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555 Opperman Dr - Electrical Permits/(J(' REQUEST POR ELECTRICAL INSPECTION ,g=%,u E?o o-q4 See mslmctions lor ?omplelmg ?his bnn on back ol yellow copy (?/ ?? 7?G 3y "X" Below Work Covered by This Request ? CITY , Nev Ad d R ep. Typeof Bwlding , Appliances Wired Eqmpment Wired Home Range Temporary Service Duplex Water Heater Electric Heating ApL Building Dryer load Management Comm./Industnal Fumace Other (Specify) Farm Air Conditioner other (S,??tfy) GonVacro, Remarks C3999 - WIRE FOR CONVEYOR REVISIO Compure Inspection Fee Below. k Other Fee # Service Entrance Size Fee # CircudsJFeeders Fee Swimming Pool 0 to 200 Amps Q 0 to 100 Amps Transformers A6ove 200_Amps Above 100-Amps SigOS inspecwr's Use Oniy TOTAL Irrigation Booms t?• m 20.50 S ecial Inspection AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tit h ih b R°°9n,h oace cer y t at e a ove inspection has been made. Final ' Dale OFFICE USE ONLV ?J S This raquesl void 16 monihs irom ?/ ?X 1 V 0"2 ? 039 k ?I; c Requ st Date Fre N ough-In Inspechon fleqmratl Inspecbon ONer Than Rough-ln 2/13/95 1 1 (YOU must cen mspector hen ready) - ? Reatly Now ?Will Nottly Inspector py? NO DateRead I It licensed contractor Downer hereby request inspection of above electrical work at: Job ntldress (SVeet 9ox or Roum Na ) City 555 OPPERMAN ROAD EAGAN Section No Towns?ip Name or No Range No County DAKOTA Occupant(PRINT) UPS Phone No Pawer Supplier DAKOTA Atltlress Eleclncal ConVactor(COmpany Name) Coniractors Lcense No. MUSKA ELECTRIC COMPANY CA01287 MflAmg Atldress (Conlrador or Owner Making Installation) 198 OAKCREST AVENUE ROSE1fILLE, MN 55113 Aut?o etl naWr (COniractorl n r M Inst ion) Phone Number ' ` 636-5820 MINNESOTA STATE BOAqO OF ELECTFICITV THIS INSPECTION flEpUEST WIIL NOT GrlgBs-Mitlway BlOy. - qoom 5416 8E ACCEPTED 8V THE STATE BOARD 1821 Unlversity Ave., 51. PaW, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phonef6121fi42-O800 cuf.inSFn IIII I IIII?IIII REOUEST FOR ELECTRICAL INSPECTION Minnesota,$tate Board of Electricity 1821 Universiry Ave., Rm. 5-12 , St. P ul, MN 55104 ? * 0 2 4 ? 3 L 1 * Phona (612) 642-0800 I (pJ" Home Duplex Ap1.6l1g. Other: New Addn Commeraal Indushial Farm " Remod Re air Air Cond. Htg. Equip. Water Hh. Load Mgmt. Oth'er: Dryer Ran e Elec. Heat Tem . Service "X" a6ove the work covered by ihis request. Enter remarks m this spoce and on the 6ack of the white <opy only. E/«f?,-c G'usc !?ou.,4 4 ??4- Ouf 6N, /d,?y ?? Calculate lnspection Fee - T is lnspection Request wdl not be a<cepted wrthouf fhe cormct fee: Olher Fee # Service Gdrance Size Fee S Ciraiih/Feeders Fee Mo6ile Home Park Stall 0 to 200 Amps / 0 to 100 Amps p O S}ieet L}g /TroHic Sig. Abave 200 Amps Above 100 Amps TransformedGenerotor INSPECTOR'SUSEONLY TOTAL I Sign/Outline L}g. Xfmr. iJ ? Ta --5 Alorm/Remofe Confrol ? ?? ? Swimming Pool I here cem Mot I ine ected Ma elednml msmllaxon d<scnbed herein on the doks awred Irrigahon Boom R„gn-l„ pak Special Inspetlion Investigative Fee Finoi D ? THIS INSTALLATION YAV BE ORDERED DISCONNECTED O ED WITHIN 1B MON7HS. ffp w?1???? C ? ? 6 OFFlCE USE ONLV This mqueel.oid IB manPos fmm .alidaton dak pnnled in Mis hox n D /4?G/95 • a5"/ ? 7 ?U PLEASE PRINT OR TYPE P Requezf Dok gough in impMion required8 ? Yes `? No ? Inapecnon OlherThan Rough-In ? Reody Now ? Will Call / z ? (You mu coll the inspetlor when ready) ? et ?te Ready. I, licensed rontracfor ? owner hereby request inspedion of ihe a6ove elechi<al work af lob Pddrss, (Sheey Box, or Rauk Na ) J `q! 5 f? O Gty ? Zip Crode GJ 7G7 .. r ?/-? i L/ qe? / Sarnon Na. Tawnship ame ar No. Range No. Fire No Counry i9!'I Occopant Phone No U Ps ?? ti PowerSopplmr Pddreas ElMriml Conhador JCampanY Name) Conlractor O<ense No Maaror bc No. IPlom Elecr Only) Mailio,, Mdreas (Conhacror ar Owner PeA rmirg Insbllotion) ?J ' s S 5 Gl G? /?/? PuMon S ratum(Comra arOvmerPerfo?mi PhaneNo ? EB-OOO01A-10 6/95 `- SfATEBOAROCOPY-9EE REQUEST FOR ELECTRICAL INSPECTION ? 6,J191 Sea insVUCOOns for compleLng t1is form on back of yellow copy. "X" Below WaCk jv?overed by This Request ? e??? ew Adtl Pep. Typeof6wl0mg AppliancesWiretl EquipmentWired Home Ranqe Temporary Service Dupiex Water Heater Electric Heating Apf. Building Dryer Load Management X Comm /lntlustrial Fumace Other (SpeCify) Farm AvCondrtioner ervice h?7SC. 2 U1 O!her(syecity) ConVaclor's Remerks 1at & 2nd quarter maintenance Compute Mspechon Fee Below: # Other Fee # ServiceEniranceSrze Fee # CirwtlslFeeder5 Pee Swimminq Pool 0 to 200 Amps ? 0 to 700 Amps Oam 5o. o Transiormers Above 200 _ AmpS 2 9C3dVQ)QDl9CXXX. Amps 14.01 SignS Inspecror§USeOnly 30-100 TOTAL Irriganon eooms 64.51 Speaal Inspection , Alarm/Communicanon THIS INSTALLATION MAV BE ORD IF NOT LEDDISCONNOCTED Other Fee $C .50 COMPLETED WITHIN 18 MOtJT S. r I, the Electncal Inspector, hereby f Rougi ' ? certi y that the above inspection has bean made. oace OFFICE USE ONLY This repuest vortl 18 momhs from ?"? // 5 Y5 ,C-if 13 l, L{ P S J,) ff" 6 191 ERC// 5891 1:5116 r" Rtquest Oete Rre No , Rougbin hpSed Ypn Reqmretl I pection Olner Tnan Rougn-In 1-4-95 1 no? m?? ??? ????cr? w?en reaEy) ? Reatly N y{? W otity Inspeclw ? ?? ? Ves L?I N. DaleFlead -JV- I$7 licensed contractor 0 owner hereby request inspection of above electrical work at: . Job Atltlress IStreef B,h, or Route No I Ply 555 Opperman Drive Ea an o Section N TownsM1ip Name or No Range No County Dakota Occupanl (PFINT) Phone N. United Parcel Service 681-2844 Power Soopher paaress Eleclncal Convacmr(GOmpany Name) ConVactor5 4cense No . Electric Repair & Construction Co. Inc. CA0058 MaJing AOtlress IGonnacror or Ownar Making Installation) ashin ton Av nue PJ ls M Autlnonze gnamrelCO atlonOw In lalio Pho?NUmber ' , - 522-6511 MINNESOTA STATE BOARD OF ELECTRICITY ? THI$ INSPECTION REOUEST WILL NOT Gngqe-Mitlway Bltlg - Room &173 8E ACCEPTED BYTHE STATE 90ARD 1821 Unrversity Ave., St. Vaul. MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone (61I) 602-0800 ENGlOSEO yio y 1,l1/3 11 OW (,?, PS ao3s?-? 6 714 ERC/{ 3479 ? Request pate t' ' Fire No Rough-in InspeWOn NOTICE: Vou Must Call Eleclricel Inspector 2/28/94 Reqwretl? ?y. ?o p A qoug?-In Inspectmn IsReqmred 1X7 licensed contractor ? owner hereby request mspecllon of a6ove electrical work at: Jo0 Adtlress (Street, Box or Roule NoJ bly 555 Opperman Drive E n SecLOn No Towrehip Name or No. Fange No Counry I Dakota Occupanl (PRINT) Phone No United Parcel Service 681-2 4 PowetSupplier qtltlress Elecmcal Conlractor (COmpany IJame) ConFracmr§ Lmense No Electric Repair & Construction Co. Inc. CA00585 Madmq Atldress (COntractor or Owner Making Insfallation) 4 W shin ton Avenue N M ls M 4 2 uthonzetl ?S nature (Coy?aclorlOwner 9 Inslallat ) Phone Number ? _ _ " _ ? 