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03923406 ��`' �
� * * 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 emp. Service
"X" above the work covered by this requesG Enter remarks in this space and on the back of the white copy only.
SAVER'S SWITCH INSTALLATION
Calculate lnspection Fee - This lnspection Request will not be accepted without the correct fee:
Other Fee +� Service Enlrance 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
7raneformer/Generator INSPECTOR'S USE ONLY TOTAL
' /f�tNne L!/p. Xfmr. . 50
�Uam,1lRetr�ule Cotrtrd
���� �� I hereby certify that I inspected the electrical installation described herein on the dates stated
�RjQgtjpfl BpOfll � Rough-In � Date
}( Special Ins c Fina{
Investigative Fe ' Q� � �
THIS INSTALLATION MAY BE ORDERt SCONNECTED IF NOT COMPLETED WITHIN i8.MONTHS.
_ .. �._..,� �• _ _ _ _.
OFFICE USE G. ` 18 rrwnths from validation date pnnted in this box.
392-34(�G] �����, � �
JOB NUMBER #9�06000
PLEASE PRINT OR TYPE
Reque�t �a� 30 � 98 Rough-in inspection required? ❑ Yes ❑�o Inspection Other Than Rough-In: [� Ready Now ❑ wll Call
(You must call the inspector when ready) Date Ready:
I, �Q licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
00129 VENTURA AVE HE FRIDLEY 55421
Sec[ion No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant Phone No.
JEFF CARL CRAMBLE 571-3091
Power Supplier Address
NSP MPLS OFFICE
Electrical Conhactor (Company Name) ConVactor License No. Master Lic. No. (Plant Elect. Ony)
ltASTER ELECTRIC CO. , INC. CA01192
Maifing Address (Contractor or Owner Performing Installation)
� % � � v
Au[horized Signature (Contractor or Owner Performing Installation) Phone No.
2 ''� �
EB-00001A-11 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY