P - 80081FRfDLEY 643� UniFeidley, M nnesotar55432 FAX (612) 571-1287
RE�UEST FOR ELECTRICAL INSPECTION
"'X'" Below Work Covered by This Request
Add Rep. Type ol Building ApDliances Wired
Home Range
Duplex Water Heater
Apt. Building Dryer
Commercial Bldg. Furnace
Industrial Bidg. Air Conditioner
Farm o�ne� Pec� v
� � ueu fy �her
ompute lnspectron fee Below
a Fee ServicsEntrancsSize a Fee F�ede�s�Subfeede�s ++
0 to 1 UO Am 0 to 30 Am s
101 to 200 Amps 31 to 100 Amps
Above 20Q A Above ��O�Am s
Transformers Remote Control Circ.
_ Signs Special Inspect�on 5
��.J��/1
Equipment Wired
Temporary Service
Liyhting Fixtures
Electr�c Heat�nq
Si lo Unloader
Bulk Milk Tank
iher l5oecifyl
O�her
fee Circuit
0 to 30 Am
31 to 100 A
Above 100_
` Partial!Othe
OC� TOTAL FEE
NOUgh-�� Date - -
1, the Electricsl
. InspsCtor, hers6y
csrufy ehat ths ebove
final . �"�P inspection haa bsen
� m�d�.
This request vo�id �
�� il� �a�1a " �.�.�_ -. _- _ - .J , .._ - ._ __ .
Th�s reduest vo�d
�8 months from
❑ I�icensed E
� heroby request inspechon of above
'alsctr4cat work inatalled at:
1019