1380 Duckwood Dr - Electrical Permitsir 6-!J ? -i"EQUEST FOR ELECTRICAL INSPECTION eaqqq-o^oooi-os
, See instructions for completing this tortn on back ot yellow ?ropy.
/9/45 "X" Bel3w Work Covered by This Request
Ne Add R'epj Type of Building Appliances Wired Equipment Wired
- Home Range Temporary Service
Duplex Water Heater Electnc Heatin
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Speciry)
Farm Air Conditioner
Other (specify) ConVac(or's RemaMS-
.T'JsrN./_ r G.9ira.E -?i4^?1R- SCb,v
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps 100 -Am s
SIJf1S Inspector's Use Only: TOTAL
lR19dt1011 BOORIS
( Special Inspection Zp °-
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
h Rough-in oe?e
y ihat t
cer
e above inspection has
been matle.
Final
OFFICE IISE ONLY
This request voitl 18 monlhs irom
ll?/aY?- /07o2X y
J 6 618 5 8-1
Re uesl Date
° 7'2?-92 Flr o. Rou h-in InsPection
?uiretl?
?FieatlyNOw ? }[
WiIlNOtitylnspector
=Yes ? N. When ReeOYT
rLXlicensed coniractor D owner hereby request inspection ot above electrical work at:
Job AtlOress (Sireet Boa or Foule No-) CIy
Eagan
1380 Duckwood Drive
Section No.
• Towrehip Name or No. Ren9e No. Counry
Dakota
Occupant (PRINT)
Tires Plus Servic ,CaPl2y C
?4 Phone N0. Ool)
onst.) 334-6034
Power Supvfid. natlress
ele.tr,?a1con«a<to,(c°Ru?"nsbille Electric
' ?",?'«5L-a"sa"a.
CA00342
Malin9Address?CooI,ad,o,j,jf7e,t6j&sd'At" Rd. Apple Valley, MN 55124
AuthonzeC SlgnaWr aor;Own r Ma?stallation) PM1one Number688-6002
MINNESOTA STATE BOANO OF ELECTRICITY THIS INSPECiION REpUEST WILL NOT
Griqgs-Mitlway Bltlg. - Roam S-173 BE AGCEPTEO 9V THE STATE BOARD
1621 Unlversity Ave., 51. Paul, MN 55104 UNLE55 PFOPER INSPEGTION FEE IS
Phone(611) 662-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-oooai-oe
? See tefrucfons for compleUng this form on back ol yellow copy
J 66858 r "X" Be/ow Work Covered by This Request
ew Add iiep. TypeofBuilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
6uplex Wa[er Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
OUer (spec1fy) Gontractor5 Remarks:
Remodel
Compute Inspection Fee Below:
# Other Fee # Service EnhanceSize Fee # Circuits/Feetlers Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TfanSlOrmerS A60Ve 200 _ AmpS Above 700 _ Amps
SiynS Inspectors Use Only: ? TDTAL
Irrigation Booms /_7 p •° ? ? ir 5t)
Spetial Inspection 'r
Alarm/Communication THIS INSTALLATION MAV BE-ORDER?p ISqONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ?HS. 'J
I, the Elecirical Inspector, hereby
tif
th
t th
b
i Rougn-m • ?? ?
cer
y
a
ove
e a
nspection has
been made. Finai
172
OFFICE USE ONLY i
Tnis request voia 10 months irom
? 9 5 5 8 9,,,) sa 7
RequestDete ire Rough-inlnspectlon
Requiretl?
? ypy ?
[S-R`e?ady Now ? WII Notify Inspecior
When Ready?
I1?ficensed contractor ? owner hereby requast inspection of above electrical work at:
JoC dtlress (Str99t, Box or Route NoJ I
O Q (i G{ Lt? V ciry? 6 ?[J
/J / Y
Secljon No. Township Name or No. Range No. Cou
9 I( aTA
Occupant(PRI
, Phone No.
Power Supplier Mdress
Eledr Contreclor (Cwnpany me) - Contradar§ Lice ` No.
03
Mailing AdEreas (ContracWr or rier alting Inslalletion)
s? ?
7,v .
l!G Ki-?.
AN ' etl Signature
trwirMaki ? Plrone Nu mber ; 2 - ? `3 0 ??
E OTA STATE 60ARD OF ELECT(i1CRY THI$ INSPECTION REpUEST W ILL NOT
ICw? BIEg. - Room S1T3 BE ACCEPTED BV THE STATE BOARO
18 niveraity Ave., SI. Paul, MN 55f04 UNLESS PROPER INSPECTION FEE IS
one (612) ) 642-oaIl0 ENCLOSED.
[P/? j,?g REQUEST FOR ELECTRICAL INSPECTION es-ooom m
p? (? Cp? See insimctians (or completing this form on back of yallow copy. +^ 9?,j ?7
?I .'r? J p "X" Below Work Covered by This Request
ew Add Rep. ? TypeolBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
1- 1 / Apt. Building Oryer Other (Specify)
Comm.Andustrial Furnace
Farm Air Conditioner
• Other (spedfy) CoMractOr3 Reff arks:
Compufe Mspection Fee Below:
# Ofher Fee 8 ServiceEntranceSize Fee # Circuils/Feedere Fee
Swimming Pool 0 to 200 Amps a lo t00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspectors Use oniy: TOTpL
?
Irrigation Booms
Special Inspection
Alarm/Communication
O[her Fee
I; the Electncal Inspector, hereby
it Aough"ln Date
cert
y that the above inspection has
been made. Fi,,al
? - oei r
??3`U
OFFlCE USE ONLY
TM1ia request voitl 18 monthe hom .
c 0,ei?
f51876 . ?. C:5y1
Request Date Fire No. Rougn-in Inspedion
qe Iretl? J
? Ready Now dl Will Notity InspBdor
- yas V N. ? ? When Ready9
I licensed contractor ? owner hereby request inspection of above electrical work at
Job Aaaress (Street Bax or Route No.1 City
Seclion No. Township Name or No. Range No. Counly
- ?r
Occo0an1(PqINT) Phone No.
-1-
Power Supplier lWtlress
Elecm<al Contractor (GOmpany Na e? ponlrador's License No.
O-Err?S ? )!!?- d ? r
Mailing qenress ICOnVactor or pwner Making Installalion)
s ?'y a 3
Autnonzee aturetCOnt ctodOwner Ing tallali Phon Number
?
