3333 Pilot Knob Rd - Electrical Permits
4419 '? ? (,k
Nepuesl0at Fira No. Fough;ln Inpgetiion RepuireE
(VOUwlcallinspe r enre a0y) Ins ecipn 01her T n gh-In
?qeatlyNaw WAINOtity lnspec[Or
? Ves No Oete Reatl
I icensed contractor ? owner herehy request inspection of above electrical work at:
Jab AtlCress (Sireet Box or Rout ? %
?'?f City
Section No. Township Name orNO. Range No. Coun
OccuPant I?T? N?/ Phone NO??
f
Power SuOPlier ? AtlEress
Electncai 4var i omNrr?e? Convector5 Li?nseQNO.?
Maibng Atltlress (Conlractor or OwgMakmg Installatqn)
?
Autn Iz Signalure ICOnll Owner kin allalionj Phon NumDe
??-
MI SOTA STATE 60AflD RICITY THIS INSPECTION FEOUEST WILL NOT
GrIggs-MlEwey BIEg. - R Sl)3 BE ACCEPTEO BY THE STATE BOARD
1521 UniversYly Ave., 51. ul. MN 5510C UNLESS PROPER INSPEGTION FEE IS
Phone(67P) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
R. Src inswc0ons for completing ihis rorm on back oi yellow copy.
E? 41937 X" Be/ow Work Eovered by This Request
ee.oaooi.oe
e Add Rep. 7ypeofBuilding AppliancesWired EquipmentWired
Home (iange Temporary Sarvice
Duplex Water Heater Electric Heating
Apt. Builtlinq Dryer LAad ManegemeM
Comm./Industrial Furnace Other (SpeciTy)
Farm Air Conditioner
Other Isyecily) Contracmr5 Remerks:
Compute /nspection Fee Below: `S0 '/o. X?°a "°11l°? ? f? _
B Olher Fee k ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps O to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS, Inspactor5 Use O TOTAL
' Irrigatian Booms ? ?
Special Inspection
AlarmiCommunication 7HI RDERED DISCONNECTED IF NOT
Other Fee ,f9 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspeclor, hereby
certify that the above inspeciion has
been made. Rou9n-in
Finei / ZOWT oeie
oa
OFFICE USE JNLY
ThiS r2que5t voitl 18 monihs irom
flequest Oata
S n O ^?
G Fire No. Rough-In Inspection
Requir¢d't NOTICE: Vou Must Call Electrical Inspedor
I1 A Rough-In InsPaction
I
i
R
? ?
Y.
re0.
1
equ
Iensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SYreet, Bax or Rome No.)
33 33 PILOr- kAuoL, AM-0 Cny
[..14W
Section No. Township Name or No. Range No. County 12A,60r7l-
Ocwpam PFIN ?? ??? PhoneNO.
Power Supplier Adtlress
EI ri I Coritraciw (COmpany Name)
NT ? NT &Z6raK Contrectw5 Licensa No
00M.3
Maiiing Adtliess (COnVactor or Ovmer Making Installatbn)
Aufhon gnewre or/Owner M in tallation) Plwne Number 400l - Z9/
. -
MINNESOTA STpTE BOAR EL ICRV '4r in 6(A. THIS INSPECTION qEQUEST WILL NO7
Grlggs-Mitlway HICg. - Ho S1] BE ACCEPTED BY THE STATE BOAHD
1821 Unlversity Ave., SL Paul, MN 5 106 fil*y)i'. UNLESS PROPER INSPECTION FEE IS.
Phore (612) 692-0800 ENClO$ED. ?_ . -
,/. 6,2?d? , REt?bEST FOR ELECTRICAL INSPECTION EB-00001-OB
5102 T ll? $¢e iasimdions for mmpleting this iorm on back of yellow co
`X" Below Work Covered by This st
Cl 1M75
ew Add Rep. TypeotBuilding AppliancesWired EquipmentWired
Home Range _ Temporary Service
Duplex Water Heater Eleciric Heating
Ap[. Building Dryer Load Management
Gomm./Industrial Fumace Other (Specify)
Farm Air Conditioner /'19I* I
Other (specily) Contractor's Remarks:
Compute lnspeciion Fee Below:
# Olher Fee # ServiceEntrence5ize Fee # Circuits/Feeders Fee
SWimming Pool 0 to 200 Amps 0 to 100 Amps
Tfansformers Above200_AmpS Above100-Am3s
SignS Inspector5 Use Only:
OTAL ?
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDER ISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 THS ?
?
I, the Electrical Inspector, hereby Rouqn-,n a?e
certiry that the above inspection has
been made. Fin81 e
OFFlCE USE ONLY
This request void 18 monihs from
?
?
063f512Lugli?(2h. 4,?d
Raquesl ire No. oGgh-la Inspcriion Requlretl
ou must cail inspect w reaGy) Inspection OMer Tha Ro hln
? Ready Now III Notily Inspecror
y ? s ? Yes Na Dete Reatl
I?,j censed contractor ? owner hereby request inspection of above electrical work at:
Joll, Atltlresa (Street, eox ar o y?
7, /
3 Ciry
?¢ 4 &
o
33
?? ,,_
Secllon No. Township Name or No. Ranqe No. Cou
4- Xa
Ocmpenl (PRI T) Phone
Power Suppller?S.4 Atldress
Eleclrical Con clor (COmpeny Name ? Contrecmr,'/s Licensa Nyo?,.,,/??a
'??J
?//'OO
L(k GT?/C. O? O
) yq ???(//?
??Jy
Mailing Atltlress (COnvactor or 0 w9q? Malting In lation
i
?
?
I ? i"?l /"'e'? '
CX/"i
a3ao
th0' ed $ignaWre (CO aIXOdOwn g Instatlation) Phone Number
MI ESOTA STATE BO O ELECTflICITY THIS INSPECTION REpUEST WILL NOT
Gdgge-Mltlwey Bltlg. - m 5128 BE ACCEPTED BV THE STATE BOARD
1821 UnlvereMy Ave., SL Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
PhonB(612)69R-OB00 ENCLOSED.
/7 I J? REUUEST FOR ELECTRICAL INSPECTION"":!?,ee-ooo os,
0 5 512 ??e Instmctlons br completing this brm on baCk of yellow copy ?Y • ' ?93 «"X" Below Work Covered by This Request
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Ot er Speci
Farm Air Conditioner
Olhar (epeciry) ConUacbts Remarks: ?y
6oa.
Compute InspecNOn Fee Below: S% cj yI - S! 3o g,{'
k Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Am s 0 to 100 Amps
Transformers Above 200_Amps ove 100 -Amps
Si ns Inspectors Use Only: T
OT
AL
?
Irrigation Booms
Q /
^
,?
?
?c?v
S ecial Inspection
Alarm/Communication THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fes Q_ COMPLE7ED WITHIN 18 MONTHS
I, the Electrical Inspector, hereby Rouamm o-tef
?
certify that the above inspection has
been made. Finai oey _
OFFICE USE ONLY
This request vob 18 monihs Iram
?. g
This reqoest voitl 5? ") Q ?
18 rtwnths tram / 17-N ' ? O
X¢quE U t v Ylre rv0. noupn-Ilt in5p8C bO
Requrted? ReatlY Nuw L] Will Nntity Inspec-
nYes No lur When qeady
021 Lio05nsed Eiectncal Contractor I herebL requast inspectio
/?Owner T? ele n alwork-insta?a?
Stt t A/tldress Boa/ or flo?u/tp nNo.
'
/YK. *- ?„?e.? Vl?ew v ? le•1,
ecLOn o. Township Name or No. Fan9e No. C
4
Occupa IPNINTI Phone No.
y ?
ppli r Addres5
Elecvi 1 Contractor IComD ny Na 1 Cantracmr's Liconse No.
,-,?
ilinp AdJress IConhactor or wner Makin Instaila6oN
?
N??
?? ?
AuNo' a re ractor Ow ing tallationl Phon Numb
?
MINNESOA?E BOAflD OF ELECTRIC TMIS INSPECTION flEQL1EST WILL NOT
X-V
Griges-M' aY Bldg. - Roam N•79'I 0E ACCEPTED BY THE STqTE BOARO
VNLESS PNOPEN INSPECTION FEE IS
1821 Uni arsitvAVe., St. Peul. MN 704
Ph....e 16121 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See insiructions tor completin9 this fuf"ni on back ot yellow coov.
A "X" Below Work Covered by This Request
ee-ooooi.oa
u: ?? lL( 1" PK
AAd Rep. Typa ol euildinB APOlinnces Wired Eauip'Rien[ Wiretl ?
Home Range Telnporary Service
Duplex Water Heater LiGhtiny Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial Bldg. Fumace Sito Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othe, oeu v Othe, lSUec.irl
ther uecily O[her Oth.u
Compuie lnspection fee Nelow v
b Fae Service EnbenceSize il Fee Feadars/5ubfeeders Circuits
0 to200Am s 0 to30Am s 0 to30am s
Above 2D0 Amps 31 to 700 Amps
B 31 to 100 A s
Swimming Pool Abave 100_Amps Above 100_Am s
Transformers irrigation f3oorc,s Partiali0ther Fee
V Signs . ?y^O SUecial lnspection 5 s•p
T
Nemerks
_ AL FEE ?
!n ..n?
NouBh-in Date ? ?
al
6 C /?d Inspector, he'eny
c tity that the abova
Final 1e/ speclion hes been
metle.
requeslvoitll8monthstrom //?? {
w ?T1" ?
n ....
This reQUest void _?/rJ/g'
18 months fmm
C 19193?, i . ?
?3a& c,7-
$. ?
Hepuest Date Fire No1 RequiredT °sue ion ?qyady Nuw ? Will Notilv
Inspec-
?? ?Yes No ,
lor When Neady
Licensed Eleclrical ConVnctor I hereb reqaest insOection oi ebove
Owner elacfrical work installed at:
Street Adtlress. Box or Hou N?'
i/o Cily '
w
ecbon o. Township Name or No. ange o, G
Occ oa t (PpINT)
i
. ? Phone No.
K
•r?
s s ? .
Power Suppli r Ad ess
Elecdic 1 Cont actor (Company Nam ! Contrar.tor's License No.
li
Ma in0 Atldres5 ICOntractor or Owner M kinB lnstail io I
7?
3
00 ri ?i 6G O?. ' Q' G'? h. ?iS
/
Autho 'zed Sienature onVa or? er Makinp In- I lion Phone N mber
G9`?
MINNESOTA STATE 80 OF ELECTRICITY THIS INSPECTION flEQVEST WILL NOT
Grigge-Midwey 81dg. Xonm N-791 ???BE ACCEPTEU BV THE STATE BOAND
1821 University Ave.. St. Paul, MN 55t04 K UNLESS PqOPEfl INSPECTION FEE IS
oh.,..e tatv z9].2iN ll,? ? ENCIOSEU.
-216 7, REQUEST FOR ELECTRICAL INSPECTION Ee?-,°?
III, Sae instructians 1or completin9 this form on Oack ol yellow coDV.
-e1 9,19 3 •'X' BeloW Work Covered by 7his Request
Add Fep. Type of BuilAing Apaliencea WiwC Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric He2hn
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Butk Milk Tank
Farm otneF PP.ci v Other (sneufy)
t.r Suenfv iher otner f?
C?ompute lnspectianfee Below =?j1Co X?ol ??T70__:
1 p Fee ServiceEntrence5ixe b I Fee Fexdera/SUbleetlers k I Fee Circuits
Pool
t0
S,:/.oly
,. ,he ?
• ? Insoectoq neraby
s?
