805 Butwin RdCITY OF EAGAN Remarks I ftX J? ?Ld i;' T 7e' "-°
Lot
Street
I Improvement I Date I Amount I Annual I Years I Payment I Receipt I Date
STREET SURF,
STREET RESTOR.
GRADING
SEWERLATERAL
WATERMAI N
WATER LATEI
WATER AREA
STORM SEW TRK
STREET LIGHT
CONN.
JG PER.
'1'Fjs.{eauest void 18 months from
?? 'OL o!a- ? S 'R 72251
Date of this Request c? ?f'- 7?
I, as k?Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
? -- - - -. --?
Street Address or Route No. ?kOg- c;ry?-76GA)'J
Section Township Range County ?4keTA
Which is occupied by NAlZRINGTOn1S AuTo IA+j c H
(Name of Occupanq
Is a roughin inspection required on this job? No R Yes 0 Ready Now ? Will Call X
Power Supplier Z) F_ A Address F4RM 1 Al !:-7"b .tl
?3b??
Electrical Contractor??kCTAJ ??-?t/2lC Cd Contractor's License o. _
Mailing Address
or
x.. 3-1131
Authorized
SAFl? ??ARM vMPY St?te
on requast will not be accepted by ffie
unless proper inspectian fee is endoseA.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
° • -REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVEREII BY THIS REQUEST
R 72251
Type oS 8uilding New Add. Rep. Check Appliances W'ved For Check Fquipmen[ W'ved For
Home ? ? ? Range ? Temporary Wiring
Duplex ? ? ? Water Hea[er ? Lighting Fixtuies ?
Apt. Bidg. ? ? ? Dryer ? Electric Heating ?
Commemial Bldg. ? ? ? Fumace ? Silo Unloader ?
Indus[rial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Parm ? E] List List )
Other
?
?
? p
Hehers?
re S7
2e
COMPUTE INSPECTION FEE BELOW
Service Bnvance Size: u Fce Feeders&Subfeeders: # Fee Circuits: # Fae
0 to 100 Am s. 0 ro e 0 to 30 Am eres 2 - eC
101 [0 200 Amps. + 31 to 31 to 100 Am eces . oG
Above 200_Amps. Abov
!R Above 100 Amps.
Transformers Remo on ICir. Partialoro[herfee
Signs Special Ins ection jMinimumf"$S(1
Remarks
TOTAL
I, the Electrical Inspector, hereby
(Final)
This request void 18 months from
the v inWection has been made.
Date