1940 Cliff Lake Rd - Electrical Permitsa7 476 /?UZV
o
ko?? ?
R¢quest Date . Fire No Rough-in InspeIXion
Requiretl?
Cl Reatly Now?Wlll Notiry InBpector
_ Yes c:5-la When Reatly?
hd9ieensed contracror ? r quest inspection oi above electrical work at:
Job Atldress (Sireet. Box or Rome a.? Ciry
/ / Q
Section No. TownshiD Name or No. Fen9e No. Counry
O
OCCUpa IPRIN PM1OnB N0.
/ W j
Powar Supplier Atltlress
Elxin C racim (COmpany Name) Conhac?or5 License No.
CnDli _ ? fC C
M iling nacract rner Ma g InstallaUOn)
QC
Amnoraetl nhaclortpwnar Ma' Install ion) Phone Num?er
MINNESOTA STATE 60AflD OF ELECTPICITY THIS MSPECTION REQUEST WILL NOT
Gdggs-MiEwey BIEg. - Raom 5493 BE HCCEPTED BV THE STATE BOARO
1821 University Ave.. SL Paul. MN 55109 UNLE55 PROPER INSPECTION FEE IS
Vhone(812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oooo,.oe
?
7 4 4 7 6 See inslructions br completing ihis form on back of yellow mpy.
? 0. /
*pgk
•
"X" 8elow Work Covered by 7his Request N'•??
ew Aad F2p. ` Typeof6uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Olher.(Specify)
Commllndusirial Fumace
Farm Air Conditioner
Other (syeci(y?
ComputelnspectionFeeBelow:
# Other Fee Comractor5 Remarks.?s / ?,
OC', (_r,_ CY7C ? /??
?S
? ServiceEntrance5ize Fee # CircuitslFeeders Fee Fir
Swimming Pool
Transformers
?
0 to 200 Amps
Above 200 _ Amps
? S
0 ?0100Am
P
100 Amps
7-
. Signs InspecWrS Use Only. OT L ?Sb
Irrigation Booms 1Pv(' Q • a
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTHS.
I, ihe Electrical Inspedor, hereby Rough-in • Date
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This re0uest voie 18 months trom
N _I _
C /55068 /
Request Date 6ire Rougn-in Inspection
Ae iretl?
Aeady Now III Nofity Inspector
?
.?Q? 6 1990
? I Ves ? N. When Reatly?
I)6censed contracror ? owner hereby request inspection of above eledrical work at:
Job Atltlress (SVeet, BOx or RoutB NO.I Cily
1940 Cliff Iake Rd 13a4an
Section No. Township Name or No. Range No. GounTMry ?'
1.+?l_ ?
INT,
Occupam
(PR Phone No.
,?.?
?y
?
. uaU ? l x?UWS
Power Suppiier Adtlress
ITalcota F1ec Co 300 - 220 St W Faanington, 1YA7 55014
Eletlrical CorIhactor(COmpany Name, ConVactor5 License No.
pyMANyK FLI INC, 040421-1
Mailing Atlcress IComracror or Owner Making Installationl
1915 4D.3aclw y St ls. M 55413
Aulnor11e0 S?gnaWre (Con W?IOwner Making Insl lation) PM1One Number
379-4112
MINN?S TA 5 ATE BOAHD OP ECTRICITVI THIS INSPEGTiON REOlJEST WILL NOT
GtlggsH IEway BIUg. - Room 5493 ? BE ACCEPTED BY TNE STATE 60ARD
1821 University Ave., St. Paul. MN 551134 UNLESS PFOPER INSPECTION FEE IS
Phone(61]) 662-0900 ENCLOSED.
Gj1//J/?O REQUEST FOR ELECTRICAL INSPECTION ee-00001-07 ?
I ? See Instmcfons lor completing this lorm on back of yellow copy. tis{
? J 5 Q Cj 8 X' Selow, Work Covered by 7his Request awAdd Rep. Type of Building AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Other (Specify)
? Comm./Intlusirial Furnace
i Farm AirCondi[ioner
Other Ispecily) Gonirecror5 Femarks'.
Compute Inspecfion Fee Below:
#- Diher Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0[0 200 Amps ? 0 to 100 Amps 14.0(
Translormers Above 200 _ Amps Above 100 _ Amps
Signs 6
Ins0ector's Use Only: TOTAL 3O.OO
Irrigation gooms 0, .50
Special Inspection 30.50
Alarm/Communica[ion THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby R°°9n-'"
certitythattheaboveinspectionhas
been made. oa?
OFFICE USE ONLY
This repuest wiC 18 months irom
L
2 1 V° 0 5 3V OFFICE USE NLV This rcqueet.otd IB monlhs imm volidanon dak prinkd In this box? y?
?? Sti I
PLEASE PRINT OR TYPE
Requast Date5/ 15/ 96 Rough-in inspenion rcquired Yes ?] No ection O?her Thon Raogh_In: ? Reody Now [A Will Coll
Insp
)m R
d
?You mast coll fhe inspecror when ready?
ea
y:
e
I, p licensed ronfmdar ? owner hereby request inspedion of ihe above electriml work at:
Job Address Sireel, Boa, or RaWe No.)
194 CLIFF LAKE ROAD Ciry
EAGAN Zlp Code
55122
Sedion No. Township Nome or No. Roye No. Pim No. Counp
DAKOTA
Occoponf Phone No.
CUB FOOD
PowerSuppliar Addreu
DAKOTA
Eleanml Convocwr (COmpony Name) Conhacror Lianse No. Mmkr lic No. (Plant Elecr. Only)
MUSKA ELECTRIC COMPANY CA01287
Mailiig /ddmz (Canhocmr or Owner Pedorming Installafion)
19 KCREST AVENUE ROSEVILLE, MN 55113
ii?rvvsceol o10 9 an rnM 5820 EB- IA-10 6/95 STATEBOAHDC -SEEINSTRVCTIONSONBACKOFYELLAWCOPY
I II ?
*
I (
? 6 0 5 3 REQUEST FOR ELECTRICAL INSPECT1 ON
?? ?II 8'21 Universiry Ave Hm Se 8'cSt. WauIMN 55104
6* Phone (siz) e42-0800 - C I T Y
Home Apt.8ldg. Other: New Addn
Commercial Indushiol 11 Farm Remod Re oir
Air Cond. Htg. Equip. Water Hfr. Load Mgm1. Ofher:
D er Ran e Elec Heat Tem . Service
"X" above the work cavered by this reqvest. Enfei remarks in fhis space and on the bock o( the white topy only.
JTM203 - ADD RECEPT IN EXIT WAY. RELOCATE LITES - AISLES
2,3 & 4.