Final ? ` ?
'I ?
`M'G .....f I
?A certily Ihet tha nbove
inspection has Oeen
// 5 ni , ,? ?? made.
rhl•reQuestvola
?
?j
9
E
6 4
Request Dete Fire No. gh-in Inapeclio
Fequired? ? Reedy Nmv ? Will Notlty Inapeclor
Wh
R
C
?
?Ves o en
ea
y
I icensed contractor ? owner hereby request inspection of above electrical work at:
b Cress (SVeet, Boz or u214o. Ciry
/ /13 ? lti?
Section No. Township Name or No. Range No. Cou
?
Occupant(PPINT) Phpne .
?i /• s
Pawer Supplier _ Atltlress
Eledriwl reclor ( ompairy Nam i Co
n
ha
dor§ Lice
nse No.
?
^
?
Q
C/c3 d o)oy. -Q
Meiling Addresa (COritractar or Ow"r Makirg Ins Ilafion)
? c
? ? /AJ
PO
'
" !'k
?'K ?
ri
.-. . d k
•
Signature (C ractor ne in9 l^slalian Phone um?er
MINNESOTII STATE Bgf'AD ELECTHICRY THIS INSPECTION PEQUEST WILL NOT
GHggsMiGway Bltlg Raom 5173 BE ACCEPTED BV THE STATE 80ARD
7821 Unlverstty Ave., St. Paul, NN 557 4TIII? UNLESS PFOPER INSPECTION FEE IS
P1wna (612) 642-0800 ENCLOSED.
?/?/yv REQUEST FOR ELECTRICAL INSPECTION .': Eao0001?4y7,
? Sea insimctions Irn completing Nis form on back oF yellow copy.
E .6. ? X ?r " Below Work Covered bY This Re9uest u?
,
Me% Add Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range . Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer 01h r(Speciry)
Comm./Industrial Furnace u . `
Farm ' Air Conditioner
Olher (specity) C?on ra`ctor5 Pemark(s?:?/?.? ?
WD\_
Compute InspecNOn Fee Be/ow: "' - 60
# Other Fee A ServiceEnlrence5ize Fae # Circuits/Fee rs Fea
Swimming Po01 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspecmrs use onry: TpTpL ?
Irri9etion Booms ?660 ?
ISL
Special Inspection
Alarm/Communication
Other Fee ZS
I, the Electrical Inspector, hereby Rouen??n oe?e?
certiry that the above inspection has
been made. Finai
OFFICE USE ONLV
This request wid 18 moMhs Imm
This request void ?-79, Stc
18 months from
30
Date of this Request // ?? 6?,?o Fire No. 0?1??
I, as ?'Licensed Electric'al Contractor ? Owner, do here6y request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3333 "I CityeE'
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? No 2r- Yes O Ready Now ? Will Call git-
Power Supplier -Address --
Electrical Contract04?? F-,l?TLf Contractor's License
(C?Ompany Name)
Mailing Address ?>?i S°7`/t?,? ST '
Authorized
or
Phone No.
(EIKtrICa1 Contrettor or Owller N
le_.-r?L;-.??r,` - -? Q?P v
..
inspection raquest will not be acceptad by the
- Board unless proper inspection fee is enclosed.
c????m?dw Y aiagra ?ROOvisiY /?./ 9?G J
1821 University Ave.. St. Paul, Minn. 551011, - Phona 297-2111 p
`' REQUEST FON ELECTRICAL INSPECTION a'? ? S
CHECK BECUW WORK COVERED BY THIS REQUEST ?
EB-00001-02
84143
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Tempocary W'ving ?
Duplex ? ? 11 Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadei ?
Industrial Bldg. ? ? 0 Ait Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Othei ? ? ? p
Herelg? HeheTS?
'CQMPUTE INSPECTION FEE BELOW '';
a?o v-
Service Entxance Size: # Fee Fcedeis&Sub --" a: Circuits: # Fee
0 to 100 Am s.
?
0 to 30 Am res ? .
to 30 Am eies
}
4y=
101 to 200 Amps. 31 to 100 Amperes to 100 Am eres
A6ove 200_Amps. Above 100 Amps. Above 100 Amps.
Trensfotmeis RemoteControlCirc. -Ferlie4emtherfee e s'
Signs Special lns ection Mir.imum Cee
Remarks
_ TOTAL F ?
?
I, the Electrical Inspector, hereby certify
been made. /a^/X-LVd
(Final)
This request void
18 months from
t , $7.y, seC q ? y
This request void
18 months from
A
Date of this Request //?•?6???d Fire No. ? ?`4
???
I, asP'Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 33 33 ?i.Ca7 K?ioL3 ?N City???
Section Township
Range County
Which is occupied by S1??f1.GY //?o C-
(Nama of Occupant)
Is a roughin inspection required on this job? No li? Yes ? Ready Now O Will Call Q'
Power Supplier ddress ^
Electrical Contract y?y??est?(?L-r?"• ??? Contractor's License
(COmpany Name)
Mailing Address
Authorized Signature
'I
Contractor
No.?Q?
This inspection request will not 6e eccepted 6y the
State Board unless proper inspection fee is enclosed.
Minnesota state noara oT elecviCtty -r-Griggs Midway Bldg. - Room N191 _ EB-00001-02
1 University Ave., St. Paul. Minn. 55104 - .i.2119
CHGCK'BE OQV WOKK CO EREDTBY' TH S REQUEST'ON S 84144
Type oP Building New Add. Rep. Check Appliances W¢ed For Check Equipmeet Wired FM
Home ? ? ? Range ? Temporecy Wicing ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bidg. ? ? ? Dryu ? Electric Heating ?
Commeccial Bldg. ? ? ? Fumace ? Silo Unloadec ?
lndusirial Bldg. ? ? ? A'v Conditionec ? Bulk MJk Tank ?
Farm List
J L
ist J
Other
?
?
? o
y
Heieis) p
}
Heia s1
BELOW
co
iGaort HE'OU
I, the Electrical Inspector, hereby certify tt
TOTAL F E(Q O? Y
n h?s been
bov ? ma e.
e
(Fina1)
This request void
18 months from
This request void1/T ' ?ri'7 6! StC , ? ,? ?j3 $ 3-
18 monihs from • . "7 d, G d
Date of this Request /o/g 9? /je/ Fire No. ? 8437
I, as ? Licensed Electric Contracror] Owner, do hereby request inspection of the above electri-
cal wiring installed at: ue W JSOO `TowEt-VCEw R.d...
Street Address or Route No. 33 3?
Section Township Range County ?? ?zel=
Which is occupied by _ iz
(Name ot OtcuDant)
Is a roughin inspectio n required on this job? No Et'- Yes ? Ready Now 0 Will Call &-}'
Power Supplier Address ?
/? o-3qs4? ?
Electrical ContractG ??Ci.vf C Contractor's License No. _
(CO/mpany Name)
'
Mailing Address.? Z.
ST
? (Elactrical Contractor or Owner lal ?IS Installatlan)
Authorized Signature F?L<c e No.
(Elactrlcal Contrec or wnor Makin Is 1 stallatlon)
r? ?i .,?.? L ?S
L:'u:,ti Gtll? ; 0 T i nspectionrequestwillnotheaccented6v ffie
.. S ate Board unless proper inspection fee is encloud.
Minnewta Scate Bo9rd of Electricity ?, S8'3 ,-
Griggs Midway Bidg. - Room N197 ?p EB-00001-02
1821 Universiry Ave., S[. Paul, Minn. 55104 - Phone 297•2711 -?
' `'"REQUEST FOR ELECTRICAI IN3PECTiON S ?? ?`??
CW,CK B_F,LOW WOAK COVERED BY THIS REQUEST 8 4 3 7 2
ype ot Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fox
Home ? ? ? Range ? Tempotary Wiring ?
Duplez ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? 19?_ Fu[nace ? Silo Unloadei ?
lndustrial Bldg. ? ? 0 Air Condifioner ? Bulk Milk Tank ?
F? 0 E] E] Liat
) Lis[
Other 0 ? ? p
}
Herersl p
Herets?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee ers&Subfeeders: # Fee Cucuits: # Fee
0 to 100 Am s. o 30 Am res 0 to 30 Am exes '
101 ro 200 Amps. Am eces 31 to 100 Am eres
Above 200 Amps. v Amps.
7 ? Above 100 Amps.
Transformers ControlCiro.
Remote Pact ialorother
Signs cial lns ection Minimum fee $5
Remarks
??
7
TOTAL FEE
!?.
cs0
?
-
I, the Electrical
(Final) __
This request void
18 manths &om
has been maae.----?
fYate' /- t-/- 1'7
/ ' ;z%- 1>l
This request void g(13
18 months Gom
Date of this Reguest?
I, as JN"Licensed Electrical
cal wiring installed at:
Street Address or Route Nc
Section Township
Which is occupied by
lo ovgov o(o '75 3137 Y
°(° -7(o f 3(oqrod
Fire No. S 84610
.,ontractor ? Owner, do hereby request inspection of the above electri-
, 3333 /-?i1a?' ?p13I City&g;?
Range County /?,uZF,?
Is a roughin inspection required on this job? No 2?- Yes ? Ready Now ? Will Call Ep-
Power Supplier _
Electrical Contract4
Mailing Address ?,
Authorized Signature
?.?
Contractor's License o. _
s1 . Ya.LL1 S'sro-7
No.
?; y L? J? ?) ?? r> \/ ThifqnspecUOn request will not be accepted by the
? State 8oard unless praper inspection fee is enclased.
Minnesota State Boartl of Electricity 3 Z7
4W Griggs Midway Bldg. - Room N191 E6-00001-0
niversity Ave., St. Paul, Minn. 55704 - Phone 297-2111 313 7?
r =IIUEST FOR ELECTRICAL INSPECTION
CHEEK BELOW WORK COVERED BY THIS REQUEST 8461
Type of Buildiug NeN Add. Rep. Check Appliances W'ved For Check Fquipment Wired Fm
Home ? ? ? Range ? Temporaxy Wixing ?
Duplex ? ? ? Water Heater ? Lighting F'vctures ?
ApL Bldg. ? ? ? Dryec ? Electric Heating 0
Commefcial Bldg. ? ? ? Fumace 11 Silo Unloader ?
Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ?
Faxm ? ? ? List L
ist
Other ? ? ? Hehers? p
Hehers?
COMPUTE INSPECTION FEE BELOW
ServiceEnVance Size: # Fee Fceders& Subteeders: # Fee Cucuits: u Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am ces
Above 200_Amps. 00 Amps. Above 100 Amps.
Transformers moe ontrolCixc. Partialorotherfe -S'0
Signs ...... ion Minimum $5.0
RemarksSE?
i , TOTAL EF?6f Gd G,?s
I, the Electrical Inspectrn, hereby certify t e a e ectio??ryh?as been m
(Rough-in) L°`bate
(Final) 4 Date p'
This request void o
18 months from
3IZR /o noqo C) CWo 7 7
S-Ca ;Z °( 3 9- 17Q
This request void
18 months from
?
8 4? 8 4
Date of this Request ? /? Fire No.
1, as ? Licensed Electri?tor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: NoW ( Sob -rmcuErufi Lw
Street Address or Route No. 3 3Z 31?16 e?l
Section Township Range CountyD.4.?-,-o ?tz.
Which is occupied by _s 1 049/Z/z1/ (1?4///// ?
