1960 Cliff Lake Rd - Electrical PermitsOFFlCE USE ONLY This reqoest void 18 monllis 6wn validotion date printed in Ihis 6os.
11 4 5 0 9 4 7 7 IIIII?I? IIIIIIIIIII?II IIIIIIIIIII??a'?I? PLEASE
Req? ?re ' ? Rough-in inspecfion requkedZ ? Ves No
?You mus? call the ?rupecror when ready) InspecF:on Olher Than RougMn: Reody Now O Will Call
Dole Rmdy:
I, /licensed conhactor ? owner hereby request inspecfion of the above elxtrical work af:
Job Address ISkeet, Box, or Route No.
/O ? Ciy Zip Code
Secliar No. Townshi or o. Rarcja No. Fre No. Couny J
L?
pC Phane No.
p. Adaress
' al Conhacbr ?C m/ Nome) ?
11, Conhacror ficrose No.
/
{ O,2 Maste. Gc Nn (PIon1 Ekn. Only)
an r Owne Performing Insbllotion)
55?fz6
re onka Pedorming Incm llafion)
MSi17/j-
Ph e No. 6 /?
T
EBOOOOIA-11?/96 ? STpTE 6DARD COVY • SEE INSTfiUC770NS ON BACK OF YELLOW COPY
4/p- 3/q7
450=947 M
REOUEST FOR ELECTRICAL INSPECTION / `S
MinnesMa State Board of ElecVicity
1621 UriiversiTy Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
Home Duplex Apt. Bld New Addn
Commercial Indusfrial Farm Remod Re ir
Air Cond. Hlg. Equi . Water Hh. Load Mgmt. Other;
Dryer Range Elec. Heof Temp. $ervice
"X" above the work covered by Ihis requesG Enfer remorks in fhis spoce and on the back of Ihe w6ile copy only.
?
O
Calculale Inspedion Fee ? This Inspection Requesf will not be accepfed withouf fhe rorrecl /ee:
Other Fee # Service Enirance Size Fee # Circuils/Feeders fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sfreet Ltg./Tmffic Sig. Above 200_ Am s Above Amps
Transformer/Generator INSPECTON'S USE ONLY TOTAL
Sign/Outline Lig. Xfmr. ?J
??
?/ ?•,7V
Alarm/Remote Confrol / '
L
Swimming Pool I hereceni thm I
the nsmllarion daxribed herein on Poe dmes ?d
Irrigafion Boom zo,yMn pab
Speciallnspection
Invesfigative Fee
Fiwl pab
?
THIS INSTALLATION MAV BE ORDERED DIS ONNECTED IF NO OMPLETED WITHIN tA Otu S
OFFlCE USE ONLY Thix requesl void 18 months 6wn valid tion daie primed in Ihis box.
?75
I III I III I I? IIIII II 111111111111111111111111
5 5 1 7 6 IIII"eC? N)i L!-k* LRIR TYPE
Reqoes? Dak
- Bwgbin Inspection requiredR Yes a
(You mu:t wll ?he Inspecior w n dyj? Inspecfon Odher Thari Roogf?lr: ? Reody Now III Gall
Dale Ready:
I, licensed conlracbr 11 owner hereby request inspection of the above elecfrical work at
Job Addrass Ptraer Ro i ? /
?
E r?
/
r i v` N Zip Code
enion No. Townzhip Noma or No. Range No. fire No- onry
Oc on? ? ? Phone No.
ower Supplier Address
EI Con (Com /(!f Conhacror License No. - Mosrer L'K. Nn (%ant Elen. Only)
n+qH;ng Addre.s (Commcror or oer Pado?mmg iirsbllanon) J
Aufh ad ignomm (Contr <tor os ov'?e edorming Insloilmionj _ Phone No.
tl/YO STATE 80ARU COPV - SEE INSTBTCTIOflS ON BACK OF VELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION / ?/s . •
47`? - " C41 7 R 8
' 121eUniversaN Ave.,rRm. 312r8, St. Paul, MN 55104 ?'
Phone(612)642-0800 ???:....?..?:
Home Duplez Apt. Bldg. Other: New Addn
Commercial Indusiriol Farm Remod Re oir
Air.Cond.
I
HIg. Equip.
Waler Hlr.
Load Mgmt
Ofher:
Dryer I Range Elec. Heat Temp. Senice
"X" above the ?w'o,r?k coovered b this requesG Enter remprks in thi spoce ond on the back o tM1e wite copy or?l ,?
/J7?/J?/iW ?'- /'G'f7???(d,/??'?°?C-?-rl.r?/ ?f ' iv
??
`/?y
/???. /rL"/??/??./.?? ' L°/`/S/? ,J?f'1/?' ?/?/GVC°V•
/??z'?-?Xfur?s•
Ca culafe Inspeclion Fee - This Inspection Requesf will not be accep ed wi1 oufftheecorrec ?Ot Fee:
O[her Fee S Service Enlrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Am s
Streel Ltg./Tmffic Sig. Above 200_Am s ? "' Above lU0_._Amps
Transformer/Generoror INSPECTOR'S USE
91yn/Oufline Lfg. Xfmr.
e Control
Alorm/Remot r
Swimming Pool i hereb ?eit, thar i lkoi mm? cl?.dbed herem o. tha do? noii,d
I
Iffi9ofiOn BOOm Rooghin Dale
ecfion
$
ecial Ins
p
p Fm.l
Investigafive Fee
THIS INSTALLATION MAV BE ORDERE ISCONNECTED IF NO COMPLETED WITHIN 1 MO THS.
3 i//9 7 70 9/ 9
34922??,
ReQUest Date `
ugh-in InspeMion
Fi?e No,
NOTICE: Vou Must Gap Elechical Inspector
•M8TCt1 7, 1997 Fequiretl?
? ves ?p No 11 A Rough-In Inspection
?s Required,
I?I licensed contractor ? owner hereby request inspection of a6ove elecirical work at:
Job Atldress (Street, Box or Foute No.) Cily
Cliff Lake Center Suite 104,Cliff Lakes Rd Eagan
Setlion No, Townshlp Name or No. Fange No. County
N/A N/A N/A Dakota
Occupant(PRINT) Phone Na.
Montessori School
PowerSUpplier Atltlress
N/A
ElecVkal Conlractor (Compeny Name) Conhactar's License No.
Barnard Communications, Inc. CC00101
Mailing Atltlrass (COnVactor or Owner Making Instellafion)
1301 Clover Drive, Bloomin ton, MN 55420
Avthori etl Si nat re ra or/Owner Making Installalion) Phone Number
Frank Pet kowski 612 888-6800
MINNESOTA STATE BOAf? OF EIECTRICITY THIS WSPECTION REQUEST WILL NOT
GriggsMiWvay Bltlg. - HSom 5493 BE ACCEPTED 8V THE STATE BOARD
1821 UniversHy Ave., SL Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(612)802-0800 ENCLOSEO,
V? 5 347416i,6i i j
F
ReOUesl Defe . o. Raughdn InOSection PequireE
(VOU must call inspector when rea0y) Inspection Other Tha ough-In
C] ReaOy Now WII Notiry inspector
Yes ? No Oale qeatly
Ilicensed coniractor ? owner hereby request inspection ot above elecUical work af:
JoD Adtlress ISUeeL Box or Rovte Na,I
51-210 Ciry
?.
Seaion No.
t Township Name or No. Fan9e No. Covnty
O{ccupant(PRINInT; Phone No.
Power Su ner Atltlress
r (COmpdny Ndm¢)
(tlc31 COnIlaC10r5 License NO.
Z
-ec.D??l ? GAOZZSU
Maili g atltl ess iCOnhacmr or Owner Making Ins
?. ation)
mln SS 0?
Aut? ea Signalure t omraclon0/y+oe/rJ?/gkinq Installatian? PIho`ne Nu-? lmberI1?
_ ?1 Y!7`? Y ???`(./?° \
MINNYSOTA STATE BOARO0 ELECTRICITYU THIS INSPECTIpN REQUEST WILL NOT
Griggc-Mitlway Bltlg. - RoOm 5-173 BE HCCEPTEO BY THE STATE BOAFD
1821 Univerelty Ave.. St. Paul, MN 55104 l1NLE55 PROPER INSPECTION FEE IS
Phona(61P)fi6YA800 ENCLOSED.
2REQUESTFOR ELECTRICAL INSPECTION ?6'"`'?Aq E&0000108
? See IRsVUCtions lor completing thls torm on back ol yellow mpy,
?
03 4 7 4- "X" Below Work ov r by This Request N n2l?
ew Atltl Rep. TypeofBUilding AppliancesWired EquipmeniWired '
Home Range Temporary Service
Duplex Water Heater EleCiriC Heating
. Building Dryer Load Management
Cmm.llndustrial Fumace Other (Specify)
Farm Air Conditioner
Other (syeciy) Commctor's fiamarks.
Compute Inspection Fee Below:
k Other Pee # ServiceEniranceSize Fee # Circuits/Feeders Fee
' Swimming Pool /
0 to 200 Amps W 0 to 100 Amps
Transformers A6ove 200 _ Amps Abo DO _ Amps
Signs Inspector5 Use Only: JOTAL
Irrigation Booms A?+tr AI ??
• i ( ?, OX)
Special Inspection ?v ' .
Alarm/Communication THIS INSTALLATION AY BE RED DISCONNECTED IF NOT
Other Fee COMPLETED WIT N- & T S.
I, the Elechical Inspector, hereby
cerfifythattheaboveinspectionhas
been matle. Aougn-in
F;,,ai oate-
oa
?
OFFICE USE ONLV
This request vord 18 manIDS imm
L V V- 5 3 5 ? OFFIC SE ON Y This rryvest.oid 18 monMs fram validotian date pnmed In this bae.
i???G . G7o9?
/
PLEASE PRINT OR TYPE oZ ?
Reqvest Duh Rough-in Inspeclion req i ? Yes fYNo
T Inspecllon OlherThan Roo9h-In: [] RmdY NoW lll Call
??+
/_ ? 96 (Yoo must mll tha Inspedorwhen mady) ?a1e Reody:
I, 06 icensed tonhocfor ? owner hereby reques} inspedion of }he above eleckical work af:
Job Mdrem (Sveat, Box, or Rauk N.? Ci Zip Code
Section No. Taxnshl or o. Aanqe No. Ftn No. Counp
p?u? Phone No.
Power $opplier Address
Elactnml Conkacror (Company Na e Conhatlor pcenu Na. Mashr Lic Nn (Plom Elxt Only)
?
Moiling Pddrese (CantmMr r Owner Par(onnirq Inswllofion
55'f zL
AiAhonzed Si rc Con dor or Owner P n Inslollalion) Ph99g?q 46 /?
;L
EB- A70 6/95 STAT OARDCOGV-SEEINSTflUC710N50NBACKOFYELLOWCOPY
IIII I1II I I IINI I I I? I I I I I ?I REOUEST FOR ELECTRICAL INSPECTION G
Minnesota State Board of Electricity
1821 University Ave., Rm. S- 8, St. aul, MN 55104 ?
* 0 2 6 5 S 3 5 5* Phone (etz) saz-oeoo /
Home Duplex Apt. Bldg. Oiher: New Addn
Cammercial Indushial Fartn Remod Re air
Air Cond. Hfg. Equip. Waier Hfr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X" tbove the work covered by fhis requesf. Enter remorks in this spoce ond on t6e 6ack of ?the? white ? Q
mpy only.
?A?w?...i /?N? ?/
I [v
Calculate Inspection Fee - 7his Inspection Request will not be accepted without fhe correct {ee:
Other Fee #E Service Enlrance S"ae Fee # Circvits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps o 100 Amps
L
Street Ltg./lraffic Sig. Above 200 Amps oAmps
velOO
TransformedGenerator iNSPECTOa'SUSEO f ,ty? TOTAL
$ign/Outline Lig. Xfmr.