Calculofe Inspeciion Fee - This Inspecfion Request will nof be occepted without the corred fee:
Other Fee # $ervice Erihame Sae Fee # Cirails/Feeders Fee
Mobile Home Park Sfall 0 t0 200 Amps 3 0 to 100 Amps
Sfreet Ltg./TraHic Sig. Above 200 Amps
Amps
A
jiliiiiteei
TransformedGenerafor INSPECTOR'Sl15EONLY TOTAL
Sign/Outline L}g. Xfmr. ?tfl• - 20.50
Alarm/Remo}e Conirol
Swimming Pool
I here b cerii "an I i eded the eleancol ins otion described herein on the dales slaled
Irrigation Boom Raugh-In Doh
Specialinspedion
Investigative Fee Fl?
,/rd oe??
THIS INSTALLATION MAY BE ORDERED DISCONNECTED NO O PLETED WITHIN 79 O S.
STPTE BOARD OF ELECTFICITY
ay BIEg. - poom 5-173
ity Ave_ St Paul. MN 55100
iH151NSPEGTION RWUEST WILL NOT
BE ACCEPTEO BV THE STATE 60AF0
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
G/a 8/p? REQUEST FOR ELECTRICAL INSPECTION
(?q ? ? See Insiruonons for complatiny th?s fonn on back o( yellow coPYW Q 5 7 4 n "X" 8elow Work Covered by This Request
`a--
le?+jj
iltli Equipment Wired
Applianceswiretl
ng
VewAdd Rep' Typeofeu Temporary Service
Home Range
Electric Heating
Duplex Water Heater
Other (Specity)
' ApL Buildinq Dryer
ICommllndustrial Fumace
I IFarm AirConditioner
Olher Isuecilyl
l
B ConVaIXOr'S Remarks.
ow:
e
Compute Inspection Fee
eeders Fee
c
#
C
q . Other Fee mps
# ServiceEntrence Size Fee
Swimming Pool Q 10
?Q
A
0 to 200 Amps
Transtormers A6ove 200 - AmPS A6ove 100 _ Amps
Signs mspectm's use oniy. T014? s2"'i
?
Irrigation Booms ?
Special Inspection
LATION MAY BE ORDERED DISCONNECTED IF NOT
Alarm/Communication THIS INSTAL
Other Fee COMPLETED WITHIN 18 MO HS•
?
_
1. the Electrical Inspector, hereby oaie?p
? .?
Rougn-in
certify that the above inspectlon has F;,,,i t ai i
been made. ?
.
OFPICE USE DNLV
This reauesl voitl 18 monihs Irom
L
2 5 5 m T 1 O 71 OF115E NLY This reqoest vaid 18 mamhs (mm wlidafion dare pnntee in mi? p?/? p?
5 6
? 9?
PLEASE PRINT OR TYPE
' d2 Ye [j) No Inspecnon Other Than Roogh-In: AA Ready Now IJ Will Call
l
on r
Reqoesr pok Rwgh-in impea
21 14 / 96 1You mvst wll Ihe inzpenor when ready) Dak Ready:
(;y licensed mnfmctor ? owner hereby request inspedion of the above eledrical work at:
? I
,
lab Addrvss (Sneei, BoF, or Roore No.)
1940 CLIFF LP,KE ROF?,D
?'k
EAGP.PJ zio caae
?F
1 22
Seqion No. Tawnship Nam<ar No. Range Nn Fire Nn Counry
DAKOTFl
Phor?e No.
Occvpmr
CUB FOODS
Power Supplier Address
DAKOTA
Commdar Licens< No- Me,?e,u? N. trio??ei.e.o?iri
ElMriml Conbatlar (CompanY Nome)
MUSKA ELECTRIC COMPANY CA01287
Mailiig Addmia (Conimnor or Owner Pedorming Insfallafion)
985 OAKCREST AVENUE ROSEVILLE MN 55113
lwthon ?nlraclo?wner ' g I lollo?ion? ?? P?eNo
636-5820
EB1h10 6195'- STATEBOAN OT'•gEEINSTNUCTION50NBACKOFYELLOWCOGY
r{SS a
- PauM O
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??II??I 1^821QUon'rv State Be dRo ERI?c? PE T O
* 7 7 * Phone (612) 642-OSOOaC1?CITY
l New Addn
Home Duplex Apt. Bldg. Other. Re,„„a Reoair
Htr.
ur er
qvest. Enter remarks in fhis space and on the bac o f e w i e copy onfY
R" above fhe work covered by ?his re
JTM6540 - WIRE FOR 24' ISLAND CASES.
Calculate Inspection Fee - This Inspe<tion Requesi will not be accepted without the correct fee:
Olher fee # Service Entrance Sae Fee # Circuits/Feeders Fm
Mobile Home Pork Stall 0 to 200 Amps 2 0 to 100 Amps
Sfreet l}g./TraHic Sig. Above 200_Amps Above 100_Amps
TmnsformedGenerator INSPECTOP'SUSEONLY TOTAL
/? n 1 20.5?
Sian/Oufline Lfg. X4mr. / ?
Boom
..?Y=.
?peaaiinspeaion
F?oal
I t teF
THIS INSTALLATION MAY BE ORDERED DISCONNECTEDIF nvf COMPLETED WITHIN 18 MONTHS
f h? C ry OFFlCE USE aNLY This reqveslvoid 18 momhs Fom validalion dare primed in this box.
a? 7/ 9C./_
?
l:4V dt?
I IIII I?I II III ?? I II II II II II I II III I I? I? ?? Q'? UV ? .1 J
* 0 4 3 8 1 6 2 0* PLEASE PRINT OR TYPE !iT" tv
Request Dale Rwghin inspecrion requiredx ? yes [? N. Inspection Oihx Than RoughJn: ? Ready N. 0 Will Call
1/ 21 / 9 ro? m?,i ?au ?ne ?r.P«m, whan dyl oare a?dy:
I, 91 licensed contmcror ? owner here6y request inspection of the above eledrical work at:
Job Address [SheM, 8on, or Rouk Na.) Ciy Zip Code
1940 CLIFF LAKE RD EAGAN
Swfian No. Tawnship Name ar No. Rangc N. Fire No. Cainy
DAKOTA
Occupam Phone No.
CUB FOOD
Power S.pplter
NSP
Elxhiml Conrcocroi ?Company Name) Cmvocbr Lioenu No. Moster Gc No. (Planl Elecl. Onl,J
MUSKA ELEC. COMPANY CA01287
Moiliig Addre:s (Controcbr or (7,wrim Perlamlng Inslalhlion)
1985 DAKCREST AVENUE ROSEVILLE, MN 55113
Signowre JConrc rminginsMllmion) Phone No.
