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1640 Covington LaneThrs request void 8 Y 18 rtwnths from 3 a Q. j)"b A q ?5 n ? G Request Date Fire No. Fough-in InsPecuon Reqmred? Neady Nuw Wili Nolity.lnsoec- ? .S-/b-?' I ?Ves ?NO torWh¢nqeaCy ?L,ceased Elecvical Convactor I hereby request inspectmn af abovo ? Ownet electrical work installad et; or Route No. oa Sveet Address, e C?1y / ? L ecuon o. Township Na or No. Fange No. County Occuo?ni (PpINT) Phone Na. G.- d B r ? r9' 6.-j? Power Supplier C 22 ? / .4ddress a/01J%l? f'/ a? 2 5?3v 2? h! " -r a k . . 0 . b- , Electncal Contractor (COmpanY Name) /c??, CoMractor's License No. 3 r Owner Makine toscatlatwM Matlmg Address lCOnvaccoT o / g ?iZctr?.? v.c. .Pfr imd? /? ufv.?/o 2 Au/th$Jn?zed S?B ?ure (C trac} /o??/ ?Owne?r M/??+?8? Ins[all ' nl Phone Number /? . i .. ?/?d///.? IJ1NESOTA BTqTE BOARD OF ELECTNICITV ? THIS INSPECiION PEQUEST WILL NpT d?iggs-MidwaY Bidg. - Room N-191 eE ACCEPTE? BV THE STATE BOARO 1821 11nnversilV A?e., St. Peul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS Phone (612) 297•2111 ENCLOSED. u 3? a 3 REpUEST FOR ELECTRICAL INSPECTION [EK"0y°°°'{°(' O?????Sae iastructions tar completinB th;: torm 61back of vell? coPV. A"X" Be/ow Work Civered by This Request Adtl Reo. Type ol Bwitling APObancea 1NireA EquiOme-I Wired ex I I Water Commercial Bldg. ? fumace Silo Umoatler ?I-rlndustnal Blda. Air CondiUoner ? ? Bulk Milk Tank q Fae ServiceEntranceSise p iea Feade?s?5?hieetla?e 4 Fee Ci'cuita [l° Uto200Am s 0 to30Am s 0 to30Am A6ove 200 qm ?s 31 to 100 Amps o" 31 to 100 Arrias Swimmin Pool Above 100-Amps Above 100--A-Ps Transtormers Irrigation Booms Partial: Other Fee aigna .,"",a? ??.?r.........? 5 ,yA?- TOTAL E fle,N„ks?,y-.--- (''_ ') r4 ryi- -A ^_ 1" Rough-m / l " ?Rhe E 1 yr s InsOecbr, hereby certity thet the above Finel Oate ( 2 - inapection hea been d ? 7- Y a. ma TilNreyueelmltll8mon11ulrom (,/ L`/'