(Name of Occupant)
Is a roughin inspection required on this job? No M' Yes ? Ready Now O Will Call
Power Supplier - Address
o-39&147-;:Z
Electrical Contractcfr_2 Contractor's License No. _
(COm
pany Nama)
Mailing Address _? ?? /
sy?? ?E s? -
? (Electrical Contrector or aking Tnis Installa<lon)
,,
Authorized Signature ?. c ? ., Phone Nu. W ?33
(Electrica
l
Cant c or
o
r Owner Qng ThIS Installatlon)
??? ?
y
?
j
.?'iu'?1D ?This inspection request will not be accepted 6y ffie
State Board unless propar inspectian fee is enclosed.
-- minnewca staY xo9ra ot eiecniciry ? a; ?3 ?t4
Gri?s Midwa 81d Room N791 - EB-00001-02
. b6Aniversiry Ava.. St. Paul, Minn. 55104 - Phone 297•2111 ,d Mp2 UU ;z'i`3S;z
REQUEST FOR ELECTFiICAL INSPECTION ? g44?4
CHECx BEL(3W WORK COVERED BY THIS REQUEST
Type ot Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Foi
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? WaterHeater ? LightingFixtuxes ?
Apt. Bldg. 0 ? ? Dryer ? Electric Heating ?
Commercial dldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? 0 9 A'v Conditionei ? Bulk Milk Tank ?
Facm ? ? ? L
ist List
Other ? ? ? p
Hereis?
) Oehers?
N 1
COMPUTE INSPECTION FEE BELOW ?IL o fr? .¢,NO d
Service EnhanceSize: # Fee feeders&Subfeedecs: S Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Am s. to 100 Amperes 4to 100 Am eces /
Above 200 ps bov Amps. Above 100 Amps.
Transfoime : RemoteControlCvc. Partialo:otherfee .S
Si ns S ecial Ins ection Minimum Cee $5.00 _.d'y
Remarks TOTAL FEE S
I, the Electrical Inspector, hereby certify that thejabo i s n has been made. 9.00
?
(Roughan) ? ? ? Date
(Final) j j Date
v
`?•
•am,est void
This request void oopoo alo -75 -7l0 30 3(op ?
18 months from ..- .. 3 (a 6,?
Date of this'Request Fire No. ? 84492
I, as L$Licensed Electri al C ntractor O Owner, do hereby request ' spection of the above electri-
cal wiring installed at: N ew 15-oo Tocuer JCE w Q-
Street Address or Route No. :R 3-3 !? /`? <o/
Section Township Range County/D4 I-A
Which is occupied by
Is a roughin inspection required on this job? No 9F- Yes ? Ready Now ? Will Call ?-
Power Supplier Address
/y ^ c?-39s47 -?
Electrical Contractc Contractor's License No. _
Mailing Address
gn (E?t?icel c?ractor ar ownef fj?bkJ Is Installation)
Authorized Si ature /c ? s c C?i?s ?-2 Phone No.
'(Elactrical Contncor Owner Making is Installatlon)
? r, ,?? ;? ?I/'n ? p This inspection request will wt 6e accepted by Uie
?. :J ' J L> ? ? LJ `1?5`J.: 11 State Baard unless proper inspeetion fiee is encloted.
minnesota state noard oT tiecmcicy
Griggs Midway Bld9. - Room N191
? 1821 Onivarsity Ave., St. Paul, Minn. 55104 - Phone 297-271.1
REQUEST FOR ELECTRICAL INSPECTfON
CHECK BE],OW WQRK COVERED BY THIS REQUEST
EB-00001•02
OC)
s $?4
e
92
Type of Building New Add. Rep. Check Appliances Wired Fot Check Equipment Wired For
Home ? ? ? Range ? 'Cempomy Wuing ?
Duplex ? ? ? Watei Heater ? Lighting FiCtures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commexcial Bldg. ? ? ? Furnace ? SJo Unloader ?
Indus[rial Bldg. ? ? ? A'v Conditionec ? Bulk Milk Tank ?
Fazm
?
?
? List List 1
Other
?
?
? pthers
Here ? pthersy
Hexe f
!`(1MPiiTF INSPF(`TillU FFF RFl nW tlG.nd ? -n 1'?-
Se[vice Ent[ance Size: # Fee Fceders&Subfeede[s: # Fee C'vcuits: # Fce
0 ro 100 Am s. 0 to 30 Am eres a - 0 to 30 Am eies S-d
6
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres ,?'
A6ove 200_Amps. e 100 Amps. Above 100 Amps.
Transformets '? , Re teControlCirc. Partial or other fee S L ?5'O
Signs ? _. ? _ _ Minimum fee
Remaz1-- TOTAL F E 3 ?p . Gd b
the o ir?pection has been made.
I, the Electrical Inspector, hereby certif
(Rough-in) rY?.Q} Date
ff.
(Final) Date_ _ -/ 1 -11 Z
This request void
18 months from
lc?? LI?1S??'ai _S£fc??????
Tn;S reyues? voia
] S_ monthsfrom
Address
Date of this Request q?' 7/?/ Fire No. 3 " TJ Z) ?
I, as Pi'Licensed Electrical Contractor ? Owner, do hereby request 1 A1spection of the above electri-
cal wiring installed at: ? qp ? ( SO O-ro W E. r J i E tt) '. r,
/? ?
Street Address or Route No. 3.? 3? i<o ?/liriai= A/ City ?/l?i1.?
Section Township Range County
Which is occupied by lJ.cizfz ? if'//L/? r
? / (Nama of Dccupant)
Is a roughin inspection required on this job? No Q? Yes ? Ready Now ? Will Call?-r-
Power Supplier _
Electrical Contract
Mailing Address _
Authorized Signad
f,.5tN
Contractor's License No. _
S-?, PCtLL( SSIO--?
74king TMS Installatton)
/0 6. SG
.2`1
Q
/?r.ss ( .'.??.t.?- ?sfzd?Phone No.
(Electrical conf a<tor or owner Ing 7his Installation)
l-F" I , I ??? n? ? ? This ins ectian re uest will notbe acce ted h the
J? V? ?`=? J State Baerd unless praper inspeetion fee is endosed. ?
? nnesoca btate noara ot weccncrtv. 6-k3 gKi
Griggs Midway Bldg. - Room N79'1 . a ?8? ?
-98'27 Universi Ave., St. Paul. Minn. 55704 --ktqre 297-2111
- RVQUEST FOR ELECTftICAL INSPECTION S 84359
CHECK BELOW WOAK COVERED BY TH1S REQUEST
7ype of Building New Add. Bep. Check Appliances Wired For Check Fquipment Wired Fm
Home ? ? El Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. $Idg. ? ? ? Dryer ? Electric Hea[ing ?
Commercial Bldg. ? ? ? Fumace 0 Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionec ? Bulk Milk'Iank ?
Farm List ) Lis
t )
er
Oth ? O ? Others}
flere ) O[he[s}
Here 1
C`l1MPIPTF INRPFf Ti(lN FFF. RFi (1W _.i
Seivice Entrance Size: # Fee Feedecs&Subfeedeis: # Fee Ciccuits:
0 to 100 Am s. 0 to 30 Am res o!? 0 to 30 Am res
101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am ces ?
Above 200 Amps.
g4 Above_}9(tg!L?Amps. 44?- A6ove 100 Am s. -
Transformers RemoteControlCicc.
' Pa?eramc?iea- ,6
Signs Special lns ction Minimum fee $
Remarks
row!-^.a TOTAL F
/
?
A?
(Final) S !
This request void
18 months from
This request void 18 months from z,
1
P'Date of this Request P 26512
I, as P;Mcensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.33 33 ??oT ivaB ?a?, ?,ty _FivG9?
Section Township M 0094D gV 97 Range Countyy?
Which is occupied by .5 D?/L2 Y Lv_?o (=?
(Name of Occupant)
Is a roughin inspection required on this job? No ?" Yes ? Ready Now W' Will Call ?
Power Supplier Address ?
Electrical Contract6r Contractor's License IyeAK_7"
(C9mpanY Name)
Mailing Address
Authorized Signature ?//l/- ?? Phone No.
fElect,ICalCantracto?orOwner fAVing
Minnesota State Board of Electricity
_ j954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
IKHECK BELOW WORK COVERED BY THIS REQUEST
?p 926512
Type of Build'ug New Add. Rep. Check Appliances Wired Fm Check Equipment W'ved For
Home ? ? ? Range ? Tempora?y Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtuies ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating 0
Commeroial Bldg. ? ? ? Furnace ? Silo UNoader ?
Industrial Bidg. ? ? ? Air Conditioner ? Bulk Miik Tank ?
Fazm ? ? ?
List
p
ehersI
List
p
els
e
Other ? ? ? H H
r
COMPUTE INSPECTION FEE BEUMA IM
Setvice Entrance Size: # Fce Fee Circuita: # Fee
0 to 100 Am s. to 0 to 30 Am eces Ls' 30
101 m 200 Am s. 31 to 100 Am e:es 31 ta 100 Am eres / d°la
A6ove 200 Amps. Above 100 Amps. Above49QWAm s. / 7--1
Transformers .'S RemoteCuntrol Circ. Partial or other fe ..3 O
S' ns Minimum fee $5.00
Remazks
TOTAL F ?
G SO
I, the Electrical Inspector, hereby certify th tRe abp? e`cGon been? a
ra.,,?o6_;?l ???. (kG ate
(Final)
This request void 18 months from
This request void 18 months from
?
Date 6?f ?t us Request P 7 2 631
I, as ?Licensed Electrical Contractor ? Owner, do herehy request inspection of the above electri-
cal wiring installed at: S,
?" p j 0 00 `? DO O r 0 77
f
Street Address or Route No. ?33-3 City,?`?`f?AA-l
SecUon Township Range County
Which is occupied by???"iiv? ?
(Name oF occupant)
Is a roughin inspection required on this job? NoM' Yes ? Ready Now ? Will CallAV
Power Supplier ?
Electrical Contractd,c? Contractor's L.icense NO&321'-3
Mailing Address
Authorized
"(EIeCtrlCdl Contl'ettor o1 Ownef
STATE ??A-RD COPPY '
or
Y----'fione No??9-2S-a3
y?ng This Installatlon)
7his inspection request will not he accepted 6y the
State Baard unless praper inspection fee is enclosed.
Minnesota State Board of Electricity
19:4University Ave., St. Paul, Minn. 55104-Phone 645-7703
. iiEQUEST FOR ELECTRICAL INSPECTION
CHECK.BELOW WORK COVERED BY THIS REQUEST
ioy«a
P 72631
Type of Budding New Add. Rep. Check Appliances Wirad Foc Check Fquipment W'ved Fox
Home ? ? ? Rxnge ? Tempoxary Wiring ?
Duplex ? ? ? Wa[er Heater ? Lighung Fixtures ?
Apt. Bldg. ? ? ? ?
Dry Electric Heating ?
Commercial Bldg. ? ? ? Fu Silo Unloader ?
Industrial Bldg. ? ? ? A. io
P Bulk Milk Tank ?
Fatm ?
List
pth
Lis[
pthers
Other ? ? ? Here Here
COMPUTEINSPECTION FEE BELOW
SeiviceEntranceSize: # Fce Feeders&Subfeeders: * Fee C¢cuits: Fee
D to 100 Am s. 0 to 30 Am eres 0[0 30 Am exes
lOl to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 4BB'?mps. et Above 100 Amps.
Transformers RemoteControlC"vc. Partiaior otherfee aa
Signs S eciallns ction Miximuxa-(ea-LS9B
RemarksZ-G lde-l?wT?_vi+- ?rrs.r 00?z-p ? 1'OTALFEE 3
I, the Electrical [nspector, hereby y th Y2h abmve inspection has been made op,mU
(Rough-in) .? Date (Y /-- ?