J-111, 636-5820
Esti0061AT 1`6P6 STpTE BAqO COVY - SEE INSTNUC770N5 ON BI1CK OF YELLOW COPY
? a71! ? 7 n REQUEST FOR ELECTRICAL INSPECTION ?
438 -16L ? Minnesota State Board of Eleciricity '-
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800 C I TY?/(??'
Home Du lex Apt. Bldg. Other: New Addn
x Commercial Indushiol Farm Remod Re air
Air Cond. Ht . Equi . Woler Hk. Load M ml. Qther.
Dryer Range Elec. Heat Temp. Service
"X" above fhe work covemd by this requesl. Emer iemorks in this spoce and on the bock oi fhe whife copy only.
JTM203 - ADD CKT FOR WATER MACHINE.
Caltula/e Inspxtion Fee - 7his Inspeclion Request will nol be accepted wif6ouf fhe mrrecf fee:
O[her Fec M Service Enirance Size Fee ri Circuits/Feeders Fee
Mobile Home Park Slall 0 fo 200 Amps 0 0 00 Amps
Street Ltg./Tmlfic Sig. Above 200 s Abav 00_ Amps
Tronskrmer/Genemtor it?SPeCioa'S u5 NLv TOTAL
Sign/Outline Ltg. 7(fmr. ^
Q
Y./ 20.5
Alarm/Remote Control
Swimming Pool
Ihereb certi tharlins i e
nctlPimmllaria. desnibed herein on the dalex smied
Irrigotian Boom Rwghln Dote
$pecial Insper,fion
Invesfigative Fee Fmol om L
7HIS INSTALIATION MAY BE ORUEREO DISCONNE NOT COMPLETED WITFIIN 18 MONTNS.
3 3 3° 4 8 9 A OFFlC ryUSEcO/N-LY This request wid 18 monMz Imm validafion dote primed /in Mis ba?./?
??I//V? ?f ST
La G?
PLEASE PRINT OR TYPE
a-
Rcqoest Daln Rough-in inspetllon rea Z a,`] ?es ? No Inspecuon Other Thon Ro.qh-In: ? Reody Now ?] Will Coll
10 01 96 nou m?., ?on me oo? eeaar:
I, 9 licensed conimdor ? owner hereby request inspedion af fhe obove eledrical work at:
Job Pddress (Sheet, Bov, or Route NoJ Ciry ?p Code
1940 CLIFF LAKE RD EAGAN 55122
Secnon No. Toxnship Name or No. Ronge No. Fire No. Comy
DAKOTA
Ocmpant Phone No.
CUB FOODS
Pawer Supplier Address
DAKOTA
Eleqnml Commcror (Campany Namel ControcWr Ocense No. Moster Gc. No. (Plonf Eled. Only)
M SKA ECTRI COMPANY CA01287
Mailing Mdrtss (Convanor or Owner Pedorming Insmllafion)
1985 0 EST AVENUE ROSEVI LE, MN 55113
PLthodzed Si
rc onha r or ed i
nsroll on Phone No.
i
j 636-5820
EB- A.10 6195 STATE60ARDCOVY-5 XSTRVCTION90NBACKOFVELLOWCOPY
Minnesota State Board of Electricfty ?',
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!lIIIIIII eEUEeSryACGSNCC3t1PaPMNT504??
1 28, ? `i
3 3 3 4 8 9 3? Phone (siz) saz-osoo ?' C 17Y
Home Duplex Apt. Bldg. Other: New Addn
Commerciol Indushial Form Remod Re air
Air Cond. H?g. Equip. Water Hfr. Load Mgmt Ofher.
Dryer Ran e Elec. Heat Tem . Service
"X" a6ove the work mvered 6y this request. Enter remorks in this space and on ihe back o/ the white copy only.
C8210 - LIGHTING REMODEL.
Colculate Inspection Fee - 7his Inspection Requesf will not be accepted withoW }he mrrec} fee:
H?er Fee #` Service Enhnnce Size Fee # Circuih/Feeders Fee
Home Park Stall 0 to 200 Amps ? 0 fo 100 Amps QQ . QQ
ig./TraHic Sig. Above 200 Amps= ?"- A6ove 100 Amps
r
rmer/Generator INSPEMOH'SUSEONLY TOTAL
ufline Ltg. Xfmr.
* 100.50
emo}e Contrd ? W
ng Pool i here cenfi? thot I ns e decmmlinstalariendesc66ed herein an ?he daxs n
ored
n Boom Dole
Inspecfion
a}IV¢ F2C
Fee
THIS INSTALLATION MAY BE ORD DISCONN CTED IF NOT COMPLETED WITHIN 18 O HS.
p'?FFiCE USE ONLY This reqoasl void 18 monlhs 6om wlidotion daJ?re lp?r'in/le?d ?inj Ihis box.
4 4 8 3 PLEASE PHINT OR TYPE
?u caii
Eeque Rough-in inspec?lon requirvd2 ? Yes No Inspenion Other Than Roughln: ? fteady Now
? (Yo? mos cali ?inapecw, whe- rmMl Dare Ready-
I, licensed contmcbr 0 owner hereby request inspection of the above elecnical work al:
Ciy Zip Coje
lob Addresn ISneet, Box, oe Raxe No.1
w Na. I Range No I Fire
Oaopom
No.
Gc
SEE INSiNUCTONS ON BACN OF YELLOW COVY ,.
RE4UEST FOR ELECTRICAL INSPECTION ?
.4 /? O„? ? 1 5 ? Minnesota State eoard of Electriciry
`? ?J 1 1 1821 University Ave., Rm. S-726, St. Paul, MN 55704
rJ Phone (612) 642-0800 .,35 rf Illome Duplex Apt. Bldg. Ofher: New Addn
Commercial Indushial Farm Remod Re air
Air Cond. H. Equip. Water Hh.
1 Lood MgmL Other.
Dryer Range Elec. Heal 1 Temp. Service
"X" obove the work corered by this requesf. Enter remarks in this space and on the bnck of fhe w6ife copy only.
(2464N e.27- SrI5'v
Calculale Inspecfion Fee - ibis Inspection Request will nof be accepted wifhout the mrrect fee:
Other Fee N Service Entrance Size Fee # Circui[s/Feedcrs Fee
Mobile Hame Pork Stall 0 to 200 Amps 0 to 100 Amps
Street Lig./TmHic $ig. Above 200_Am s ove Amps
?
Transformer/Generaror INSPECTOH'S USE ONLY TOTAL xl
Sign/Oufline Ltg. Xfmr. ?? f??