Alarm/Remofe Con}rol
Swimming Pool I herc6 c<6that I in: erniml In:mllofion dacnbed hersn on iha daks:mted
Irrigation Boom Rou9h-In Dure
ecial Ins
ection
S
p
p Fina1 Da?
TH
Investigative Fee
IS INSTALLATION MAY ?
BE ORDERED DIS O IF NOT COMPLETED WITHIN 8 ONTHS.
2 6 5- 5 3 2 rZ1 //G ?? U79? ONLY Thiz reqmst.oid 18 momhe Irom validalion dale pnnkd in thia box
CA?
PLfASE PRINT OR TYPE
Req?est Dak Rough-in Inspanion reqoired Ves No Inspecnon Oihcr Than Raugh.ln: ? Reody Now Will Cvll
?
'? ? ? (Yao must mll the inspetlor when reody) Dak Ready:
I, licensed conhacfor ? owner hereby requesf inspeclion of fhe obove elecirical work af:
Job Address (Skeet, B?a, or koota No.)
l, (.a..k?. #I o8 Gh Zip Code
Seclion No. Tawnship Name ar No. Range No. Fim No. Ca??
Occvpant Phone No.
PawcrSopPliar Aildress
Elaclriml Conha r Campany Nam ? Comractur 6cenze No. Maskr lia Na (PIoM Elen.Only)
?
G
0
6
ailing Addmu (Conimnor or Ownar PeRorming Insm nom
_
1o
SignaNre (Conna o er PaAorming InnallaXon)
P ne No.
.264 $
E8-WOOlA10 /95 STATEBOARDCDPY-SEEINSTRUC710NSONBACKOFYELLOWCOM
I IHI II IIIIAII IIIlihl II 111111111111111 ' REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board ?f? ct?ity 1821
Liniversity s 0 2 6 5 S 3 2 2* Phone (8121 642.0800 m;S-? e,?? aul, MN 55104 ?
Home 1 1 Duplex A. Bldg. Other: New X Addn
ommerciol Indushiol Farm Remod Re air
Air Cond. Htg. Equip. Wafer Wr. Load Mgmt. Other.
D er Ran e Elec. Heat Tem . Service
"1C' o6ove the work cover?ed by ffii,srequest Enfer remarks in thi- s sp a e apd on th the ?wh?it?e ycq?py? on]ly.
r
Calculate Inspection Fee - This Inspxfion Request will no} be occepted wifhout the mrred fee:
Olher Fee # $enice Enhance Size Cirwils/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps = 100 Amps
$treef Lig./TraHic $ig. Above 200 Amps ove
100 Amps 7?Q(7
Transformer/Generafor INSVECTOR'SIISEON TOTAL
Sign/Outline Ltg. Xfmr. ? ? 7.?
Alartn/Remote Conirol
$wimming Pool I hereb cerN ihol on dezcnbed herein an ihe daks sbad
Irtigation Boom Ro?gh?in ?b
ecial Inspedion
S
TH p
Invesfigative Fee
iR INSTAI LATION MAV
BE OR Finol Doro
DERED DISCON IF NOT COMPLETED WITHIN 1 M NTNS.
2 ff O°.3 7 3 ?
a LY Thrs requeaf void 18 months hom volidofion dok pnnrcd in Ihis ox. ?
Y'
PLEFSEPRINT,ORTYPE
AeQVes? ? Roigh.in impMlon rsquiflolf ? Yes No
(Yoo moslcalltheinzpecrorwhen reody) ? Inspetlion OlharThan Roogh-in. Rmdy Now 0 WIII Call
Wk Ready:
I, licensed controcior ? owner hereby requesf inspedion of ihe above eledricol work aF.
Job Add r? ?Sf nser, ax, or Rmb No?) Ciry Zip Code
SMion No. Townehip Name or No. Range Na. Fir< No. Cov?pv?
L?'?? (? 4* C ?? ?0&, r? s i Pho?? LC -L
Power Supplier Addresz
Electriml C ?
Orl?VIVM
Contmnm limnse No. /
Maskr Lic No. (Plont Elen. Only)
hloiliig or ? imin9lnsb anon
SPRING LAKE PARK, MN 55432
{?ryig Insmllanon)
AUhorixed Sigrwwrc I ?vi?? ?nl?nc? v?@ io3erysruD?i
/
Plwne No.
EB-OOOOlA-10 6/95 STATEBOAHOCOPV-SEEINSTRUCTI§RSON9AC1(OFCIELLOWCOPY
/n.O tlt/ 9
IIIII ?I I II
,
4 0 3
3 III III IIII' REQUEST POR ELECTRICAL INSPECTION-
Minnesota State Board of ElecVicity
1821 University Ava., Rm. -1 8, SL Paul, MN 55104 ?
L s Pnone (612) saz-oaoo
me Duplez Apt.8ldg. Citf, er: New Addn
'mmercial Indushiol Farm Remod Re oir
Air Cond. Hig. Equip. Water Htr. 77 1-oad Mgmt. Ofher:
D er Ran e Elec. Hea} Temp. Service
"X" dbove the work covered by ihis request Enter ?emork in this spoce and on fhe back oi the white copy only.
?
Calculate Inspecfion Fee - 7his Inspedion Request will not be occepted withouf fhe cortect fee;
Ofher Fee # $ervice Eniranoe Sae Fee # Grcuils/Feeders Fee
Mobile Home Park $iall 0 fo 200 Amps 0 to 100 Amps
Sfreei Ltg./Troffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generafor INSPECTOR'S USE ONLY T014L SID
$ign/OuNine Lfg. Xfmr. G.o '"
Alarm/Remofe Control ? Q - G
$wilnming Pool I herob mni that I ?ns ecred the elechsml mllmion desc' m?n on ihe darce smied
Irrigotion Boom Rough-In Dak
ection
S
eciol Ins
p
p
Investigative Fee Flna Du
THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT COMPLETED WITHIN 7 M NTHS.
276a223 15 Of FFIC/ En5Ef ON? Thb request void 18 monMs from volidation dare pnnled in thi
i/
Y ? •
PL$ASE PRINT OR TYPE
Reqoest Daro Rough-In Insp reqolred2 Yes N. Inspec?ion Dther Than Rough-In: ? Ready Now Q Will Call
?Yoo mus? coll ihe inspMOr v.hen reody) Dok Reody:
I, licensed conlractor ? owner hereby requesf inspection ol fhe above elechical work at:
Job Pdd^•. i°+--f Baa. or Ro JyNa.) Ciry
- Zip Code
?-
. 651 ?-
5«fioQlfo. b e' No e o N.. ? Firc No.
W?
z
Orcupanl h
Power Sup Pddress
N
AI,
Conhan
Electri I Conkacwr JCompany Nome) s n1' licans<Na M
asrcr Lic Nn (Plant EIM. Only)
^
?
MoJi Address ?Conhaaoror er Pedorming Insmllafian)
A nzed5ignaNrc(CommjtorarOwnerPeAormiylnsbllotion) Ph
o.
LJ
? ?
?
°
E8=00001 -10 6/95 STATEBOARDC . V-SEEINSTfiUCTIONSONBACKOFYELLOWCOPY
I II I? iI ?? REQUEST FOR ELECTRICAL INSPECTION 5??? Ilr
Minnesota State Board of Electricity 1821 UniversityAve., Rm. 5-128, St. Paul, MN 55104 y* 7 6 2 2 5* Phone(si2)sa2-0eoo//?/y'(?
#iome Duplex Apt. Bldg. Other: New Addn
Commerciol Industrial Form Remod Re air
Air Cond. Hig. Equip. Waier Htr. Load Mgmf. Other:
D er Ran e Elec. Heat Tem $ervice
"k' obove fhe work crnered by this requesG Enfer remarks in ihis spoce and on }he back of the whife copy only.
? ? ?f-1 ltct?.?i`a?Z.- `-"' 1 ' _ "' •
Calculofe Inspecfion Fee - 7his Inspecfion Request will not 6e accepted without Ihe correct fee:
Olher Fee 3€ Service EMrance Sae Fee # Circvils/Feeders Fee
Mo6ile Home Park Stoll 0 to 200 Amps O io 700 Amps
$heet Lfg./Traffic $ig. Above 200 Amps Above 00 Amps
Transformer/Genemtor INSPECTOWSUSEONLY OTAL
Sign/Outline Ltg. Xfmr. (?! ' ?
Alarm/Remote Confrol
$wimming Pool I hereb ceni ?hot I ins ecrcd Ihe eledriml installation deecribed herain an 1ha dores sb?ed
Irrigation Boam p,o,h-I Duk
ecial Inspecfion
S
p F' al D
Investigative Fee I-KM
THIS INSTALIATION MAY BE OR ISCONN CTED IF NOT COMPLETED WITHIN its M NTHS.
21V- 7 3 9 I/ I
C; OFFI US -0NLV This request void 18 months irom .alidafion dok primed in thi; boi.?
/??
PLEASE PRINT OR TYPE oC Il?
Reqwsl Dula Roogh+n inspaction rcqol Yes No InspMion 01her Thon koughdn: ? Ready Now Will Coll
(You mvsl wll Ihe ins r w n ready) Dote Ready:
I, licensed canhactor Q awner hereby request inspedion af the above elechical work af:
lob Pddresz (Sheep Boa, r Route No. . City Zlp Code
? .
SacNan No. Township Name or No. Range No. Ftre No. Cw ""
O<cvpom ' Phane Na.
Po..er $applier Address
EI Con (Co y N e? • Conmmcror Lianse No. Maskr Lic Na. (Planr EIM. Only?
? e ??ri ? o s
oilinq p?dreea ( nkocbr or r Pe orming Insmllofio
?j 2?
Aulh?n?xadJ$ gnwNm(COnvaaoror erP InsMllofion) PhonaNo.
EB-OOOGlA-10 6/95 /fTpTEE0AROCOPY-SEEINSTRUCTIONSON6ACKOFYELLOWCOPV
? III MR REEST FOR ELECTRICAL INSPECTION ?Mnnesota Stale Board of Electricity
821 University Ave., Rm128 StPaulMN 55704 0 2 6 * _Phnnu lRiz) e42-0800 ?5 p
Home Duplex Apf.8ldg. Other: New Addn
Commercial Induskial Farm Remad Re air
Air Cond. H}g. Equip. Wafer Hir. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the wo/rk covered by fhis request. Enfer remarkq in pthis space and on the b.a `of th?.,w,Lhite copy only.
s?ri/? !??//7/?/
Colculate Inspection Fee - This Inspxtion Request will not 6e a«epled without the cormct fee:
OlFier Fee N $ervice Enhance Stre Fee # Circvik/Feeders Fee
Mobile Home Pork Stall 0 ta 200 Amps 0 to 100 Amps Q. Q?
Sfreet Ltg./rmffic Sig. Above 200 Amps Abo 100 Amps
Transformer/Genemior INSPECTOR'$USEONLY
n TOTAL
?
Sign/Ou}line Lfg. Xfmr. S
• Alorm/Remote Control f
Swimming Poal i he.?b c.re mo? i ??: ? d'??,m d a e dares:mkd
?n
" Irriga}ion Boom Roogh-In r Dote /'i
f e<ial Ins
ection
$
p
p Final te t7
?-
Investigofive Fee ? ?/?
?
?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
/i ?V/93
C? 4 6/g'Alfl g' . A
Reauest Date Fir Rough-In Inosectian Repuireo insoeaion Omer Tnan aougn.ln
(VOU must call inspeMr when reatly) ? qeatly Now ? Will Notify InsOector
? Ves a N.