(Final) Lq?„41- Date
This request void 18 months from
This request void 18 months from L?? B 7?? ?£c ?C?
.
1,7311"
Date of t Request 5? o%f o • . S 38682
I, as Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3333 f/'LOT .voiz ?City?/?
Section Township Range Countyy/ i??9.
Which is occupied by
Is a roughin inspection required on this job? No CR-- Yes ? Ready Now ? Will Call U"'
Power Supplier '- Address -
Electrical Contract Contractor's License NeizaL?.s
(COmpany N me) ^-7
Mailing Address ?E Si -?'. GC,u A 2510 /
Authorized Signature ? l?J Phone No??-9-?
(Electrlcal ontractor ot Owns aking ThIS Installatlon)
D??i?` _ This inspectian reqP Pwill npt be accepted by the
? Stete Board unless ro er ins ecUOn fee is enclosad.
Minnesota State Board of Electricity
7954 Uni_ersity Ave., St. Paul, Minn. 55104-Phone 645•7703
- RtQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST '-
/?/ 9?93?±
? --3[??yC2(?(72
Type o[ Building New Add. Rep. Check Apptiances W'ved For Check Fquipment Wired For
Home ? ? ? Range 11 Tempocazy Wuing ?
Duplex ? 0 0 Watec Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating 0
Commercial Bldg. ? ? 9 Fumace ? Silo Unloadec 11
Industxiai Bldg. ? ? ? Ait CondiY " ? Bulk Milk Tank ?
Faurn ? ? ? List List
Other
?
?
? p[hers}
Here 1
a p
?Heiels
COMPUTE INSPECTION FEE BELOW ~ 4r? FI t?? ?
ioo
Above
Remazks??Sc, TOTAL
I, the Electrical Inspecror, hereby ce hat ve' msp/e, ?tion has be?° made
(Rough-in) - • Date W '/-?-'?-/
(Final) /, . /kJ? Date I-- 07 0 ^k {
This request void 18 months from
This request dbid Lt !f? 771 SEc, q o
18 mapths fiom ?2 3 ?
Date of this Request Fire No. S 84 i 5 0
I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3 5 33 R/&fZ 4iu0/3 gq/ City4Q?r'A/
Section Township
Range Countyl?flli'e ?r .
Which is occupied by S'ol-B? ? ct,
JT (Nama oi Occupant)
Is a roughin inspection required on this job? Nogf' Yes ? Ready Now ? Wil] Call-B'-
Power Supplier ?'-
Electrical Contractia?L?< Contractor's License N???
(COmpany Name)
Mailing Address :;:I 7g-' ,T S :) / d 7
Authorized Signature
a.
Noz=r,' ?F3s?
l ?' ? i I r,
, i ????? ?S 'u' Uu` Li. li
J
This impection request will not be eccepted by the
State Board unless praper inspection fee is enclosed.
.? MYnnesota StaY ISO9rd oT Glectriclty
Griggs Midwa Bld Room N191 EB-00001-02
1827 Universit Ave., St. Paul, Minn. 55104 - Phone 297-2N'1-r
THIS REQUEST SPECTION
'K B? EL?OW WOAK COVERED BYICAL
CHEC ?? 84150
Type of Building New Add. Aep. Check Appliances Wrted Foi Check Equipment Wired Foc
Home ? 0 ? Range ? Tempoiary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Futures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commereial Bldg. ? ? Nr Fumace ? SJo Unloader ?
Industrial 81dg. ? ? ? Ai[ Conditi? "- ? . ulk Milk Tank ?
Fazm ? ? ? oList })
ls st
rs?
?
Othel ? ? ? Heie
) )
Ie
!`l1MD7iTF iAiCPF!'TI(lU FFF RFI f1W
Setvice Ent?ance Size: # Fee Feeders&5ubfeeders: # Fee Cvcuits: Fee
0 to 100 Am s. 0 ro 30 Am eres 0 to 30 Am eces ? ?
101 to 200 Amps. 1 131 to 100 Amperes / AV= 31 ro 100 Am eres / g-?'l
Above 200_Amps. Abova}Bf;WAmps. a' AborQ3fflZj;Mmps.
Transformers RemoteContxolCirc. Partialor otherfe <Sa
Signs Special Ins ection Minimum Fee $5.0
Remarks TOTAL FE
7- i
?16
I, the Electdcal Inspector, hereby certify' fi?t the o e dspection has been ??te-la
(Roughdn) / I?CDate -?J
(Final)-__ Date_ 3-16 - Y/
This request void
18 months from
Li 1 677, sF?. 9 a )J
a ?
Y'his request void
18?months from _ - '
Date of this Request //?S A-'D Fire No. S 84146
I, as4'Licensed Electeical Contiactor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address oi Route No. 33 33 7-?ivai3 J?d City
?
Section Township Range County,???
Which is occupied by
Is a roughin inspection required on this job? No R- Yes ?
?_
Ready Now ? Will Call fB-
Power Supplier ?
Electrical
Mailing Address
Authorized
(GIBCtrICal {G?onyt}ra-c[o?r 'o+r Vwnl
Iic?
?A
or
Contractor's License NoO'Z?
Phone No4g_A?3
inspection request will not be accepted by ffie
Board unless proper inspectian fee is endoud.
Minnesota State eoartl of Elechicity
Griggs Midway Bldg. - Room N791
•- 182TVpiversiry Ave., St. Paul, Minn. 55104 - PFqne 297-2111
REQUEST FOIi ELECTRICAL INSPECTiON
CHECK BELOW WOAK COVERED BY THIS REQUEST
9'6611?/J Es-ooooi-oz
?9'?aIS 84146
Type oi BuOding New Add. Rep. Check Appliances Wired Foc Check Equipment Wired Fm
Home ? ? ? Range ? 'Iempocary Wixing ?
Duplex ? ? ? Water Nea[ei ? Lighting Pixtures ?
Apt. Bidg. ? ? ? Dryer 0 Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloadet ?
Industrial Bldg. ? ? ? Air Conditioner ? Hulk Milk Tank ?
Farm List List
O[her ? ? ?
# r
Rehers
-
eheeis#
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders@S eed C¢cuits: u Fee
0 to 300 Am s. 0 to 30 Am [es 0 to 30 Am eres
101 [0 200 Amps. 31 to 100 Am eres 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. BalsiaL?otherfees
Signs 1 1 Special Inspection Minimum fee $
xemwicssr.? , TOTAL FE , f?
I, the Electrical Inspec[or, hereby certify
(Final)
This request void
18 months from
been ma?Ge:-l?o7-J7-}cl
e /.7, rkJ
e 07 - _/_ k1
This request void 18 months from 10 0010?w O/D
Date of this Request fO S O'_ 5 4
I, as,Q3'Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.333 3 f?/,LoTkA1oa 1?. Cit}?'?lA.r/
Section Township Range CountyD4"_
Which is occupied by S' v /S C_
(Name of Occupant)
Is a roughin inspection required on this job? No 9R-' Yes ? Ready Now 0" Will Call ?
Power Supplier,
Electrical Contr
Mailing Address
Authorized SiQn
(eiec[ncaj contracmr or oM
STATE BOARD COPY
? Contractor's License N4-4-?
No. e-92?e ?.33
This irispection request will not he eccepted by ffie
State Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity
7954`University Ave., St. Paul, Minn. 55104-Phone 645-7703
" - REQUEST FOR ELECTRICAL INSPEE'iION
CHECK BELOW WORK COVERED BY THIS REQUEST S
di?id9T
01,94.
Type ot Building New Add. Rep. Check Appliancea W irad Fo: Check Fquipmrnt W"ved Fot
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bld .
Commeccial Bldg. ?
? ?
? ?
IU- Dry
Fur ? Electtic Heating
Silo Unloader ?
?
lndustrial Bldg. ? ? ? A'v diti Bulk Milk Tank ?
Farm ? ? ? t)
Lis List
Other
?
?
? p
}
Here 5f p
Here?s?
COMPUTE INSPECTION FEE BELOW
Sewice Entrance Size: # Fce Fceders&Subfeeders: # Fee Cvcuits: xt Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ?G
101 to 200 Am s. 31 to Ampeses ; 4t' 31 to 100 Am res 3 /S='
Above 200 Amps. Abm mpa /4E - A6ov Amps. ,74-'P-
Transformecs Remote Control Ciic. Partial or other fes - • d'o
Signs S ecial Ins ection bfinimum Cee $5.00
Remazks
TOTAL FEE
I, the Electrical Inspector, hereby certify
(Final) _
This request
bee ma 3S ? m
e ?p?$ IE,,,
- ?
e ' ji- /,Q 7f
Tt+is reqvast void 18 months from
Date of this Request P 26516
I, as K-Licensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
cal wiring installed at: CLc , J jv po c? 00 0 ??zj 7 7
?
Street Address or Route No. 33 P,?,47` /Za/ City??l?
SecGon Township Range Countyf!5? ?-
Which is occupied by iz C//f L-
(Name at Occupant)
Is a roughin inspection required on this job? No ? Yes M- Ready Now O Will Cag-0`
Powef Supplier
Electrical
Contractor's License
Mailing Address
Authorized Signature//(/ Li' B4f/sr?'
EtecVlcal Contracror or Owne
STAI'E BOARD COPY
or
Nc.Sg? ??f.?.?
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CtYBCK SELOW WORK COVERED BY THIS REQUEST
26516
Type of Building New Add. Rep. Check Appliances W¢ed Fox Check quipment Wired Foi
Home
Duplex
Apt. Bldg.
Commercial Bldg. ?
?
?
? ?
?
?
? ?
?
?
? Range ?
Watex c
Dryei A
Fuma Tempotazy Wiring
LightingFixtuies
Electric Heating
Silo Unloader ?
?
?
?
Industrial Bldg.
Fazm ?
? ?
? ?
? A'u C ido
List Bulk Milk Tank
List ?
Othet ? ? ? p
Heree Hehe?s?
COMPUTE INSPECTION FEE BELOW
Service Eatmce Size: # Fce Feeders&.Subfeedess: Circuits: # Fce
0 ro 100 Am s. 0 to 30 Am eres 0 to 30 Am etes
101 to 200 Am s. 31 to 100 Am eces 31 to 100 Am eres 3 a=
Above 200 Amps. Above 100 Amps. n Above 100 Am s.
Trensformers RemoteControlCirc. Partialorotherfee ?
Signs Special Ins ection d4dtimu+n-fee $S
il
Remarks M? z C yf?i.c,? M/?2 ?!}P2. ?'G
? . _ i . TOTAL F E
/4Q.6d
I, the Electrical Inspector, hereby cs?€?(that v? ins tion has been m-lft.?
(Rough-in) Date
(Final) ? _ .,. Date
This request void 18 months from
?t?Bz?rsc?p
This request void
] 8 inonths!'rom ? 84145
Date of this Request Fire No.
I, as Li'I.icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Sireet Address or Route No. 3333 ?<c 7- ivod /Zol City?/??
Section Township Range CountyLi1.
Which is occupied by
? (Name oT Occupant)
Is a roughin inspection required on this job? No Et- Yes ? Ready Now ? Will Call ?
Power Supplier
ElectricalContractb[,t?lw = G
(coi
Mailing Address -:;F-7,f?- T 7
(EI<c'
Authorized Si¢naturek/ A/_ /,*2 .
Cont
r,
r
0 ??T' ?? 0
! ? u???';,..? ?i
Contractor's License )053???
No--*i??
This inspection request will not be acceptad hy ffie
State Baard unless proper inspeetion fee is endosed.
