P - 83009,���i� l�lll I�I�I �III� (IIII IIIII �III� IIIII �III IIII M$ n� Uo a SsaO B E LR �c SR 1C$�LS{NS PEMN ION04 ���a;
�.; �
* 0 3 7 9$ 2 9 5* Phone (612) 642-0800 ��-
Home Duplex Apt. Bldg. Other: �/,� S. � New Addn
Commercial Industrial Farm �-s Remod Repair
Air Cond. Htg. Equip. Water Htr. oad Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy oniy.
SAVER'S SWITCH INSTALLATION
ulate Inspection Fee - This Inspection Request will not be accepted without the correct tee:
Other , Fee # Service Entrance Size Fee +� Circuits/Feeders
Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps Above 100 Am
Fee
Transformer/Generator INSPECTOR'S USE ONLY TOTAL SO
Sign/Outline Ltg. Xfmr. 15. �
Swimming Po � I hereby certify that I inspected the electrical installation described herein on the dates stated
Irrigation Boom Rougn-in Date
�Investigative Fee � � � '_ ����� / I
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.
379-$29�] �, S� � �I �
�J �.��3
JOB NUMBER #970600
PLEASE PRINT OR TYPE
Request Da� � 19 � 98 Raigh-in inspection required? ❑ Yes ❑ NdK Inspectan Other Than Rough-In: ❑ I�ady Now ❑ Will Call
(You must call the inspector when ready) Date rteady: 6/ 1 g/ 98
I, ❑}�censed contractor ❑ owner hereby request inspection of the above electrical work at:
.bb Address (S[reet, Box, or Route No.) City Zip Code
01445 WINDEMERE DR HE FRIDI.EY 55421
Section No. Township Name or No. Range No. Fire No. County
AHOKA
Occupant
VERDIS K
Power Supplier
Electrical Contractor (Company Name)
Mailing Address (Contractor or Owner Performing
Au[horized Siaraldre�lContractor or Owner
I Phone No.
ERICKSON
l�dress
MPLS OFFICE
Contractor License No.
1 8/95 STATE BOARD COPY - SEE INSTRUCTIONS ON BAC'R bpYELLOW COPY
571-1193
Master Lic. No. (Plant Elect. Ony)
Phone No.