Date PeaOy
I JE licensed contractor ? owner here6y request inspection ot above eledrical work at: .
Job Atltlress ISireat Bpx ule No.I ? City
A/
Seclion No. Towns?i0 ame or No. Range No. Covn
Occupant (PRWT) r
? n Phone No.
?
`?
Jta. c ? 6 r?or /S
db?0
Power Su pher Atltlress
ElecVical Comractor ICompany Name? ConVac[or5 License No.
n L*- tc ' n C?}O 220
Mailin?p.Atldress IGonlrecror or Owner Making Install nf
Amnonz nalure cOmeclovOw r Makinq I al l ion) Phona NumOer
Ysy- o
MINNESOTA STATE 60APD OF ELECTPICITY,"' THIS INSPECTION REOUEST WLLL NOT
Griggs-Mltlway BICg. - Room 5-173 BE ACCEPTED BY THE STATE BOARO
1821 Unlverolty Ave.. St. Ppul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Vhone(81Y) 64241800 ENCLOSED.
RaE2.QUESj,.FOR ELECTRICAL INSPECTION
See Inslmc?ions lor wmpleting tis form on beck of yellow capy.
N14666 X" Below Work Covered by This Request
?„??'gl 50??0
..?"
14ow Atld Rep. TypeolBuiltling ApOtiancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Waler Heater ElecVic Heating
Apt. Building Dryer Load ManagemeM
Comm./lndustrial FurnaCe Other (SpeCify)
Farm Air Conditioner
Otner Isueciry} Gontractor's Remarks:
Compute Inspection Fee Below: G'
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Siqns hispector's Use Only: TOTAL
Ifrigailon Boom9 ? ,(y-?C)
? ??
Special Inspection ZIJ 1
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DJSCONNECTED IF NOT
^ Other Fee COMPLETED WITHIN 18 M@fl HS.
I, the Elecirical Inspector, hereby
certify that the above inspection has
been made. Rougn-in r
F7ei ?ate /_ ? 7/??
?e C f
OFFICE USE ONLV ThiS r9quE51 Witl 18 mOnIDS from
1 ?450 ?
0 ?U??
9 ?
Requ t Date ?
/ O? ? Fire No. ougly-I pecllon Requiretl
(Vou m
all inpecto v en reedyl Inspeclion Olhe,Tb n ough-In
0 Reatly Now Will Notily ?nspemor
?
Yes No Date Reatl
I?licensed contractor ? owner hereby requesi inspection of above electrical work at:
Job Atltlress (Sheel, Box or Route No.) ? City
Section No. Township Name or No. Range No. County
D
Occupanl(PRINT)
' T ?
tA.ii kLLLPP i Phone No.
54O - Z37
Power Supplier Atltlress
\ •
Elec[ri al Coniracror (COmpany Name) Convactors license No,
Ll._. Oo9
Mailing Atltlress (COntrecmr or Owner Making Installation)
$9 b ? ? -).,;.N1 VIW 2-
AuN ' Siynatur , n!racro l wner Making Ins1311atian) Phone Number
Grlggs-Mldwey Bltlg. - Raom 5428 BE ACCEPTED BY THE STnTE BOAFD
MINNESOTA STAT BDA OF ELE RIpTY 1111111111111111111111111111111111111111111111111 THIS MSPECiION REOUEST WILL NOT
1821 llniverelty Ave., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 802-0800 ENCLOSEO.
REOUEST FOR ELECTRICAL INSPECTION
10? ?'A°?EB-ooooi-os
? See instmcUOns for compleling ihis totm on bac4 ot yellow copy.
"X" Below War _;^„?rPd by This Request '???
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
ApL Building Dryer Load Management
Comm./Industrial Furnace Other (S eciry)
Farm Air Conditioner
Other (specily) Convacror's RemaBS:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee /! Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to t Amps ,c'
- Transtormers Above 200_Amps Above 10 -Am s
Si OS Inspector's Use Onry: TOTAL
Irrigation Booms ?C J
?
? ?iU.S ?
5 ecial Inspection v
AlarmlCommunication THIS INSTALLATION MAY BE OR RE I
SCONNECTED IF NO7
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electricat Inspector, hereby Rougn-io oeia
certity that the above inspection has
een made F oa/re %_
OFFICE USE ONLY
Thls request voitl 10 months tmm
- -
2 80
0
5
? 7
Req es? ppate Fira N. ?oug?? specf Requiretl
?tlJ us? :sll inspec or wnen ready) Inspec1ion Other n ugh-In
? Ready Now Will Notily Inspedor
1:1 Ves ? No Oate Reatl
I licensed contracror ?owner hereby request inspection of above electrical work at:
Job Ad9?tmet, c`u` ?
?.
c'"
Seciion No- Township Name or No. Range No. County
pa 't ^(PR/IM{?')] Phone No.
Poxrer Sup0lie r A
I.tyiY?VT7T AOtlress
Eledn I Conl2cmr (Company Name)
1 eu(?f?r ELc>.c°--r,eAe; Conh clors Licanse No,
Mafli tltlress ( niraccor or Wmer Making Installation)
b v6?1 ,4- SSl SZ? •- oc?
uthonz a S' naWre (Go Vad wner M Ilatlon) Phoqe Number /
4JZ-lVS
M SOTA STATE 0 OF EC?GTfl THIS INSPECTION REOUEST WILI NOT
gs-Mitlway ' Hoom 5728 II II I I I I I I I(( I II I I II BE ACCEPTED BY THE STATE BOARD
821 Unive? ' e., SL Paul, M 109 UNLESS PROPER INSPECTION FEE IS
Phone(612 42-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ??`"' F) p?sJ-ooooi-ps
4/7?QS' / See instrucfons (or compleling Ihis torm an back of yeilow copy 1?fi
\Q+. ? !!
"X" Below Work Covered by This Request
New Add Rep. Type of 8uilding " AGPliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Building Dryer Load Management
Comm./lndusirial Furnace Other (Specity)
Farm Air Conditioner
Olher (sper.iry) Conhadorb Remarks' ?
Compute Inspection Fee Below: ? 'ZZ(e
# Other Fee # Setvice Entrance Size Fee N Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Amps
Si tls inspectar's use Only: TO
TAI
Irrigation Booms ?
^
Special Inspection ?
Alarm/Communication TFIIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLE7ED WI7HIN 18 MONTHS.
I, Ihe Electrical Inspector, hereby
h ftough-in Dace
certity that the above inspection
as
been made. Finai
C
OFFlCE USE ONLY
This request voitl 18 months tmm
0 o
cl?
,
Re uest PIfitO /nn?
,/? ??
? Fire Na. R ugh-in In 60 idfi qequire
(VOU Q ? c I inspeclor whe y)
Ves o Inspec?ion Olher Than Rough-In
? Reatly Now ot y Inspecmr
Oale Reatl
I ' ensed contractor ?owner hereby request inspection of above electrical work at:
Jab Adtlress (? toeox or Rom o r ? pe-la
City
Secoon No. Township Name or N. Range No. Counry
Occupant PRINT) r Phone No.
Power Suppller Atltlress
Eledrical ConikMb PL. N.
?
ft Cent? rors 4 ense No.
- 9
015
alletion)
or Owner aki
Mailini
Authori SignaNre (COniracmr/Ow Makin nst Ilation) Pho?ne/Nvmber /y
/'s 'S
G829 Unives?y AItl?.BS oP m S MN B 551U4 ?? T
I II II I I I I I I I I I I I I I? ?II UNLESS OPER NSPECTION BOERD
Phone (612) 692-0800 ENCOSED.
4
?,{/ Y REQUEST FOR ELECTRICAL INSPECTION ?,?, E/B?-oaooi.orys
o`/ (•??// ? ? See insimctions for completing Ihis lorm on back ol yellow mpy.
"X" Beloiv Work Coveced by This Request
Ne Ai1d Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building
] Dryer - Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Olhar(specity) ConUado's?Rem rks:
/?O V asc2''`T, ,
Vf ?
Compute Inspection Fee Below: ?
# Other Fee # rvice EnVance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps ve 700 _Amps
Siglls Inspector s Use Only: TOTAL
Irrigation Booms ? So
Special Ins ection
Alarm/Communication THIS INS7ALLATION MAY BE D DISCONNECTED IFNOT
Other Fee COMPIETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby
i
h Roughin
` oare
certify that ihe above
nspection
as
been made. Final Daa?
J
OFFICE USE ONLY
This request void 18 months fiom
? ????
0-1 4=577 ? ?
°?o
3 95
R uest ate
.s Fire No. Rough-In Ins n Requi ?
(YOU musl ?a inspedo ? n reedy)
? Inspeqion O'her Tnan Fouqh-In
? Reatly Now 0 WIII NotiFy Inspecmr
Y? z?j ? Ves
No Da?e Reatl
I licensed contractor ?owner hereby request inspection of above electrical work at:
Job AtltlrBSS (SIreeC Boa or Route No.) Clty
Sec?ion o. Towns?ip Name or No. Range No. Counry
?
OccAupan[(PRINT) Phone No
aZ
88-
?
t? o a v
o
Powe Sup?pliye
°
N
f Atltlress
3 cgo AXz??//
.
,
i
ElecMCal GonVedor (Company Name) ConVectors License No.
Malling Atldress (COnVactor or Owner Makin9 Instailslion)
/.S? .I? aL1T? p E.c7G?,c3-.5! tijn/ ss'r Z/
Aut 'zetl Sign ure (CanhacronOw er akin Installation) Phone Num?er
?SZ -399?
MINNES A S ATE BOARD OF E ITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey BIOg. - Room 5428 II I III I ? I I I ? I I I? II I I I I I BE ACCEPTED 6Y TME SiATE BOARD
1821 Unive2lry Ave., St. Paul. MN 55 10i UNLESS PROPER INSPECTION FEE IS
VFOne 19191 802-0800 ENCLOSED
.
REQUEST POR ELECTRICAL INSP.ECTION 4?? ???
?Pi See Inslmdlonsior sompleting ihis torm on back oF yallow aopy_
"X" Belo'w Work Covered by This Fiequest
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating '
Apt. Building Dryer . Load Management
Comm./Industrial Furnace Dther (Specif )
Farm Air Conditioner .
Other (specAy) Contracror's Femarics: . xe;'bvE /erPa
Compute Inspection Fee Below: Zqpq Laq.,p GC`?? ^,,+PvJ Cxf' /160¢ r/r-c,)
Other Fee # ServiceEntrance Size Fee # Circuits(Feeders Fee
Swimmin Pool 0 to 200 Amps - to 100 Amps /
Transformers Above 200_Amps Above 100 _Amps
- SIgf1S Inspecmr's tJSe Only: --? TOTAL
Irrigation Booms
O ?
Special Inspection /
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NO
Other Fee gW
COMPLETED WITHIN 18 MONTHS. Zp ?
I, the ElecVical Inspector, hereby
i
h
f
h
h
b
i Rouqn-m , oace
ove
nspect
on
cerii
y t
at t
e a
as
been made.
F'"ai
oa?e
OFFICE USE ONLV ?
This reques[ vaitl 16 manihs Irom
3 io 9 5
0 4 0 2 1 ?a/a y
?ao17V
Requesl Da.0
Z / ire No. oughM In pactlon Required
(VOU musl ll inspect r en reatly)
? Vcaas N. ion Oi?er n Roughln
eEy Now ? Will Notiry Inapector
I icensed contractor ? owner here6y requesi inspection of above electrical work at:
Job AAtlress (Street eox or Roula No.) Cly
Section No. Township Name or No. Renge No. C unry
Occupent(PRINn Phane No.