Alarm/Remote Control ? ,
Swimming Pool i hereb cem thar Im: ene aiion descri6ed herein on the dotes smred
Irrigalion Boom Ro„ew„ oare
ecial Ins
S
ecfion
p
p
Imestigative Fee r;ai
? oma
THIS INSTALLATION MAY BE ORDE D DIS NE ED OT COMPLETED WITHIN 78 M NTHS.
i/a q/57
n n r. n 1 A Q n 17o.*.,, ? at-
Lo r5oo
?ao 0'4
., .,
RequeS e
Fire Nn.
Roug nspedion Fepuiretl
(YOU must call Inspe n ?eaDy)
or w
Inspection Other Than Fough-In
? Reatly Now [] Will NotJy Inspector
/ ? Ves No Dare Refltly
4
rcensed contractor ?owner hereby request inspection ot a6ove electrical work at:
I
.lob Aatlress (5trseL Box av Roulo No.) ) ?^ City ]
`
?4 'v-
" t/
Sectior? Na. Tnwnship Name or No. Rangr: Na. Counry
OccoOant (PRWT) PM1One No.
^
/V
plie!
Fm.pl Sup Atltlless
w
?
Eleclrl ? Cuntroctar ( empany Name) ConVaolors Lirense No.
e 19
aoyi?
Mailing Aadvess (pontreolor or Owner Maeng Ina:allation)
Con actodOwner MIns[allation) e Phone Number
MINNESOtA STATE BOARP OFEC?CTRICITY nn II? II? plp II? nlp R111 11111111
Griggs-Midway eldg. - Room 28 II II II H II 1921 Ilniversity Ave, St?? p li II U Phone (612) 642-0800
?i?(J/9 .7 REQUEST FOR ELECTRICAL INSPECTION
III, Sce InsUUr.tions :or mmpletinq thiis iorm on bac4 ef yellow copy-
n nr, n 1 Q S2 R<i.,nN Wnrk Cnvered bv This ReqUest
IHIJINSYtI.IIVrvncu??oi vaL? rvvi
BE ACCEPTED BY THE STATE BOARD
l1NLESS PROPEF INSPECTION FEE IS
ENCLOSED.
? EB-00001-09 I
??r`?ry ?'; ?lsa ?
?S <i ry$
v
New ..
Add v..
Rep. r.....
Type of Building -
• Appiiances Wired
Equipmeni Wired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other Ispecity) Contrarmfs Remarks'
Compute Inspection Fee 8elow.
# Other
Swimming Pool
Transformers
SIgf15 Fee # Service Emrance Size Fee # Circuits/Feeders Fee
0 to 200 Amps 0 to 100 Amps S'
Above 200-Amps, ? Aboye 100 -Amps ???ppp
Inspector's use Only: lX, TOTAL _
LC /7/S?
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALL V BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEDWITHIN 18 MONTrS.
I, the Electrical Inspector, hereby Rou9hl Dafe
certify that the above inspection has
been made. Fin i
OFFICE USE ONLV
This :equest roitl 18 montM1S Imm
7 , OFFICE USE ONLY This req?est void 18 months Fom volidalion date prinled in this 6oz.
- -"cL "7 9
. ?. ,
I II I?II I ? I?I II II I I I II II I II ??I I II? ?
?K 0 4 5 2 2 2 0 7* P4EASE PRINT OR TYPE
Requen Dare 4/21 /97 Roughin Inspection reqoired? ? Yes ?3NO
?? Inspecnon Other Than RoigMn: ? Ready Now ? WiII Coll
(Vo? mosi call ?hc ??speciar when reody) DatR Ready: 4/28/97
I, Q' licensed contmcror ? owner hereby requesl inspection of the above elechical work at:
bb Address (SrceeL eox, or RwR No.j Ciy Zip Code
1940 CLIFF LAKE RD EAGAN 55122
Seclion No. Township Name or No. Ranqe No. Fire No. Couny
DAKOTA
Occupam Phone No.
CUB FOOD
Power Supplier Add?ess
N5P
Eledriwl Connacbr (Company Nome; ConrtMOr Lkense No. Moster Lic. No. (Plam Ekct Onlyl
MUSKA ELECTRIC COMPANY CA01287
Molling Addren (Connocwr or Owner Performing Insmllmion)
985 OAKCREST AVENUE RDSEVILLE, MN 55113
Amhw 5' naN Cannacfor or Owner Perfor ' nsioll(flion) Phone Na.
636-5820
E IA-11 8/96 y-Tp-ri BOAR COPY - SEE INSfi1UCTt0145 ON 6ACK OF YELLOW COPY
// / REQUEST POR ELECTRICAL INSPECTION
45?1`°2^9 `'0 ? 8121BUnners?ty Ave.rRm. S 128,ISt. Paul, MN 55104 ?
Phone(612)642-0800 CITY?- ?
Home Du lex Apl. Bldg, fhr:- New Addn
Commerciol Indusfriol Form Remod Re oir
Air Cond. Hfg. Equip. Woter Hir. Load Mgmt. Other:
Dryer Ronge Elec. Heol Temp. Service
"X" above the work mvered by this reqoesG Enrer remarks in this space and on the back of the white copy oniy.
JTM203 - WIRE FOR SPRING FLOWER TENT.
Cakulote Inspxtion Fee - This Inspection Requesf will nol be occepted withouf the wrrect fee:
Other Fce # Service Entrance Size Pee k Circuits/Feeders Fee
Mobile Home Pork Slall 0 to 200 Amps s L 0 to 100 Amps
SheetLtg./TmNi<Sio. Above200_Ams Above100 Amps
Tronsformer/Genemtor INSPECTOR'S USE ONLY TAL
Sign/Outline Lfg. Rfmr. ?
. ? 20.50
Alarm/Remote Conlrol
Swimming Pool
Ir
i
ti
B i hereb <enfi m I'ns i ms Ilmion descnbed herein on Yne doas srtned
r
go
on
oom Rovgkln pam
Speciallnspecfion
Final D.
Investigofive Fee "
ri
7HIS INSTALLATION MAY BE OHDERED SCONNEC7ED COMPLETED WITHIN a n Ns
i
2
A
010
7
/
Requesf Date No. Rougn-in Inspectlon / ?
O Reatly Now N WIII Notiy nspec[or
Ma 18, 1992 Requiratll
,?Yes G No wnen Reatly?
ICM licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SVeet. 9ax or Route No.t City
1940 Cliff Lake Road Ea an, NIIV. Ea9an, M.
SeMion No. Township Name or No. Range No. Counry
Dakota
OccuOanI(PRINT) Phone No.