Minnesota State Board of Electricity r
? Griggs Midway Bldg. - Room N191 ial 9? V EB-00001-02
7$21 bniversity Ave., St. Paul, Minn. 55104 - Phone 2-07-2711
CHECK BELOW WORK CO ERED BYITH S EQUEST'ON g 5
Type oPBuilding New Add. Rep. Check qppliances Wired Foc Check Equipment Wued For
Hone ? ? ? Range Li Tempoxazy Wiring ?
Duplex ? ? ? WatecHea[er ? LightingFix[ures ?
Apt. Bldg. ? ? ? Dryee ? Electric Neating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ?
Fa[m ? 1-1 ? List ) List
Other
?
?
? p
}
Hehe TS
1
..?
e 5
Fee
to
Remarkss.? ?/?,r? ?'/ S?• I TOTAL FE 7°? ?
I, the Electrical [nspector, hereby certify thatJ th?e above?in/gj?ec?iion has been made. r'
lRniwh.inl /?^J)atr. 1d7- 3-f-rl
(Final)
This request void
18 months from
This request void 18 months from /? 9/ -?7
S ? 8- P 26509
Date of this Request
I, as (?'Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: J?c 9 / a v o 9 o b O/ O -27
Street Address or Route No. 3 33 --3 f'?i1 T K?io?3 0W CityE?3'CA/LJ
Section? Township Range County
Which is occupied by
(Name of Oc<upanq
Is a roughin inspection requiced on this job? No E" Yes 0 Ready Now E1" Will Call ?
Power Supplier ---- Address -
/y ?y
Electrical Contrac+iar?-???ws ?l?TL _"o.urT. C."o Contractor's License Np???
(COmpanv Name)
i -
Mailing Address
Authorized Signature' .. ? Phone No.,jg.-AeY`
(Electrical Contractor or Owne ak ng 7hls Installatlon) ?
•,'? '?
STATE BOARD CO Y -
Minnesota State Board of Electricity ?, p? ?. S/? j
? 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION ??9 2 6?0 9
f 'K BELOW WORK COVERED BY THIS REQUEST
. 4 e of Building New Add. Rep. Check Appliancea Wired For Check Equipment Wited Fm
Home ? ? ? Range ? Tempotary W'ving ?
Duplex ? ? 0 WatergUr:&ter ? LightingFixtures ?
Apt. Bldg. ? ? 0 Drye Electric Heating ?
Comme[cial Bldg. ? .? ? Fum ` ' . ? Silo Unloader ?
Industrial Bldg. ? ? ? A. ?diti - Bulk Mllk Tank ?
h r Lpist
eiels? Lpist )y
eie?g
Ot ? ? ? H f
H
COMPUTE INSPECTION FEE BELOW
5mice Entrance Size: # Fee Feedeis&Subfeede:s: # Fce Crtcuits: # Fce
0 to 100 Am s. 0 to 30 Am eies 0 ro 30 Am res %G 33'=
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres 3
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformeis7' ? RemoteC
ontrol Circ.
Partialorotherfee
Signs Special lns ection Minimum fee S53
Remarks
/LJ/SC a/A/? % F02 ?I 4N
TOTALFE ,?.T)y
I, the Electrical Inspector, her?rtify e?above inspection has bee made.
(Rough-in) U? Date
(Final) t Date / '?ai;v - 7
This request void 18 months om '
Thisre?? y`stvoid
18 moiIS?tiom
Date of this Request Fire No. T 8129
I, as G§ Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
6'O" ,na?B ?2?>
Strcet Address or Route No. 3 3 ? f5 city lr!4 G'R^L
Section Township
Range County DP?v-'t? ? O
Which is ocwpied by srr? - lJ " tq rtk, c-
1 (Name of occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier Ni Ye I O\1..A 9 2 Address 5?r - 1 fl'u (-
Flectrical ContractorC 0 M P"7014J \IV (Ef"I` i s- k4 . 64ontractor's License Nel. ,?
(COmpany Name)
Mailing Address _ SS?{' 9 "2 O f4- C? V" ro?
K
p ( ectrica ntractor r Owner aking This Instatlation)
Authorized Signature E- ? /'?+^A-x Phone No. 1Z z4-If 3 b
(Electrlcal Contractor or owner ing This Installatlon)
: STATE BQARD COP ?s inspection request will not be accepted 6y tha
tate Board unless proper inspection fee is anclased.
11roee10 awao warv m c uy . . .
Griggs MidWay 81dg. - Room N191 ? EB-00001-i
18?JUniversity Ave., St. Paul, Minn. 55104- Phone 297•2171 ,YQ?v
' 'FFEQUEST FOR ELECTRICAL INSPECTfON" ?
CHECK BELOW WORK COVEREB BY THIS REQiIEST ? T 8129
Type oC Building New Add. Rep. Cb¢ck Appliances W"ved For - Clieck Fquipment Wued For
Home ? ? 0 Range ? Tempoiary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryex
,, Electric Heating ?
Commercial Bldg. ? ? ?
P
Fumace Silo Unloadei ?
Industrial Btdg. ? ? ? ,
A's Con Bulk Milk Tank
Farm List List
er
Oth ? ? ? ere p
Heielg?
COMPUTE INSPECTION FEE BELOW
Service EnGanceSize: # Fee Feedeis&Su6feedets: # Fee Ciccuits: 7k Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres < u'D
]Ol to 00 Amps. 1[0 100 Amperes 31 ro 100 Am eres
Above Am s. Above ?Amps. ,roe Above lOQ_Amps.
Transformers RemoteControl Ciic. Partial or other fee ?
Signs Special Inspection Minimum fee $
Remazks j 6 (7i` : ( p p f,? y(o S!'
TOTAL FE ?
I, the Electncal Inspector, hereby certify tha,Yffj?abovpjlspEctjon has been ma . . 1S U
(Final)
This request void
18 months from
r? ' ?I
This requ void
r8 months from ? •--- . V J 4,c
Date of this Request s/ z?c Fire No. S 84170
I, as ?icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. -ZaA' e ZEI_-/.0.4 City4.-/?
Section Township Range CountX._? .
Which is occupied by !i
(Name o OccuDant)
Is a rougJhin inspection required on this job? No 0- Yes ? Ready Now ? Will Call
Power Supplier ? Address -
Electrical Contract6c ?Ll? Contractor's License Ndknz?
(COmpany Name)
MailingAddress 2?,? ??ls ST. ???0.k1 'J S(0--7
(Ejlerical Cantractor ar 02E1)0 k ng This Installatlan)
Authoriud Signature /if/. iC/. (_. o hone No.--1°?3
(Elactrical Contractor?or Owna(r? ng This Installatlon)
i ? ; t Cr,5 1 This inspection reques[ will not 6e eccepted 6y the
?? V, State Board unless proper inspectian fee is enclosed.
munnesow axace eoam or necvicI
Griggs Midway BVdg. - Room N191 ?.Se?3ggJ gg-OOD01-02
1821 University Ave., St. Paul, Minn. 55109 - PFqne 297-2111 a
REQUEST FOH ELECTRICAL INSPECFiOIV"' S' 84170
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliancea Wired Foi Check Equipment Wued For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? El Water Heatec ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryex ? Electric Heating 0
Commetcial Bldg. ? ? ky ,d Fumace ? Silo UNoader ?
Industrial Bldg. ? ? ? Ak Condifioner ? Bulk Milk Tank ?
Faxm ? ? ? Lisl List
Other
?
11
?
Herers?
2ereers?
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&SubFcedeis: # Fee C'vcui[s: # Eee
0[0 100 Am s. 0 to 30 Am eres 0 to 30 Am tes
101 to 200 Amps.
Above 200 Amps. 31 to 100 Amperes
Abov mps. 31 to 100 Am eres
Above 100 Am s.
Transformers RemoleControlCirc. Partialorotherfe
Signs Special Ins ection Minimum fee
Remarks
TOTALF I? ?
f(
I, the c pe e?reby c y tha? abpve inspection has been ma?
(Rou e?/ /Date
(Final !1) Date .r--f. 41
This request void
18 months from
qhis req[lest void L(t???? 5Ec t l 7?¢ f I 1 /
] 8 months from ? V
Date of this Re uest 4? o??r/ Fire No. 84166
1, as C?J'Licensed Electrical Co? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Section Township_
Which is occupied by
Is a roughin inspection required on this job? No q' Yes ? Ready Now ? Will Cap-M-
Power Supplier ? Address
Electrical Contract6r q?,?,dl t4?_?c a.r_T{ d Contractor's License qrp-..:n?_s
(COmpany Name)
Mailing Address _L_??" ??' •; ? /1cL? .sS-O? 7
Authorized Signature && L s?i .? .o .ct Phone No.
f? teiec?cricm consrocsor or uwner Ning i ms instanacron)
?,•I ? I??C? ?O , This inapectian requert will not 6e aecepted by d?e
rJ L5 ?? State Board unless proper inapection fee is enelosed.
Minnasota State 6oartl of EIBCtNCity
Griggs Midway Bldg. - Room N191 ia/ 4?6
? 7R9,] l` 'Versity Ave., St. Paul. Minn. 55104 - Phone 297-2711
"' IFiftUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST 0`
ES-00001-02
84166
Type oP BuOding New Add. Aep. Check Appliances W¢ed For Check Equipment Wired Foi
Home ? ? ? Range ? Temporary Wiring ?
Duplex 0 ? ? WaterHeacer ? LightingFixtuces ?
Apt. Bldg. ? ? ? Dryef E) Electric Neating ?
Commerclal Bldg. ? ? I Fumace ? S0o Unloader ?
Industrial Bldg. ? ? Air Conditioner ? Bulk Milk Tank ?
Fmm Lis[ L
ist
Other ? ? ? p
Here13? o
(3eheis?
COMPUTE INSPECTION FEE BELOW 9rrnv. ,?,F ?
Service Entrance Size: # Fce Fceders&Subteeders: # Fee Cixcuits: # Fa
0 to 100 Am s. 0[0 30 Am eres 0[0 30 Am res -pce!±L
101 to 200 Am s. 31 to 100 Am res / • a 31 [0 100 Am eies ?
Above 200_Amps. Above mps. Above 100 Am s.
Transformers RemoteComrolCirc. PatHelewiher,fee -
Signs Special lns ection Minimum fee .b0'
ff
??
Remaz Gu?
?, ? TOTAL FE '
i ?
??
G 66
I, the , h; by c?at on has been m?e. ,,_ ?,? (Rou 'n) Date -
(Final)
This request void
18 months from
This Tequest void 18 months from
.43
Range Countyj! ?
Date of this Reqaiest_???7
I; as BlAcensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: fd_ ?-ev_We_ 77
Street Address or Route No
Section Township
Which is occupied by
Is a roughin inspection required on this job? N043-- Yes ? Ready Now.4]' Will Call ?
Power Supplier
Electrical ContractdowS
Mailing Address -;'Ue-, _ S
Authorized Sienature ?/"(/- i
(Elettrical contracror or own
STATR BOARD COPY
/ a gr3 o
P7 7
Contractor's License N6$.12L7e-3
Phone No.
This inspection request will not be accepted by the
State Boerd unleu proper inspectian fee is enclosed.
Minnesota State Board of Electricity
. 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
AbOREQUESTFOR ELECTRICAL INSPECTION
CHECK EFLOW WOKK COVERED BY THIS REQUEST
9097 9?
P?72637
TjEpe of Suitdini New Add. Rep. Check Appliances Wired For Check Equipment W'ved Foi
Home ? ? ? Range ? Temporary Wving ?