MINNEs6TA STATE BOARD OF ELEC CIT ' THIS INSPECTION PEQUEST WILL NOT
6rlggs-MiEway Bltlg. - Room St] BE ACCEPTED BV THE STATE BOARD
1821 Universily pve.. SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhonel61P) 662-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
J?? ??? ? See inslruclions for completing this lorm on back ot yellav copy.
"X" Be/ow Work Covered by This Request
EB-00001" q ?
?._..°
ew Adtl Rep. TypeofBuilding AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indushial Furnace
Farm Air Conditioner
aher (syecily) ConVactor§ Remarks:
G CJ
Compu[e Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Cimui15/Feeders Fee
Swirnming Pool 0 to 200 Amps 0 to 100 Amps ._i
Transformers A6ove 200 _ Amps 100 _ Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORUERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTN .
I, the Electrical Inspector. hereby Rougni oe? ?
certify that the above inspection has
been made. F;nai oe?e
OFFICE USE JNLY
TM1is reques[ voitl 18 months irom
v ?/yo- o 7
/
J ; ?
??s
Request Dale
q
? Fire No . Rough-in Inspeclion
Requiretl9 Vfieady Now 0011 Nofify Inspector
I G Ves o WM1en Heatly?
I?Klicensed contractor p owner hereby request inspeCtion of above electrical work at:
Job Aatlress (Street. Box or Route Naj Ciry
138c> 'tr ? an
Seclion No. Township Name or No. Faige No. Counry
Occupanl(PRINT) Phone No.
P
A
W
QP?n
Power SuOPher Adtlress
Elecirical ConVacbr COmOany Name) Contrador's License No.
L\eL:?C';c S Vns o cA oos 3
Mailing Atltlress (COnvacror or 0 erMaking Inslallation]
`A153 ;ds
-ggn AS
Authorrzetl Si re I nVacbuOwner Makin In To PM1 ne NumOer
MINNESOTA STATE BOAR[}'OF ELECTRICITY f THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg. - Abom S17I BE ACCEPTED BV THE STATE BOARD
1821 UNVenity Ave.. SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Flwne (612) 602-0800 ENCLOSED.
rll //r,?LREOUEST FOR ELECTRICAL INSPECTION 9%. ee-00001-08
J56809 ? See i-simct` •?s lor completing Ihis form on beck oi yellow copy.
$ ?"X* $elow Work Covered by This Requesf Q? e Aad Re;i. TypeoiBuiltling AppliancesWired EquipmantWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Olher (suecity) Contrac[ar5 Remarks: +? ? ? r? S1q n
J
Compute Inspectian Fee 8elow:
# - Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above-100.^_ Amps
SignS InspectorS Use Only: TAL
' Irrigation Booms s(`j
Special Inspection C
C
Alarm/Gommunication ER
IS(C
THIS INSTALLATION MAY BE O ECTED IF NOT
Other Fee S.
COMPLETED WITHIN 18 MONT
I, ihe Electrical Inspector, hereby Rouqn.m oate
cehity that the above inspection has
been made. Final
' oat
?'
OFFICE USE JNLV
Thi3 r9puest witl 18 months irom
This request void
18 months from ? O
_ nf)_ G87890
fle.quest Date /
? ?{ v
r o ? Fire No. qpvgh-ii Insuection
flE
poired? .
?ReaAy Now ? Wfll Notity Inspec-
tor Wh
R
?
yes ? No en
eady
?(] Licensed Electrical Contractor .
I herebV request inspection of above
? Owner electrical work instellad ar.
Street Address, Buz or Route No. C ity
13 0 0 uC Irk- wuav D/2. F 6R
ecbon o. Township Name or No. qange o. Comny
vA-fot
OceupantlPNINTI Phon¢ Ne.
-t- c? s, S przzi y3a•3o?
Power SupDHer Atldrxss
ElecGical Conlracmr iCompany Namel Cnntrnr.mr's Licnnse No.
?c. F_ t
c r ie a 4?a3v?
Mailing AAdress IContractner MakinB Instailationl
or or Ow
? 9' v?Ii aK
Authorized SiBnacure (Conhactor/Owner Making Installationl Phone NumOer
MINNESOTA STpTE BOARD OF ELECTRICITY TMIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bldg. - Foom N•191 gE ACCEPTED BY THE STATE BOAND
1821 UniversilV Ave.. St. Paul, MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone (612) 297-2117 ENCLOSED.
P REQUEST FOR ELECTRICAL INSPECTION Ee-oooor.oa
771 See inshuctions lor com0leting lhis torm on baek of Vellow copy. U q "X'* Below Work Covered by This Aequest
Nee,i AAtl Xeo. TVDa ol Builtline Aooliancea WheA Equipmem WireA
Home Ranye Temporary Service
Duplex Water Heater 'X Lighting Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm omer ne,j v tner lsuec-1vl
t .r pecify Othcr Other
Gomuute lnspecfian fee Belaw
J1 Fee Sarvica EnVaviceSize tt Fee Fenders/Suhfexders N Fea Circuits
0 to 200 qm s 0 to 30 qm s YS C; 0 0 to 30 Am>s
Above 200 qmps " 31 to 100 Amps 3 !.00 37 to 700 A
Swimming Pool Above 100-Amps i .00 Above 00_Am '
Transiormers ??triyation Booms
` , D Partial.'Other Fee,
Signs Speciat Inspection S /
TOTAL
Remarks /NS 7/)? /PC/NC 7'O R O Ur6rTf ? f Q ?E??
rrnIc ar? ?v??ii vnr? ?
Rough-in Date I, the E?atl?ical /
? l InsPec,oq fiOreYy
w certitv ?het the nbove
Final / p^? ingpec[ion has been
made.
(? • -
This reaueat wIE 18 months fro.
'us request void
S momhs Irom
C 2 0 0 0 0? 01 (-'? ?! • .? Cck,titv Gt? ?$"?l • On
Request Da e Fire No. Poup_ n Inspection
v Reqwred? ady Now ?Will Notity InSPec . -
Septeriber 24, 1986 ?Yes ?NO ior When Ready
? Ucansed Electrical ConVactor I herebv requast insoaction oi ebova
? Owner elacirical work inatelled at:
Street AAdress, Box or Route No. CitY
1380 Luckwood Drive Ea an
ecuon o. Township Name or No. . ange No. Counly
Da7tOtd
OccuOnntlPqINT1 Phone No.
Great Clips
Power SupOlier Address
Electrical ConVactor (Company Name) Comractor's License No.