Cub Foods
Power SaoOlier Atltlress
Dakota Electric Farmin ton
Elecfical Comractor (GOmpany Name) ConVadors License No.
Hilite Electric Inc.
Mailinq Atlaress COntroaor or Owner Mdking InstaIldUOn)
Shawnee Road
1953 Eagan, hIIJ 55122
'''ff...
Ao? S9nalure I tr or ?r Mi Ins?llatio?) Phone Numb2r
12 452-8886
MINNESOTp STATE BOAqO OF ELECTRICITY THIS INSPECTION REOUEST WIIL NOT
Grlpge-MlGway Bltlg. - Poom S-173 BE ACCEPTED BV THE STATE 80AR0
1821 Oniversity Ave., St Paul, MN 55106 UNLESS PROPER INSPEGTION FEE IS
PMne (611) 602-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
lo See insVUCtions lor con'.pleting ihis farm on back oi yellow copy EB-0000f-08
I
y
f?
g
M-7 n fl '1 fl . vQoI„- 1m?14 CnvareA bv ThiS Request
w 1 L U 1 U ,. .
i . ....... ....... -- - -
AppliancesWired
EquipmentWired
e Add Rep. ng
Typeof6uild
Temporary Service
Home Range
Electric Heating
Duplex Waler Heater Olher (Specity)
Apt. Building
pryef
X Comm./Indusirial ' Furnace
Farm Air Contlitioner
aherispeclfyl Gmhactor5 Remarks:
Compute Inspection Fee Below:
Fee
q Other Fee # Service EniranceSize Fee # CircuiWFeeders
Swimming Pool 0 to 200 Amps 3 0 to 100 Amps
ransformers 4 KVA 6 .5 Above200-AmPs Above100 Amps
Si
ns Inspecmr§ Use Only. ' TA?
g 00
147
IrrigaNon eooms ?
.
/?? ?
Special Inspection (
TED IF NOT
Alarm/Communication THIS INSTALLATION MAV BE OR E. ONNEC
Other Fee . 0 COMPLETED WITHIN ONT
n
R
°
I, the Electrical Inspector, hereby -in
ouq
.
certify that the above inspection has F;,,,i
been made.
OFFICE USE ONLY
This request wid 18 manths imm o(
- ???I q-li c?-r 7ur3
M 67238 ?r.?
Request D
ate
Fire No.
!
nspection
0
NOTICE: You Mus? Call Eleclrical Inspector
12/10/93 READY NOW IsRRq??9d'"'"sPo"'°"
?NO
71
I?] licensed contrector ? owner hereby request inspection of a6ove elecirical work at:
Job Atltlress (Slreel. Bax or Route Ni Ciry
1940 CLIFF LAKE ROAD EAGAN
Section No. Township Name or No. Fange No. Gouny
DAKOTA
OccuOant (PRINT) Poone flo.
CUB FOOD
Power Supplier Atltlress
DAKOTA
Eleclrical Conlraclor (Company Name) Gonhac[or5 License No.
MUSKA ELECTRIC COMPANY CA01287
Mailing Atltlress (COnlractor or Owner Making Installation)
19 DAKCREST AVENUE ROSEVILLE, MN 55113
Aulh ed gn re (Conirac ne in n Ilation) Phone Number
? 636-5820
MINNESOTA STATE BOAPU OF ELECTRICITY THIS INSPEGTION REOUEST W ILL NOT
GNggsMiEway Bltlg. - Poom S-i73 BE ACCEPTED BV THE STATE BOARD
18TI Universily Ave., SY. Paul, MN 55106 UNLESS PROPEF INSPECTION FEE IS
Phone (612) W2-3800 ENCLOSEO.
!?„?(? REQUEST FOR ELECTRICAL INSPECTION /?JEpB-000D1-OB
? See Insvuciions lor completing Ihls form on back oi yellow copy. ? ?;F`, 170,(y?r
7?/
m 6 7 2 3 8 "X" Below Work Covered by This Request - iiSTAIL
ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired
HOme Range Temporary Service
Duplex Water Heater Eleclric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Speciiy)
Farm Air Conditioner
omer (sPeciy) comradorsae,nares JTM 1052 - WIRE 8' GWI DAIRY ISLA
Campu[e lnspection Fee Below: ASE
,Y Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps
Transformers Above 200 _ Amps A ve 100 _ Amps
Signs Inspedar5 Use Oniy: TOTAL 15
50
Irrigation Booms ?
d .
Special Inspedion
Alarm/Communica[ion THIS INSTALLATION MAY BE RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roh9rom Date
certify that the above inspection has
been made. Finai oet7
OFFICE USE ONLY
This reQuest witl 18 manNS irom
ID
i 9/9/ /"OSICZ
? 414 7 4i, /3/
Fequest Date
y /'?
? ,? o. Fough-in Inspeclion
Require .
. s _ No
Cl Reatly Now Nolity Inspector
When ReaCy?
I_ icensctor .] owner hereby request inspectio ol above electrical work at
Jao aadress isveat. oox or Rou,e No )
O
L ? ctry r'
?/
, V
Seciioc No. Townsbip Name or No Ranye No. Counry "
D 4 7-A
Occuoan! iPqUTr, ?
(rtr 1 C Ph ne No
PowerSupoier
L Y • I qptlress
Elec?. COaVa[ror 1Conpany NamP?
j/Vc?d E
Q
Lc c ConUaclor's License No.
C?9
Ma
anless iCO?rtac? or Ownar Me3?na ips,ayelpnl
LJ 3"n .?i
[s r?;-P
oG.
Aumun, n -wre ?Go- tr , r Mehi n ?aliaoon?
` Pnor.e Number
?2,) -
MINNEnuT STAT[ BOARO OF ELECTRICITV ? THIS INSPEQION FEOUEST WILL NOT ?
Grigg way Bltlg. - Room S-173 . BE FCCEPTED Bv iHE STATE BOARD
1821 Univ¢rsity Ave., SI. Peul. MN 55100 ' UNLESS PROPER MSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
C?/C?'/ REQUEST FOR ELECTRICAL lNSPECTION ee-ooom-aa I
? See insimctions for rompleting iM1r5 furm on back af yellow copy- /OjO eC?
Q "X" BelowWork Covered by rhis Request
41478
ew 3.tltl. ReF. TypeofBuilOing AppliancesWired EquipmantWired
Home ?Range Temporary Service
Duplex ? Water Heater Electric Heating
lding pryer Other (Specity)
? findustrt
al Furnace
' i AirConditioner
OtM1erisoenly? Conhac?ors RemaT s'.
Compute Inspection Fee Below: ? .