Power SupPlier Atldress
Electdcal Convaclor (COmpany Name) Contrectoi Licenae No. 1
Mailing Ad ess (Convacror or Ownar Makinq InsWllation)
m o j
Autho' SignaWre (Conirector/ ner Making Installatbn)
?J Phona Number
i
MIjNESO ? RD OF ELECiRICRY THIS INSPECTION REQUEST WILL NOT
Origgs-Mldway Bltlg. - Room 5128 8E ACCEPTEO BV THE STATE BOARD
1821 Univerelly Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone f6121 642-0800 ENCLOSED.
I(] Q? REQUEST FOR ELECTRICAL INSPECTION " ?"?4"*Q ee-ooooi.os
Sae Insimctions for crompleting Ihis form on back oi yellow copy. ?
004021 0- ??'/?9
"X" Below Wor&-Covergd by This Request
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Mana ement
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Other(specity) Contraaor's_Re ./`k
//? T71L/NI/ /]
C,PJ ?QO? i!/W `i???r"? .-., _ ? _ ,?
? ' "???__
Compute Inspection Fee 8elow: M) AWO ?',(JT
# Other Fee # Service ntrance Size Fee # Cirowts/Feedars Fee
Swimming Pool 0 to 200 Amps 0 to 700 Am s
Transformers Ahova 200_Am s Above 100 -Amps
51 f15 JKJA/ mspeciors Uae only: TOTy /
Irrigation Booms .o
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAV BE 0 D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electncal Inspector, hereby
i
h Rough-in oet?
as
certity that the above inspect
on
been made. Final ? oel
OFFICE USE ONLV -
This request vold 18 monihs fmm
K'6 6 479
ReQUest Da
s?? ?
/ Fire N ough? n s lionflequiretl
(Yau mustcmVtinspector w?en reatly) InsOection OIM1er T oughdn
? Reatly Now ?Will Notity Inspec1or
'
O ? Yes N. Oate Ready
1 licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atltlress ?SVeel. Box or Route o 1
•r96n -c.? Gn? ? Qly
Seclion No. Townsnip Name or No. Range No. County
i? ^ ? -'
p
OcNPanl IPRIyTI??! ?
??? Phone No:??.
6 ? Q
Power Suppher Atltlress
Eleclrical Comracmr (Company Name? Conmaclor's License No.
^,a CAPD W
Mailing Atltlress ICOnVactor or Owner Makin Instellalionl
a B ? e
Fulhori3etl Signalu'e o,tm ?king Installation) PM1On umber
1
MINNESOTA $TATE 90ARD OF EL?THIGITY THIS INSPECTION REQUEST WILL NOT
Grl¢ps-Mltlwny BIEg. - Room S17BE AGGEPTED BV THE STATE BOARD
1821 Univerolly Ave.. SL Pnul, MN 55104 UNLE55 PROPER INSPEQION FEE IS
Fiwne161t) 6424800 ENCLOSED.
n/p?. REOUEST FOR ELECTRICAL INSPECTION
°J p ? See inslmciions for completlng Inis lorm on back of yellow copy.
A 66479 "X" 8e/ow lMork Covered by This Request
4. EB-00001-08
e Q2f AeQ Type of Build ing AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater EIeCVic Heating
Apt. Building Dryer LoaA Manegement
Comm./Industiial Fumace Other (SpeciTy)
Farm Air Conditioner
Other Ispxilyl Convacmr's Remarks:
?
Compute Inspection Fee 8elow:
# Other Fee S Service EntranceSiie Fee 8 Circuits/Feetlers Fea
Swimming Pool D to 200 Amps 0 to 700 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs . inspector's use Only: TOTAL
r
Irrigation Booms
?o • ?
?
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
i
i Rough-in oaie
?
certify that the above
nspect
on has
been made. Finai
?
OFFICE USE 6NLY
This request voitl 16 months Irom
/
61 1
? 2 6
Reyues{,Date
/
,
? Fire Rough-In Inpsec[ion Requiretl
poumus?wllinspec?tpor/wnenreaay)
?spedion 01M1e? Than ougn?ln
? ReaOyNOw WiIlNOliy nspetWr
'
[?
Y ? Yes p1 No Dete ReaEy ?
1 -licensed contractor ? owner hereby request inspection of above e lechical work at:
JoC Atltlress (Streel. Box or Route No.IL C'rty
9 6 o ?6'4i?
Section No. Townsnip Neme or No. Range No. Counry
"51 o</
Occupant(PRINT)
`
4 Phone M.
? 6g'Y7
/<
?r e
Power Sup0lier Atltlress
/V$ / ?l6o G? - 2(f L/l1e ?o.tn RGVnI
Elacvical Conhaclor (GOmpany Nama) Contrac1or? License No.
r ? . c ? ?
Mailing Aatlress iConlramor or O.vner MaMiog Installetion)
a ANSe,?
r04 /nA/ SS.r.33
Autnonzetl Signamre ICOnhaclor'O?r Making Installauonl
_ ,?rl Ph/on?e Number Q ?/
?l?- l?/-
MINNESOTA STATE BOARU OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlqgs-Mitlway BICp. - Room &173 ' BE ACCEPTED BV THE STATE BOARD
1821 University Ave., 51. Peul. MN 55100 UNLESS PROPER INSPECTiON FEE IS
Pfwne J612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
??/ ?? ? See Insbuctions focompleting this form on back oi yellow copy.
N6.1726 ?"X" Below Work L`overed by This Request
ew Ad Fep. TypeoBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llntlustrial Furnace Other (Specify) Lt,•
Farm Air Conditioner
Olher(syecity)Lonhactor§ RemarKS:
194P Compute Inspection Fee Below: ?/'6?L 46"K«'t ?'?J C;iCu-?,Jf -ii- S4l
# Other Fee N ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 io loa Amps fy,? ,m
Transformers Above 200 _ Amps _ Amps
SigOS Inspecror5 Use Only', 7p7q?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 1 ONTH
I, the Electrical Inspector, hereby
certify that the above inspection has
beenmade. Rougn-m
F;nai oaw
oaie
OiFICE USE ONLV ?/P? ?
This request vaid 18 months frpm
••. ?•??.??--
64 15 ?
RequestDate
`
13- , Fire ribV Fough-in Inspeclion
Re uired? NOTICE: You Mus? Call Elecincallnspeclor
I! A Rough-In Inspeclion
v - Yes ? NO Is Requiretl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job AEtlress (Sireet, Box or Rwte No.) 9 -O e,. LVk- Q Q
Cu? ukK? 35E ? euFF
RD City
F^4,?n?
Sec?ian No. Township Name or No. Range No. Counry
Occupant(PFINT)
I,U ? Gb Phone PJO.
PowerSuppf r Addresa
N ?Q
Eledtcal Conirfldor (COmpany Name)
AIATESTIC ete-r-mc wc ConVador's Llcense No.
cAoN68
Mailing Adtlress (COntractor or Owner Making Inslsllafio
t?'?% & cuwo?bQ?u,
Mu ?s(u?
Authorize SignaNre (C n[r t rlOwner Meking stallatian)
? Phone Number
? 43 6-Ca H)
MINNESOTA STATE B D OF ELECTRICITV THIS INSPECTION REOUEST WILL N0T
Gtlgge-Mltlway eltlg. - Poom S-173 eE ACCEPTED BYTHE STATE BOARD
1e21 Universiry Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phane(612)692-OBOD ENCLOSED.
OREQUEST FOR ELECTRICAL INSPECTION
/ See insiructions forCOmpleting ihis form on back of yellow copy
M 66415 r`X" 8elow Work Covered by This Request
?? ?p
???,?• 79A
?0
p Add? Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Ran9e Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.Andustrial Furnace Other (Specity)
Farm Air COndi[iDner
Other (specify) ConVaotor9 Remarks: /?fPA ?
? ll? ;;y w oa
Compute Inspection Fee Belaw:
# Other Pee # Serv1ceEntrance5iae Fee # Circuits/Feeders F
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above-ioo _ Amps
SigfiS InspectorS Use Only: c-0 TOTAL
Irrigation Booms 6
. Special Inspection
Alarm/Communicaiion
- THIS INSTALLATION MAY BE DRD D CONNECTED IF NOT
O[her Fee
Ifty COMPLETED WITHIN 18 Mgptyl
S. ?
I, the Electrical Inspector, here6y Rough-in
?
certify that the above inspection has
been made. F??ai ? oa?e
OFFICE USE ONW •
This requesl void 18 mon[hs fm.
?M?11407
Requesl D
?15 Fire No. ou9h -?^ Inspection
RequirM? NOTICE: Vou Must Call ElecVical Inspetlor
1! A Rougn-In Inspedion
? Yes o Is Required.
I licensed contractor ? owner hereby request i pection of above electrical work at:
Job tl255 (SUeel, 6ox or Route N Ciry
rx
Section No. Township Name or No. nge No. Counry
J
7
Occupent (PRINn Phone o.
cx'z?-
Pawer upplie Atltlress
Elecirical Coniractor (COmpany Name) Con?redor5 License No.
Mai i dreas ConVactar or Owner Making Instal 'on)
,=a / 0 J ?5
ANhooSignaWre (COnV or/Owner rig In Il?t?on)
f1? G?I li??
) P one Number
-
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggsMltlway Bldg. - Room S173 BE ACCEPTED 6Y THE STATE BOARD
1821 Unlversity Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Plrone (612) 642-0800 ENCLOSED.
? ?? REQUEST FOR ELECTRICAL INSPECTION
0? See insVUClions for campleling Ihis torm on back oi yellow capy.
11407 'X" Below Work Covered by This Request
p ^ EB-00001-0
4 4 /??s?.
?? as
e Add Rep. TypeofBuiltling AppliancesWi2d EquipmentWired
? Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specify)
Farm Air Conditioner
Q1
Other (specity) ConVac[or5 Remarks: c,
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize ae # CircuitslFeeders Fee
• Swimming Pool 0 to 200 Amps 0 to 100 mps
Transformers Above 200 _ Amps Above 700 Amps
SigOS Inspector5 Use Only:
? TOTAL ?
Irri9ation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. ROO9n-m Date
oa
?
OFFICE USE ONLY This request voitl 18 mamhs Irom
0 4?3
?o ?-.
Raque Date ., ' - Fire ougn-in Inspedion
Requir ?
O Reatry Naw ?I Notity InSpactor
3 '" es G No When Ready7
Ivricensed contractor ? owner hereby request inspection of above elecirical work aC
Job ?dtlress (Sbaet Box or Roule NoJ City
# D8
Seclion No. TownsM1ip Neme or No. Renge No, County
Occupant(PRINT) Phone No.
Power $upplier AOGress
Eleclncal ConVaam ( Oany Namel Contractor5 LicensB No.
O
Mailing Aatlress (ConVaclor or Ownar Making Inslallation)
-3 L S5'
ANhorix naWre ICOnlra<lor/Ow Making
i allati I \ Phone NumDer
INNE90TA STATE BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-MlCwey Bltlg. - Room 3.173 BE ACCEPTEO BV THE STATE BOARD
1821 llniversity Ave.. SL Peul, MN 55104 , UNLESS PROPER INSPECTION FEE IS
Phonre (612) 642-0800 ' ENCLOSED.
/D4VX19A REQUEST FOR ELECTRICAL INSPEC710N
k
i
ll
i
b ?Z4, es00001-0e
d,?210 3 ac
o
ye
ow wpy.
? See insVUdions lor completing ihis
vrm on
? X" 9?low Work Covered by This Request
??.?"
?
aw Atl ap. TypeoiBUilding AppliancesWire tl EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./lndusirial Furnace ?
NG QS
Farm Air Conditioner
Olher (syecily) ConVactor's Remarks:
Compute Mspection Fee Below:
# Other Fee # ServiceEniranceSiza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transtormers Above 200 _ Amps Abova 100 _ Amps
SignS Irrspec[arS Use Only. TOTAL ?-yp
v
Irrigation 8ooms
,L
?J J
2
Special Inspection
Alarm/COmmunication THIS INSTALlAT10N MAY 9E ISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MO 5.
