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