1 522-6511 1!I ESOTp STATE BOARD OF ELECTPICITV Griggs-Midway Bltlg. - Foom 5-173 1821 linivenity Ave., St. Peul, MN 55104 Phone (812) 61241800 THIS INSPECTION REQUEST WILL NOT BE AGCEPTED BV THE STATE BOARO UNLESS PROPER INSPECTION FEE I$ ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? i lo SBe instructions for completmg [his (ortn on back oi yellow wpy 6 714 ':X" Below Work Covered by This Request ao3? ??• eT Adtl Ficy. TypeoiBwitling AppliancesWiBtl EquipmantWired Home Fange Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Load Management Comm.llndUS[rial FumaCe Other (Spacdy) Farm AirConditioner $8T'V. ffI7SC equip Olher (speaty) ConVaqorS Remarks Compute Inspeclion Fee Befow: # Other Fee # Service Enirance5rze Fee # Circmis/Feeders Fee Swimming Po01 0 to 200 Amps t 00 Amps 50 . Q? Transformers Above 200 _ Amps bove 00- Amps A 4.00 SignS Inspector5 Use Only: mp -100 TOTAL Irrigation Booms v0 & ?I 64.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY 8E O DISCONNECTED IF NOT X Other Fee $Ul"ChdY' Q. 50 COMPLETED WITMIN MON S. I, the Eledrical Inspector, hereby Rough-in ? oa1e7 ,7 > certify that the above inspechon has been made. F,nai oa?e a? y OFFICE USE ONW This rel void 18 monlns fm. 6la?/4 y 416U- 62177 ERC%F 3652' 028 s43 Request Oeta Fire No RauBh-In Inpse<tion Repwretl (VOOmustcallinspac lo ewhenreatly) Ins ecM1On Oiher in qougn-In [? l ? 6?Z3?94 . ? ? q ReatlyNOw WillNOtM nspecmr Ves ?C No Dare ReeEy IX licensed coMractor ? owner hereby request inspechon of above electrical work at: Job Atlaess (Street Box or Route No ) Qry Ea an Seqion No. TownshiP Name or No Range No Gounry I Dakota OCCUpdnt IPRINT, PhOnB N. United Parcel Service (UPS 681-2844 Power Svpplier Atltlress Elech¢al ConVaclor (Company Name) CoNredor's License No, Electric Re air & Construction Co. INc. ?/CA00585 Mailing Aa s ICOntramor or Owner Makin9lnstanauon) 24 Washington Av ue N, M ls 55412 Whonzetl Si alure ICO kador, Own AaWn stall Pnone Number .? 522-6511 MINNE TA STATE BOANO OF ELECTPICIT' -MlEway Bltlg - Poom 5113 1821 Unlvarsity Ave.. SL Vaul. MN SStpd Vhone (812) 642-0800 THIS INSPECTIDN REQUEST WILL NOT BE ACCEPTED BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENGLOSED REQUEST FOR ELECTRICAL INSPECTION ? •" ? See insttu11ons Ior cMnpieting ihis lorm on back oi yellow copy ? 62177 "X" Below Work Covered by This Request pN?EI e0 5 -00001-08 ??"? lola7/9 V ew Add Rep. TypeoiBwlding AppliancesWired EquipmentWiretl Home Range Temporary Servica Duplex Water Healer ElectriC Heating Apt BuAtling Dryer Load Management X Comm./Indusirial Furnace Other (Specify) Farm Air Condrtwner control s COIlV2 OP 5 Other (syeaty) Comracror's Remarks' Install new safety stop stations on conveyor Compute Inspectron Fee BelowSyStems # Other Fee # ServiceEntranceSiie Fee # Crtaits/Feeders Fee Swimming Pool 0 l0 200 Amps 0 to 100 AmpY1.80 V j Trensformers Above 200 _ Amps Above l00 _ Amps Signs Inspector5 Use Only TOTAL Irrigahon Booms 160.50 Special Inspec0on / AlarmlCommunication THIS INSTALLATION MAY BE ORD "PISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT ' I, the Electncal Inspector, hereby tif th t h RougRin ? oare? }-? cer y a t e above inspection has been made. Final 0 oeie ^? OFFICE USE ONLV TM1is repuest void 18 monihs Irom ?? 41_473 REQUEST FOR ELECTRICAL INSPECTION ? See inslmcbons for compleLng this form on pack of yellow copy 'X'?Be/ow Work Covered by This Request EB-00001 -0e ?V.ilb.r e `Adtl KeFT 7ypeofBUildmg ApphancesWiretl EquipmentWirad Home Range Temporary Service Duplez Water Heater Electric Heating ? Apt. 8mltling Dryar Other (Speafy) X Comm./lndustrial Furnace X LP t75 s stem Farm Air Conditioner Olher(sVecify) Co taclor's R matks ew a?iternative gas (LP) supply with ComputelnspecLOnFeeBelow: Vdp01"1ZOY' and mixer on east side of bld . # Other Fee # ServiceEnfrenceSize Fee # Crtcuas/Feetlers Fee Swimming Pool 0 to 200 Amps z o toAWWm s 2. Q? Transformers A6ove 200 _ Amps tG0 _ Amps . ? Si9n5 Inspecbr's Use Onty: TOTAL Irrigauon eooms ' J ? . 50 I46 Special Inspectwn b , 7 ^ Alarm/Communication THIS INSTALLATION MAY BE ORD iSCONNECTED IF NOT Other Fee . 50 COMPLETED WIT 1 MO I, the Electrical Inspector, hereby Rough-in ? oate DI ?, certity that the above inspection has been made Finai oaI OFFICE USE ONLY • TNS request voitl 18 montns Irom -` K 41 73 ???°? IEP,C197?S - flequest Dale Pire No, Rough-in Inspectron y r ?R N ' I t tl 9/28/93 Reqmred+ ? 1 ea Ow o 11 ? Y ?n eatly9ec Ves G No I)p licensed contractor D owner hereby request inspection of above electrical work at: Job Aatlress SVeet Bow or Route No 1 Qry 555 Opperman Drive Ea an Section No Township Name or No Rarge No. ounry Daoa OccuDam IPRINT, Phone No United Parcel Service (UPS) 681-2844 Power Soppber Aodress Elecv¢aiCOnVactor(Company Namel Conbacto?5 Lcense No Electric Re air & Construction Inc CA00585 Madmq Atltlress IConVacror or Owner Makmg Installati0n1 4 hi n ton Av ue fJ 1 s 12 IDonieva[? onOw r Maki ` In ion) yaltur. PM1One NumOer 522-6511 NLNtiEl STATE BOAND OF ELECTqIqTY THIS INSPECTION REOIlEST WILL NOT Gdggs-MlEway BIEg. - Hoom S-1]] 9E ACCEPTED BV THE STATE BOARO 1821 UNVerslly Rva. St. paul. NN 5510C UNLESS PROPER INSPECTION FEE IS Vlwre(612) 862-0800 ENCLOSEO 6;) ./?,^' 2REQUEST FOR ELECTRICAL INSPECTION ea.? 10? ? See inshuctions tor mmpleling Ihis torm on back oi yellow copy 2 8/?/q 5 "X" Below Wojj?.d by This Request Ne Add Rep. Type of Building App ian Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Indusirial Furnace Other (S ecify) Farm AirConditioner X Serv ?l 75C 2 U7 meri Olher (specRy) Conirador's Remarks 3rd & 4tn quarter maintenance Compufe lnspechon Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 0 to 100 Amps 3 d 50. 00 Transformers Above 200_Amps X0(100 -Am s ? 4. 00 Signs lnsoecmrs use oniy 31 TOTAL Ircigation Booms c/ ? 64.50 Special Inspechon Alarm/Communication THIS INSTALlAT10N MA DISCONNECTED IF NOT ERED Other Fee COMPLETED WITHIN 18 MdNIR, I, the Eledrical Inspecror, hereby Rough-m - Date certity that the above inspection has been made. OFFlCE USE ONLY This request void 18 monlhs Irom 0 ? ?? 