Prairie Electric, Inc. 040597-7
Mailing Atldress (Contractor or Owner MakinB Instailation)
7 T view Rpad en Prairi
Auth ¢ SiB? IConVactor Making Installatiunl 1 944-7059 -
Phone NumOer MIffNESOTA STATE eOARD OF ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Griggs.Midwav Bldg. - Room N-191 BE ACCEPTEO BV TME STATE BOAHD
1821 University Ave.. St. Paul, MN 55104 VNLESS PPOYER INSPECTION FEE IS
Vhone 16121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oucwi-oa
w:
, See instrucliona for completing this form on back ol yellow copV.
c 2'e 00 0 "X" Below Work Covered by Ihis Request
Mrw+'IAddI ReO.1 7yoe ot BuilEing I ADVliancee Wiretl . I Equipmenl Wired '/ I
oner
M Fee Service Enirance Sixe p Fee Feaders/5ubfeeders - 1? Fee Circuits
U to 200 qm s 0 to 30 Am s 21.00 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps • 31 ta 100 A s
$wimming Pool Above 100-Am s Above 700-AnVS
7ransiormers Irri ation Booms P&rtial.'Other Fee
LL_ I$igns I I ISUecial Inspection ? S TOTAL F?
Remarks ZZ.S?+ ? ?
J I, the ElecVicel
• /Q/ '?'inspactoq heraby ^ ? ? certi?y thet the nbove
Final i^?e _; ingpaetion has been
? ?/, mede.
This requesl void,//o2/F 7 /
18 momhs fwm
C 80817 6' . . ? 7,
Re?uest Ua. "• -
O? ire Rouph-in Inspection
Neq red?
?
?ReaCy Now9 Will Nmity insPec-
tor Wh
F
d
yeg ?NO ¢n
ea
y
[y Ucensed Electfical Convactor 1 hereby re0uast ins0ection of above '
? Owner eleetricel work insfelletl at:
Sveet Address, eoz or Raute No.
? /390
kwv
&
!
d City
E
.
,
?
v a a,n
ecuon o. Townshio Name or No. Pange No. County
.\
?1 Q K?Q.
Oc upnnt IPqINTI
0- ? I 0,_ A P?o e No.
?z - 42 ,
Pa`er $uDpI iCr ress
,C?Ct?.'o•-FGL i51e-e- 43oo ??ao4h
Electrical Convactor (LomOany Namel Cwtractor's License No.
/VItCJIQKcI L- ICG-F-Y'I C? I 4I616-
Mailing AdJress (COnvacior or Owner MakinB Instailation)
asoo W C'o Rol 13u015 villlf?
Authori SiBnam e onttacto Owner king I stal atinN Phona Number /j
' fo ? /
MINNESOTp STATE BOARD OF EIECTPl?Y ? THIS INSPECTION REQUEST WILL NOT
Gripya-Midwey Bidq. - Poom N•191 BE ACCEPTED BY THE STATE 80APD
1811 Univereitv Ave.. $t. Vaul, MN 55104 UNLESS PNOPEP INSPECTION FEE IS
Phon8161Y1842-0800 ENCLOSED.
C jACIR 1 7
"X" Below Work Covered by 7his Request
wi fAddj Hep. Typa of BuildinB AOOliancea Wirad EquiVmanl Wired
Home Range Temporary Service
Duplex ater Heater Lightiny Fiztures
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm +her oeci v Ther (Spnr.ity)
t er ueci V Ot ar OtFer
ompute lnspeciion fee 8elaw
N Fee ServiceEntrenceSlZa B Fee Feeders/5ubfeeders p Fee Circuils
U to 200 qm s 0 0 to 30 Am s -8 0 tn 30 Am
Above 200A m )5 31 to 700 qmps I 5 31 to 100 Amps
Swimming Poal Above 700_Am s Above 700_Am s
Transrormers Irri - tion Booms Partial•' ee
Signs Suecialinspection
$
TO
Remarks If? 50 L??
!n %-
Nouph-in 7 I, the cal
? ??BOactoq hereEy
carti/y thet t?e above
Final 3
M {-epection hes Oeen
/nwLii mode.
REQUEST FOH ELECTRICAL INSPECTION Oft e?ey-o,oo/oi-o?s7
1 See instructiona for comDletinq thie torm on Eeck oi Vellow copV. /?-'/? /
Thle repuast vold 18 manlhe Irom
This re0ues[ voitl
18 mon[hs imm .
` C 37153 L
6, (a VS1D,
erni. C-C?? KaF--
,,e xo, ougn-in i suecuon
flaqu?red? C]Reatly Now In Will Notity, Insoec-
Elyes ?NO 10r When Ready
tE Licensed Elechical Contractor I hereby request inspaction of ebove
? Owner eleetricel work imtalled at:
Street Address, Box or Route No. City
1380 Duckwood Drive Eagan
ecuon o. Townshi0 Name or No. Range No. Cowily
DStCOiB
OccupantlPRINT) Phone No.
Rohin Fink
Power Supplier Address
Daicota Fa
Elactncal Convactm (Company Name)
14i1itP RTPrtrir Coniractor's License No.
Mailin0 Address ICOniractor or Ownar Making Ins[ailatioN
3600 bec Drive Tagan, M. 55122
Auihor ed Sie wre (COnu °'`°r/O er MBking Ins[allationl Phone Number
?.-., G/ 452-1565
J 3FRMUNO OF ELECT Y THIS INSPECTION REQUEST WILL NOT
Grig9s- dway Bltle- - poom N-193 BE ACCEPTED BY THE STATE BOARD
1821 UniversitY Ave., St Paul, MN 65106 UNLESS PPOVER INSPEGTION FEE IS
Phone 16121297-2717 ENCLOSED.
REQUEST FOfl ELECTRICAL INSPECTION Ee•00001 .04
/ Sea instructiene for comple1in91his lorm on back ol Vellow copy.
37153 "X" Below Work Covered by This Request ?P b
AAtl BeD. Type ot BuilEing AoolianCea WireA Equipment Wiretl
- - Home flange Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaLn
8 Commercial Bldy. Fumace Si1o Unloader
Indusirial Bidg. Air Conditioner 8ulk Milk Tenk
Parm Otner peci y tner Isner.Irv)
t er ucu y Other Oth.r
Compute lnsoection Fee Below
p Fee. SalviceEntranceSize X Fee Faeders?Subteaders b Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 qm??5 37 to 700 Amps 37 to 700 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transrormers Irtigation HoorrS Partial- bther Fee
$igns Special Inspection 5 TpTA
emarks L
Sob$16347 ,?