I, the Electncal Inspectoc, hereby Rough-in Date
certify ihat the above inspedion has
been made. F;nei oa?e
OFFICE USE ONLV Tnls request voia 18 monins irom
?
6
51
53,?a
Pequest Date ire 'FV flough-in Inspeciion
Requiretl? NOTICE Vou Musl Call Elecvical Inspactor
Ii A Rough-In Inspaclion
Q r ? ? yes a Is Requiretl.
ItO+ycensed contractor ? owner hereby request inspection of above elecirical work at:
Job A res , Box or RoNa Clry
e u (-- V: R F 14G-r4 0-1
Seclion No. Township Name or Na. Fange No. Counry
A KbT f?
Occupenl(PRIN1)
6o5 wi(-L- 1 r= Kkt) Phone PJo
?24d83fA 1
PowerSupplier j?
S 1? Adtlress
Elecirical Contraclor (COmpaM Name) r? ?
?i?l FZt-Y C??--t7T [O ?TL Contrnctor5 License No.
CAbZiGS
Mailing Address (ConVador or Owner Making Installation) t}-'^}.ev ?L ?. nR
225 r 2C?$h ?...?4?-c.JYV /4l9 s5911
Aullrorizetl Si re(CONract?ne?M king Installatio Phone Number
? 24
MINNESOTA STATE BOAPO OF ELECTRIqTV THIS INSPECTION REQUEST WIIL NOT
Grlggs-Mitlway Bltlg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 Universlly Ave., St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO.
REDUEST FOR ELECTRICAL INSPECTION
? V ji? See insVUCtions fm completing lM1is lorm on back M yellow capy.
9 516 5 3- ?X" Be/ow Work Covered by This Request
e?HEB?-00001-087
i ?:
e Add Rep. TypeoBuiltling AppliancesWired EquipmentWired
- rlome Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building Dryer Load Management
Comm./Industrial Purnace Other (Specify)
Farm AirConditioner L(/„'?'tT1NG- lZ?T-0p
OMer(T ci_fy?'ry? ComractorSRemarks,
?'1
L r} v"i P?3 A 1-`-?T CH?l+IJG E
Compute lnspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuils/Feeders Fee
Swimming Pool D to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si9f15 Inspecior's Use Only: TOTAL fp
Irrigation Booms
Special Inspection
Alarm/Communication TFIIS INSTALLATION MAV BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RO°9n-in oa?e
certify that the above inspection has
been made. F;oat oa?e ?y
OFFICE USE ONLV
This request v0itl 18 monlhs Uom
4 0 23
? °-0
tTY
ReqQ9st Dale- < Fire . ou9h-in Inspection
?
Requiretl? tly Now ? Will Notify Inspedor
?
wh
R
tl
?
(?'6
r ves ? Na
an
ea
y
I!5TCensed contrector ? owner hereby request inspection of above electrical work at
Jo0 Atltlress ISVeeI. Box or Route No.)
' City
r
?
W ?--'?r? '•
Section No. Township Name or No. .
tg- CouMy
VAll
Occ an[(PFINT) / ? y?
g Phone No.
/??. ?
'
?
fF7' iC/?
Power Supplier Atltlress
ElecVical Conlreotor (COmpany Nama) ConVactor's License No.
?
ailing Atldress IGOnVect or OWnBr Mdkinq InStalletion)
AuNO Wre t onttacmrrOw Meki Instal Lon) Phone Number
?a A
MINNESOTA STATE BOARD EIECTRICITY ? THIS INSPEGTION REOUEST WILL NOT
Gdggs-Mitlway Bltlg. - Ro S1]3 S?? 5 !7 j BE ACCEPTED BV THE STATE BOARD
1821 Univers'rty Ave., 5?. P 1. MN 55104 ? UNLESS PROPEF INSPECTION FEE IS
Phone(61Y) 642-0800 ENCLOSEO.
? REQUEST FOR ELECTRICAL INSPECTION
? See insimcGOns lor completing Ihis form on back ot yellow ropy
, o 4 02 3"X" BeljoW Work Covered by This Request
EB-0o001-oa
?? , ?€: ?lP Dry?
ew Adtl Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplez Water Heater Eleciric Heating
Apt Building Dryer Other (Specify)
Comm.llndustrial Furnace ?
' Farm Air Conditioner
Other (syecdy) Contractor's RemaBs
Compute Inspection Fee Below.'
if Other Fee # Serv'iceEniranceSize Fee # Circuits/Feeders Fee
Swimminq Pooi 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab v 700 _ Amps
2 Signs a.i Inspecmr5 Use Only: TOTAL
?
Irrigacion 8ooms ?. d -
Y8 `51
Special Inspection
Alarm/Communication THIS IN5TALLATION MAY 8E ORDERED ISCONNECTEU IF NOT
Other Fee COMPLETED WITHIN 18 P)MHS. f
I, the Electrical Inspecror, hereby
certify that the above inspection has
been made. Rokyn;? ?le
ate/?
p?l
OPfICE USE ONLY
This reQuesl voitl 10 months Irom
K 3
4720
m ?/--
Q?
Rejuest Da?e
q $ Fire N0. gM1-in Inspection
puiretl?
? Reatly Now ' otity Inspector
P
Wh
tl
?
en
ea
Y
I / nsed contractor ? owner hereby request inspection of above electrical work at:
JoG Atlmess (SVeet. Box or Poute No.) Ciry
IcJ Ctir4a Lxke KrZ
? ?sN
Section No. Township Nam¢ or No. Range No. CouMy
Occupant(PRINT)
Alc Sro?.? S-!so Plwne No.
Power SuOPlier Atltlress
Eleclrkal C nvactor (Com y Na e
' ? ConVector5 License No.
`
-
_ f? Da
Ca
7
Mailing AOtlress Gonlraclo, or OwMak, Inst?al y r $'?
? 3
e
D W
?L
/
d4
.
,c..
iv
oa
.
,
Aut?onz igna re ?GOntraclor/pwner Making Installaf n) hona Number
-/3 fr -7
?
MINNESOTA STATE BOAR F ELECTFICITY THIS INSPECTION REOUEST WILL NOT
Grlgpe-Mitlway BIEg. - R m 5-113 BE ACCEPTED BV THE STATE BOARD
1821 Univarsiry Ave., SL Peul. MN 55106 LINLE55 PPOPER INSPECTION FEE I$
PhoneJ61Y) 642-0800 ENCLOSEO.
0. QUEST FOR ELECTRICAL INSPECTION
RE
See insimtlions lor completin9 Ihis fortn on back of yellow mpy.
K 4720 °XBelaw TNOrk Covered by This Request
e AUtl Rep. • TypeolBuiltling AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Ap?. Building Dryer Other_(Specify)
Comm.nndustrial Fumace
Farm Air Conditioner
O?her (syecity) Contrdclor's Remarks:
Compute lnspection Fee Befow:
g Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fae
Swimming Pool D to 200 Amps & 0 to 100 Amps O.
Translormers Above 200 _ Amps Above 100 _ Amps
Signs InspMOr9 Use Only:
? . TOTAL
Irri9ation Booms O t/
Special Inspection
?
Alarm/Communication 7HIS INSTALLATION MAV BE ORD
D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, herehy Rough-in r oa ?
certify that the above inspection has
been made. F;ne? _ oate
7
OFFICE USE ONLV
This request voitl 18 montns Imm
LY2
051
/
Rapues Date
? Fire Rough-in Inspeclion
'retl?
Req
N
=
? Reatly Now ?Will Notiry Inspedor
W?en ReatlY?
o
5
?
7(4censed contrector p owner hareby request inspection of above el ectrical work at:
Job Ntltlress (Street. 6ox or Ro te N.? ?f Gty
/
il
?:
$acllon No. Townshi0 Name or No. Ren o. Count
V1
.V
Occupa (PRI T)
, XDH? ??-
"/??fu' Phane No.
'fSZ??Gd?
PowerSupplier ? Atldress ?j?
""
?/l
, ./
ll /
E?i cal ? ntractor ?Com an ame)
-
-'' GonV ctofs Lme No.
z?
,
e
V77 ICOnVactor or Owner Makin
d s?a?letloo?
! "
at ??
S?/Z Z
E r
Authori=vOwne? Inslal' ibn? Phon `Number
?J ? - ???
MINNESOTA STATE BOARD 0 CTRIQTY THIS INSPECTION REOUEST WILL NOT
Grigqe-Mltlwey Bltlp. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Univ¢ieily Ava., 51. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phane (812) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
q /?? ? See inshuctions for completing ihis form on Oack oi yeilow copy.
"X" B . elow Work Covered by This Request
LS .-.` 1 L
ew Add Rep, Type of Building AppliencesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt.BUllding Dryer Other-(Speclty)
Comm,llndustrial Furnace
Farm Air Conditioner
Ottler (sVeciry) Gontrecror's Remerks
Compute lnspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
SNimming Pool 0 to 200 Amps o to 100 Amps
Transtormers Above 200 _ Amps Above 100 Amps
SignS Inspecror4USeOnly. - Tp7p
Irri ?ation ooms (?3 . no ?
nspection , is-z
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NOT
Other Fee s COMPLETED WITHIN 18 MONTHS.
I, the Electrical Insp tor, hereby Rough-in r oata ?/,Z ?
r
certify that the a6ove inspection has
been made. -r oa
OFFICE USE ONLY
This request voi0 18 mon;hs irOm
K5 /70-.Ca
RAltuest Data .
y/ _ Fire ?p Raugh-in'nspec?ion
R retl. E.
Yes No y??
D Ready Now ?v?ll Nolity Inspectar
? When ReaEy?
1 licensed contracror ? owner hereby request inspeetion of above electrical work at:
J b Atltlress (StreeL Box or oute j
L Ciry
?? rv
SMion No. Townshi0 Name or No. Range No.
Occup IPRIN 1 n f
12 Phone No.
Pawer $upplier Adtlr255
Eleqri onVaclor (COmO %N e)
VV CY ? /?/ Contractors License No.
Mailing ACOress (COmraclor or Owner Making InstaOati,
Authorrzetl Signature (COmractonOwner Installalion), P?one Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPEGTION REOUEST WILL NOT
Griggs-Mltlwey BIEg. - Raom S113 BE ACCEPTEE) BVTHE STATE BOAflO
1831 Univeralry Ave.. St. Psul. MN 55100 UNLESS PROPER INSPECTION FEE IS
PhonB(61Z) 642-0800 ENCLOSED.
a/3 ??--
K 80l0
REQUEST FOR ELECTRICAL INSPECTION
lo See ingmctions lor crompleting Ihis brm on pack ot yellow mpy
"X" Below Work Covered by This Request
e? ooo,.oe
?.,?.
?/
ew Add Rep. iypeofBuilding AppliancesWired EquipmentWired
Home . Range ., Temporery Service
Duplex Water Heater EleCtriC Hea[ing
Apt. Buildinq Dryer OIheF-(Specity)
Comm./lndustrial Furnace
Farm Air Gonditioner
' Omer (sVeciy) C% o?????
Compute Inspection Fee Below:
# Other Fee # ServiceEntrancaSize Fee # Circutts/Feeder5 Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si905 Inspector5 Use Only: TOTAL
' Irri9ation Booms . SD
Special Inspection
IarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONT
, the Electrical Inspector, hereby
certify that the above inspection has
beenmade. Rou9h-in
F;,,ai ?? Date
Dale rd' (
OFFICE USE ONLY
This request vo'itl 18 monlhs from
K , 4 116 ????