Duplex ? ? ? Watec Heatec ? Lighting Fu[uces ?
Apt. Bldg. ? ? ? Dry ElecUic
Heating
?
Commercial Bldg.
?
0
? p
Fu
Silo Unloader
?
Industrial Bldg. ? ? ? Av Bulk Milk Tank ?
p? ist
e?s
eh List
Hehe13(
Othei
?
El
?
e
H
>
COMPUTEINSPECTION FEE BELOW
Seivice Entrance Size: # Fce Feeders@Subfeeders: n Fee Circuita: # Fce
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres D O=
101 to 200 Amps. 31 to 100 Amperes JL -? 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. A6ove 100 Amps.
T[ansformers Remote Control C'vc. Pa[tial or other feeS O
Si ns Special lns ection Minimum tee 55.00
Remazks,Q I.S. M 4 `u- v?` ?57 TOTAL FEE -
I, the Electrical lnspector, hereby certify that the above inspection has been made. (p
(Rough-in) Date
(Final) 4 c_ Date ?fo-?
This request void 18 months fro?'?'?
1'his request void 18 months &om / a 7?p/
30339
DatL of this Request
I, as-Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ??L 000, 0b b! G '7 7
Street Address or Route No. _, -3 =33 f-??r' 0' /7? /Z r_v/ City
Section / Township Range County >/? .
Which is occupied by S il 2 ? vr??_
-? ? (Name oi Occupant)
ls a roughin inspection required on this job? No R' Yes ? Ready Now ? Will Call
?
Power Supplier -
Electrical Contract?i
Idailing Address -.?) ::;719'
Authorized Signature Zw-A
(EIBCtYItdl COntldCtOf 01
????E BOARD COP
Contractor's License
R wner Makinq Thls Installaqon)
one No.
king ThiS Instellatlon)
7his impection request willnat be accepted 6y tne
State Board unless proper inspectian fee is endosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
'REQUEST POR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
?a79?
'R 30339
Type ot Building New Add. Rep. Check Appliances Wired Fot Check Equipment W'ved For
Home ? ? ? Range ? Tempotaty Wixing ?
Duplex ? ? ? Water Heater ? Lighting FictUres ?
Apt. Bldg. ? 11 ? Dryer ? Electric Heating . ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? A'v Conditio ? Bulk Milk Tank ?
Fazm ' ? ? ? List List J
Othei
?
?
? p
Heieis?
- p }
Heroisl
COMPUTE INSPECTION FEE BELOW??
Seevice Entrance Size: # Fee Feedets -. ` e[s: # Fee^ Circuits: # Fce
0 to 100 Am s. 0eres c ' 0 to 30 Am eies
101 to 200 Amps. 00 mperes 31 to 100 Am eces
Above 200_Amps. Ab . 00 Amps /- Above 100 Amps.
T[ansFormers Remote Control Ciic. Paxtial or other feS' . O
Si ns Special lnspection Minimum fee
Remazks TOTAL Ey,
/
(Final)
This request void 18 months from
This repuest wid ? ? 0 -7'
f
. 6 L-- rA r Px?
Nequest Date ire Na. Roueh-in Insp tion
Qu retlt Ipeatly Now [3Will Nolify_ Inspec-
?? es Q No 1or When peadY
Licensetl Elec[rical Contractor 1 hgreby request inspection o/ above
? ner electrical work instgllad at
Street AAtlress, Boa or Route No. City
\
T h me r Na R a. Cou Iy
Occupani (RIINTI
NP, o _ o.
w r Supp iw l A!dd--
C
lectncal ont t r ICOmDanY Namel
E
Cont, t License No.
w ?
f n racta st?i •?
J ?
. ? V 1
1
uM izeQ i?m ConH od king nsTallaTi
\
MIYVNE$OTA STAiE eOAND/Vr??,¢ry?77 THI$ IlYBfECT10N REQUST"1MILL NOT
Grigge-Midwey Bidp. - Ro6m ?81 8E ACCEPTEO BY THE STpTE gpAND
1821 UniversityAve.. 51 Paul, MN ?s104 ? UNIE$$ PpOPEN INSPECTION FEE IS
Phore 1612) 297-2111 ENCLOSED_
/... REQUEST FOR ELECTIIICAL INSPECTION Ea-°°°°i °°
? V -1-7 ' Sea imtruc[ions Tor comDleting this fmm on beek ot yellow copy. (.?
33-46,76 ""X" Be/ow Work Cavered by This Request (-
Ada Reo. TYOe of Buiidine .-APPlionuee Nird Eo.ipmeni Wired
Water Heater
lo
M Fee ServiceE?rtmnce5ize tl Fee Feeders/SUEteaders p Fee Circuits
0 tn 200 Amns __ 0 qmus dEhh 0 Aronc
to
U-1 . ( l'Y\LL . :Z? L! 15? ?
floup i e
? 1, the Elec '
? , Irispactnr, hereby
-n+h ?or tne abuva
Final ^t
pection has been
,tA.request .old ,emonth.tmm
This repuest wid V ?_
?',?°p?''^^ ` J
'Y'f ?I- `i''i3-LJ 1 F
?-"u? P,_
L U /d
N
I
eQUest te Fire No. flough-in Inspection
fleqmred
7 - ?
ReaAy Now [] Will Notity, Inspec-
J?
O P
S/
?
Yes No ?o?sy5
lor When Ready
yJ Lice?sed Elec[rical Convactor I hareby request insPactian oh above
?j Owner electrical work instelled aY
st.eet na? eox o? ??y Np.
?
( ?
?e
c ?cv -
O
i Kd
X ???4 !! i?
ecuon o. Township Name or No. Nange No. Co
Occupam 1 TI / Phone No.
G v+ I U/a.?`/Ot*J
Power Suppli . Atldress
Eleciri 1 [raclor (CO Dany ame)
Co Contracror s License No.
k w
/=/e ' ?1'G / . -
Mailine Address ICont? r or Owner Mak g nst I tionl
AuM "zed SiB?nre tor er Making In Ila ' n) Phone Nu
mber
/
L9 tl ? ?P//
YINNESOTA yTpTE Bppl1O OP £LECTRIUTV ? TMIS INSPECTION NEQUEST WILL NOT
Gripps-YidwaV BId9(? Room N491 BE AGCEPTED BY THE STATE BOARO
VNLESS PqOPEX INSPECTION FEE IS
1827 Univereity Ave., SO Paul, MN 6610C
Ph.re 1612) 2972111 ENClOSEO.
-&(tPREQUEST FOR ELECTRICAL INSPECTION Ee-°°°°i °a`
' See insiructians for comoleting this torm on beck ot vellow copy.
k54 7 CJg "X" Below Work Covered by This Request
ada Nao. Type of Builtling AOPliancea Wired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater Ligh[ing Fixtures
Apt. 8uilding Dryer Electric Heatin
Conrnercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm t er aeu v Oeher ISnecilyl
t.r SUCCify Othcr hrtr K4u¢I bir C
Camnutelnsoec[ionFeeBeJow .5(J'//KO. Y/..). _ 9,I'?CJO=
Y Fee ServiceEntra.eSiza k Fee Faeders/Subleedars # Foe Circuils
Utp200Ams Oto30qms Oto30Ams
Above 200 qm ps 31 to 100 qmps 31 to 100 Amps
Swimming Pool Above 100-Amps AAave 100_Amps
Transiormers Irrigation Boortn 510 1 Partial%Other fee
Signs Speciallnspection ?
k $ ,? TOTAi FEE
Memar wu.,. / 2?-/,l.cG 4L ( /,,-,,, cc ,/
1. th?ctrxa,-
Inspectol, hergby
cerfify thet 1he above
inapection has baen
rtmde.
This request void ? g lD oO L O CJ 610 7 S' 7(?
78 months from
3(oz 33
(p00 "06
___,.,. ... _...___.._..
Repurted7 ?/ ?ReatlV Nuw Wiil NotifY Inspec-
?Yes gNo tor When Ready
]?Licensed Elecvical Convactor I hereby request inspection of above
Owner elactrical work installed at:
SIregt,?ld29 BoW?r ? e N. /?
r <
S o? CitV
y.
?
eiY .+.f ?X• ?Q dsti?
eion o. Township Name or No. Nange No. Count /
/
Oceuuant IPfl TI / Phone e.
r or?f/6w
Power $uppl r Atldress
Electri a Conv tor ICO?? any N el
`
- Contrar.lor's LiceNO.
? O
?
e.e
vi
e, r D
Mai ine AtlJress IConvaclor or Owner Makine nsta
uthori d Signa[ure 1 r/Ow akinB Ins[alla 'onl Phone Num er
Z
MINNESOTq ?TSTATE ? B Of}E?LECTPICITY ? THIS INSPECTION HEQUEST WILL NOT
Grieas-Midwey eldg. oom N•191 BE ACCEPTEO BY THE STATE BOAND
1821 Univers??V A?e., SL Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
_._. EN LOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
, Sae inelructions tor comOleting tMs torm on back of vellow copy.
VV
" X'? Belo?`
r vered by 7his Request 3S//
l.V•
HAd Rep. Typa ol Building Appliancns Wiretl Equiyment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uilding Dryer Electric Neatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tdnk
Farm offier pemty Otner ISper.lfyl
? S -FV Ot or Other
Compute Inspection Fee Belaw b? ?ax X/.? = Ol? ---
k Fae ServiceEnvancaSize k Fae Feed s/SUbteeders N Fee Circaits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am
Ahove 200 qmps 37 to 100 Amps 31 to 100 Am
Swimmin Pool Above 100_Amps Above 100_Am s
Transiormers Irrigation Booms
, Partial-'Other Fee
Signs Special Inspectfon -U
S
? - \
Femarks ?e?/ t
) _ ?1i_/t:/ ?(f(1 TOTAL
??o••. P ?? u?w?H4.a.« '.•/%••?
Fough-in uatY'? 1 ?{he Elac?l
Inbpectoq herBby
? ' ' ' ?' ?'? certify thet ffie above
Final ?r?? - ?"?.3?,?inspection hes baen
mede.
Tnln rwmuwsl
This reQUest wid ??? ? 6 ??t ? lgC^
?ry[h?fr?? ,
18 ')
u
(c o o • ' V
fleques[ Date Piro No. Rough- InsPec .on
?amretl?
DReaAY Now Q Will Noii(y Inspec-
?Yes Na [or When qeatlY
Licensed EI¢c16w1 Conhactor 1 hore4y request inspeetion o1 above
Ownar electricel work imtalted at:
Street Atldress. Box or te o
??'? CitV '
,? 3.?
eclion o. Towrehip Name or Na nge No. C
Occupant (Pi1N Ph No.
r ? -
Power SupDlier AdAress
p+ amel
Electri 1 Con acror IC nv ' Contracwr s Lic
env
e No.
/
?GTvi? /
`
`
pro?e ?
JinB Atld ass ICOniracror w Owne MakiM 1 tailaY 1
'
3 " , ?
[?i
. ?/ it w
Auth ri ed Sie?ture on[ ct r Naki?p a ? Phwie wM?er
`Q
THIS INSPECTION NEUUEST WILL NOT
MINNESOTA $TqTE AR OF ElEC7111CIi1l '
Griqgs-Midway BI .- poom M-191 BE ACCEPfED BY iHE STAIE 90APD
UNLFSS PIIOPEN INSPECTION FEE IS
1827 Univarsity Ave., St Peul, YN 55100 ,
Vn..- 1612) 297.2111 - ENCLOSED_
.?C?fT ? 3 REQUEST FOR ELECTRIGLL II?ECTION
51?3 ? Sae irm[nctions (or compbai'g [his Iorm on 6aek ot Yellow copY- ?