Roveh-in Date
(
tha EI cel
/f a "?y nspectoq hereby
certity lhet the above
Final ?N inspection hes baen
1 ? ee.
Thle reQUest voltl 18 monlhe Irom
2 91 ?? O 5 ? OFFlC? USF? ONLY This request void 18 months from.olidatlon dme pnnted in ihis??
l?/5/9?
?
?D
PLEASE PRINT OR TYPE f
Reauest Dok Rwgh-in impenlon mquir ?Yes ? N. Inspection Olher Than Roigh.lm ? Ready Now f?3 Will Call
7S
6-3-96 I?oo must call the inspedor when ready) DaM Ready:
I, Ei licensed <onfrocror ? owner hereby request inspedion of the obove eleciri<al work ot:
Job Mldnas (Sheeq Boz, ar Roule No.) Clry Zp Code
1380 Duckwood Drive Ea an
Se tion ship Name or No. Range No. Flre No- Counry
7 Daota
Occvpant Phone No.
China SEas Restaurant
Power Suppliar Address
ElMriml Commcror (Campany Name) Commdor Limnse No. Mavkr Lic. No. (Planf Elen. Onty)
City View Electric CA00384 AM05529
Mnlling 114??Snelling.Ave ?No?l???
P
t
aul, hIIV 55108
Authonzed SignoNre Conimcror or
r PaAormin9 I mllalionl
Phone No.
? 1 659-9496
?omn-io aros
STATE BOARO COPY- SEE INSTflUCTION30N BACKOFYELLOW COPY
IIII II? I I I ll REQUEST FOR ELECTRICAL INSPECTION 5Y
I tytinnesota State Board of Elactricity
* 0 2 9 1 7 ? 2* Phone (612)5642-0800 (p 5 l?? Paul, MN 55104
?
Home Duplex Apt. Bldg. Ofher: New Addn
Commercial Indusirial Farm I X Remod Re air
Air Cond. Ntg. Equip. Water Hh. Load Mgmf. Ofher:
D er Ran e Elec. Heaf Tem . Service
"X" above the work covered by ihis requesf. Enter remorks in ihis space and on ihe back of fhe whife copy only,
PO#14157 - Renodel Wiring
Calculate Inspecfion Fee - This Inspecfion Requesf will nof be accepted without fhe <ortecf fee:
ONher Fee # $ervice E??hnnce Size Fee # Cirails/Feeders Fee
Mobile Home Park Stall 0 fo 200 Amps (? 0 to 100 Amps
Street Ltg./TrafFic Sig. Above 200 Amps Above 700 Amps
Trans{ormer/Genera}or INSPECroR•SUSEONLY
? TOTAL
Sign/Outline Ltg. Xfmr. • C
l 120.50
Alarm/Remofe Conhol
Swimming Pool
I hen ceni Mat I Ins elechim ' II 'on <s<nb<d herein on the dab sfiled
Irrigation Boom kough-In Dak
Special Ins
ection '
p
Invesfigative Fee
F?..I r p?
p
d ^/
El k& INSTALLATION MAY BE ORDERED DISCONNE e N HIN iB MONTHS.
Reques[ Date ?--
2- 2 0-9 6 FireNO." Rougn- n I tion flequiretl Inspection Other Than Rough-In
(VOU
m
u
s[ call inspector when ready) ? fleatly Now X?Vill No[ify Inspec[or
v
?v
?
?,?y Ves ? No D.I. Ready
I CiIiC9nsed contrecror ?owner hereby request inspection of above electrical work at: -
Job Atltlress (Slreet, Box or Route No)
?Eagan City
1350 Duckwood Dr.
(Convenience Ctr. Ea
) gan
Section No. TownsM1ip Name or No. Ranqe No. Gounly
Dakota
Occupanl(PRINT) Phone No.
Bi A le Ba els (Varle Const.) 507-334-6034
Power Supplier . Atltlress
Electrical Contrac[or (COmpany Name) Con[mctor's License No.
Burnsville Electric, inc. CA00342
Mailing Atltlress (COn[racmr or Owner Making Installa[ion)
117 Belmont F:d. Apple Valley 55124
ANhorizetl S' nawre (Conira or/O Making
Instatlah'
on) _
?? Phone Number
A9w
mhv
688-6002
MINNESOTA STATE AHD OF ELECTqIGRY THIS INSPECTION REOUEST WiLL NOT
GHggs-Mitlway Bldg. - Poom 5428
11
11
1
1
11
111
11 BE ACCEPTED BV THE STATE 80ARD
1
1821 Universdy Ave., SL Peul, MN 55104 UNLESS PFOPER INSPEGTION PEE IS
Phone (812) 842-0800 _ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION -09
10, See instmctions lar completlng Iltis larm on back oi yellow copy.
- "X" 8slow Wor.`overed by This Request
Ne Atld Rep. Type of Builtling Hppliances Wiretl Equipment Wired
Home Range mporary Service
Duplex Water Heater Heating
Electric
Apt. Building Dryer $ ad Management
XX Comm./Industrial Fumace her (Specify)
Farm Air Conditioner
Olher(specify) ConhaclorsRemaBS: miSC. YeIROdel of space...
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee It Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps 105
Transformers Above 200 Amps Above-1100 -Am s
Si nS inspectors Use Only: l TOTAL CCX 5 Q
Irrigation Booms
Special Ins ection
Alarm/Communication THIS INSTALLATION M A Y BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the ElecMcal Inspector, hereby
certify that the above inspection has
been made. Rough-in (
F??a? ? Date ?Q
OFFICE USE ONLV
?
This request voitl 16 months M1nm .
This requesl void
18-months from
C 84710 ?? !?/ ?; ?;?,.? C?,?,??,,,?„ _/.7
Rnquest Date - i ire No. H -in In Oection
iretl? _ Aeatly Now ? Will Nmity InsDec-
r?
j es o Io, When Neady
Li<ensed Elecvical Convactor
Owner
1 hareby reduest insvection of ebove
electrical work installad at:
SVeet Address, Box or Roule No. City
ecuon o. Township Neme or No. Range No. County
e-?-?
OccuOent(PHINT)
^
C Phone No.
-
I
Power Sup0lier Address
achical Convaclor (COmOanv N me)
ElL
Contractor s License No. ?
L?