'0?2
1$
js
H uesi Date
1
'- ;-I G ( s Fire N. Rough-in Inspection
Require04
? Vas o
?i Reatly Now ? Will Nouty Inspaclor
When ReatlY?
I)(licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atlaress (SVeeL Box or RoNe No.)
C16v Cl ,` (-?'
Cv kc Ciry
E.a (sa.J
Setllon No. Tawnship Name or No. Farge No. Lounry
p.or'or.o
OccuOa IPRINT? ? ?
GG PhDne Na.
Power Supplier Atltlreu
Eietlncal Gontracto, (COmpany Nama) Conhactor8 License No.
61FA4 SE/Gu't 96o..1.a CA O/??
Mailing AOtlress fConhactor or Owner Making Installatiory
S EGiri1 GvAto nv. ?a . Ht.?/ S S3 $ 7
Au1M1O?ixetl SignaWre ICOnVac?or/Owner Making Inslallation) P?o? umber
MINNESOTR STpTE BOAND Oi ELECTNICITV THIS INSPECTION REOUEST WILL NOT
Gtiggs?MiAway Bltlg. - Room S-173 BE ACCEPTEO BY THE STATE BOARD
18R1 Universlty Rve.. St. Paul. MN 5510C UNLESS PROPEF INSPECTION FEE I$
Plwne(612)BC2AB00 ENCLOSED.
REDUEST FOR ELECTRICAL INSPECTION EB-00001-08
, ? ee ins udions for compieting ihls form on back ol yeilow copy. // C/
K ry `+ 5116Below Work Covered by This Request 1!S '
ew Add Rep. TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer O[her-(Specify)
Comm./Industrial Furnace
Ferm Air Conditioner
Other(sVeolty) Contractor§ Ramerks'.
Compute Inspection Fee Below:
# Olher fee # ServiceEn[rence Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 )_ Amps
Signs Inspecbr§ Use Only:
? fOTAL
Irri9ation Booms ??` O SO
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDEHED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecfrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
F;nei 16 oate
oa? -
OFFICE USE ONLY
TM1is repuesl vo.0 18 montns Iro.
-7% 3. Z/ = / U SS'L-G
a 47625., le?l -/s-sL
ReQUest ate
/?l Q?
- Fire No. Rough-in Ins tio
Re ireG? i'
? Reatly N. l?Will Notiry Inspeclor
n R
? ?V?
W
?
? Ves No
G e
e
Y
I icensed contractor D owner hereby request inspection of above electrical work at:
JoD AOtlress (Slreel, BoM or_ROU` I? I. /?u ( C 133
tw
{ %U G' ciH(O ??
Sedion No. Township Name m No. Range No. Counry
KDTa4
Occupant?PRIN ? Phone No.
5Z - /G OC?
Power Sup0lier tltlrew
Gi9?
Elec bal Co ractor (COmpany me) ,
C
'
? Conh ctor's license No.
Zr
( S ?
•
P ?r
? ? a
tylailing Aetlre (COmractor or Owner Making I Ilation) ?I (
Au7i e( on[racbr/0 M ns Ilat?onl 'on/e? Numyper 'Q
/ L- ?z? O ?
MINNESOTA STATE BDAPU OF ELECIRICITY THIS INSPECTION REOUEST WILL NOT
Griqqs-Mitlway BIEg. - Room S173 BE ACCEPTED BY THE STATE BOARD
18]t Unlvereity Ave., 51. Faul, MN 55194 UNlESS PROPEF MSPECTION FEE IS
612)642-0800 ' ENGLOSEO.
REQUEST FOR ELECTRICAI INSPECTION
? See InsvuNions for completing this form on back oi yellow cOpy.
? 4705- 'X" Be/ow'Work Covered by This Request
EB-ooo01-08
e Add Rep. 7ypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
? Apt. Building Dryer O[her (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Oiher hspecily) Conhaaor5 RemaAS:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSi2e Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps ?
TrenSformBrS Above 200 _ Amps Above Amps
Signs ,10, dQ Insaectars Use Only: T TAL
Irrigation Booms f?.?w SQ
Special Inspedion
. Alarm/Gommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
77 Other Fee P d COMPLETED WITHIN 18 MON
. I, the ElectriCal Speclor, h0feby
Acertity thattheaboveinsPectionhas
been made. Rough-in ? 4YO
?
finaP
'? Dat
Date `?
OFFICE USE ONLV
This repuesl voitl 18 monMS lrom
?/s/Fa- • ? ?
# !RD
49414
?
`
°°7
,
p
,
-S
D
Request Oale No.
+ flough-in InsOection
Requ tl?
G Reatly Now I NotifylnspeNor
Wh
R
d
?
?Ves C No en
ea
y
I-;-?Icensed conVactor ] owner hereby request inspection of above electrical work at:
eeL Box or Route Ni ,
Job Atldress (
SU City
?
/
jTOwnship Name or No. Ranqe No. County
SecLOn No.
-
OccuvaM IPi1WTf ? Phone No.
?I'
/--?--IV
Itltlr
s
P
ii
S
?
owar
vpp
er
es
EIB[fi[al Cunt1acdr?(C? p?dn/y N?e?me)
? • ?? ?- - COnIrACtOlY LiCense No.
/
Mailing Aatlress ?COnlract or O ner Makmq InstellatlonT
_--
AG
Aulhoriz ig aWre fCOnUaM ? nee ung Ins[lp/W? lion? 1` M1o e Number
4- - 44i1l----
?NNES[?A STATE BO/ PO OF ELECTRICITY THIS INSPECTION REOUEST WIl1 NOT
Gngga-hTiOway Bltlg. - Room S173 : ' BE AGGEPTED BV TNE STATE BOAPD
1821 University Ave.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
.//?? REQUEST FOR ELECTRICAL INSPECTION
'f? ? See InsKUCtioos for completing ;nis lor:n on eack ol yellow copy.
I..4q41 Q, '"X" Below Work Covered by This Request
EB00001-08
e p. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl 8uilding Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Olherlapacily) ConVaclor$ Femarks'
Campute Inspection Fee Below: S Z
# Oiher Fee < Service EntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspectors Use Only. TOTpL ?
Irrigafion Booms 11? _ ?? j )
Special Inspection ? ?
AlarmlCommunication THIS INSTALLATION MAY BE ORD ED DISCONNECTED IF NOT
iher Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspecror, hereby RO°9n-m f, t• obe y
certify that ihe above inspection has
been made. Final
? -Y
OFFICE USE ONLV
This request voitl 18 monlhs irom
331/9?- # 7737 io53s?3
9 49410,/ _ • , $30°°
Request Date . ?re No.
+? Rough+n InsOeciion
N.
Repmr tlP
ea0y Now C WiII Notily Inspecror
When Feady?
Iplicensed contractor ? owner hereby request inspection ot above elecirical work at:
Job Atlaress (SVeeL 6ax or qouie ?Noj.I
G
f
?
?
? Clty
SeWOn No. ?
.
-
-
Township Name or No. Range No. Govnty
OcNpanI(PRINT, ?n ` . . Phone No.
Pawer SuDPlier Atltlress
Electncai Convact iGOmpany Name)
'
Con?actors L¢anse No.
Mailin Adtl?ess ( onvacmr or Ownw Ma?cing Ins?Ya]ilatiron)
Au? Si a?re (COmma, wne Ins a,lon' ?hone umber
?
/MiNNES A STATE BOAFD OF ELEGTPICITY . THIS INSPECTION REQUEST WLLL NOT
Griggs- idway Bltlg. - Hoom S173 BE PGCEPTED BV THE STRTE BOARO
1821 University Ave., SL Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phane(81])60t-OBO0 ENCLOSED.
3,3,/5ll REQUEST FOR ELECTRICAL INSPECTION
0. See inslmdiLns lor compleling thls forrn on beck of yellaw copyI Ai n "X" Below Work Covered by This Request
'A EBOOOOLOB ' ? ?? /os3 s?3
e 'Adtl ReFr TypeofBuilding
? AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Eleclric Heating
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Contlitioner
Olhe: Ispecllyl Conhector's ftemarks'.
Compute Inspection Fee Below:
# Other Fee ? Service Entrance5ize I Fee # CircuitsiFeeders Fee
Swimminq Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use onry: ? 70TAL
Irrigation Booms
7?/ ,
Special lnspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDE Efl"I5ISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 THS. t
I, the Electrical Inspectoc hereby Rouqn-?? 1? ^, ?a, 7
??/?y
certif that the above ins ection has
y P
been made. Fnai Date
OFFICE USE ONLY ?
This request voitl 18 monihs Irom
?.3-- ?' c?Z'
p? 49399 /
?`
??!?
2 ? ,
,
ReQUest Dale /H Fiie No. fiough-in Inspetlion
Requiratl? .
? Reatly Now G Will Notify Inspector
? Z =Yes ? WhenReady?
I -censed contractor D owner hereby request inspection of above electrical work at:
Job Adtlress tStreet 9ox or Faute NoJ CAy
SeUion No. Township Name or No. Ranqe No. Counry
Occupant rPRINT) Phone No.
5
Pawer Supplier Atltlress
l
ElecVicai Comracmr ? . pany Name)
XZD Conlractors License No.
??
Mailing Atltlress i on mctor or ?mer Making Installationj
•
Aum amre ICOmr ' wna king In lauon
b
- ?'
r
,ANEA STATE BOAPU OF El CTRICITV THIS INSPEGTION REOUEST VJILL NOT
Grlggs IOwey Bldg. - Poom 5473 BE AGCEPTED BY THE STATE BOARD
1831 Oniversily Ave_ SL Paul. MN SStOC _ UNLESS PROPER INSPECTION FEE IS
Vhone (612) 602-0800 ENCLOSED.
/y? REQUEST FOR ELECTRICAL INSPECTION
0- See ns?mr.?ions lor completing ihls farin an beck of yeliow copy
1 Q, C3y3 q 9 - "X" Befow Work Covered by This Request
? ee-oaom-oa ?
aY?,P
ew Atltl Rep' '° TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
I Olher specltyl Conhactor's Remarks:
Compute Inspecfion Fee Helow:
# Other Fee # ServiceEntrenceSize Fee # CimuitsfFeeders Fee
Swimming Pool 0 to 20? Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror's Usa Oniy? TOTAL
ga[i on Booms ? i
spection
e
I tm
armunication
Al THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
he COMPLETED WIT HIN 18 MONTHS.
I, the Electricai Inspecror, hereby
certiry that the above inspection has
been matle. Rouynm
F;nai ? Date
Date Z_ ? p
f-I
OFFICE USE ONLY ? Ths requesl voitl 18 montns Iwm
1
?
? i?/y? laoasyi
U 1842
Request Date Fire , Rqygh-in Inspection
Fequiretl?
? Reatly Now C Will Notily Inspector
8? O/ ? 91 _.Ves _ o When Reatlyl
I ?xlicensed coniractor D owner hereby request inspection of above electrical work at
Job NOtlress ISIreeL Box or Poute No.I City
1960 Cliff Lake Rd. Eagan
Seaion No. Township Name or No. Range No. Counry
Dakota
Occupam fPRINTi Phona No.
Unique Software Suite 31
Power SuppLer Atltlress
Dakota Electric
Eleclrical Conva<br (COmpany Namel CanVactor's Llcense No.
Joos Electric Co. AM01895
Matlinq Aaaress (COntracbr or Owner Maiing Installation)
2104 Great Oaks Dr' Burnsville MN 55337
,
,
Authonzec Slgnature IGOnlraclor,Owner Marting In allation Phone Number
431-4755
MINNESOTA STATE BOAflD OF ELECTRICITy / THIS INSPECTION RWUEST WILL NOT
Grlggs-MlCway BIUg. - Room 5-tl3 ? BE PCCEPTED BY THE STATE BOARD
1821 University Ave.. Sl PauLMN 55ID9 . UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See (nstmaws tor comple[ing Ihis lor:n on back ol yellow oopy.
