P - 83721� I(��I� IIIII IIIII IIIII IIIII IIIII IIIII (IIII IIII III) Mg � �o�S SSaO B e LR o SR 1C8 St PaPEMN 5O5N04
* 0 3 6 3 9 7 2 1 * Phone(612)642-0800
Home Duplex Apt. Bldg. Other: New
Commercial Industrial Farm Remc
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 cqoy only.
SAVER'S SWITCH INSTALLATION
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� �'`�:�;�,
Addn
Repair
Calculate lnspection Fee - This lnspeciion 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
Sign/Outline Ltg. Xfmr. 1S.$�
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
Final
Date
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS�.
_ — _._�--------------_ ___ _v _ _ ---- --�
OFFICE USE ONLY This request void 18 months from validation date printed in this box.
363-972� ���g � i
����a JOB HUIlBER �k9706000
PLEASE PRINT OR TYPE
Request�a� 17 � g' Rough-in inspection required? ❑ Yes []KJo Inspection Other Than Rough-In: � Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: 7� 1�� 97
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) Ciry Zip Code
01422 TROLLHAGEN DR FRIDLEY 55421
Section No. Township Name or No. Range No. Fire No. County
ANOKA
Occupant Phone No.
WILLIS R UNKE 571-4265
Power Supplier Address
NSP KPLS OFF'ICE
Electrical Contractor (Company Name) Contractor License No.
C[ASTER ELECTRIC C0. , INC. CA01I92
Mailing Address (Contractor or Owner Performincflnstallation)
12467 BOONE AVE S. SAVAGE MN. 55378
Author Signa re (Contracto r Owner Performing Ipy�a�o� �
�V �
EB-00001A-1 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)
Phone No.