17 3404p? ReQUes Date Fire N. Rough-In InspSCiion Reqmretl Inspection Other Th ough-In 8/3/95 (VOU+nust call impec?o,r when reatly) M ? Reatly Now /?Will Notity Inspe[[or ? ves x No oate Featl IXX7licensed contracfor ?owner hereby request inspection of above electrical work at: Job AdCress (Street, Box or Roule No.) City 555 Opperman Drive Eagan SxLOn N. Township Name or No Range No County Dakota Occupanl(PRINT) Phone No United Parcel Service (UPS) 681-2844 Power Supp6er Atltlress Eledncal ConUactor (COmpany Name) Gon[rac[ors Lsense No Electric Re air & Construction Co. Inc. /fCA00585 Mailing Atldress (COnVacbr or Owner Making InstallaLOn) 40 ashin ton Avenue N N ls MU755412 A orrzetl Sr aWre (C actorlOwn aking In hon) Phone Number 522-0511 N TA STATE BOAflU OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MlEway Bltlg. - Room 5128 1 11111 1111 111 111 1111 1111 1111 111 1111 1111 111 111 1111 BE ACCEPTED BY THE STATE BOAPD 1821 Universiry Ave., SL Paul, MN 55/00 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0600 ENCLOSED /(/8/19? N ?.?2k 6 REDUEST FOR ELECTRICAL INSPECTION ? See mstmctioa Jor compleLng this torm on back oi yellow copY "X" Below Work Covered by This Request ??,?'??' 3353 0?a w? aw Ada Rep TypeofBUildmg AppliancesWired EqmpmenlWlred Home Ran9e Temporary Servica Duplex Water Heater EleClric Heating Apt Butlding Dryer Load Menagement X Comm./Industrial Fumace X Other (Specify) Farm AirConditioner ervice Misc. e U1 Other(spea(y) ConVaclor5 Remarks 3rd & 4th quarter maintenance 1994 Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circwts/Feeders Fee Swimming Pool 0 to 200 Amps OXdCiO%XrNA? dfll 50.00 Transformers Above 200 _ Amps 2 Above 100 _ Amps 14.00 Signs inspecmr9 Use Onry. 30-1 00 NTAL Irngation eooms U( i 64.50 Speciallnspecnon , Alarm/Communication TFIIS INSTALLATION MAY 8 DER D NNECTED IF NOT Other Fee COMPLETED WITHIN 1-84ONT% P I, the Electrical Inspector, hereby certify that the above inspection has 6een made. Rough-in ;r F,nai j oate oe?y?' / y ? OFFICE USE ONIY IThis requeSt voitl 18 monlM1S imm //?g cj .53 cY.3 Co R6 1 6 EP,C// 5G.71 ,6/ te pS HeQUest Oaie Frte No, RougAln Inpsec[ion Reqwretl eao.whenreeE ('?oumus?cenins ) pon Olher Then Rough-In ecti ? 11 4 94 ?/ y p Reaey.?y??'??i?on+ymsce?or ? Ves ? No pate Read?1 L I;L hcensetl contrector ? owner hereby request mspection of above electrical work at: Job Atltlress (StreeL Box or Paute No ) Ciry 555 0 erman Drive Ea an SecOOn No Township Name or No, Range No County Dakota Occupant(PRINT) Phone No United Parcel Service 681-2844 PowarSupplier AOtlress Electnwl Conhaclor ICOmOany Nama) Contractar5 Lmense No. Electric Re air & Construction Co., Inc. //CA00585 MaJing Aptlress IGOntracior or Owner Mahing Installatwn) ' 4024"Whhin ton AvenueN, M ls MN!55412 /+wfionzeC Signawre iCOntra ortOwner ing Indfa iarmn, ? 1 Phone NumOer 1 ? ?? .!'zX 522-6511 MINNESOTA STpTE BOAFO OF ELECTRICITV G?igBS- Ewey BIAg - qoom 5-113 ' niversity Ave, St Peul. MN 55106 Phorw (611) 642-0800 ' THI$ WSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARD IINLES$ PFOPER MSPECTION PEE IS ENCLOSED IIIIIIIIIII IIII (IIIII II I IIII II II?I?II ?I REf1UEST FOR ELECTRICAL INSPECTIONit? ? Minnesota State Board of Elechiciry :j 4,821 l.nFersity Ave., Rm. $-12St. Paul, MN 55104 * 0 2 8 6 8 6 9 5 * Phone (612) 642-0800 g/??? Home Duplex Apt. Bldg. Other: New Addn Commercial Industnal Fartn Remod Re mr Av Cond. Htg. Equip. Water Htr. Load Mgmt. O1Fier: D er Ran e Elec. Heat Tem . Service "X" a6ove fhe work mvered by ihis request. Enter remarks in this space and on the 6ock of the white copy only. Calculote Inspecfion Fee - This Inspechon Request wi11 nof 6e accepted wrthout the mrrecF fee: Olher Fee # $ervice EMrance Srse Fee # Circuih/Feeders Fce Mo6ile Home Park Stall 0 to 200 Amps 0 fo 100 Amps 36.00 Streef Lfg /iraffic $ig. Above 200 Amps Above 100 Amps TlansFolmef/Cienefatof INSPECTOH'SUSEONLY TOTAL $ign/Ouiline Ltg. Xfmr. . ? Alartn/Remote Cantrol ? $wimmmg Pool i nere ?em ?h hrt: : ano? desmxd he.e?n a? t,e damz sraW Irrigohon Boom Rough-In Dom Special Inspetlion Invesiigotive Fee finol D - +l M/W THIS INSTALLATION MAY BE ORDERED DI ONNECTED IF NOT CO TED WITHIN M NTHS. 28 ^_?^? ? b b OFFlC USE NLY This reqvest vmd IB months fmm vohdmion date printed m ihis box 9?8'? PLEASE PRINT OR TYPE Reqoant Dak googh-m inzpechon reqmred2 ? Yes ?No Inapenion Olher TMn Rovgh-Im ? Ready Now Wdl Call 56Pr'Y'' )aC,b (YOUm?almlltheinspMOrv.henieody? OataRaody: I, K licensed contractor Q owner hereby request inspedion o( ihe above elecfri<al work at: lob PLdmu (SNeet, Baa, ar Rouk No ? Grry ?p Cade 5S5 Oppermttti 'Dr Eft6ttN 55?a 1 Section N. To»nship Nome or No. Rarge N. Ftrc N. Counry O<cvpaN Plrone N. Ini P v 37q-?(o 2- Power Sopplier Aildress Elechiml Conracmr (Company Name) Conlmclor Laiue No- Masror Lm No. ?Planl EIM Only) 66 1I 1 S Moiling Pddreas (Conlmcbr or O.mer Pedorming Insmllafion) 4a v Authonzed SignaWn (Conha r or Owner Performug InswllahonJ Phone No Mp& --------- 5D 3 !ob EB-gpIA-10 6/95 STATEBOAROCOPY-SEEINSTNUCTIONSONBACKOFYELLOWCOT' //i ?, C r? OFFlCE USE ONLY This raques, wid 18 momhs (rwn volidohon dale prinkd in Ihis 6oz ?`' 7/ /_Gh/_/? III?II?IIIIIII{NIIIIIIIIIIIIIIIIIIIIIIIIIIII« a? u?? ?,?w r < ! ? ? * 0 4 0 1 8 4 0 4* PLEASE PRINT OR TYPE S T v Request Date Roogkin inspeceon reqmred3 ? Ves ??pp N Inspeceon Other Thon RoogMn ? Ready Now W II Call ?`z ? (Yw m?s? coll ?he inspecror when reody1 / Dale Ready V1,612 7 I, 'Lcensed confraclor 0 owner hereby request inspection of tha abova electrical work at: J Addreas (5„ 1, Box, or Roule No.) Ciy ? ? U 2ip Cade s_ ,u 2i v- p q / Setlton N. T sl, Name w N. R.N. No. Fre No. Couny .?lSOTA- O7POnt C L^' Phone P. Sapplier Address ElecMCOI Cannocbr ( ?ry NomeI ? Ca r Gcense Na. Masler Lic N. (Plam Elm, Only) Nwdng Ad mrocror or Owner Pe?(wmGg Inamllanon? aized Sig ?Conrc? Ovmer Pe rng Insmlluti Phoi N. C? JZZ" / 1etlUUw iq. i ?,Wv6 g7pTE 80AHD COPY - SFE RJSTNIIAONS ON BACK OF YELLOW COPY 1,4 a 7 401- 40 Ul REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Elec[riciry 1821 Universiry Ave., Rm. S-128, SL Paul, MN 55104 - Phone (612) 642-0800 Home Duplex Apf.Bldg. Other: New Addn 1 Commercial Indushial Form Remod Re air Air Cond. H. Equip. Wafer Hfr. Load Mgml. Ofher: Dryer Range Elec. Heat Temp. Service "X" above fhe work covered by fhis request. Enfer remarks in this space and on fhe back of fRe whife copy only. ?/2 3c?rL ?iUJ???7LL.Z ? .? anlc. lt?tJ,U6YL S'.?T.? OGtfLtJTS A'T T L',UES ? • Calculate Inspecfion fee - This Inspecfion Requesf will nof be accepted wit6ouf the c cf fee: ONher Fee N Service Entrance Size Fee # CircuAS/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps ? p Street Ltg /Tmffic Sig. Above 200_Am s Above 10 Amps Transformer/Genemfor MSPECTOWS USE ONLV OT(?? $ign/Oufline Lig. Xfmr. / (? 'Za Alarm/Remote Conhol 2S?UD Swimmin Pool I hereby ceni Ow? I ins ?he ecvica insmlloeon descnbad herein on the dores smted IRiyafiOn BaDm RougMn Dore Special Inspacfion Invesligative Fe e , ,(,'i ' Finol ! ?2 THIS INSTALLATION MAY BE ORUERED O TfD IF NOT COMPLETED WRHIN 1B MONTHS. 11o24-A/5'-7 4 1-833 y V REQUEST FOR ELECTRICAL INSPECTION Minnesota 6tate Board of Electriciry 1821 University Ave., Rm. 5-128, St. Paul, MN 55104 Phone (612) 642-0800 r Home Du lez Apt Bidg. 01her: New Addn Commerciol Indushial Farm Remod Re air Air Cond. Hlg. E uip. Water Hfr. Load Mgmf. Other: D er Ronge Elec. Heaf Temp. Senice "X° obove the work covered by rhis r est. ENer remaiks in lhis spoce ond on the back of fhe hife copy only. ?.2?n t,/lt.v z1), 1197 Calculare Inspedion Fee - This lnspecfion Request will noi be oc<epFed withouf Ihe cor ke: Other Fee # Service Entrance Size Fee # Circuits/Feedea Fee Mo6ile Home Park Smll 0 to 200 Amps 0 lo"WfTAmps "- .?7L; $treet ltg./Tmffic Sig. Above 200-Am s Above` Amps ',?"'j. C(: Tmnsformar/Genemror INSPECTOWS USE ONLV ^ J OTAI Sign/Oufline Lig. Xfinr. ? dJ il Alarm/Remote Conhol $Wimminy POOl I here6 ceni that I in ms o ahonex hemm on ihe dares slaad Irrigafion Boom Ra,gMn i wie Speciol Inspection Investigafive Fee Fnwl Da THIS INSTALLATION MAY BE ORDEHE DISCONN TED T COMPLETED WRH 18 N HS. OFFlCE USE ONLV This reqoest wid 18 monMs (rom validofion dote prihntad in this box. . i_c7n l.?r,8?, UPS IIII III?IIIIIII IIIIIIICIIIIIIIQIII I IIIIIIII _ ?.? * 04 0 L 8 3 3 9* pLEASE PRINT OR TYPE RougMin inspacnm reqoiredf ? Yas o InspaUion Olher TMn RaughJn ? Rmdy Now wiil Call 7 fYoo must coll the inspecror xir,n reodyj Daie Reody I, licensed contractor D owner hereby request inspection of the above electrical work at. Jo Address (Snea, Box, or Rouk No) ? ? Zip Code J ? :en"A,u r? t l E. ,4 -CcP• ?ti ,?$7 Z Sxnon No. hip Name «NO. Ronga N. Fire No Couny I IZO 7-P- upon' ? ?.;1rEd ?.i,)Ict Phone No Pawer Supplin qddreu EI lrical Connocror (Compan amel ? Co rcocbr Lcense No. Mosbr bc No. (Planl Eled. OnFy) - i`/ e? fl S MoiLne Address (Commd« i5emer Ped«mirg InsNlMnon) ? z - L ; ; 161", z A rrsed ? re (Con cbr a nn Perlormi mlhrionJ Phone No E -11 8/96 STATE BOAHD COPV - SEE INSTROCTONS ON BACK OF VELLOW COPY I I? III II??' REQUEST FOR ELECTRICAL INSPECTION&O? Mi nnesota State Board of Electricity 1821 Universily Ave., RPaul, MN 55704 s 110111 6 7 61 7 9 * Pnone (612) 642-0800 71C Home uplex Apf. Bldg. Other New Addn X Commercinl Indushial Form Remod Re uv Air Cond. Htg. Equip. Water Hfr. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Servire "k' above ffie work mvered by this request. Enfer remarks in fha spa<e ond on the back of tha whrte copy only. 3rd and 4th quarter 1996 maintenance Calculate Inspection Fee - ihis Inspection Reqvest wdl nof be occepted without ihe mrrecf fee: Olher Fee ilE Service Enhance $ize Fee At Grcuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps Q 0 to)dQQ Amps 30 5? . ?? Sfreet Ltg./Traffic Sig. Above 200 Amps 5 Above ??_Amps 35.00 Transfofiner/('ieneratOf INSPECTOR'SUSEONIV ?0 TOTAL $ign/Outline Lig Xfmr. J Alarm/Remote Control Swimming Pool I hercb mnl that I ropeaed the eleckirnl insNllotion descnbed hemin on the doks sMhd Irrigatian Boom Roegh-In Dme Speciallnspedion Investigalrve Fee Final Dm THIS INSTALLATION MAY BE ORDERED'DISCONNECTEMF NOT COMPLETED WITHIN 8 ONTHi: 2 V 1- 617 91 Thrs reqaesi void 18 monAs lrom voLdaHon daia pnnred in this 6or OFFI E USE NLY Job// 5407 ? PLEASE PRINT OR TYPE Reqoest Dak Rough-in inspeclion reqwred2 ? Yes ? No Impadion Other Than Rough-InQ Ready Now 0 W11 Call 7-26-96 n??m„r?nroa?in.,e?n,?na??eaY? oaka,aeY De I, M li<ensed confracior [I owner hereby request inspeciion of the a6ove elechical work af: bb Mdrms (Street, Box, or Roure No.) Ciq Zip Code 555 Opperrnan Drive E acian Secfian No. Township Name or No. Range No. Fire N. Caunfy Dakota Occupont Phone N. United P i° 1 681-2844 Power Supplier Pddress Elednml Coritraclor (Company Nome) Conwcbr Lmnse No Master La No. ?Plonl Elee Only) Electric Repair & Construction CA00585 MaAing Address (Canlmcbr or Owner PeAoeming Invmllanon) 024 W in ton v Authariz orOwnerPedortnin Ins non) PhoneNo. 522-6511 EB-A1 A.10 6/95 STATE BOARD COPY • SEE INSTRUCTIONS ON BACKOF VELLOW COPY 111111111 1 2 3 7 5I I I I? REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity ? 1827 University Ave., Rm. 5428 St. Paul, MN 55104 , Phone 912) 842-0800 ? Home Duplex Apt. Bldg. Other: ' New Addn Commercial Industrial Fartn erviCe Misc 2 1 m n Remod Re air Air Cond. Htg. Equip. Waier Hh. Load Mgmt. Other: D er Ran e Elec. Heat Tem .$ervi<e 'k' obove fhe work covered by this request. Enfer remarks in this space ond on fhe back of the while capy only. 1st & 2nd quarter 1996 maintenance Calculate Inspection Fee - 7his Inspecfion Request will noi be accepied without the correct fee: Olher Fee # Service Enhnnce 5¢e Fee # Circuih/feeders Fee Mobde Home Pork Smll 0 to 200 Amps 0 td(I(Q(DCAmps 30a 1 50.00 Slreet L}g./Traffic Sig. Above 200 Amps o M3-Amps 1 35.00 Transiortner/Generafor INSPECTOR'SUSEONIY TOTAL Sign/Ourline Ltg. Xfmr. Gv 85.50 ? Alarm/Remote Conhol ? Swimming Pool I here6 ceai that I?v ed d the elee insl ao here?n on dre darez slokd Ircigofion Boom Ro,h-In Da O I/ ( Special Inspection ? ??71 Investigative Fee $C .50 F??.) ?J o?p4• -7_jf THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. [?0 212- 375 OFPI US ONLY This request void 18 momhs fmm validanon dab pnnkd in ?is 6ax. 2 ?"/l ?5? ? 9 - o . v . 0 ERC// 3890 ? pv ? PLEASE PRINT OR TYPE ? CJ o1 Requesf Date Rough-? inepeciian r eqoimd2 ? Ves Na Inspecon Olher Than Raugh-In [] Ready No xm Will Call n 1/3 /96 (You mvH mll Ilm mspetlor when reody) DoM Ready IMI licensed contrador Q owner hereby request inspedion of fhe above electricai work at. Job Address fStreel, Bor, or Roure No.) Gry 2p Code 555 Opperman Drive Ea an 5512 Sernon No Towrwhip Nome or N. Range N. Fire N. Counry Dakota Occupant Phone N. United Parcel Service UPS 681-2844 FowerSuppLar Pddresx Eletlnwl Conhucmr (Company Name) Conkador Lcense N. Mvshr Lic. N. (Plont Eled. Only) Electric Repair & Construction /fCA00585 Mailirg Pddress (Conintlor or Owner Pedormng InsMllofion) 40 ashington venue; MRIs , MN 55412 AoPo zed Si olure ("lrocm? or ar Psda Insrollana Phone No 522-6511 FB-Gbw5C70 6/95 STATEBOAPDCOPY-SEEIaSTRUGTIONSONBACKOFYELLOWCOPY 3 4 0- 3 4 4 i OFFICE SE ON Y This request vaid 18 momhe fmm volidmion dote pnnt d in this box/ Job/I 5620 ? ? e PLEASE PRINT OH TYPE /7 PS V Reqoest DaM Ra?gh.in inspecfion reqwred3 ? Yes Na Inspecbon Olher Than Rovqh-ln, 0 Ready Now Will Call 10-21-96 Ire„m?s,.u*<in,P<?,,.?e?,eoaY? oo?eReaay I, P li<ensed contmdor Q owner hereby request inspechon of fhe above eledncol work ot: Job Addreez (Sheel, 9oa, or Route N. I GM Zip Code 555 0 erman Drive Ea an 55121 Seclion No Townahip Nome or No Range No. Pire No Counry I I Dakota Ocwpan, Phone No. Power Supplier Address Elecmml Conkaaor (COmpany Name) Canhacror bcense N. Mosrer Lc Nn (Plant EIM Only) Electric Re air & Construction CA00585 Mading fddm? nirador m Owner PeAorming Insmllobon) 24 W'shi ngton Ave. N. Mpl s. , h1N 5412 PuM aed Sig m(Con or O«ne.P orml 1 ? PFwne No 522-6511 EB?A-106/95 STATEBOAROWGY•SEEINSTRUCTIONSONBACKOFYELLOWCOPY Min?esota Stata Board of Electricity C I IIII III II I I I? II III I) I I I I II III I I I I?II BE?uorve s'iTy Ave., RmC SR' BAS 1 PauPl, MNT55O104? ??? * 0 3 4 0 3 4 4 1 * Pnone (siz) sa2-oeoo1d,3ly'(o ?'? Home Duplex Apt. Bldg. Gther: New Addn Commercial Industrial Form Remod Re oir Air Cond. Htg. Equip. Water Htr. Load Mgmt. Ofher: D er Ran e Elec. Heat Tem . Service °k' obove }he work covered by this requesf. Enier remarks m fhis spoce ond an the back of fhe whde copy only. Install receptacles for wearable scanner and antennas CalculaM lnspecfion Fee - ihis Inspection Request will not 6e accepted without the <orrecf fee: OlFier Fee # $ervice EnTronce $ize Fee # Circuils/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps 'I O 0 to X@f0(Amps Street Lig./Troffic Sig. Above 200 mps Above 100 Amps TransformedGenerator INSPECTOWSU oNLv ? T?A?O Sign/Outline Ltg. Xfmr. f Alarm/Rema}e Confrol $Wlmminy Poo? I yw26 cem thal l ins ml msbllahon desnbed heiein on Ihe daks aqkd Irfiyation BOOm Rough n ? Oak Special Inspedion $ . C . . Investigative fee Final Dale Q THIS INSTALLATION MAY BE ORDERED DISCONNEC D IF NOT COMPLETED WITHIN 16 MO HS. I REaUEST FOR ELECTRICAL INSPECTION G?d?gv IIII IIIIIIII I III II IIIII I?I I III II I??I 621 Unoi essity AvearRm S 128cSt. P/aul, MN 55104 * 0 3 4 0 3 4 5 8 * Phr -,.l612) 642-0800/0/a3/5'V ?' ? - Home Duplex Apt. Bldg. Ofh?'? New Addn Commeraal Indusirwl Farm Remod Re air Air Cond. Htg. Equip. Woter H1r. load Mgmt Other. D er Ran e Elec. Heat Tem . Service "k' above the work covered by this request. Enkr remorks in this space and on the back of the white copy only Install 45KVA transformer and 100 amp panel in office area 2nd floor Calculale Inspxtion Fee - 7ha Inspecfion Requesf wdl not 6e occepted withouf the correct fee: Olher Fee # Service Emrance Size Fee vR Circuils/Feeders Fee Mobile Homa Park Sfall 0 to 200 Amps Q 0 fo jiQ(iy?mps 3? 2'. 'G 1 Sifeef L}g./TroHic Sig. 6.50 Above 200 Amps L Above,???,Amps 14.00 TranslormedGenerator INSPECTOHBUSEONLV TOTAL $ign/Outline Ltg. Xfmr. 41-00 Alarm/Remote Confrol $wimming Pool I hercb cen. mo tho.l?cm?al inabllafion deembed here,n on the dorea ?mled IMigation Baom qough.in pe?a $pecial Inspection Invesfigative Fee THIS INSTALLATION MAV BE ORDERED DISC IF N07 COMPLETED WITHIN 16 MONTHS. ? 3 4 0- 345 ON Y This reqoesf amd 10 monMs (rom vaM1daM1On dah pnnkd in lhia baz O ?FFlC ? Job// 5572 Jr1o PLEASE PRINT OR TYPE Re f oh ?(?-z1-96 Hoogh-in inspatlion reqmred2 ? Ves N. Inspecnon OtherThanRau9h-In ? Reody Now? Will Gall no, ?stmllfieinspMOrwhenready) oor=eeaar.10-25-96 I,p licensed contrador ? owner hereby request mspedion of fhe above eledncal work at. Job Pddmss (Sheet, Bo, or 0.oute No.) Gfy 2p Code 555 0 erman Drive Ea an 5512 Setlhon No Townahtp Name or No Range N. Fire N. County Dakota Ocapont Phona No United Parcel Service 681-2844 PowerSupplier Pddress Elechiml Conhacbr (Campany Name) Convacbr Lttnse Na Maskn c, N. (Plont Elect Only) ? i MaiLng Addrcss (Conhacmr or O.mer Perfortnirg Inslalloban) 4 4?Washington Ave. Mpls., P1N 55403 ?"?w,a, wr ra 9insbnanort) ? '?°L?-6511 EB,00601A10 6/95 STATEBOANDCOPY•SE SfPUCT10N50NBpCKOGYELLOWCOPY Pi 93635 ERC// 1700 /'/?? ? el;o Ot2 flequest Dete Fre No. ough- InspecHOn I Requiretl? EXResGy Pbw ? Will Notly Inspector ?Yes CXNO WhenReatly? I CX licensed contrador ? owner hereby request inspection of above electrical work at: Job Atldress (Sireet, Box w Rwte No.? Qry 555 Becl;er Ro Ea an Section No. Trnvnship Name or No. Renge N. Counry I Dakota Occupanl(PRINn Phone No United Parcel Service 681-2844 Paver Supplier Atltlress Elecmwl ConVador (Company Name) CMVaclork License No Electric Repair & Construction Co., Inc. //0400846 Mailing Address (Conheqw or Qvner Making InstallBlion) 4024 Washington Ave. N Authome0 Signawre (Contracta/Ovmer Making Insialleb Phoere Number Minneapolis, MN 55412 ,, 522-6511 MINNESOTA STATE BOAflD OF ELECENICRV THIS INSPECTION iiEQUEST WILL NOT Grlggs-Midway BIEg. - ibom 5773 BE ACCEPTED BY THE STATE 60ARD 182f UnlverWry Ave., SI. Paul, MN SS109 UNLESS PROPER INSPECTION FEE IS Phone (67E) 602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Es00001-07 ? See insimc0ans for compkting this tortn on tack ol yellqw copy ? 9 3 6 3 5 " X" Below Work Covered by This Request ? ew Add fiep. - Typeof8mlding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electnc Heating ' ApL Building Dryer Other (Specify) X Comm./Industnal Furnace Farm ' Air Conditioner Olhar ?specily) Contractor5 Pemarks. Compute InspecNon Fee Below: Power wiriny in truck wash # Other Fee # ServiceEniranceSize Fee # Circuils/Feeders Fee Swimming Pool 0 to 200 Amps 1 10 0 to 100 Amps - PLff Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspeclorg Use Only' TOTAL vngation eooms 30 .5C Special InspeChon Alarm/Communication Other Fee xj: ;1 1, the Electrical Inspector, hareby certifythattheaboveinspectionhas been made. Rouyn-m Final .. ( oata 0 Dat ? ? OFFlCE USE ONLY ??'•_ ?. ', ?,. It?'??,.G ?".l -1? This request void 18 monihs Irom This repuest vmd / n/?? 18 rrqnchs from ? 7 D 2506 ,CI t-?j I,Q P,?', n.?jr; Nequest Date Fire No. pouph-m InsUecUOn ? L ? ) q O Novem'cer L 1908 Requrred> ?7 Reatly Now QW.II Nntitv insoeo L , ?Yps El N. .r When ReadV ? licensed Elecincal Convactor I hereby request mspecbon oi above ? Owner electncal work instaliad aL Street Atldress, eox or floute No. Crty 555 Becker Eagan etl?o?? o. Township Name or No. qenBe No. County OccuVantlPqlNTI Phone No. UPS Power Supplier Address EI¢cbical Comractor IComVanv Namel Con[rnclor's Lrcense No. Electric Repair & Coust;.-uction 0400846 Mailinp AtlJress (ConVactor or Owner Making Instadabon) 4024 ashington ue North Minnea lis MfQ 55412 11 9 z SiOna ctor10wner Making InstallaGonl Phone Number 1 522 6511 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT Griges-Midwey Bldg. - poom N-797 BE ACCEPTED BY THE STATE BOAND 1821 Universitv Ave.. St. Paul, MN 65104 UNLESS PNOPEN INSVECTION FEE IS Phone(612)642-0600 ENCLOSED. ?! /?,RSQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os , Be ?nst ryc bon5 lor complet?nB ?his form on beck oi yBllOw cOpy. ?'l+? '? ? 8c1C,v?-? ?+ / 2 5 0 6 6 "X" Below Work Covered by7his Request #1012 Adtl Xep. Tyfflg of BwltlmB ADPl,ance3 WaeE Equiument Wvad ' Home Range Teinporary Service Elplex Water Heater LiGhtiny Fixtures Apt. Bwldmg Dryei Electne Heatin Commercial Bidg. Fumace Silo Unlonder Industrial Bldg. Air Condrtioner Bulk Milk Tenk Farm otner Ue"i v e0he1 (sncutvl t ar SpcnfV Other Othcr Compute lnspectian Fee Below N Fee ServiwEnhenceSize tt Fea Fxxders/5ubieeders N Pae Circu'ts 0 to 200 Am s 0 to 3(3'Am s 0 to 30 Am )s Above 200 qmpy 31 to 100 qmps 31 to 100 Am Swimminy Pool Above 700_Am s Above 100_Am s Transtormers Irrigatwn Booms P&rtial'Other Fee Signs SpecialinsUecnon g TOTA Remarks 36.50 EE ?., ? i floueh-in Date . the Ele InsPector. heraby certitY fhai the above Finai Date ?nsoec[ion has been C ? ? mede. This reaueat vo1C 18 monrtie iro. Thls request vo. d ///nC/d31 18 nnnths fmm E 31 ?Cl i.i_Al. mP,s ??. 6' 71,11 0 -;?- $?c CIV Hepuest Date ? Frte No. HouAh-in Inspecbon Feqwretl? OReatly Now Q W,II Nnuty Insper ElYes [?NO t°' Whe^ peatlY ? Licensed Electncal Con[ractm 1 hereby request mspection of above ? Ownar electncel work irrstalled et Sueet AGAress, Box or Route No. Citv 555 Becker Road Eagan ectron o. Townshio Name or Nm Renqe o. Covnly Dakota Occuoant IPqINTI Phone No. Unil:ed Parcel Service Power SupPlmr Adtlress Electncal Contracmr ICompany Namel Con[ractor's License No. Electric Repair & Construction 0400846 MaJine AdJress ICOnVactor or Owner Makmg Instailauon) N A uthonv igm ur ractor Owner Makmg InstallaGo Phone Number 522-6511 TMIS INSPECTIDN REQUEST WILL NOT MINNESOTA STATE BDANO OF ELECTflICITY Griggs-Midway Bltlg. - Room N•191 gE ACCEPTED BY THE STATE BOAND UNLESS PflOPER INSPECTION FEE IS 1821 Universitv Ava.. St. Paui, MN 56104 ENCLOSED. Phone 16721 642-0800 ; SQUESTuFOR ELEC?TR?1 eA'L? Ithis NSPtECT ? IONck ot vellow ooov. ? E 312 0 - + "X" Below Work Covered by This Request 0 EB-00007 -05 e 9xlg.?-- #l 1 nti • Rdd R.P. Ty'pe ol Bmltlmg ApOlioncea Wiretl Equipment Wiretl Home Ranye Temporary Service Duplex Water Heater Lightiny Fixtures ApL BmlAmg Dryer Electnc HeaUn Commercial Bldy. Fumace Silo Unlonder Industnal Bidg. Air CondiUOner Bulk Milk Tank Farm tn, .aecirv 01n, (5,„,j+'1 M1SC. WO t e Su??ci v Othe. Oth.r ompute InspecLOn fee Below p Fae ServmeEMrenceSize tt Fea Fexders/Subteeders k Fxe Cvcwts 0 to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 qm ?s 31 to 100 qmps 31 to 100 Am s Swimmin Pool Above 100_Arnps A6ove 100_Flmps Transiormers Trngation Booms Pdrtia6 Other Fee Signs Speciai Inspection $ 30 50 TOTAL FpE / Remarks . ? n n? I RouBh-m I. the Elact a1 ? InSpBC?Or, hBrBby ertdy thai the above Final i,te?? ?nspechon has bean //o? metle. ?k tirb repuast voiC 18 montM fmm Th s e4riest 'o a 9 ?? //?,7 7 is rnon i?'o? ? 33 2/ ?'7oS'.3 9 tns tmm D 55802V463 -P? 170 Reques[ Date Frte No. RouUh-in Inspecuon 9/?IIw ? Reqmretl? ?Ready Nuw Q WiII Notrty Insper.- a ?Y nN Wh ? Licensetl Electncal Contrac[or 1 hereby raquest ins0acbon of ebova ? Owner elnctr"o..i - .__' " Street Address, eox o. Route No. " ... ..........o.. a.. C nv SS 13ECKER ?oq? etti E?JSA,? ?J,? on u. Townshio Name or No. qange No. Coum v ?A KoT?1 OccuVant IPRINTI Phune No "'?r ? ? ?tcEL SEKVtCE , Pawer Svpplier Address 1J 5 P n Electncal Con vactor (CompanY Namal casu. AuE, uc-usb,cr ry... . S?E?euuS Ei?cTK?e Co,asr,ewcn.r M i Cantror.m s Lir,ense No. ?o. 04070$-S ar mp qdJress ?COntractor or Owner Mak?nH ??stallauonl l4,00 E PA?tK ??twE' S4rrE 2'Z $'r? PA?t? 1'Z,•? SS/o A h ut orized S nature ICOnVact r/Ownur Ma np In [allaUOn) ? Phone Number MINNE G4G-38¢ A STATE BOARD OF ELEC R CITY THIS INSPECTION pEQUEST WILL NOT Grigps.Midwev Bldg. - poom N-191 BE ACCEPTED BY THE STqTE BOARD 1821 Umversrtv Ave.. St. Peul, MN 56109 UNLESS PROPEN INSPECTION FEE IS Phone1612) 642-0800 ENCLOSED. 9/ ?2//87• REQUEST FOH ELECTRICAL INSPECTION ?`?y O/ Sea instructions tor comolenna this form on beck ol Vellow wpYD ':5 J 02 "X" 8elow Work Covered by 7his Request EB-00007-06 "77.5 Z 9 AAtl Rep. Typa ol BwltlmO APOliantan WveJ EquiVnient Wired Home Range Teinporary Service Duplex Water Heater LiGhbny Fixtures Apt. Buildmg Dryer Electnc Heann Commeraal Bldy. Fumace Silo Unloader Industnal Bldg. Air Condrtioner Bulk Milk Tenk Farm Other nec? v ninerl5,r.r.ilyl t er Suec.ify Othcr 01her I/1SOCCLIOq FFP BEIOW p Fee ServiceEnbanceS¢e # Fea Faxtlers/SUEleeders Fqe Crtcmts 0 to200Am 5 0[o30qm 5 0 tn30An p,p0 Above 20 _qmps 31 to 10 0 Amps 31 to 100'Am s Sw?mming Pool Above 100-Amps l Above 100_/>m)+ Transiormers I«igation Boorris Partial. Other Fee Signs SpecialinspecLOn 5' TOTA EE em3rks -- 7/CJD w . Houph-in fe p I, me E JInspecbr, heaaby - -" /? YR _.,..i. .w.. .?,_ _._ ' Fnndl ?? /! /_ Y.? U;u?.? ?? ?dection hes bean I 1 %!GI/ .. ThIS repuest vold 18 monihs irom lofiec 5 E9 a4zs a 217 3 ? ,r? 010 ,?? p s . Request Date Fire No. Roughm Inspectbn Repuired9 y Al Reatly Now ? WIII NoMy Inapecta December 3, 1991 ?.? ?,NO M. Raaer7 I[N licensed cnntractor ? owner hereby request inspection of above alectricel work at JoC Atltlress (Slreal, Box or RoNe No ) - Ciry 555 II°^??,?? a bf Eagan Seclwn No Township Narna a Na Range W. Counry Dakota Occupant (PRIM) PM1One No United Parcel Service (UYS) 681-2844 Po?er Sup0lier Atltlress Electncal COntrector JCampany Name) ConVaclorS Lrbnse No. ' Electric Repair & Construction Co., I //0400846 Meihng qtldr ecfpr or Owner Making InsWllatnn) 4 4 Wa ingi, n Av No Min polis, MN 55412 Au nzetl Sgn ' (ConV r/Owr?er M g I WI t)? Pha?e Num?ar 522-6511 MIN SOTp 5XWE BORRO OFELEGTRICITY \ THIS INSPECTION FEOIIEST WILL NOT Grlpgh ey Bltlg. - poom S-173 BE ACCEPTEO BV THE STATE BOARD 1821 UnlvanMy qw•. St. Gwl, MN 55106 UNLESS PROPER INSPECTION FEE IS Plwru(611)811-0800 ENCLOSED 9 f / ? g REQUEST FOR ELECTRICAL INSPECTION l`?"' a, ? ee-ooom.os j ? See instmceons lor crompleeng mi5 farm an Oack 01 yellow copy ' D 2 17 3 . "X" Below Work Covered by This Request ew Add Rep. - TypeofBuilding AppliancesWiretl EquipmenlWred Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm/Industrial Furnace Serv Ofl misc. e U1 Farm Air Conditioner Other (speary) Contraclor5 Remarks' Compute Inspechon Fee Below: Third and Fourth quarter maintenance 8 Other Fee M SarviceEnlrance Size Fee # CircurtsiFeetlers Fee ? Swimming Pool 0 to 200 Amps i 0 t xoops 30A 40.00 , 7ransformers Above 200 _ Amps z AX*A 100 _ Amps 14. Q Signs m:Pacmrs use onry: TOTAL ,5 , inigation eooms f)gf : o? 54.5 0 Special Inspection Alarm/Communicalion THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. f I, the Electrical Inspector, hereby Rouqn,m „ certiry that the above inspection has been made. F,nai s oara ? OFFICE USE ONLY This requBSt witl 18 monllis irom ien 5/ %/,' Y/ /O/j U .S a6215 6 ERC# 8015 / n r `?'V?