5?1 RA2 "X" Below Work Covered by This Request
Ee-00001-0Ge
7,
Ad?d R
mp - TypeoBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
T Duplex Water Heater Eleciric Heating
Apt. Buildinq Dryer Other (Specify)
? Comm./Indusirial Furnace
Farm Air Contlitioner
Olher(sp5ctiy, Gonhactor's Remarks'.
Compute fnspectian Fee 8elow:
# Other Fee # ServiceEntranceSire I Fee # Circuits'Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs Inspectar'sUSeOnly. TOTAL •
Irrigation Booms ? $15.?EfDC
Special Inspec[ion
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED If NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electricel Inapector, hereby A°°9n-,n oare
certify thai Ihe above inspection has
6een made. F;,,ai a?e
• -
OFi1CE USE ONIY .
TM1is request voitl 16 monfiS Yrom
?/ $ REQUEST FOR ELECTRICAL INSPECTION
/?V /V/ ? See insimctions for completmg this form on back of yellow copy.
V Ij •:51,6?1 6 "X' Below Wark C'overed by This Request
o?
ew Add Rep. TypeoiBuilding AppliancesWiretl EquipmentWiretl
Home Range Temporary Servica
Duplex Water Heater Electric Heafing
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
OIM1er (apeciy) Comrec[or's Ramarks:
Compute /nspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers AbOVe 200 _ Amps va 100 _ Amps
Signs inspedor5 Usa oniy: TOTAL
Irrigation Booms ?
Special Inspection
niarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
her Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby R°°9n-'" ! oaie ey ?
certify that the ahove inspection has
been made. Final
OFFICE USE ONLV
This repuest voitl 18 monihs irom ?
a?1?616
,G? $%°o,?
Request Date RougRin Inspection
Reqw etl?
?s 0 No ?
yaneady Now C Will Notity Inspecror
When Reatly7
I, ensed contractor p owner Beieby request inspection of above elecirical work at:
JoD AdCress (SVeet Box or Foute No.) City
Section No. Townsnip Name or No. Range No. Counry
Occupant(PRINT) Phone No.
Power Sup0lier Atlaress
ElecVical GonVattor ( ompany Name) Contractor5 Llcense No.
MaJiling Atltlress (COnhaqo or Owner Making Insiallation)
IZF-
f7
?
I
Aufion naWre ?COmracror/ nei M 1 g Instal ) Phone umbe
INNEB16TR STATE BOAflD OF ELECTRICITY THI$ INSPECTION REQUEST WILL NOT
GrIggf-Mltlway Bldg. - Hoam &113 BE ACCEPTED 9V THE STATE BOAPD
1821 Unlverslry Ava., SL Vaul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Plqm (812) 662-0800 ENCLOSED.
3 68328?.?
Repyest Date Fi Rough-in Inspecfion "
ReQm tl7 1?Ready Now ? WII Notify Inspector
?. E: N. When Reatly?
VE11cedrpsed contrector ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street Box or Route No.) Ciry
3
Satlion No. TownsM1ip Name or No. Range No. County
Occupant(PFINTj Phone No.
Power Supplier ////
? Atltlress
Elecvical Contmcmr (CO pany CoMraqor's License No.
Mailing Rdoress ICOmractor or Owner Making Insiallation)
Amhonz Snawre ICOn;ra er akinq Ips tion) P?one Numbar
?-
1AINNESOTA STFTE BOARD OF ELECTPICITV THIS INSPECTION REOUEST WILL NOT
Grigga-MlOwey Bltlg. - Roam S-173 BE ACCEPTEO 8Y THE STATE BOARD
1821 Unlverglty Ave., 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Pnone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es.ooaoi-ov
? See insimctions lor completinq thls form on Oack of yellow copy ;7
g 'X" Se/ow Work Covered by This Request ???v,
ew AMd Rep. " TypeotBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt. Building Dryer Other (Specity)
? Comm./Industrial Furnace
Farm Air Conditioner
01her(speciiy) ConVal Remarks:
1
Compute Inspection Fee 8elow: S
k Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformer5 Above 200 _ Amps Above.100- Amps
SiJnS Inspecror5 Use Onry: ?? V 7pL ?
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NT S.
I, the Electrical Inspector, hereby
certi that the above ins ection has
? P
,en made. Rough-in
Final f oate
O
Date
Z 1'i ?
- USE ONLY
`voitl 18 monihs iram
////3 ?S D r vs_?75
(2,46402 ,? , -? ? g;?5°
Feq'vest Date
y? Fir,. Rough-in Inspectian
Required?
? Ready Now L'JFWiII Notily Inspec?or
'
^ ?[/ ? Yes sit NO When Featly?
Ilicensed convacror p owner hereby request inspection of above electrical work at:
Ja? MOress ? r?t,.?pNR Foule No.)
v CA/ p F '4Al City
?
CI-iF,c C'6uvE2 C-;y
Senion No. Township Name or rvo. Range No. Gounty
Occupam (PRINT) n Phone No.
6fC p
PowerSupplier Atltlress
ElecVical ConVa r (Company Name) Convactors License No.
il • •?iG G
Mailing Atltlress IGOnVactor or OwGn?er ?M/aking Instellallon7
jX ?/ .?'15 c?
AuIDonzed Siqnature iCon[ra<tor/Own aking Installatio Phone Number
?~L?
MINNESOTA STATE BOAPO OF ELECTl THIS INSPECTION REQUEST WIIL NOT
Grlggs-MlOway Bldg. - Noom 5-073 BE AGCEPTED BYTHE STATE BOARD
1841 University Ave.. St. paul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phona(812?6<R-08UU ENCLOSED.
315 p REQUEST FOR ELECTRICAL INSPECTION
ji, See instmcfions for ccmplilling this forrn on back oi yellow copy
(W4 6 4 0 2 "x" Below Work Covered by This Request
? ,?°.•? eqGA/?
ew .4titl Rep. TypeotBuilding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Wa1er Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Fumace
Farm Air Condiiioner
Olher (specity) Con[reclor5 Remerks: /,
Compute Inspection Fee Belaw:
# Other Fee # ServiceEMrance5ize Fee # Circu' /Feeders Fee
Swimming Pool 0[0 200 Amps 0 ta 100 A s
?p Transtormers Above 200 _ Amps 100 Amps
SignS Ini Use Only: o TOTAL /? ?
?
Irrigation Booms J?-; ??
Special Inspec[ion
Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Ri ' Date
F;,,ai o? a?e (
's ?
OFFICE USE ONLV ,
This request voitl 18 months trom -
A0
1
5 76
6
on
Fequest ?ate , rte ough-in Inspectbn
Requiretl?
? Reatly Now PLWiil Notify Inspactor
? o.- ? Ves No Wnen Reetly?
Id(jicensed contractor ? owner hereby request inspection oi above electrical work at:
JOb Adtlress (Street, Bar or Route No.)
P /-7b Ciy
9R6,Rn(
$ac6on No. Township Name w No. Rahge No. CouMy
A??eorA
OccuPant (PflINn Phona No.
iZAbio e<
Povrer $uppAer Atltlress
Elaclncal Canbaclor (COmpany Name) Corilraclors License Na.
' elole l&-w- ci ?.e . 9
77
219
Mellingf ress (COnlraclor or Owrer Making InsWllalian)
,
U
Aulhorizea Sign9Nre (COnVector ng InatelWtion)
Z ? Phone Number
J
6
MINNESOTA STA1E BOAND OF ELECTiiICRY a THIS INSPECTION REQUEST WILL NOT
GrlgWNlEway BWg. - Hoom &t]9 BE ACCEPiEO BV THE STATE BOARD
1821 UniveraMy Avn, SL Paul, MN 55104 UNLESS PROPEFl INSPECTION FEE IS
Vhwre (672) 862-0800 ENCLOSED.
. REQUEST FOR ELECTRICAL INSPECTION .r. ee-ooom-o?
jo See insVUClionS for completiPg this form on badc of yellaw copy.
" Befow Work Co-vered by This Request
f? 61 576 JC y S r
e AOtl ep. TypeoiBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. 8uilding Dryer Other (Specity)
Comm.Jlndustrial Furnace
Farm Air Conditioner
Olher(specily) Convac[or5 Remarka:
SEC?uot 17y ?ysY""?r?1
Compute 7nspeclion Fee Selow:
# ' Other Fee # ServiceEntranceSize Fee #
Swimming Pool 0 to 0 Amps
20
Transformers Abo
ve200_Am
$igFlS Inspector511se Only:
Irrigation Booms
Special Inspection
Alarm/Communication
/ p[her Fee .5?
I, tbe Electrical Inspector, hereby
certif`qthatthe above inspection has
been made. Rou9n-in
F;nai oa+e
oate
OFFICE USE ONLY
Thle request voitl 18 monOrs from
?/?12M' 91P'?52 /
r. 07679 ??eo0
Request Oate
? Pi2 Rough-in Inspection
Requiretl?
?etly Now ? Will Notity Inspector
? ? Y
es gNo ? Rmdy?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Joba?ss (Street, 0ox?orR t No
a.•? ,? ??
?V? City _ I
?? ? r
A7V
Sedion No. Township Name or No. Range No. Counry^
Occupant(PFINT) Phone No.
/r??5 i co v?aEo
Power pplier ?}? Address
Elea{ricel Contracmr (COmpany N(ame) = ?/J
1/_.?i?iB ?J ??-?G(?/T•v( CoMrapo[r5 jlicense No.
/V
Mailing Address (Comrador or Qwner Making Irsiallation)
? 7 K j .
- f
Au ze ignaWre nhacto r Making installation) Ppone Number
MINNESOTA TE B HD OF ELECMICIN TMIS INSPEGTION REpUE$T WILL NOT
6rlggabiWwey - Room St]3 8E ACCEPTED BV THE 5T.4TE BOARD
1821 University . ul, MN 55100 G F? UNLESS PROPER INSPECTION FEE IS-
Piwrce (612) 00 ENCLOSED.
610-0/"
, r- 07679
REOUEST FOR ELECTRICAL INSPECTION
? See instmc[ions lor completing this brm on back of yalbw copy
X' Below Work Covered by This Request
nE13-00001-07
Neiiii Add Rep. TypeofBUilding AppliancesWired EquipmeniWired
Home Range - Temporery Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
Comm.Andustrial Fumace
Farm Air Conditioner
01her (specAy) Conheclor5 Remarka:
Compute Inspection Fee Belaw:
# Olher Fee # ServiceEnirance5ize Fee # Cirwits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 706 Amps ?
Transformers Above 200 _ Amps Above 700 _ Amps
Sig05 ? Inspecbr? Use Only: TOTA
Irngation Booms .
Speciallnspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify thatthe above inspection has
6een made. Rough-in
Filei
Klc? oa?e
oa
OFFICE USE ONLY
Thia request wla /8 manths irom
3)-21?5' 191513w
E -8 9941/,.??/?? ??'->2n
Request Dete Fir . Pough-in Inspection
R?9uiretl?
? Reatly Now pQ Wlll Notify lnspeIXOr
3/7/89 Q?Ves ? No When Reatly?
IEXlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Addreas (Streel, Box or Route No.l Ciry
1980 Cliff Lake Rd, Suite 127 Eagan
Seelbn No. Townehip Name or No. Range No. Counry
• Dakota
Occuparrt (PRINT) Phorre No.
T.C.B.Y_
Power Supplier Ptidreas
ElecMCal Comracror (COmpany Name) Comractorf license No.
