P - 81375./�II�IIIIIIIII II�I���II IIIIII IIIIIII�IIIII M82Q1 U�nts SstyO AveLRO SRe�CBcSTNS PEMNIONo4 %�����
� * Phone (612) 642-0800 ��^�°
039235Q5
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Htg Equip. Water Htr. X Load Mgmt. Other:
above the wo�k coveretl by this �equesf Enter iemarks in Ihis space and on the back o/ Ihe white copy
SAVEf?'S SWITCH TNSTALLATION
ulate In�ecfbn Fee - This �nspection Requesf will nof be accepted wilhout the ca�ect tee:
Other Fee +� Service Entrence Size Fee � Circuits/Feeders
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street LtgJTraffiqSig. Above 200 Amps Above 100_Am
;former/Genera}or INSPECTOR'S USE ONLY TOTA
Xfmr.
fee
�.� 50
owininnny ruuy �J I hereby cer[ity [hat I Insvectetl Ne elaclfcal Inetallatmn tlascnbetl herein on [ne dates stated
Irrigation Bwm aouen-m oa�e
ti SpBGidiiilSVeL[iG�� i . �v� . C�'�C}
F��a� i� oa_ 26 �//
Investigative Fee .�"C__fG�--
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
J `V— OFFICE USE ONLY This reques[ witl 18 moMhs irom valbation date printetl in Hrs box.
392-35�J5 � �a� �
SOB NUMBER #9g060NP�
PLEASE PRINT OR TYPE
aequei Qa� 30 /e�a qougn-in inspecno� reetmred? p ves p�o �nspectian omer ina� Rough-�n: 4( Ready nlow p wai Ca�i
(YOU mus: call the inspeciw when ready) Daze Ready 11 � 3g ���,
I, � Ilcensed contractor ❑ owner hereby raquest inspectlon o1 ihe a6ove electrical work at
Job Pddress (Street 8ox, or Rwte Na) Giry Zip Code
0�662 W HAVAHIAH PAS FRIIILEY 55432
Section No. Township Name or No. Range No. Fre Na County
ANOKA
JilHN D ENGEBRETSON 574-5683
wer Suppller Atltlress
NSP MPLS OFFICE
;ctrlcal Gent2ctw (CAmPany Name) Coniraclor lice�e No. Idaster Lro. No. (Plar
MASTER ELECTRIC CU.,INC. CA0ii92
iilina Mtlress IGOnMdctor or Owner Partorminq Instellation)
12467 F
Authonzetl Slgnaturo
AVE S'. $AYAGE MN. 5537$
or Owrer Pcdormina InstallatiorJ �• . • )
E&OOOOtA-11 8/95 STATE BOAR� COPV - SEE INSTRUCTIONS ON 6ACK OF VELLOW COPV