P - 81143, v REQUES7 FOR ELECTRICAL INSPECTION
f O�V�V��O � � g21 Un �e sity Avenuge Su t�e Sf128 Saint'Paul, Minnesota 55104-2993 -__
(651) 642-0800 www.electricity.state.mn.us • "'
'X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
N3P SAVER'3 SWITCH ,
Calculate Inspectic
�ther Installations
Mobile Home Park Stall
Street Ltg. ! Traffic Sig.
Transformer/Generator
Sign / Outfine Ltg. Xfmr.
Alarm/Remote Control
Swimmina Pool
Irrigation
Special I
Fee - This inspeciion Request wiii not
0 to 200 Amps
Above 200 Amps
INSPECTOR'S USE ONLY
without the correci fee.
�ircuits ! Feeders
0 to 100 Amps
Above 100 Amp:
1 hereby cert' that 1 inspected the electrical installation described herein on the dates
„_.._� �_ Date
' � investigative Fee � � — — � �' �- '
'Ck�lS��ql�I.ATIQJ!I.qAE►Y,�€.ORDERED.DtSCONNEGTED IF NOT COMPLETED WITHIN 18 MONTHS.
.................._.�,......, .
OFFICE USE ONLY This request void 18 months from validatlon date printed in this twx.
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*08583015* ���
PLEASE PRINT OR TY
Request Date Rou In i
gh- nspection required? O Yes � No Inspection Other Than Rough-In: Ready Now � Will Call
��1�� You must call the inspector when ready! Date Ready:
I, �] licensed contractor ❑ company ❑ owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No. City Zip Code:
740t WEST C�fR NE FRIDLEY 5649Z
Seaion No. Tawnship Name or No. Range No. Fire No. CouMy ��/�y/�
_.�_ .._. ............... �.�_._.... AiR+M
Occupant w�►�ER RO�tA�.IND E Phone No. __.___
Powe4$yp�(ier Address ^��
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Electrical Contrector ! Comparry Name Contractor License No. Master Lic. No. (Plant Elact. Onry)
HUNT ELE�TRIC GGRPORATI4N CA 00883
Maifing�S�RR��RORiAL ROADPBrtSAl1�TSPAUI� MN 55114
Authorized Signature (Contractor, Company or Owner Pertortning In ' n) Phone Number
�''" - J'�!� ( 6�54) 648-28'tf
E&OOOOtA-12 5/1999 STATE BOARD COPY SEE INSTRUCTIONS ON BACK OF YELLOW COPY