<' I��IIII) IIIII IIIII IIIIIIIIII IIII) IIIII IIII IIII 1^821eUni ess ty A earRmf SI 128cSt. Paul, MN 55104 � o�_ �"
* 0 3 6 3 2 5 2 8* Phone (612) 642-0800 �`'��'�
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg. Equip. Water Htr. 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 SWITCH INSTALLATION
Calculate Inspection Fee - This Inspection 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 ONLV TOTAL ,� O
Sign/Outline Ltg. Xfmr. iS.
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
THIS
Final
ORDERED
���2 C
CTED IF NOT COMPLETED WITHIN 18 MONTHS.
�� � OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-252�J � � Sa
f J' `Sb JOH NUMHER #�9706000
PLEASE PRINT OR TYPE
rtequesryaJe 1-J � y� Rough-in inspection required? ❑ Yes �(Jo Inspection Other Than Rough-In: �
J
(You must call the inspector when ready) Date Ready:
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City
06424 TAYLOR ST NE FRIDLEY
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
F'REDRICK A BRANT
Power Supplier Address
NSP MPLS OF'f ICE
Electrical Contractor (Company Name) Contractor License No.
KASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S.SAVAGE MN. 55378
Autho�d Sigr�tyre (Conka�or or Owner Performing Installation)
Ready Now ❑ Will Call
7/17/97
Zip Code
55432
571-5377
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF VELLOW COPY
Master Lic. No. (Plant Elect. Only)
Phone No.