-?/oa r Request Oele Fire N. Roug In Inspecnon 4 ? ReatlY Now ?w l ? l Wa Apr i 1 26 , 1991 ?? Ro ?'sd R z Vihen I A licensed contractor ? owner hereby request inspection ot above electrical work at: Jo0 AOtlress (SUeet, Box w Raute No.) 555 Becker Road Ea an / Secuon No Townsliip Nama or No. RaNa No. CouMy ?? ' I I Dakota Occupant(PRINT) Phone No. United Parcel Service (UPS) 681-2844 Power SupPlier qddress Eleareal Connaaor (COmpany Name) Contraclor9 l.ceree No. Electric Repair & Construction Co., Inc #0400846 Maih ss COnfrada or qvner MaMmg InsWllatwn) 024 Washin ton A e Mpls, 55412 Aotbori ignaturelC ractorlPw Mekin ation) Phone Number 6 1 522-6511 PbliXE50T11 STATE BOARD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT arlqqs-NMwey Bitlg. - poom 3173 BE ACCEPTED BYTHE STATE BOARO 1831 Ilniverllty qve., St. Gaul, MN 55104 UNLESS PROPEN INSPECTION FEE IS Rqna (611) 842-0B00 ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ee-0oom oe S 7 9? ? See msirucbons lor compleLng Ihis form on back of yellow copy < ?i /0/30 3 ? a 6 215 6 - X° Beiow Work Covered by This Request ?? ew Add j TypeolButlding AppliancesWVed EqmpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwldmg Dryer Other (Specity) Commllndus[nal ' FUmace Serv Ol] ID1SC. 2 LFl Farm Air Condi[ioner Other(speaty) Comractor5 Remarks First and second quarter maintenance Compute lnspechon Fee 8elqlG: pA N Other Fee # SerwceEntrance5ae Fee # Ciromts/Feeders Fee Swimming Pool 0 to 200 Amps 1 o to AddpEX A Transtormers Above 200 _ Amps 700 _ Amps Signs lnspectork Use Onry TOTAL • Irngation eooms 54.50 Special Inspection Alarm/CommunicaUOn THIS INS7ALUiTION MAV BE ORDERED DISCONNECTED tF NOT Other Fee COMPLETED WITHIN 18 MONT . I, the Electrical Inspector, hereby Rp19h"" ' oare certify that the above inspection has been made. Final oaie ^/ G L OFFICE USE ONLY TN5 rppuest voitl 18 rtwnihs imm uC. ? M 516 5 5 ' S ?l0 5l°D Raquest Oate (^'J ?j(? 3 -? Fne No Rough-in Inspectron Reqwretll NOTICE: Vou Must Ca0 Electncal Inspector It A Rough-In NspecLOn R d I L ?Yes No Is eqmre IA icensed contractor ? owner hereby request inspecfion of above electrical work at: Jab' ?Atlctl-ress (Street, Box Or RoutB No ) Cily Secimn No Township Name or No. Range No Counly DAKl Occupant (PPINT) iv.TBP ?C1; - S7? ?I?ICG Phone Ho PowerSUppber Atltlress ElecMcal Contrecror (COmpany Name) F,iu "zly 5? u -P oIk-rs TN TrL Comractor5 Licanse No. cA-aZ ! a? Mailmg Adtlress (Coniractor or Owner Making Installation) Z?? ? 7C? C` ? a c.J••, i? V2 ?U ? 1 h-c ? Authonzetl Signat Conhactod ? ? er aki g Installation) ? Phone Number Q,831q1 MINNESOq STATE BOAHO OF EIECTHICITV THIS INSPECTION REQUEST WILL NOT Grigga-Midwey Bldg. - Hoom S173 BE ACCEPTED BYTHE STATE BOARD 1821 Univerelry Ave., SL Paul, MN 5510C l1NLE55 PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSEO /-1W! REQUEST FOR ELECTRICAL INSPECTION °j ee-ooooi-oe ? ? See msimdions for comoletina Ihis form on Oack ot vellow copY - 516 5a ' "X" Below Wak Covered by This Request ?? Y ? ew Atl TypeofBmlding AppliancesWired EquipmantWiretl Home Range Temporary Service Duplex Water Heater Electnc Heaung Apt Building Dryef Load Managemem Comm./Industrial Fumace her (Specify) 1_IGNTIW Farm Air Condihoner Othar (speciM ConVaclors Remarks Compute Inspection Fee Below: # Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fee - Swimming Pool 0 to 200 Amps 3 0 to 700 Amps z64 Transformers Above 200 _ Amps e 700 _ Amps Signs lnspactor5 Use only TOTAL b?[7 Irrigation 8ooms 26 4 - Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN MON S f I, the Electrical Inspector, hereby certity that the above inspection has been made. Rough-m Final oatY o?e G f? OFFICE USE ONLY ' quest voitl 18 months irom K 41 9 ? ? r.? 9 / ? ? ? Request Da?e Fire NO Rough-in Inspection A?? ?, ,?; Reqwretl'+ ,Ily I Reatly Now C W?Ihen fieatly?or ? Yes ?NO IEkhcensed contractor ? owner hereby request inspection of above electncal work at: Jo0 Atltlress (Sireet. Box or Route No Ciry SS5 OPPEHMN ORIVE E11GRN Seaion N. Townsnip Name or No. Range No Counry I DRKOTA Owupenl (PRWT) Phone No UNITED P11RlEL SRVICE W5 681-2844 Power5u0PLer ptltlress Elecincal ConVaclor ICompany Nampl Contractor§ L¢ense No EIECiRIC REPIIIR S[XMTRUCTION CO.. INC. CR 00585 Mailing rltltlress (COnVactor or Owner Makm8lnstallation) 4024 IWTOPI IWEMIE NORTH; 1TWAPOLIS, PAV 55412 Aut etl ignaWre ICO rr wner MaMing Inst A I Phone Number /? ) . . (EI2) JZZ?S?? MIN SOTA STATE B04ND OF ELECTPICRY THIS INSPEG110N REQUEST WILL NOT G e-Midwey 81tlg. - Raam S1]3 6E ACCEPTEO BY THE STATE BOARD 21 Univenlly Ave., SL Peul. MN 55104 UNLE55 PROPEq INSPECTION FEE IS Phone (612) 612-0800 ENCLOSED f REQUEST FOR ELECTRICAL INSPECTION '?a°'=? es.ooomoe ? ? See instructions lor compleung tnis brm on bd<k of yeliow copy. S ? 9 ?Q °? S? 4 ?6 Q °' "X" Below Work Covered by This Request ew Add Rep. TypeolBwlding AppOancesWted EquipmeniWired Home Range Temporery Service Duplex Water Heater Electnc Heating Apt.Bwlding Dryer Other-(Speaty) Comm./Industrial Furnace SEAVICE ON PQSC. Epl1IP. Farm Air Contldioner O??er (s{reaty? Cantrector5 Remarks J? #3W5 Compute lnspection Fee Below: 3RD & 4TM QUARTER fRAINTENNNCE 1993 # Other Fee # ServiceEntranceSae Fee a Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to Transbrmers Above 200 _ AmpS Signs Inspecror5 Use Only. 30_1100 p TOTAL Irrigauon Booms . f$4,50 Special Inspection ?Sy- Alarm/Communication THIS INSTALLATION MAY ORD ONNECTED IF NOT 4 Other Fee COMPLETED WITHIN 1?T I, the Electrical Inspector, here6y Rouqn-ro oaie i" ? certify that the above inspection has been made Froai oare OFFICE USE ONLY Thrs request void 1B mon[hs Imm ya- //.; (-So , 1 6LI PS - ' fiequest Oala fire No Rough-in Inspacbon Re9m retl+ ? Aeady Now ek-W ill Notdy Inspector , ?yyes G No When Readyl IZjicensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (SVeet Bax or ROUIe No I City 5 5 ? v%-?,vch? p n? CS4 p Name or No Range N. Counry 77r ?kcz,? • OccuDanl(PRINT) Ppone No (,i, P,S. Power Supplier AtlOress Elemncal Conlractor ICOmpany Namel ConlrecmrS License No c ,.,c CG4CSJVli Madin Actlress IGOnVaaor or ner Maemy Installauon) ?t7 bOX a , OO? \ (? _ SJ??. Avt onzac S?gnawre iContractor:Owner Nakin In liom Phone Number MINNESOTA TE ARD OF ELECTPIOILY THIS INSPECTION REQUEST WILL NOT Gnggs-MiU poom 5473 BE ALGEPTEO