Maihng AtlJress IContracror or Ownet Making In tailation
Author¢ ignamre IContrector? wner Ma ing Installaiionl Phone Number
MINNESOTA 8 BOARD OF ELECTNICITY THIS IPYSPECTION PEQIIEST WILL NOT
Gripps-Mitlwe .- Room N-191 gE ACC(PTED BV THE STpTE BOANO
1821 Universi Ave..Bt. Veul, MN 66704 UNLESS PPOPER INSPECTION FEE IS
PhOne (812) 64Z0800 ENCLOSEO.
?
7l??/87 REQUEST FOR ELECTRICAL INSPECTION ?eye-00/001-06
? 1 Sea insVUCtiona tor camoleting this tarm on back o1 Yellow copY.
t -" -^a
"rR" BeTow Work Covered by 7his Request
hFwA FAtl Hep. Type ot Builtling Apoliancee WireE Equiumenl Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixcures
Apt. Building Dryer Electric Heatin
Commerciai Bldg. Furnace - Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tdnk
Farm otner oeci v otne, Isb?r.nvl
t er pecify t er 01h¢r
Comnute Insnection Fee Below
p Fee ServicaEntreneeSixa N Fee Feaders/Subleeders N F¢e Gircui[s
Uto200qm s 0 to30Am s Otn30Am s
Above 2_Amps 31 to 100 Amps 31 to 100 Am
Swimmin Pool Above 100_Amps Above 700_Am s
Transformers Irngation Booms C'J Partial-'Other Fee
Special Inspection
-- $ In 70TAL
' + 1. 1he Electrical
`J ? Inspectoq hereby
Final ? g - certilV thet the above
r been
/ ?
.
thlsrepueatroldl8monihsimm 7 //
1
e
a 40844 :
6, 99so G
Sg`czaao
RequeSt Oate i No. Roug?-in Inspec?ion
Requi
ll No `??'?
O Reatly Now ?}mn rvaiiry Inspector
Wtien Reatly?
I ' nsed contractor ? owner hereby requast inspection of above elec[rical work aC
JoE Adtlrew ( et, 8ox or FoNe Noj
3 ao City
=r? AK)
Sectan No. Township Name or No. Range No. CpCMQ1 A?C
V
Oct pant(PRINT)
IQ i411
?) ')
???-M l L
? Phone No.
Power Supplier AtlEress
EI al?ConUact (COmpany i ame),A
?" V Coniractor's bense No. ?
Mailing Aa s trac/to'?r or Owrier Ma
4- '`g InsWllalion)
?
i
Aullwrii ign re I? ctoUp.vner - g Installatq ?
?[
- Phone N b '? ???
MINNESOTA STIITE BOAflD OF ELECTRICITY v THI$ INSPECTION REOUEST WILL NOT
Grlgga-MlCway 81Ag. - Room ^r173 9E AGCEPTEO BV THE STATE BOARD
1821 UnWersiry Ava.. 5f. Poul. MN 5510C UNLESS PFOPEF 1NSPECTION FEE IS
Phenn (612) 6O2-0000 ENCLOSED.
0/0d
a 40844
REQUE$-T FOR?ELECTRICAL INSPECTION
? See -s(ructqy tor completing ihis /orm on back oi yellow copy.
"X" Below Work Covered by This Request
` a EB-00001-08
1x
/c
,o
a Atld Rep. 1? Typeoteuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Specity)
Comm./Industrial ' Furnace
Farm Air Conditioner
Other (specify) ConVactor§ RemaBs
Compute lnspection Fee Below: 5I63-miJ C,
# Dther Fee # ServiceEntrance5ize Fee # CircuitsiFeedere Fee
Swimming Pool 0 to 200 Amps & 0 to 100 Amps
Trensformers Above 200 _ Amps AhoveAmps
Signs Inspecmrs use only TOTAL
Irrigation Booms
?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
' Other Fee COMPLETED WITNIN 18 MO S.
I, the Electrical Inspector, hereby RO1gh-'" oeW
certify that the above inspection has
been made. F;,,ai oa? ??
OFFICE USE ONLV
This repuest voitl 18 monlhs irom
This
16 n
st wid
r- !y1/? ?
76,967
p`?weu?eu uecincai ?onvncior I hereby request inepac[ion ol ebove
? Owner electrical work installed et:
Sveet Address, Boz or Fome No. City
3 0
ectmn o. Towns?ip Namo o? No. ange No. Counly
A+Ka
O<cupant(PqlNT)
-L ?
37;? Phone No.
6
??
t9 L=
7 ? -
O
Powe
r
u
p
ulier
S Address
t
'
?
+
/
Elevi al ConVactor ICompany Name)
c
? Contrar.lor's License No
.
J
N'? 6R <9 4-2-42 33
Mailinp Address IConvactor or Owner Making InsteilatioN
?/
?TC? 0 Cd
S ?Y v J"
Amfiorized Sienature IContracmdOwner Maki Inswllon) Phona Numb¢r
ng
4^2 ,6
MINNESOTA STqTE 90APD OF ELECi111CITY TMIS INSPEGTION NE6UE5T WILL NOT
Gripgs-Midwey BItl9. - Aoom N•191 BE ACCEPTED BY TME STqTE BOARD
7821 UniversitY Ave., St. Peul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone 18121 297.2111 ENCLOSED.
?'j/?18' 7 REQUEST FOH ELECTRICAL INSPECTION EB-00001-0?a7
/ Sae inatrucGOns for compbtin9 this form on back ol yellow coCV.
493 "X" Below Work Covered by 7hrs Request
Adtl -flep. - typa ol BuilEing Appliancee Wiretl Equiument Wired -?
Li
p Fee ServicaEnirence5ize fl Fea Feadars/Subleeders b Fee Cirwits
Oto200qm s 0 to30Am s C 30 0to30Am s
Above 200 qmps 31 to 1D0 qinps 2 O 31 to 100 q 5
Swinuning Pool Above t!$OZEV- Amps Above 700_Amps
Transiormers Irn tion Booms Pertial`Other Fee-
- -) I pecial Inspection ? S /
L Ik5Q ' Signs ?
OTALiFEE 1
emer
G tha EIe2Yr-ioai" I
hOrebY
'ertity thet the nbove
rFina? ^ ?/ r 9`i4te//, ( inypection has been
maae.
Ihis reque5t void Cy _ r ?C1 (P b -4'
18 mpnths from (
o f1FRi1 R L l,13 e0.ya h C???.
Pequest Oa ??
