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P - 76651�llinnesota De�s�rtn�ent af Labor �r�i tr�d�rs�ry �3 L��ay�ette Ro��d �farth S#. Paul, l�hl ��t5�-43�2 Phc��: �fi51) ��4-�£4 TFYIMIf2S: �651}2�7-��98 wyvw.Qte�ctrici�,t.st�te..nia�.us Contr�c�o�- Request for Electrical tns� C��te ROU�h-�ii Ii1S�aeGtit�al f�eqc�if�d? 11/30/07 ��a� -��� R�C'� DEC - 5 2001 �tic�r� — On� Fami[�t �w+�IlinglAsso+ciatec# Structure Yes Singl� I'�r�peeti�n O�aer �"han R�[�gh-�n: ,/ Read� F�aw� zecti�ns Cc���ractt�r �'I�s� Sch�du�e A,[l Fin�€ i�ss ec#itrns ❑'�r'�It Sc�ae�l�l� F'fF74JIG3� Uf itLJ�LUlJI l— �76aCCl � L���[���� ��[jt0y( . 7600 VAN BUREN ST NE FRIDLEY OtiIVf1Ef iVr�[T3� PiSlj�C# �iESf,t��Y�iC3t2 ' BENESCH. ERIN L ' XCEL ENER�GY SA't►�ER SWiTCH C3�ner Te[�ph�e Nurn�+er(s) — 9raclude Ar�ea Cc�de�s) 763-717-2390 �antr�c%r Nar� CortaracEor Ma�ling A�dress HUNT ELEGTRIC �flRPC)RATlf��V 23Q� TERRiTt�R[AL R�., �T. P'i411�, 1�lf� ��'�14 ' Cc�n�aetar Telephone f�urnl�r C�a��tor F-m�� +4ddress Elec�ricaf U#i9ity (�51) 64�-29'I'� THafn�r�hu�tel�c_com C�ntraeirar Aa�ti�acize� S�gnature C�tra�ctar ��ense Num�er .k�lat�raject Coniact �e�n � "'�� � °.°„�• CAO(�£�83 TL3M HAFNER �c�m �f�fner ���.�.� Fe� �alcuiatic�n New Ho�e c�r As�aciat�d Struciure Existing Horr��elStructure Remodei or Ad�lition New [�weliing SerwacelRt�r�er Supp�y � — �Q!D arnpere � $35 �iewr Sersrsce,'Pa�wer Supply �i — 4�fl �rreper� � $?� Pde�r Gweiling ServacelP�r ��p�ly 401 — �GD amgere � $6�k �lev� SenricelPawes �u�ply 4[l9 — �£1f4 arnpe� � �60 ddew Ciwei{ing FeeclersJGircuit� �ewlE�nded FeederatC�r�uits — U� ta 15 FeederslGircuiRs U ta 3� FeedersfCirc�ifg -$1i�D �e�edersl��rcuts �6 �ach ar 16 ta 3� $1ti0 �3ew Hostte — Ma� th��t 3t] F�$d�rs�'�ircui� �i� ��1d�tian to �levK�Exlended Fe�derstGircui�s —�tore Th�i 3t3 Feedersi'Carcui�.s at�n��re � FeederslCircuit� U�o Zi14 A� �6 E�ch �e�er�dGi�cuats U#o ZOfl A §6 Each �ther (SpecsfY� Reconnectsd �e�der�a'��rc�[a€� XCEL ENERGY SA�/ER S�fVfT�H � 35 � ��e�a�r�rc��,�� �z ��n Iietaef��d ��rage or f3ther A�sociat�r!' Structure Defsehed �asage or �ther Assc�ciated Stru+�ture New ��nricelPc>wes SuP�lY 6— 400 ampere � S3� New ServicelPawer Su�aly Q— 4t}i? ampere � S35 �ew F�ed�rslG�ucts � 1(� 3G Each ldevsr}Ex3�e�ded Fe�er,�lCi�cu�ta { �'� 56 Each O�her �Specify} Reccsnnect�d ��dersfGsrcui€s f } � S2 E�cth C)�her (Spec�Yk t)ther �Sa�ci#�} T[3t8) �tiie €es �Icugatvci �bove or $35 r��eliip�ie�d Tt')t,�l ��fle � c�lcuiaf� m�boue or S�5 rr�ultipi�d E�� #h� numEser of �e�uired insp�cti�ra �psr r�" � $35.50 �� th� nur�t�er ot requ�red inspectiion �Rs, �:� ��' ''�� whiehever "ss re�ter �=�" � �� � � r�hithev�r is great�r) � .»�-=��_ ' �# RequesEs far Eiectrica! �s{mct'r�nrt {REfj with a fee of �'154 or less expire 12 m�ths frornr the filing da#e. The contractor mitst have the wa�rk campleted xrithin the 93 m�rr#h per6od or suhmlt another REi that ln�l�s the inspection fee fi�r the s�ncwnpketed work. lnspm�ction fees do not carry �uver fram one #�EI to another. A service charge a�f �i3fl wr�Ei be aeide�d €or aiF dishonwed cheek3. t ��r�cuy urrcrzy }rsai z ans�ec.zea ifA� 2�2CS1'cCll IfYS[3F3�7:Iflit RtCE�'€f1 0£t � r33t25 Si3iid:�. Rough — ln Inspect�,aa{s� C�ate Final I'nspecti�r� . _ �_ � � C3ate � C�-'��u��`--� J- 2 �' ihis �teriat c� be m�c� �v�i[�6�e in cEiffe,��nt fr�rms, such a taarge p. TQF? �6�1j 29T��198. �6 02 ��a�7� oaana �