+r Other Fee # ServiceEntr
ance Size Fee S Circuits/Feetlers Fee
~ Swimming Pool 0 to 200 Amp ?
s 0 to 100 Amps
Transformers Above 200 _ Amps A ve 100 _ Amps
i SiqnS inspecmr§ use Oniy TOTAL
4 1
igaion Booms
?
S
pecial Inspection
a
AlarmiCommunication THIS INSTALLATION MAY BE OR D DI D EfTED IF NOT
I
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
certif
that the above in
ti
h R°°9n-'" •
y
spec
on
as
been made.
F;nai oata
/
OFFICE USE ONLV
Tnls reyuest votl 18 momM1S trom ?
c-yVor w i
? 40266 ? U
ieQUest Date ? a. RougRln Inpsection 5 equi2tl Inspec?io, OIM1er Than Rougn-In
(Vau mm? cell in90eclor when reatly? ? ReaOy Now ?] Wiil Notity InsOeCtor
NO ?d?e RB90y ?
8/ 1/94 ? 1'85 FUI
IF(licensed coNractor 7D owner here6y reques[ inspection of above electrical wOrk at
Job Address iSVeeL Boz or Rome No.l City
1940 CLIFF LAKE ROAD EAGAN
Ran9e No. Counry
SeC,;on No TOwn5hi0 Name Or No. DAKOTA
onone No.
m11PRWT1
CUB FOOD
DAKOTA
;al Comrector iGOmpamy Name)
MUSKA ELECTRIC COMPANY
3 Aoaress iGOmreclor or Owner MaKing Instailation,
;onVaclor'S License No.
CA01287
ILLE, MN 55113
_ Pnone Number
c?- - v?-. -?
THIS INSPECTION flEQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITV gE ACCEPTED 8Y THE STATE BOARD
Griggs-Midway BIOg. - Room 5-113 UNLESS PROPER INSPEGTION fEE IS
1821 Unlversfty Ave.. St. Paul. MN $5109 ENCLOSEO.
Phone (612) 842-O800
&/,//?? REQUEST FOR ELECTRICAL INSPECTION
r.? `??'E U l(r?.yr
!? ? See insVUClions tor ccmpleUng IDis lorm on Dack ol yellow cooY s?
?i Q n n 6 - "X° 8elow Work Covered by This Request C I TY
e Adtl TypeolBuilding
Rep AppliancesWired EquipmenlWiretl
,
?HOme Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Commllndustrial Furnace Other (Specity)
Farm Air Conditioner
- W W HP
rks
'
R
.
s
ema
Otnxr Isyecityj Con[ramor
I
(SATELITE TO SYSTEM) & NEW CONDENSOR.
Compute Inspection Fee Below:
p Other Fee # Service Entrance Size I Fee # CircWts/Feeders Fee
Swimming Pool D to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ P.mps Abova_100 _ Amps
Signs inspedo/s Use Onry:
- { TOTAL
Irrigation Booms ??;
j 2?.5?
Special Inspeciion ?
Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT
O[her Fee COMPLETED WITHIN 18 MONTHS.
L the Electrical Inspectoc hereby
Rougn-in
Date
certify Ihat the a6ove inspection has Finai f Date
been made.
OFFICE USE 9NW
Tnls reQUest vai0 18 months imm
L
)!i/PS'
This ?emrest void&/i,? ?
16 rmnths /rom
FP: '21 7 7 7 .6 D
, - -
Raques[ Uate F i'No. ?R?oqPhr?i??InsVer.?inn
ui, nJRcatlY Nuw ? Will Nolity Inspec-
L
6 2g gg
?Yes ?n,o ?p? WhCn Ready
g] licensed EI¢cvical ConVactor I haraby request inspection ot above
n Ownnr elecvical work installed at
Sveec Address, Box or floute No. City
1940 Cliff Lake Road Ea an
edmn o- Townshio Name or No. flanBe No. Countv
Dakota
OccuVantIPRINTI Fhone No.
Cub foods
Power Supolier AAtlress
Dakota electric, Farrnington
Electrical Con[ractnr ICompany Namel Contraclors Licunse No.
Hilite Elect•ric, Inc. 040445
Mailinq AdJress (Convactor or Owner MakinO lnstailationl
1953 Shawnee Road Ea an
Au)ybnti ked S' e?l'onhac?qdOwner Making Installation) Phone Nuniber
i
?Tim Phi li
452-1565
MINNESOTA STATE BOAND (fE ELECTRICITY
Griges-Midway BICg. - Noom N-191
1821 Universitv Ave.. SI. Paul, MN 55109
PhOne (612) 642-0800
BE ACGEPTED BY THE STqTE BOAAD
I/NLESS PROPEN INSPECTION FEE IS
ENCLDSED.
REQUEST FOR ELECTRICAI INSPECTION ?esj-oo/ooi-os
, See insP'dions toF comoletine tnis torm on beck of Vellow copvQ S?( 9'7
27 - v'' aa/„w w.,,k Cnvered bv Ihis Request
S ?,.1 l 1 1 1 - ?-
A l 8mltling Aoal'mncef Wired Equinment Wired
Range $ Teniporary Service
Water Heater Liqhtiny Fixtures
ildmg Dryer E lectrieTti
clal Bldy. Fumace Silo Unloader
al 81dy. Air Conditiner Bulk Milk Tank
om?, oe?.i v
uooirv otnur
liU/I
p l(/1/lC 1//J
Fee F/Cl.t?vri ? cc uc?v?r
ServiceEnvancaSize
tr
Fee
Fexders/5ubfexde.s
u
feu
Cirr.arts
0 to 200 Am 5 0 to 30 Am s 0 to 30 Am )s
1 15. QQ A6ove 200 Ampy • 31 to 100 AinPS ]. 5.0 31 to 100 Am s
Swimming Pool labove 100_F+in s Above 100-Am3?
'Other Fee
rtial
Transiormers Irrigation 8ooms -
a
Signs Spe<:ial lnspection S TOTAL
Rerrvorks ?
•
qoueh-in r Dxte I. the
? /
Inspector, he?aby
- CBfI1fV thA? LIIB TEOYB
Final
n
Insoecrion nes bee
I ^
? / everde. '
misrepuestvdElBmomns"mm v.-i-i `
86
0-17
7
•
Reqvest D te Firc N. ouyh-1 p ction qequiretl
r
ad
)
ll
t
h Ins ?jion Other Than Rough-In
Now ? WIII Nollfy lnspector
?j
d
9/29/95 y
(VOU m ca
mspec
w
en
e
? ?ea
y
? Ves
No ?a?e Reaa
I?xcensed contract r? owner hereby request inspection of above electrical work at:
Job AtldressSVeal. Box< Ciry
1940 CLIFF ROAD EAGAN
Seclion No. Township Name or No. Range No. Counly
DAKDTA
Dccupant (PRMT) Phone No.