. D Fire No. Rough i Inspeccion
Requi d?
eatly Now Q Will Notity InsPec-
tor Wh
q
?/ es ? N. en
eatly
r
Licansetl Elec[rical Conhacmr I hereb
y request inspection ot above
? Owner ? 3 R ? ?LI?W ? Q? elecVical wox installetl at
Stre ddres Bo. or Route o.
?
ectron o. Township Name or No.
angu No. ic--Z ?
Occupunt INTI
Tav
fJ Phane No.
?h
,
?
Power Supplier /?/J /Y
??t? Address
Ele V c I Convacmr (COmpany
ame) Contractor' License No.
. :) tk--
Ma i Address IComract or Owner Makin Instailationl
' F
Au?horiz? mre Eonha? or O r Making nstallation? Phon9Number
RS
ti ?
MINNESOTA STATE BOAPD OF ELECTq1Cl THIS INSPECTION REQUEST YIILL NOT
Criggs-Midway Bldg. - Room N-191 1 gE ACCEPTED BV THE STATE BOARD
1821 Univereitv /?ve., St. Paul, MN 651 4 . UNLESS PROGER INSPECTION FEE IS
Phone 18121 297-2117 ENCLOSEO.
?
? ?.p ,.g (a REQUEST FOR ELECTRICAL INSPECTION EB-°°""'.°a
' See instruc[ions lor compietinq this form on back of yellow coPy.
"
11 /
o Below Work Covered by This Request
X
Add Bep. .-Fype ot'BuilAing Appliancea Wired EquiVmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm Other pea y thcr ISt+er,ifyl
. ? . uec?fy Ofher Other '
Compute lnspection fee Be1ow
N Fee Sarvice EnhBnceSize q Fea Faxders/Subfeeders ft Fee Circuits '
0 to200qm s Oto30qm s 0 to30Am s
A6ove 200 qmps?- 37 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 100_Amps Above 700-Amps
Transiormers ' Irrigation Booms Partial- Other Fee
Signs Special Inspec[ion S2 D
So
TOT
Remnrks ?
-J LfEE ?) )
<?9
??
41
ftou8h-in I^M ical
^ spectoq heraby-
f I
Fi certily that the abova
nel ? /? ( ? %j?'^ ,! - s0ection has been
? /? / .... )? v? ? e.
This reaueat voiG 18 months irom
Co/.Y 9
.
a °i'
P 17483 ?
/
, I v
Request Oate . Fir9 Paugh-in Inspection
Required? ?Reatly Now ? Will NaHy Inspector
_
" ? Yes ? No When Reatly?
1 T1 fJll licensed contractor ? owner hereby request inspection ot above electrical work at:
Job AtlCress (SVe9t, z M RoNe N)
? CiTy
Secfion No. Township Name or No. Rerge No. ounry
Occupant (PFINn Phone No.
? /?
? ??1?
Power Su
pplier AOtlress
Elecincal ConUactw (Company Nama) ContracforS Licenue No.
?T ?
?
Mailirg ACdress (Crntlracipr or Owner Makirg Insta fion
.`
?? ?
" ed S' aNre (COmractor ar h?ailohg Inslallation) PMne Number
?? _
NINNESOTA ATE BOARD OF ELECTHICRY
Gtlggc-MWwey Bldg. - Room 41TJ
182f Unheniry Ave., Sl Paui, MN 55100
Phone (612) 842-0800
TNIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOAFO
UNLESS PROPER INSPECTION FEE IS
ENClASED.
REQUEST FOR ELECTRICAL INSPECTION •= ee-aoom-o?
? ? Sea inshuctions br mmpleting this form on beck oi yellow wpy.
J3 /
P'
? 17 8 3 JC Below 9/1 Work Covered by This Request
ew Add Rep. TypeofBUilding AppliancesWired EquipmemWired
Home Range Temporary Service
Duplex Water Heafer Electnc Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
ana, isaauu» In1Wort`Cemarks l-d
Compute Inspection Fee Be%w: MS ?r
# Other Fee• # ServiceEntranceSize ?. Fee # Circuitsffeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers ? r Above 200 _ Amps Above 100 _ Amps
$iyf15 Inspector5 U. Ony: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication O
Otfier Fee ' Q
I, the Electrical Inspector, hereby
if Aouyn,m oste
cert
y that the above inspection has
been made. F;,?ai
f,..•-,_ oa?e
- 7!
OFFlCE USE ONLY
This request witl 18 manths hom
J ?856 z4d1..X - A
Requesl Date ' No. Rough-ininspection
tl?
yes L, No ` '
? Reatly Now ?lNill Notily Inspector
? ?When RaaOy?
I censed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AtlOress (SVeal. 8ox or Route o.)
c?ulvo A Gry
??-
Section No. Township ame orNO. Range No. Caunry
Occupe iPRINTI
NS S one No.
Power SuOPlier '
101149 Atltlress
Eleclnc onVacl r(COmPa Na a7 Coniracfor5 Licens/e No/.? ?J
MailippAOdress (contracioror wnerMakinqlnslallalon) /? -
/e G«
AuIDor ig re ICon r/Owner ing Inslallation) Phone u Yr`_ ?j 7
??/
ESOTA STATE B q0 OF ELECTRICITY THIS INSPECTIDN REOUEST WILL NOT
Iggs-Mitlway Bldg. - Roam 5473 6E ACCEPTEO BV THE STATE BOARD
1821 Universiry Ave. 51. Veul. MN 55106 UNLESS PPOPER INSPECTION FEE IS
PROne (812) 602-08DO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION iii ? ee-ooom-oe
J 68656 • See insvuctions for complelinq Ni5lorm on back ot yellow copy ?p! ??/?
?\QUs
"X"Below Work Covered by This Request
ew ,Qtld flep.. . TypeofBUilding AppliancesWired EquipmentWired
Home Ranqe Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer O[her (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Otner(syecity) Connacmr's RamarkS
Compute Inspection Fee 8elow.
# . Other Fee # ServiceEnirance Size Fee # Cimuits/Feeders F e
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 700 _ Amps
SignS InspecWrS Use Only: o TO
TA?
Irrigation 8ooms l
Special Inspection
AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
L the Electrical Inspector, hereby
certifythattheaboveinspectionhas
6een made. Roughin
F,,,ai a?e? ? ' p
d
a?a
OFFICE USE ONLV
Thi5 requesl v0id 18 monlh5 11Om
REQUEST FOH ELECTRICAL INSPECTION
,,r
0 See insiruetions lor camoletin0 this form on Caek of Vellow copy.
PI(', "X" Below Work Covered by 7his Request
?naw??nA{f Hep. Type oi BuilCing I Apoiiancea WinA ? Equiument WireA ?
