P - 83465�, I II��II IIIII IIIII IIIIIIIIII IIIIIIIIII IIIII II�IIIII 1n82�1 U�niverstyOAve LRm SR1C8,cSt PauPIEMN 5O5N04 �����
* ,t Phone (612) 642-0800 �`1B�°'�'
03789187
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 emp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the whife 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./Tratfic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr. 1S. 50
Swimming J�� " ' '
I hereby certify that I inspected the electrioal installation described herein on the dates stated
Irrigation Boom Rough-In Date
Special Inspection 1 . Sfa
Investigative Fee Final l ` p�' f �
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.
378-918� �s �
�i3�
J�B NUMBER #97�6000
PLEASE PRINT OR TYPE
RequesT�a�e16 ��8 Rough-in inspection required? ❑ Yes [�Vo Inspection Other Than Rough-In: [� Ready Now ❑ Will Call
(You must call the inspector when ready) Date Ready: 6/ 16 / 9�
I, � licensed contractor ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
�5435 W BAVARIAN PAS FRIDLEY 55432
Section No. Township Name or No. Range No. Fire No. County
AxoxA
Occupant Phone No.
PATRICIA M WALKER
Power Supplier Address
NSP MPLS OFFICE
Electrical Contractor (Company Name) Contractor License No.
MASTER ELECTRIC CO.,INC. CA01192
Mailing Address (Contractor or Owner Performing Installation)
12467 BOONE AVE S. SAVAGE MN. 55378
qrytFjo�ized Signature (Contractor or Owner Performing Installation)
571-6710
11 /95 STATE BOARD COPY - SEEIII�TISI/�NS ON BACK OF YELLOW COPY
Master Lic. No. (Plant Elect. Only)
Phone No.
4712/890-3555