CU8 FOODS
Pawer Supplier Aadress
DAKOTA
Electrical Gontraclor (Company Name) ConVaclor's License No.
MUSKA ELECTRIC COMPANY CA01287
Mailing AdOress (COnleactor or Owner Making Instalialion)
19
Authonre0 ' naWr (GOnI IonOwner g sl tion Phone Number
I
` 636-5820
MINNESOTq STATE BOARD OF ELEC ICITY I THIS INSPECTION REOUEST WILL NOT
I
Griggs-Mitlway Bltlg. - Roam 5426 fl I I I? I I I I I I I I I I I BE ACCEPTED OV THE STaTE 60ARD
1821 Univarsity Ave., SL Paul, MN 55ID4 I UNLESS PROPEF INSPECTION FEE IS
nM1nno/elI1FnI.nflnn ? ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ? es-o)
X" o.ooi-a
? See inslmclions for cn!npleting ihls lorm on back of yellow copy. ?(J?
?
?
Below Work Covered by This Request CITY
R vType of Building pp iances Wired Equipm
Home Range Temporaervc e
Duplex Water Heater Electric Hating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specif
Farm Air Conditioner
o'^P'!sPa°'ty? c°""a"°`s"em""s C5440 WIRE FOR VOGEL WATER MACH.
te Inspection Fee Below:
Ofher Fee Fee # Circuits/Feeders Fee
ming Pool 0 to 20Amps 0 to 100 Amps
sformers
; Aboe 200 Amps Amps
TAL
s m.pecmr,usoonry:
50
20
ation eooms .
cial Inspection
T
ti STALLATION MAY BE ORDERED DISCONNECTED IF NO
on
m/Gommunica THIS IN
er Fee COMPLETED WITHIN 18 MONTHS.
Electrical Inspector, hereby Roughin DaiP
that lhe above inspection has Finai ??
?' °' C•- V-
ade.
USE ONLY
Ues? voitl 18 monlhs Irom
18m.mha
USE ONIY This request void 18 monlhs 6om validmion da?e prin? in Ihis 6os.
?
IIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIII?II ???? ? -7
* 0 4 7 S 2 5 L S?K PLEASE PRINT OR TYPE
Request Doie pe ?] Roogh in inspectian requirad2 ? yes o
v
ll
h Inspec?ion Other Thon RoughAn: ? fteody Now I I?II
'
7[ o? muer ru
?
c inspecror when readYl
I b 1 ?
I, Iglicensed confractor El owner hereby requesf inspection oF ihe above elechical ork ot:
'
lob Address (Sneei, Bo:, « Rouie No.)
d qy
a
A
p
.?•?
s ?.
Sxiion Na. iownship Name or a. R
onge Na. Firc N
o. Couny
Occu ?
?
? Phone No.
r oo c
s YS - D
PowerSupplier Address
Eleclr'y I Gonrv tor (Company NamaJ Canrcacror License Na.
' Mas?er Lic No. IPlom Elect. Only)
e4t.ci. c Tr, c. 0 5 0/A
Molllng Address IConnocmr or Owner Per(ormling Inafall no??
.zoo 2spr-f: S-?. N£ f /9??? SS?I?f ?7
AWhonzed Si naNre (Con? tl o Owner Perhrming In ldion) Phona Na.
? 783 - gs [8
.__? '" ; i 6i° STATE BOAflD COPY - SEE INSTHUCTIONS ON BACK OF YELLOW COPY
475u25i
?
REQUEST FOR ELECTRICAL INSPECTION
? Minnesota State Board of Electricity
1821 University Ave., Rm. S-128, SL Paul, MN55 .
Phone (672) 642-0800 Home Duplex Apf. Bldg. Other New Addn
Commercial Indushial Farm Remod Re air
Air Cond. Hf . Equip. Water Htc Load Mgm}. Other:
Dryer Range Elec. Heat Temp. Service
"X" obove rhe work covered by this request Enfer remarks in this space and on fhe bock af the white copy only.
W(RC N'EW Gorr?/CSSo? IR4ck , NBw) COr?Gv?Sdr' ? Gl1wn9 p,
a Line-?P3 eT CA$4t7 e? SA)CS ?y Tlsti MOVG 2 IQOWS at
/i9Ii.is evw c4.Nss • ?? 4 i'25' -1- 1`E; = Z377 35
Calculafe Inspection Fee - This Inspecfion Request wifl nof be accepfed wif6oul the wrrecf feel-ZG y $
Olher Fee p Service Entrance Size Fee R Circuits/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 fo 100 Amps / ?.
Sheet Llg./Tmffic Sig. A6ove 200_ Am s Above 100_Amps .00
Tmnsformer/Generafor INSPECTOR'S lISE ONLV i?y TOTA
L
Sign/Outline Lfg. Xfmr. n
Alorm/Remote Conhol
Swimming Pool
I hereb cani ihai I ins t elecrcic iiimmi on the date, sbied
Irrigo}ion Boom porg ome
5
?
1
Investigative Fee iinol pa?5_
?g
THIS INSTALLATION MAY BE ORDERED DISCO NECTED IF NOT C TED WITHIN 18 MONTIiS.
T
Thts request voitl
18 nnnths from / O rJ ?) ??• ?? %
_1`
LL1?.IV / NI
Request Uate F.I. No. ti
nn
Rouph-in Ins ec
Feuuir ?Ready Now ill Nntify InsOec
_B(/a
C7 j -8 N
o
es ? r When Ready
y? ??censeA Electnwi Contractor I hereby requesl inspeclion oi ebove
elac4ical work installed at:
Sveet AdAress, Box or Houte N1o.
'?Y qo C L,-FF LAKe
Ro.49
eclion n. Township Name ur No. R?nge No. Cowny
q ko Td9
Occupanl (PFINT)
CKb Foo Phone No.
Pnwer Supplier Addrevs
0A ora 1455i'l
Electrical Contracto? ICOmpanv Nemel C???rac?or's License No.
1
Mailin AAJress ICOnuactor or Owner Making Instailn?ionl
`'t 85 /b esv?' P v l!
r?2N S/6?'
AuNorizea 5-gnamre IContrect dOwner Mak- g Inslalla?ioN Phone Number
MINNESOT/CSTATE BOAHO Of ELECTflICITV
Grie9s-Midway Bldg. - Noom N•191
1821 Vnivefsitv Ava.. St. Pxul. MN 55104
Phone (612) 6420800
BE ACCEPTEO BY THE SiATE 80AAD
UNLE55 PROVEN INSPECTION FEE IS
ENCLOSED.