M Fee SorviceEnVanceSiae tl Fee Fexders/5ubieeders N Fee Circvits
U to Am. s 0 to 30 qm s 3 04 0 to 30 Am
Q Above 200 qmjn 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100-.4m s
E Above 700_AmVs
Transiormer5 Irngation Booms
Partial.?Other Fee
ial Inspection $
me
celfi{ffret the abov
1-? inspec[ion hes been
ly d' m,ae.
ThiS request void ? . l ?
16 nwmhs irom O?
C13366 Request Date Fire Np. Rough-in Inspec1ion
L ? Re ?red? ?fleady Nuw,?Wiil Nnlity InspeC
?es ?NO n When Ready
Lic ed Elec Wa1 Con ctor 1 heraby requast ins0ection oi above
] Owner electrical work instelled at:
Street Atld.ess. Bo. or Houte No. Cfiy
Du o G ? «
ectmn o. Township ame or No. Ranee No. Comity
OcCUpnn[(PflINT) Phone Nn.
E?G '
Powe upplier Adtlress
C?. ? ?J .`?r1 S . • hMl
Electrical Contractor IC Vany Namel Cnnuar.tor's Li e nse No.
?erD -,L /?C ?
cr
j-
#
{t 'N,r, ?. G • ?fO 3 C?
Mailinp Ad res
s
(Con
r
actor or Owner Makine In iailation
3C?D or d L . U
Auch rize ' namre IContr ctor Owne Making Instal 'on) hone Number
2,0 ?? D
MINNESOTA STqTE BOAXU OF ELECTNICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-Midwey Aldg. - Boom N-191 BE ACCEPTED BY THE STqTE BOAND
UNLESS PROPER INSPECTION FEE IS
1821 University Ave.. SL Paul, MN 65104
Gb,..,e 16121 29]2111 ENCIOSED.
ThiS reQuest vwd
18 rrqnths lrom
C 13399L- I
M •-
?.:.
Request Date Fire No. ReuPhed?lnsuectbn E peatly Nowll Notify, InsPec.
?p ?es ?NO ?or When Reatlv
'K Licensed Electrical ConVactor 1 hereby reQUest insoection of above
? Owner eleciricel work inslallad at:
S1r¢et Atldress, Box or Routa No. City
v ?
ecvon o. Townsrip Name oi No. Ranye No. Cow?ty
OccupentlPFlINT) Phone No.
+
Power $upplier Address
?
ElecUical Contractor 1 ompa Neme) Contrar,tor's License No.
C?
e?
A
H?
- ?L ? ct r e
Addr
nnac
MailinB
5 ICo
tor
or Owner MakinB Instailationl
gpii-ip- a 5, a L n 5-S,1149
Auth ' e S?B???ur nh t d0 n r M ing Installafionl hune Number
0
/- \ ._ . ..' .*-"------ ----- - - THIS INSPECTION BEQUEST WIIL N0T
MINNESOTq STATE BOAFD OF ELECTPIGITV
Griggs•Midwey BItl9. - Aoom N-791 eE ACCEPTEO BY THE STATE BOAFD
1821 UniversitY Ave.. St. Paul, MN 65104 UNLESS PXOPEN INSPECTION FEE IS
Phone 1812) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa
Ii, Seo instructiens for comoleline this form on Eack of yellow copy.
? G7??3
-1 'Z 39 9 "X" Below Work Covered by This Request
NmA Addl Rep. Type o18uildinB AOPliancae WireO EquiVmen[ WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixture5
Apt. 8uilding Dryer Electrie Heabn
Cominercial Bldg. -Fumace Silu Unloader,
Intlustrial Bldg. Air Conditioner 8ulk Milk Tenk
Parm tnr, oeci v U,er ISncr.ily7
L P.I SVCCI(y I CI O1M1.l
Compute Inspection Fee Below
M Fee Sorvica Enhence5ize M Fea Fenders/SUbleeders k Fae Circuits
0 to 200 Am s 0 to 30 Am s 0 tn 30 An! s
Above 200 Amiu 37 to 700 qmps 31 to 100 Am s
Swimming Pool Above 100-Am s Above 100_Amps
Transformers Irrigation Booms PartiaL'Other Fee
Signs SVecial Inspection g TOTA
E
pemarks L F
?
?
Foueh-in
? Dnte ?7
!?( I, the Elacvicel
Inspector, hereby
cartity ?he? ?he above
Final D Jte_ ??gpection has been
• ?
? A mede.
•Me request vol01B monHU from
0
f
23
9?
,7
Requ t Dete
5-14 -9 6 Fire o.
I ou - Inspec[ion Fequiretl Inspeclion Olher Than Rough-In
(?ou
m
u
st call inspecror when reeCy) ? Reatly Now X?'III Nmify Inspector
v
f?
1
.y:y Y. ? N. pale Read
IXMensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, 9ax or Faute No.) Ciry ,
1380 ?uckwood Drive Eagan
Section No. Township Name or No. qange No. County
dakota
Occupant (PRINn Phone No.
Tires Plus
Power Supplier AOOress
Elecincal Coniracror (Compflny Name) Contracrors License No.
Burnsville Electric,inc. ca00342
Mailing Address (COnlrfldor or Owner Making Installation)
117 Belmont Rd. Apple Valley 55124
Aulhon tl naNre ( onVe or/Owner Making In tall tion Phone Number
8
6
02
-
0
68
B
?
'C?
r
n v
t
a
B II I I I I I I I I I I I I I I I PO
R
E
II
O
18
ers
5
10i
,St. PauIwMN
2 9U
y Av ? I I R NSP CT ON
EE
S
OP
Phone1612)fi42-0800 . 1 EN
OSEO.
RE?UEST FOR ELECTRICAL INSPECTION A??'?? ee-ooaoi-Cq.g?
See instmctions for completiny this form on back o( yellow copy.
"X" Below WorkCovered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Building Dryer Load Management
Y Comm./lndustrial Fumace Other (Specify)
Farrn Air Conditioner
Other(specily) Conhatlors Remarks'.
riisc. remodel::-:--- ..
Compute Inspection Fee Below:
# Other Fee # Service Enlrance Size Fee N CircuitslFeeders Fee
Swimming Poal 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 Amps A6ove 100 -Am s
SI f15 Inspector's Use Only 7 p?