B"'x"" Be/?Vork Covered by This Request
Neww Addl itep.1 Typa oi Bui Wi? Appliaxea NireA EquiDmant Mired
Home Range 7emporary Service
Duplex . Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatm
Commercial Bldg. Fumace Silo Ualoader
Industrial Bldg. Air Corditioner Bulk Milk Tank
Parm ?,t;W, cec' omcr Isoeciry)
t r Suecf(y iMr Olh¢r 4vu &JK
ComuutelnsuectionFeeBelow,A/)?//Wj,,tf X/.1,= .96G0?x
p Fae SarvieaEMremeSize k Poe Feeders/SUbteaders Y Fe¢ Circui[s
0 to200 Amps 0 to30q Otn30Am
Above 200 Artµ? 31 to 100 Amps 31 to 100 q
Swimmirg Pool Above 100_ Above 100_Am?s
TransYormer5 Irtigation Boortis ? Partial•'Offier Fee
Signs Special Inspec!ion
/ /??? $ ?p TOTAL FEE U
pFttac.c_/ Eir?,tG[.o? . ?'X?JVZ ? ?1G
ouBh-in r Date ?^?
? .?. the Eltlcv" 1
?/
a+ Inspeetpr, hgreby
cBrtiiY the? ThB abpve
Final ' Da1e
? iropeeNOn has 4ean
de.
TNarepuesivolOlBmonMSHOm //?
V ? c.•??f ?.-4
This request voiNlq 14 cc :;k- Z 13 ! '?q 0 5 1?;k
18 months from tp U oq p?,? c(O 75 -7.1- ??J?
Date of [his Request Fire No. L S 5 1 I, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: 33 .3-5 o? ??? P-k-A i
Street Address or Route No. ???Of? xe` 'DDoJ(a ?.°d. Cit, •
Section Township
Which is occupied by V11
Is a roughin inspection required on this job?
Power Supplier
Electrical Contractor We-u ? I/.,"
Mailing Address
Name)
Range County
. 0-- 3
Yes ? Ready Now O Will Call ?
Iress
os?-L
Contractor's License No. _
Ielyil.h.Y• ju,?116
L,?// ?eyect I[ont?r UWner makln9 i"I5lnstaiiatlon)
Authorized Signature Phone No. !17,77 (EI-ecjFTcal contrattor or owner Making Tnls Installatlon)
?5? ??? pOQ?? Q?p? This inspection request will not 6e accepted 6y the
CJ (;? Q Sta[e Board unless proper inspection fee is enclosed.
,
- Minnesota Stete Board of Electricity
Griggs Midway Bidg. - Room N191
1821 University Ave.,'St. Paul. Minn. 55104 - Phone 297-2177
' ' REQUESt FOR ELECTRICAL INSPEGTION .
CHECK BELOW WORK COVERED BY THIS REQUES'1'
hEB-00001-02
?C.? 0'5,-2.
? 406S5
Type of Building New Add. Rep. Check Appliances Wired For - Check Fquipment W'ued F
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryex ? ElecVic Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadet ?
Industrial Bldg. ? ? ? Aic Conditioner ? Bulk Milk Tank ?
Farm ? ? ? Lpist y1
ehei$ pList
rs?
ei
Other ? ? ? H
) H
e
COMPUTE INSPECTION FEE BELOW
Service Entiance Size: # Fee FeedecsflSubfeeders: a Fee C'vcuita: # Fee
0 to 100 Am s. 0 to 30 Am e:es 0 to 30 Am eres 2.
101 ta 200 Am s. 31 to 100 Am eres 31 to .100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformecs Remote Control Circ. Partial or other fee
Signs Special Ins ection Minimum fee SS -J-O
Remaiks I TOTALFEE 1J,Ct, S"
I, the Electrical Inspector, hereby certify
(Final)
Tliis request void
18 months from
been ma&.?
11 fG?i A
Thls requasl rovoid q/hL,/PU
18 ironths tm ? X d ? ? -
E a? a R/ / At .? ?vn, i liJ'2Y-Aaft-
s-7say
Q;?(p00 @`
Renuest Date Fire N. Rouph-in InsVer.tion
Pequiretl7 ?y
?Ready Npw u Will Notify Inspec-
L ?Yes p tor When fleady
? Licensed Elecvical Contractor I herabv request inspection af abova
pK.ner electrical work instelled at:
S[reet Atldress, 6on or Ro Np Ciry
a3,3 ?'
.3 lor ?4-? 4c..
k r,
Elecuical
k.
License Na.
?? TMIS INSPECTION flEQUEST WILL NOT
GMIrie9s-MNNESOTA idwey STATE BldaBO O ELECTflICITY _? ' ? BE ACCEPTEO BY THE STATE BOAHD
. oom N-181 ?,`// UNLESS PNOPEN INSPECTION FEE IS
7821 Univarsitv Ava.. St. Geul. MN 55104 S
Pnnnn l!'i191 F69-f1A00 ENCLOSEO.
#I
;EQUEST FOR ELECTRICAL INSPECTION EP-ooos,
See inshuctions for comOleling this lorm on beck ol Vellow copy.
E? 9348 "X Be,oW Work Covercaftws Request
Add NeO. Tvoa of Builtling ApPtioncee WireC Equiu??ent Wired
F-7--F--T-Dunlax I I Water Heater I I Lightin4 Fiztures I
A
nn Faa Halnw 4!n -? /'? Y/? =
0
p ! Fee Service Entranca S #j Fee?
Feeders/5ubleetlers
H
Fee
Gircuits
0 to 200 Am 5 0 to 30 qm s
Above 200 q E 31 to 700 Amps 31 to 100 A s
Swinvning Pool Above 100_Am s Ahove 100_Amps
Transiormers Irrigation Boort?s Partial.'Oth
Signs 16Veciai inspecuon S f1p
TOTAL
noupn-rn ///??? ( 1, Ne Elecbical
? // ? ? Inspector, hereby
certify ?hai fha above
-? LG
pn4
Final -./7 " 7 insoection hes been
?f mada.
fUle repu0sl
?/
?9?
3-G56
0
-1 .
?
? ?
qe
V
t Fire Nd. oughdn InspeGi n Requiretl
V
must call in ect r w read
)
Nm Inspection Ofiher Than fl gh-In
R
tl
N
?YJI N
Hl
I
t
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o?
(
V
1/0
(
y
OU
.
? Yes
?
y
ow
o
y
nspec
or
ea
Oa1e Reatl
Iensed contractor ?owner hereby request inspection of above electrical work at:
JoG AtlJress (Sireel, Box or No.)
ta Ciry
boT-
33 c ?
Seclion No. Tovmship Name or No. Range No. Counry
Occu M (PRINT)
rL,?-? E.fTr??? S 5? S Phane No.
PowerSUpplier Atltlress
E'o'"`a' °°"'a"°` "°"'o"Y "a`"a, A€ ConUactors license No
M ELECTRIC SERVICES ?
?
Mailiig AtltlrBSS (COnVactor or Qvner n flbWoh) ,,
SPRIN
AupionzeU S' tu, Co aclotlOvmBr Making InSiall??p ? 783-7080
?bi? Phone Numb¢r
MINNESOTA S TE BOARU OF ELEC ICITY THIS INSPECTION REWEST WIIL NDT
Griggs-MlEway dg. - Room 5-128 I II I? II I I I III I I I I I I I I I 0E ACCEPTED BV THE STATE BOARO
1821 Univeielty Ave., $t. Paul, MN 55/04 UNLES$ PROPEF INSPECTION FEE IS
Phone16121692-OB00 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
U?. ?pp. See instmclions for compleling this fortn on back of yellow copy.
? "X" Below Work red by This Request
?? EB-00001-09
' ?`/?9 fo
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Eleciric Heating
Apt. Building ' Dryer Load Management
Comm./Industrial Furnace Other (S ecify)
Farm Air Conditioner
OMer (specity) Comractor'sFemar
fA.:I
Compute Inspection Fee Below: " !7/'n L>r?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 Amps Amps
Slg}IS Inspecmr's Use only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDE DISCONNECTED IP NOT
Other Fee COMPLE7ED WITHIN 78 MONTHS.
I, ihe Electrical Inspector, hereby
i
ti
h
if
h
b Rougn-in oate
ove
nspec
on
as
cert
y t
at the a
been made. Fmal Date
- -??
OFPICE USE ONLY
This request voitl 18 months from
5? 7 9? OFFICE VSE ONLY This requesl void 18 monihs Bam volidotion dare prinfed in Ihis
r-, , a ?Y?l ?/
?III IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII^/?it7? ??'?'117??./C ?n' ? ? ?• v
?K O 4 Fa 2 7 B 7 3* PLEASE PRINT OR TYPE CL?/
Reqocsr D Roughin impedlon reqoiredt ? Ves Inspecnon Other Thon RougMn: ? Reody Now i I Call
S 9 97 Date R.ady:
I, icensed conhactor 0 owner heraby requesf inspection of Ilie above eleckicol work ot:
ia ne
w?ry
3 I a x« /?
4
3
-
? °y ??@
a rP coda
1
,,7
/ KU
,
,
, 4
.a.
Seclion No- Tow?hfp Name « No. Range No. fire No. C
?
q, D
o«U70 Gk heecK G rf" i
?
,,?
Ph.^e?
Power opplin ? Address
c. pnrry Name???'G /'?`
Eleckiwl Conh ri
? Conhaior L'«me
• Moster lic. No. (%anl Ebn. Only)
,
/
. ??/r
c.c.?d4
Moilirg Addreu (ConhrcM or u iig Insblbfion?
//
/?
C?O Ni7 ?'ik;/ ' / Q?u ?a . 5???
SgnaNre ? hodor or rming Insallorion? Phone No.
4;; 16
EB06007AI 1 8/96 ?4' 'STGiE BOANO COPY - SEfiAGS'fH11CTIONS DN BACK OF VELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION /`-- dr
??? ? v? ? 1n821 Univ sState ry ABe, Rm. S-1?2nC1St. Paul, MN 55104 -
?7 ! Phone (612) 642-0800 7Ja / 5 1 yi / ? •
/
Home Duplex A t. Bldg. Other: ?J ? New Addn
Comercial
m Indushial Farm /fN??+k1 ?""• Remod Re ir
Air Cond. Htg. Equip. Water Hic Laod Mgmt.
plher.
Dryer
Range
Elec. Heat
Temp. $ervice I
°X' above ihe work covered by dris requesf. Enfer remarks in Ihis space and on the back of rhe white copy only.
?N ?s .+a.I ?c i k? ?.cc+ rec. ???
P/?as .r.y ve? , ry?
Calculale Inspeciion Fee - This Inspecfion Request will nof occepfed witboul the corrxl ke:
Ofher Fee # Service EnVance Size Fee # Circuits/Feedere Fee
Mobile Home Park Sfall 0 fo 200 Amps 0 to 100 Amps
Sfreet Llg./Traffic Sig. Above 200_Am s Above _Amps
Transformer/Generator TA
INSPECTOR'3 USE ONL
O
Sign
/Oufline Lfg. Xfmr. /
Op
O
Alarm/Remote Conhol KP
Swimming Pool ,
I haeb certi Ifwt ins ?ha el b?non 1 exn6e1herein w #e dores sroted
Irri9afion Boom Rwgh.ln Dare
ecial Ins ection
S
p
Investigative Fee
THIS INS7ALL4710N M
AY 6E O Final oore
ROERED OI NNECTE TED WITHIN 8 ONTHS.