BYTHE $TATE BOARD 1821 Unrversiry Ave. 51 Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION es.oooai-oe ? Sea insVUotions for complellng Ihis form on bavk oF yellow oopy §_ . p N?.t.? 6,1 36 "X" Below Work Covered by This Request ??.,?;•y " ew Add Rup Typeof8mldmg AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater EleCtnc Heating Apt Budding Oryer Other-(Speci(y) Comm.nndustrial Fumace Farm Art Conditioner O!her{spxAyl Contraomr§Remarks Compute Inspechon Fee Below: M a.? r1d, ;' # Other Fee # Servwe En7rance S¢e Fee # Circwts/Feeders Fea Swimming Pool 0 to 200 Amps 0 ta 10o Amps (cy,'O Transformers AboVe 200 _ Amps Abo?ta 0_ Amps Signs Inspecmr's Use Omy, TOTAL trrigation Booms ?? GG ? Special Inspection AiarmiCOmmunication THIS INSTALLATION MAY BE ORDERED DISCOIylJEF'fED IF NOT Other Fee COMPLETED WITHIN 18 MONT >`' / ? I the Electncal Inspector, hereby RO09n-'" " cartify that the above inspection has been made F,?ai --? ? o:e 2? OFFICE USE ONLY - T?i6 f2Q?B51 vO?d 18 mO??h81l0l1i C? 51'Z/ 09375 i "2?6 °° aw'ff 96;49 Request Date ' Frre No Rou h-in Inspecnon Reqmretl? ?Reatly Now ? Will Nohty Inspector Januar 6 1993 Gves X NO WhenHeatlyT IX, licensed contractor p owner hereby request inspection of above electrical work at: Job Aatlress (Street. Bax or Rome No ) Pry 555 0 rman Drive Eagan SecYOn No Township Name or No Range No County Dakota Occupant (PRMT? Phone No United Parcel Sexvice (UPS) 681-2844 Power Suppber Atltlress Electncal CoNractor (Company Namei CoMracto?Y License No Electric Re ir & Construction Co. Inc. ng es Conhactor or Owner Making Installation) 24 W shin on Ave ue N ls 55412 or¢atl So ture ICOni nor/Own Insl t I Pffi Phore Number C 1 522-6511 MIN SOTA STATE BOARD OF ELECTNICITY Gr" gs-MlEway BIEg. - floom S173 21 Univerzity Ave, 5[. Paul, MN 55100 PIroM (612) 662?0800 THIS INSPECTION REOUEST WLLL NOT BE ACCEPTEO BV THE STATE BOARD UNLESS PROPEF INSPECTION FEE IS ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION ? See mslrvc1rons lor complgting ihis fortn on OaU ol yellow wpy J?0 9-3 7 5 '"X" Below Work Covered by This Request 13-00001-01t 3 6 / ? ew Add Pep. Typeol6mltlmg AppliancesWiretl EqwpmeniWiretl Home Fange Temporary Service Duplex Water Heater Eleciric Heating Apt. Bmlding Dryer Other (Speary) X Comm./Industrial Fumace Service OI7 fI11S0. 2 Farm Av Condi[ioner OUer (specdy) Canlractor's Remarks Compute tnspection Fee Below: 1TSt 2LlCl secand quarter maintenance 1993 # Other Fee # SerwceEnlranceSrze Fee # CircmtsiFeeders Fee Swimming Pool 0 to 200 Amps 0 to mps Transformers Above 200 _ Amps Z AffidU(ODX%%%Amps Signs Inspectws Use aniy: 'OTAL .50 Irrigation Booms 54.50 Speaal Inspecbon J T ?0 Alarm/Communication THIS INSTALLATION MAV BE OR NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHSi I, the Electrical Inspector, hereby cerlify that the above inspectwn has been made. Rouyn,n oata OFFICE USE DNLY This requesl void 1B monlhs Imm K 41453 mct 94Z9 Ll /?/ f? ,??r%l°o ReQUest Date Fire No Rough-in InspecLOn Reqmretl9 C?ileetly Now ? Will Nohty Inspectar January 6, 1993 a Yas M.w when Raedv? II licensed contractor !] owner hereby request inspection of above electriCal work at: Job htltlress (SVeet Box or Rome No ) Ciry 555 0 erman Drive E an Seclion No TownshiD Name or No Range No County Dakota OccupantlPRINTI Phone No. United Parcel Service 681-2844 PowerSUppLer Address Elech¢al Contrector ICampany Namel Conhactor's License No. Electric Repair & Construction Co. Inc Matling Atldr (GOnVactor or Owner Mekmg Installehon) 40 W shin ton A enue . M 1 hIIV 55412 A onze0 i nature fC trecmuOw r Makin ellaUOn) Pbone Number 522-6511 4NESpTA STATE BOARD OF ELECTflICITY o-FAbway Bltlg. - Room S173 .iversity Ave.. SL Paul. MN 551p6 ,e (612) 642-0800 THIS INSPECTION REOUEST WILL NOT BE ACGEPTEO BY THE STATE BOARD UNLES$ PROPER INSPECTION FEE IS ENCLOSED ?/8I y? K 41453 REQUEST FOR ELECTRICAL INSPECTION ? See insVUmmns for comWHing inis form on back ai yellow copY ' "X„ 8e/ow Work Covered by This Request M ew Atl Fep. " TypeoiBuiltlmg App6ancesWired EqwpmentWiretl Home Range Temporary Service Duplex water Heater Electric Heating Apt. Bwlding Dryer Other-(Speafy) Comm /Industrial Furnece e mis Farm Air CondiOOner Other (syeaM Conlroctor5 Remarks 3rd and 4th quarter maintenance 1992 Compute Inspection Fee Below: # Other Fee # 5ervice ErnranceSrze Fee # Circuit /Feetlers Fee Swimming Poal 0 to 200 Amps 1 0 to s Transformers Above 200 _ Amps pqYe 100 _ Amps 1l}. Signs Inspecror5 Uee Only O TOTAL 5 trrigaeon eooms 54 5 Special Inspection . Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1$? ONTHS:= ? I, the Electncal inspector, hereby td h h Rough-in f? ?;,-? . Date cer y t at t e above inspection has been made. F,nai n .s,. oa?e ?? OFFICE USE ONW z This reQuest voiE 18 months Irom ??le'lsy C- ZY Pt y a?Ycio N 6 3 8 5 5A , r L2 -- , , Requeal Date 4 Fire Na Rough-in Inapedbn Reqwretl? ? Ready Now Will Natiy Inspeciw -30 - 88 0Ye= o No Whan Rmdy, I licensed contractor ? owner hereby request inspection of above electrical work at: Job AdOresa (Slreat, Bm or Fo ? ? City 555 -? EA Af4 SaIXlan No TownaMp Name or Na Renge No. CouMy pAkoTk Occupanl(PRINT) Phone No. .P.S. PowerSuppller Atltlress DaCo,rn ECEC Al Elecincal Contractor (COmpany Name) Convaclor's License Pb. Mustcn E[.iecrk,-c az9gY!-/ MaLrg Adtlress (COnbacror ar owrrer Making Installetwn) I Rs kcaFSr ^ve Rose+nl 5 I/ Au?lpr¢ed Signalu CoMractor/?RVner Makirg Inslallation) Phone Number ?Jt Saw NINNE30TA STAfE BOAflD OF ELECTFICITY ? THIS INSPECTION REDUEST WILL NOT Grlgge-Midway BIEg. - Haom S113 BE ACCEPTEO BV THE STATE BOARD 1621 Univerelry Ave., 3L Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS Phone(612)602-0800 ENCLOSED REQUEST FOR ELECTRIC."+L4dNSPECTION 40% ee-00001-07 il? See instruchons for complehng ihis krm an back of yelbw copy W$SQ Q-47- 6 3 8 5 5 "X" 8elow Work Covered by ThiS Request ew ABd Rep. ? Typeof8uilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Building Dryer Other (Specity) Comm./lndusinal Furnace Farm ' Air Condiiioner OIM1er (speciy) Contracmr5 RemarksXµsTA" I2owar FA cTrV" 0 0 11'/rt3Y04 Compufe lnspechon Fee Be/ow: L{ g 0?/, # Other Fee # ServiceEnlranceSize Fee # Cireuits/Feeders Fee Swimming Pool 0 to 200 Amps a to 700 Amps .Op Transformers Above 200 _ Amps Z Above 100L,g#-- Amps .pD Signs Inspec?ors usa only: TOTAL Inigation Booms ? ? • Sd Spedal Inspection AIarMCommunication ? Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. RO1?n-'" • y?,?/J Flnal p ru, . !1z /.' °?'°l??/ oaca OFFICE USE ONLV (/C.,N!' p ? v This requesl void 18 monihs from c'y. y. , r j