IrrigationBooms t.?Q•af? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
ti
th
t th
b
i Rough-in oeie
cer
ty
a
e a
ove
nspection has
been made.
F'"ai ? ,
oaf
OFFICE USE ONLV
This request vad 18 months hom
2 6 3 s L V3 A] ?This request void 18 manPos fmm volfdation date prinied in fhis box.
PLEASE PRINT OR TYPE
Reqv Rough-in insp«fion rtquir ? Yrs ? N. ImpecFon Oiher Than Rouyh-In: E] Ready Now P"Vill Call
(Yoo must mll theinspecror when rcadyl Dme Reody:
I, lfrlicens'ed mniractor ? owner hereby reques} inspedion of fhe above elechical work af:
lob Pddrese (Street, Box, or Route No.)
L?1?'o Ciry Zip Code
Secnon No. Tawnahip Name ar No. Range No. Fire No. Counry
Omup?onl?lG?
?d< r ?-? IL6 Phone No.
0 .?
Power Sopplier Pddress
Eledn I a tlor (Company Nome)
?
? Cam r limnse No. Mmror bc. Nw (Plam Elect Only)
G
G
Mailiig Pddmss (Comroqor or Owner Pedortning InsMllotion)
??--?'?'T '?/t! ?
pulhonzed $igiwNre Co dor or Owier PeAormisg Ins nfion) Phone Dk.
EB-OOOOlA-106/rSU??, J" STk"EARDC?PY- SEEINSTpUCTIONSONBACKOFYELLOWCOPY
II REQUEST FOR ELECTRICAL INSPECTIOIII) I II ? II II ? II II ? I I'I Minnesota State Board of Electricity k5151104
.r '
?? 2 4 * Phone (612) 642-0800 ?."?'(p ?? ?
ome Duplex Apt. Bldg. Ofher: l ?l New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
D er Ron e Elec. Hea} Tem .$enice
'X' above the work covered by ihis request Enter remorks in this space and on the back o/ fhe whife mpy only.
Calculafe Inspection Fee - ihis Inspecfion Requesf will nof be a«epfed withouf fhe corlecf fee:
Olfier Fee 8 $ervice Enha? $rze Fee dt Circuils/Feeders Fee
Mo6ile Home Park 5tall 0 to 200 Amps 0 ta 100 Amps
$treet Ltg./fra4fic Sig. Above 200 Amps Above lOD Amps
Transformer/Generatar INSPECTOp'SUSEONLV TOTAL
ign/OuNine L}g. Xfmr.
Alarm/Remote Conhol
Swimming Pool
I hem certi ihal l ins d fhe decfiml Insmlla9on descdbed heretn on Ihe datu swfed
Irrigotion Boom Rough-In D.*
eciol Ins
eciion
$
p
p
Investigafive Fee Final Da
THIS INSTALLATION MAY BE ORDER DISC NNE 7 IF T COMPLETED WITHIN 1 MO THS.
Pep e t Dat Fire No. Rougfrin YM1Spection
iretl?
? Reedy Now
Will Notify Inspector
Ves G Na When Reatly7
I/licensed contractor 73 owner hereby request inspection of a6ove electrical work at :
0o Atltlress (Street. Box or R ute No.?
?3 ? Ciry
F
v 'Wo a
e a?
$eclion No. Townshlp Neme or Na. qanga Na. Caunly
Occupan11P1T, Phone No.
l WIl'?- .O?/?
Power Supplier ^ Aatlress
Eleqncal C Vacio, ICOmpany Name)
' ? /
Cy Con actor§ License No.
v akii?
e :
Z-
oY
? t
Mailing AaOress ICOnlractor or Owner Meking Instellation)
7 a ? A ILI sra y
Autnorrzetl Signature tCOnVactonOwner Makin Installation?
a-? G . . PM1One Number
731- a 3 2l
MINNESOTA STATE BOAflD OF EIECTPICIT 7HIS INSPECTION REQUEST WILL NOT
Grig9%MiCwey BIOg. - Hoom 5413 BE ACCEPTED BY THE STATE BOARD
1821 Universiry nve., 51. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phane(814)6C2-0B00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?¢="•"'??,? '/ EBW}0?0,1 p/g
? See Insimctions for completing this lorm on ba<k ot yellow cOpy.
L -/-
`?.?a
10336 "x" Be/ow Wwk Coveced by This Request
ew A Type of Building AppliancesWired EquipmenlWire
T
Home Range Temporary Service
Duplex Water Heater Electric Heating '
Apt. Buiiding Oryer Othar-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (syeay) ConVactor5 ilamarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS InsOectar9 Use Only. 50
TOTAL
^
Irrigation Booms , /?(,00 ?!, s
? U 7!
?
J'
Speciallnspection 7
Alarm/Communication THIS INSTALLATIO E ORDERED DISCONNECTED IF NOT
" Other Fee COMPLETED WITHIN 18 MONT
I, ihe Electrical Inspector, hereby Ro.qn-m oat
) -Yl
?
certify ihat the above inspection has
been made. Final e
OFFICE USE ONLY
TM1is requesl voitl 18 monihs Imm
- - 4Ua7ff
41V
o 87 k
,
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A„ g
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4
Reque Oa\e Flre N. oughln I peclion Requiretl Ins ection Other TTen Rough-In
?? ? (VOU must call inspec?or wnen reatly)
? Ves ? No ? Ready Now Will Notil Inspector
Date Reatl ?
IKlicensed contractor ?owner here6y request inspection of above electrical work at:
Job Atltlress (SVeet, 8ox or Roule No.) T-, VT_ Ciry
13 d D 6s G/OD T/«? £IO?lsR?
Section No. Township Name or No. Ran9e No. Counry
'7>/rJC O , -
Occupanl(PRIN
T
) Phone No.
?
/
Power Supplier Atltlress
Elechical Contracror (Company Name) GonVacbr's License No.
AbAEE ?!A_ C?T ? Z
Mailing Atltlress (COnVaclor or Owner Making Installalion)
ol Yc c.
ANharized SigneNre (ConVactor/Owner Making Installation) Phone Numher
Aro -355
MINNESOT STATE BOAHO OF ELCCTRIVFY THIS INSPEGTION REQUEST WILL NOT
Griggs-Mltlway Bltlg. - Room 5-128 BE ACCEPTED BV THE STATE 90ARD
1821 Unlversiry Ave., 51. Paul, MN 55100 UNLESS PROPER MSPECTION FEE IS
Pho. (612) 642-OB00 . ? , ENCLOSED.