P - 81377`��I II II II I I II I) I II II I III II REDUEST FOR ELECTRICAL INSPECTION ���-
Minnesota State Board of Electricity �� ;,
1821 University Ave., Rm. S-128, St. Paul, MN 55104 � �-
" 0 3 9 2 4 0 2 4* Pnor,a�si2>saz-aaoo '����
Home Duplex Apt. Bidg. Other: New Addn
>ir Cond. Htg. Equip. Water Htr. X Load Mgmt. Other
Jryer Range Elec. Heat emp. Service
above the work covered by fhis ieques[ Enter remarks in fhis ;oace and on the back ot the white copy only.
SAVER'S SWITCH IHSTALLATION
7n;oecfion Fee - This Inspection Request will not be accepted without the cwrect fee:
Othe� Fee +� Service En[rance Size Fee < Circuits/Feetlers Fee
le Home Park Stall 0 to 200 Amps 0 to 100 Amps
�t Ltg./Traffic Sig. Above 200_Amps Above 100_Amps
sformer/Generator INSPECTOR'S USE ONLY 70TA��
i0utline Ltg. Xfmr. 50
Boom
Fee
392-402�]
on
Final / D
_ Zi1—
BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 78 MONTHS.
OFFICE USE ONLV T�is request vaitl 18 monihs irwn validation tlate prin[etl in �his box.
/s, 5D
�ra6
JOB NllMBER #9$060�0
PLEASE PRINT OR TYPE
Re41e3� 4a� 30 /�JF� Ro�ch-in i�spec�io� reQUirea? p ves p}�o rt�wection omer ihan Ro�gn-m: [
�YOU musl call Me inspector when ready) �ate Reetly:
I, Cy licensed contractor ❑ owner hereby request inspection of the above electricel work at:
Job Atltl25s (SVeel, Box, or Faule No-j Gitq
01473 WIHDEMERE DR NE FRILtLEY
Section No. Township Name a No. Rarge Na Fire No. Coumy
ANOKA
DAN 3 SULI.IVAN
Power SupPlier 9dress
NSP CIPLS OFFIGE
Eleotncel ConVac[or �COmpany Name) ConVactor ticense No.
ttASTER ELECTRIC CI7. , INC. CA01192
Mallirg Address (Cwitrador or Owrier Performing Iris�allallon)
12467 BllllNE AVE �. SAVAGE MN. 55378
AWM1OnzW SlgneNre �C ctor or Owner Poriwming Ins�al
RaetlyNOw p WillCall I
11/30/98
571-2".'.94
Master Llc. No. (Pla
Phone� No
I V�'' L ��t� 941 t4712/890—
E6-00001A-11 8/95 STATE BOAHO COPV - SEE INSTRUCTIONS ON 6ACK OF VELLOW COPV