Z14,0 513
035 d ? ?
,
r
l
Requast D Ire No.
? F
( ghdn'Inspec on Required
u muat call Inepec w n ready) Ins actlon Other Th?y R? gh-In
Reetly Now ?WIII Nollty Inspector
? Ves No Date Ree
I licensad contractor ?owner hereby requast inspection of above electrical work at
Job Atltlress (Street, Box or
a) Ciry
3333 'e
71,
Section No. Township Name or No. Range No. Co -
/
Occupanf (PRpT),4 Phane fjo.
y6/
?-
S ?
_ _
Powar Supplier Nf
Atldress
Electncel C Irecbr SCompany Nary e)
?/
/
? Con?ir sor'sy iCBnsa No.
3
" ?
uH.T
c ,
Meiiing Atltlress (COntrador or Owner Makingl nstellatbn)
300 ?b. a S7/
uthoriz Si8^aWre (COntr tor/Own a nslallation) P one mCer
1
?/
l
-0
91/
Y
z
ol MIN SOTA STATE BOA lE TRICRY THIS INSPECTION REQUEST WILL NOT
Gtlgga-Midway Bltlg. • N &128 BE ACCEPiED BY THE STATE BOAPD
1821 Universlty Ave., . Paul, MN 5510i UNLE55 PROPER INSPECTION FEE IS
Phone(61P)642-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTIO
?,gr? ?sa79
0035513 ? ee inslructions for completing thls form on back of yellow cOpy
t:` ) 95 X" Below W¢rk Covered by This Request
Ne Add Rep. ypa oF Building Appliancas Wired Equipment Wired
Home Range Tem orary Service
Duplex Water Heatar Elactric Heatin
Apt. Building Dryer Load Mana ement
Comm./Industrial Furnace Ot er 5 eci ty)
Farm Air Conditioner .? L'„ e-?
Omer (speciy) Coniraclors Remarks:
30 °=,,^ . x,d; 600
Compute Inspection Fee Below: ,30 6
# Other Fee # Service Entrance Size Fee # Circuit Fee ers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200-Am S Above 100 -Am s
Si ns insPectors use omy: TOTAL S?
Irrigatian Booms
S ecial Ins ection C(I??'" /
f
Alarm/Communication `
TNIS INSTALLATION MAY`BEBFtQ RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT .
I, the Electncal Inspector, hereby
cediy that the above inspection has
been made. Roughdn
Finei a oeier-, i
oete
OFFlCE USE ONIY
ThIS request voitl 18 monlhs tm.
in ,F Sa
?
H :32 81 ???
,
Request Dete
`??? _?? Fim No. Rough-in Inspedion
Requimtl? ?
? Reatly Naw ili NotiTy InsPec[ar
n R
tl
?
Wh
Q ? Ves ea
Y
e
I licensed contractor O owner hereby reques[ inspection oi above electrical work at:
Jo0 AEtlress (Sttee[. Bw ar Raute No.) City '
33( d
Senion No. Towns?ip Name or No. RangO No. Coun?y ?
n
Occupan[(PRINT) Phone No.
u .?
Power Supplier Atltlress
ElacMCal ConVactor (Compeny Name) Contrador5 License No.
Aay03oJ ff
Mailing Atltlress IConimcror or Owner Makinq InsWlla[ion)
r? ?
?s3
S
Fs
` s
7702 S
ry
J
V
numonzetl SignaNre IConVadorlOwner Making Installati n?
?P? Pnone NumOer
5'.2S 2S.2S
MINNESOIfi STpTE BOAHD OF ELECTRIGRY ? THIS INSPECTION REOUEST WILL NOT
Grlgga-Mltlway 91tlg. - Floom S-173 BE ACCEPTED 8V THE STATE BOARD
1821 UnlvanHy An.. 50. Gaul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(B1P) 641-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL WSPECTION Nee?-ooom-oa
? See instru? ? br completing ihie form on back of yellow oapyR
X" 8elow Work Covered by This Aequest
32381
ew A,jA. flep. ..., TypeofBuilding ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm./lndusirial ' Furnace
Farm Air Condi[ioner
Other (specity) ConVac[or5 Remarks:
Compute lnspecfion Fee 8elow.'
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Poot 0 to 200 Amps 0 ta 100 Amps
Transformeis Above 200 -Amps o_Amps 'P?
Si9f1S Inspectorg Use Only: 7p pTAL
50
Irrigation Booms
Specialln5pedion
Alarm/Communication Q 'QRDERF?D ?ISCUNNECTED IF NOT
THIS INSTAILATION MAY
Other Fee ?50 ,
COMPLETED WITHIN 1 JHS.r
I, the Electrical Inspector, hereby R°°9n-'" 41 j??
?
certify that the above inspection has
been made. F;,,ai .? ' oaie
OFFIGE USE ON W ? -
ihis request voitl iB months trom
lP?a/5'o ?` 97?-s
? 4 0 828
Requesl?ate
? ? ?Q frze No. Rough-in Inspeclion
RBquirBtl?
? Ready Now ? Will Notify Inspector
Wh
R
d
?
? yes o en
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Joh Adtlress (Stree 8ox or Royq% o.
V
( Ciry ? l
Secion Plo. Township Name or No. Range Na Coonry ???
Occupani(P'RlINT?? /?( ( ?^ Pbone No.
(//5LJ N•"I
Power Supplier Actlress
Elecvica Comramr(COmpany ame)
-f ???C &elzp GonVactor5 License No.
a39?B2z- ?
Ma ng qtldress (ConKaclor or Own.e?r7Making
nstallal 2d"D iwilO//"l ?J
Aulnlla?ion)
Enslc Phone Numbpr
PT?
MINNq50TA STATE BOARWF EI16CTNICITY THIS INSPECTION REOUEST WILL NOT
Grigga-Mltlwey Bldg. - Room 5-F3 BE ACCEPTEO BV THE STATE BOARp
1821 Univenky Rve., Sf. Peul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
?/??O REQUEST FOR ELECTRICAL INSPECTION
?$ee insl.uctions ior,Wmpleting ihls form on back of yellow copy.
3 408Z8 X" Be/ow Work Covered by This Request 9EB4)0001-QZ
ew Add Rep. TypeofBuiltling AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Fumace
Farm Air Conditioner
Olher (specityl Canirector5 Remarks: DT V? S? 11a ,
,sa =,?c.ka x iZ = c?Q' " ?,3a/yi
Compute Inspecfion Fee Selow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transi0rmers Above 200 _ Amps J _ tAbove_100 _ Amps
SigOS InspecmrS Use Oniy: /_ TOTAL ?
Irrigation Booms .
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE RED D CONNECTED IF NOT
Other Fee ? S-Z COMPLETED WITHIN 18 S. ?
I, the Elecirical Inspector, hereby
certify that the above inspection has
been made. Rou9h-in
F;,,ai
OFFICE USE ONLY '
This raquest voiE 18 monihs irom
K33153 , y''
D
Hequest Date ?re No. Rough-in Inspeciqn
Requiretl?
? ReaOy NOw ? Will Noti/y Inspeclor
? Yes 4No Wiian Reatly9
I licensed contractor D owner hereby request inspection of above electrical work at:
JoE Atlaress (SIreeL Boz or Rome Ni
3333 101607- KN06 of O, Ciry
Section No. TownsM1ip Name or No. Range No. County
Cccupand (PRINT)
PA?.'A*Ax L?o/zP Phone No,
Pawer Supplier FOOress
Elec ic I GonVactor ICompany Namel
/?? ??G Contraclor5 Licensa No.
Mailing AtlOress IConvaclor or Owner Making Installalion)
? e? r r?Q r?c. kq! ST, r?fh/L Aw rs/14-
numorizea )re iCon ;Owner M in stanalion? Phone Numoer
MINNESOCp STATE BOARD O ELEC?pICITY THIS INSPECTION REOUEST WILL NOT
Gripys-Mitlway &Eg. - Raom -1]3 Y BE ACCEPTED 8V THE $TATE 90ARD
t821 Univerelly pve.. SL Vaul. MN 55106 UNLESS PROPER INSPEGTION iEE IS
P1pne(6tY) 66Y-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ??.M- ??
F?
K?315 3 $ee insVUCtions for completing iM1is lorm on back ol yellow cppy.
"X" Below Work Co*ed by.ihis Request
ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heatar Eleciric Heating
Apl Building Dryar Other-(Specity)
Comm,/Indushial Furnace NU?2. 1Y?WY
Farm Air Conditioner
Other (specily) Gomrector5 Remarks t
w /?a - /
5-0 /w10 ,?
Campute Inspection Fee Below: ? ?Z = /f2 -
# Other Fee A ServiceEntranceSize Fee # Circuits/Feeders Fee
SWimming Pool 0 to 200 Amps 0 to 100 Amps
hansformers Above 200 _ Amps A oo _ Amps
Signs lnspecmr5 Usa onir: TOTAL
IrrigationBooms / Q?` ?jQo
Special Inspection w?
plarm/Communication THIS INSTALLATION MAY BE DERE DISCONNECTED IF NOT
Other Fee uTC dT QS6 COMPLETED WITHIN 18 WS. 7„ `
I, the Electrical Inspector, hereby Roigh-in ,,. ;./ v, os?e
certify that the above inspection has
been made. Fma?
v `
OFFICE USE'JNLY
This request voitl 18 moMhs Irom
?el9/ Z10/15,50
. 4 0 8 3 t4u, 6 Lio'
Request Date Fire No. ugh-in Inspection
equiretlP
? Reatly Now ? Will Notiry Inspector
Ydh
R
d
7
? Yes o an
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Joo Natlress (Stree6 Box or m o
/? C'ity
3'33 49 A 4
Section No. Township Name or No. Range No.
4
L ?? / yC
Occu an (PflINT) Phone Na.
?k ij?e f d?'
Power Supplier AtlEress
Elecvica mraao, IG mpany Nam Contrecm
r's lice
ns
e No.
? p
1
\
D'?+/40? ?
Maihng AtltlressDlC?racfor oe Ow???n Making Instal ?;? ?`?y ??/
l
? j-
Aut?oriz Signatura ?COnttaclor wnerM n lalialionl Phone Numb?er/ ?y
?
MINNESOTA STATE BOAHD OF THIS INSPEGTION REOUEST WILL NOT
Gdggs-Mltlway B10g. - Roo 113 BE HCGEPTED BV THE STATE BOARD
1821 Univarslty Ave., SL Pa , MN 55106 UNLESS PFOPER INSPECTION FEE IS
YMiw (612) 643-0800 ENCLOSEO.
5/6 ?//g/ REDUEST FOR ELECTRICAL INSPECTION ?;?'" ?? e ooomn7
e?
7' ?$ee inshoc0ons la completing this lorm on back ol yellow copy. ? :' ,/6/?.a [
° X" Be/ow Work Covered tiy This Request
G4.0837 ???
?
ew Add ep. TypeofBuiltling AppliancesWiretl Equipme uetl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt 8uilding Dryer Other (Specity)
Comm./Indusirial Furnace Mµ?„«„
Farm Air Conditioner
Other, (specily) CoMracmr5 Remarks.
0,T-0=?/?o X.62 =
Compute Inspectian Fee 6e/ow:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 _ Amps ve Amps
Signs Inspector§ Use only: TAL
?
Irrigation Booms '6co, (p(,`
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY 8E OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby Rough-in
4 oate
certiry that the above inspection has
been made. F;,,ai oa1e
OFFICE USE ONLY r
This request vob 18 months from
/?