9/REQUEST FOR ELECTRICAI. WSPECTION pee-?ooooi-o}s
/ See inshuclrons lor completinq this brm on back of vellow cnpy.
? "7f" Be/ow Work Covered by 7his Request
Adtl flep. TyOe o1 Builtling ApDloancea Wired Equipmeni WireA
Home Fange ieniporary Servlce
Duplen Water Heater Llqh[iny Flxtwos
Apt. Buildine7 Dryer Etectnc HeaLn
Commercial 81dy. Furnace Stlo Unloader
InAustrial Bldy. Air Conditioner Bulk Milk Tenk
FPrm OMer SPaci Y Oihnr ISncivivl
F .' ueclfv Other Othi:•r
LOO)Df/IP MSDPfIIOII YPP HPfOW
p Fee Sen-yiceEnbanceSize n Fee Feedeos/Sableeders b Fee Circurts
0 to 200 Am p5 0 to 30 Am e5 d OO f) m 30 Am os
Above 200 Amps 311212 0 Amps 31 to 100 Ai s
Swimminy Pool 1 Above 100_Am?s Above 100_Amps
Transiormers Irrigation Booms $y Partiab-Other Fee
Signs Special Inspection
C
S
TOTAL F
He marks p
6o•J ?? ?
?'?/?Vt Fir C.NAl CoN.?wRon? o F ?-.?, e ra?.vuv sn ??
flough-in 'r D°1e I, ?he Elecviwl
Insoecmr,nereey
certity thxt the above
Final 00,? nspeclion hes Eeen
mede.
Teia ravuest vaia in monms Twm
- ?? 2Z 19S?C,-TY ?`l??9'? -
p 13 0 8 34/1
Request Dale ? 0- Rwghin Inspection
Fepuiretl. ICRyady Now -)Will NoCJy InspaCtOr
- Wpyn Ready?
-Yes No
IClicensed contractor ] owner hereby request inspection ot above electrical work at
Job ACaress isttee[. Box or RoWe No.i cny
z
I _1'?o ° '40
. SecliOn No. ITOwnship Name o, N0. Ranyp No. countY r7f-
?
Occupant IPRINT)
Cud `vo?s? S? ? 1'•?n Es Pnone No.
Power SuopM1e' Aecress
?
aclncai Conirector ?Gompany Namel Comrecmr's License No.
?TCit ELE ?_?L
a?nng nd^ress IGoc?,raetoe or Owher Makiny Insta?lialionl
?+?0/`?
[
Number
PM1
SignaWrn ?GOnirnetor?Owner Making Inslalla0onq
Ajorarivair
I .ii ? one
Fso
7HIS INSPEQION REOUEST WILL NOT
MINNESOTA STATE BOPRD OF ELECTRI V gE AGCEPTED BY THE STATE BOARD
Griggs-Mitlway BIEg. - Hoom 5473 UNLE55 PRaPER INSPECTION FEE IS
1821 University Ave.. SL Paul. MN 55104 ENCLOSED.
Phone (612) 602-0800
„ ?, EB-OWOi-OB
JL REQUEST FOR ELECTRICAL lNSPECTION ,.,?4.., /O?s?.?
Y
?Z " 'x
? ? See instmction5 fcr complating Ihis lorm o. Oack o: yellow aopy.
..>?
nM /? /"X" Below Work Covered by Thrs Request Eq .PmentWi?ed
qppliancesWiretl ? I
I. , eanlaPnl TvqeolBUilding ?TemPOrary SermCe i
Farm
Other lsyeciry) CunVacror's RemarKSµ ?„ ? 57*11 C/NE
(J/iCb _ _ . . _a
- Fe
Compufe Inspectian Fee Belaw: _ x C?rcuits.?Feeders
01her PeeI # Service Entrance Size ?I ?Fee
O lo i00 Amps
0 to ZDO Amps qmps
Swimming Pool I Amps Above 100 _ ?
-- ? Abo e 200 ? TOTAL ?
Transformers Inspecior's Use Only- f5 6L
?Signs _?-
Irrigalion Booms _
?_ - _-
nspection - j s ?
Special I DISCONNECTED
iAlarm%Communication THIS INSTA^L `A TO N N18 MONOTHSERED IF N
__tOfhef FBe Roui
1. the Electrical Inspecbr. hereby
certify that the above inspection has F,,,ai
been made.
JFFICE USE ONLY
frvs iequest voia 18 montns imm
v
d 3 6 ?`??' J
a
IRe uesl Daw F R ugh-in Inspection
Requiretl?
XReatly Now ? Will NotiTy Inspacror
7 Yes No When Reatly?
I ?. licensed contractor ? owner hereby requesl inspection of above elecirical work at:
Job Aedress (StreeL Box or Route No.) Ciry ,
Section No. TownsM1ip ye or No. Range No. Coun
}
Occ?am fPRIN ? P one No.
Power Supplier Adtlress
U? '
eclnc I GonVaclor!COmpany N/amyq?.,
LLl?E.iLL-!? ?!i?-??? ? ConVeclor's License No.
????1 ?/
MaiLng qtltlress iConvaclor or Owner Makiny Installalion, -?
• `
tl /aiy/¢ IConnatl?oy/i Ir.sml
Amhon ?j hone N/umber (7!??
??4?
MINNE? SOiR ST/TE BORRD OF EIECTPICITY (? /? ` nn THIS INSPECTION REQUEST WILL NOT
Gtlgqs-MlEway Bldg. - Room 5493 _jlor ^y??`•` 6E AGGEPTED 6V THE STATE BOPRD
1621 Universify Ave.. SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)662-OB00 ENCLOSED.
?'?REQUEST FOR ELECTRICAL INSPECTION? s,
/?
? See inslmctions .or co,mpletinq Ihis form ort back of Yellow aopY.
d 43016 This Requesf
"X` 8elow Work Covered by Equ;pme?twi?ed
n??TYPe l B ld 9 AppliancesWired r norarv Serwce
Heater
(suectyl
Inspection Fee Below.' -
OIhO
nino PO01
eaoms
IOther Pee I
I, the Electrical Inspecror, hereby
certity thal the above inspection has
been made.
JFFICE USE ONLV
fhis repuest voitl 18 manlhs from
?T
Seice Entrence Size
rv Fee # Circu
O ta t00 A
00 Amps
to 2
Above-10(
bave 200 _ AmPS
qr5 Usa Only: i
y
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
COMPLETED WITHIN /8 MONTHS. oata
, ,.19°'?