( Hilite Electric, Inc 040445
Mvling AAdress (COntreclor or Oxner Making 1i51ellation)
1953 Shavnee Rd, Ea an, MN 55122
Authppl?Signatur a/Owner Making Installation)
Phone NumOer
? 1 452-8886
MINNT" sg-k "4o3bP@.ecrbicm THIS INSPECTION REQUEST WILL NOT
Griggs-MMway Bldg. - Hoom S713 BE ACCEPTEO BV THE STPTE BOARD
1821 IlnlvarsHy Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane(611)6C2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?-: ea-00001-07
? See inslructlons for complatirg Mis form on back of yellow copy,
Y
E =-8 9 9 41 `X" Below Work Covered by This Request
Me% Adtl Rep. Type of Building AppliancesWiretl EquipmentWiretl
Home Range 7emporary Service
Duplex g Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
$ Comm./Industrial Furnace
Farm ' Air Condilioner
Olher (spBCify) Cqntractor5 Rem9rks:
ComputelnspectionFeeeelow: JOb #20275
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o o to 100 Amps 20 ?
Transformers Above 200 _ Amps - Above / o_ Amps
Signs lnspeclar6 Use onry: 70TAL
Irrigation Booms ? 0
' 120.50
Special Inspection I
?
Alarm/Communication '-
1 Other Fee
I, the Electrical Inspector, hereby
certirythatthe.aboveinspectionhas
been made. Ro?n-in ?
F„ai r oe?a:
oat
?T-
OFFICE USE ONLY ?
Thie requast void 18 rtaMhe 1rom ~ ?v
a/aaB`7
? 7? 2 0 7 ? 7°w? C?
Requasl oata.
2
99 Fir o.' Fough-in Inspeclion
Repuired4
? Reatly Now ?I W II Nolify Inspector
Wh
H
tl
7
p
.-20- ?Yes No en
ea
Y
Ig licensed contractor ? owner hereby request inspection of above electrical work at
Job Address (Slree( Boz a Roule NoJ Cily
LiFic LAKE z0,9b - EA6Afil
SeMion No. Township Neme « No.
Renge No.
Counry
I D4,CoTH
Occupant(PflIIYn Phone No.
6~iQEi9T Afo iCTH&R 1,I S Pik 1??
Pawer SupPlier AEtlress
Electrical Contrector (Compam/ Neme) ConVacior§ License Na.
zn/e 99PI
Malling Address (COntreclor or Owrrer Makim7 Inslalletion)
XA- 6000D6u4 Li, m iSl3?
ANhonzed Signelure (ConVaciw/Ow er Makirg Inslallation)
Q Ph ice Number
? u,cc 436 -1 o i v
MINNESOTA STATE BOAqD OF ELECTHICffY ? J TMIS INSPECTION PEQVEST WILL NOT
Griggs•Mitlwey BIEg - Raom 5173 BE ACCEPTED BY THE STATE 80AFD
1821 UnFreraLLy Ave., SI. Pauy MN SSiOd UNLESS PROPEfl INSPECTlON FEE IS
Phona(81R)BOR-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-00om.07
? Sae insWCtions for wmpieting this form on back of yellow mpy.
"X" Below Work Covered by This Request
/.?20 7
Ne% Atld Rep. 7ypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
X Comm./Industrial Furnace
Farm ' Air Gonditioner
Olher(speciy) Convactor§ Remarks:
Corapute Inspection Fee Below:
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps Above.100 _ Amps
SIgnS Inspedor§ Use Only: 707
pL
Irtigation Booms ? 0 G o
10, sa
Special Inspection
Alartn/Communicatlon
Other Fee .,?
I, the Electrical Inspector, hereby Rough-In ? I ? oe?e .2?
certify that the above inspection has
been made. Final te
OFFICE USE ONLY
Tliis request wid 18 months hom CJ
? 52073
Requesl Oate ire No. ' ough-in Inspection
?pQ
- Required? ? / CReady Now ? Will Notiry Inspeciw
Wh
R
G
9
(J ? Yes ?IJO en
ea
y
ILKjcensed contractor ? owner hereby request inspection of apove electrical work at:
Job AGtlreas (SVee4 Sm or Route No.) City
F-
Seclbn No. Tawnship Name or No. Renge No. Caunry
Occupant (PRINn Phone No.
Power Supplier Atltlreas
L ?
ElecMCal Conuactor (COmparry Name) Conireclor5 License No.
Mailing AEtlress (Comracwr a Owner Malting Inetalletion)
Mitlionz Si naWre (COniredorlOwner king I fallaUO
, Phon umber
IM NNESOTA STATE BOAflD OF ELECTRICRY' THIS INSPECTION qEOl1E5T WILL NOT
Grigga-Mitlway BMg. - Noom 5773 BE ACCEPTED BY THE STATE BOARD
1827 Universtty Ava., St. Paul, MN 55104 UNLESS 7ROPEF INSPECTION FEE IS
Plwm (612)fi6Y-OB00 ENCIASED.
REQUEST FOR ELECTRICAL INSPECTION ee-00001-07
Q ? See inslmctions (or mmpieliig this form on back oi yellow mpy. ?1 Cf f S 3
E `52 V'7 3a J(" Below Work Covered by This Request ?
e Add Rep. TypeofBUilding AppliancesWred EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm ' Air Conditioner
Other (specity) Cantreclor5 RemaMS:
Compute Inspection Fee Below: Q -,2 V
# Other Fee # ServiceEntran eSize Fee #
1
Ciauits/Feeders
Fee
Swimming Pool 0 to 200 Amps 2(j ? O l0 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs inspectorg usa Oniy: TO7AL
Irrigation Booms ?
Special Inspection /
?
AIarMCommunication 10 ?
her Fee ?
I, the Electrical Inspec[or, hereby
certifythattheaboveinspectionhas
been made. Rough-in ?
Final -
6/ COUCIt_o) s Dat
D
7,
OFFICE USE ONLY This request mld 18 moMhs irom '
i!/ISI J? d?/S?
Request Data
- ire No. oug?-in Inspeclion
equi '+
? Ready Now ill Notiy Inspecmr
Wh
P
d
?
(
7 a ea ? No en
ea
y
Ilv?;nsed contractor ? owner hereby request inspection of above electrical work at:
,bb Address (Street, Box w Rate No.) Ciry
0 F L
SecOOn No. Tmvnship Neme or No. Ra?qe No. Counry
Occupant(PflIM) ' Phone No.
?
Power Suppller Mtlress
G 2 57: E
Elacvical CoMraaw (COmpeny Name) Coniracror4 License No.
F-L G 1L ,
Mailing Pdtlress (COnVeclor or Ownar Makiig Instailelion)
g nstall tion)
Auihor igneture (COrnractor/Owner Ma Phon moer
)
MINNESOTA SfATE BDAND OF ELECii11C17Y THIS INSPECTION REQUEST WILI NOT
Grigga-Mltlway eldg. - Room S173 BE ACCEPTED BY TME STATE BOARD
1821 UniversHy Ave., St. Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS'
Phone (812) 602-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ea00001417
lo Sae instmdions iw completing ihis lortn on back of yellow mpg
?! C O
E? -.c.?2.L&W 2 X" Below Work Covered by This Request
ew Ad6 Rep. TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heatinq
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
OUer (spedy) Contraclor5 Remarks:
Campute lnspection Fee Belo - eE3 -1/
# Other Fee # Servi tranceSize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove200 Amps Aboveloo_Amps
Sigf1S Inspecforg Use Only: TOTAL
Imigation Booms 4rj'
Special Inspection ,..
Alarm/Communication
'
Other Fee
s
I, the Electrical Inspeclor, here6y
certitythattheaboveinspeciionhas
been made. Rough-in
F„ai De1
oa ?
OFFICE USE ONLY This requesl wid 18 mortlhs hom ' ( SME/L, lsu) [.AiN(?) M?MMO
?/50
c?/
7
9596,0
#«v
?
?
1903 ?
Request Dale Fi, Rougtl-in Inspection
Requ ed?
?eetly Now ? Wdl Notity Inspeclor
es G No When Reatly?
I4insed contractor ? owner hereby request inspection of above electrical work at:
Job AtlCre
treel. Box or Route No.)
s?
IS Ciry
?
?
/
fYV "
Seclion No. Township Name or No. Range No. Counry
Omupant(PRINT) Phona No.
G
PowerSupo?? /+tltlress
Eleclrical'GOnhactor (CTnpany Name) Convactor's License No.
-3
MaJing AtlOress ICOmractor or Owner Makinq Ins[allatian)
n!r
kin
A
n
iO
M
Insta
i?
G
l
on) , Ph
N
?
or
wner
g
a?
u
o
ze
o
ac
a
?, ?,?? onE
r
M NESOTA STATE BOAPp OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Grigga-Mldwey BIOg. - Room 5-113 9E ACCEPTEO 6Y THE STATE BOARD
1831 Univerelty Ave., SL Paul. MN 55104 UNLESS PROPEfi INSPECTION FEE IS
Phone (61E) 602-08[10 ENCLOSED.
919037
REQUEST FOR ELECTRICAL INSPECTION
? Sae ins[ructions lor completing this lorm on Dack of yellow copy
'X" Belovv'Work Covered by This Request
ew Add I?yp. -? -7ypeofBuilding AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other (Specify)
Comm./Indusirial Pumace
Farm Air Condi[ioner
Other(specily) GonVec[org RBmarks'.
Compute /nspection Fee Below.'
p Other Fee # ServiceEnirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers P.bove 200 _ Amps Abqve_10Q_? Amps
Signs Inspector's use only: ?pcJ TO7AL
Irrigation Booms ?
?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
ther Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rougn-in Date ?
^
certify that the above inspection has
been made. F;nai oa?
OFFICE USE ONLY
This request vob 18 montns trom
ai9??o
1903 6 #l?0 9?9??
Fequest Date ' Fire / Rough-in Inspedion
Reqm ?
es ? No
?atly Now ?
Will Notify Inspector
When Featly?
I fy?NEensed contractor ? owner hereby request inspection of a bove electrical work at:
Job Ntltlress (StreeL Box or Rooe No.) City
10/6010 /-
(.?
Section No. , Township Name or No. Range No. Couny
Occupan[(PFINT) Phone No.
?
Power Supplier AOOress
Elecmcal CoNramor (CO any Name1 Conlractor's License No.
Mailing AtlEress (Convacror or Owner Making Installalion)
. L .
AuIDOri nature (COntrdclodOwn aking I tellaY ? Phone Num r
INNESOTA STATE BOAflD OF ELECTRIGTV THIS INSPECTION REOUEST WILL NOT
GdggsMlOway BIOg. - Noom S473 BE ACCEPTED BV THE STATE BOARD
1821 Unlversity Ave., St Paul, MN 55106 UNLESS PROPEF INSPECTION FEE IS
Fhone(61R)6EY-0B00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
ji? See insvuaians for completinq ihis (arm an back o( yellow copy.
? 19 03?6 ?'X" BQTow Work Covered by This Request
° r? ee-oao01-07
a.:rea.
ew Add Rep. TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Olher (Specify)
Comm./Indusfrial Fumace
Farm Air Conditioner
? Other(specity) ConVaclor5 RemarYS:
Compute Mspection Fee Below:
X Other Fee # Service Entrance Size Fee # Circuits/Feedars Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 _ Amps Above 1 _ Amps
Si9nS Inspeclor's Use Onry: 3
G? TOTAL
Irrigation Booms 76
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
ther Fee COMPLETED WITHIN 18 M S.
1, ihe Electrical Inspector, hereby
certify that the a6ove inspection has
been made. Ro.yn-in
Final ? oeie q?oj?i?
d• ?
Date
OFFICE USE ONLV
This requesi voitl 18 months Irom
/S0
034,C?,dj-?J
Fequest Oate ire No . Rough-in Inspection
F
e
quiretl?
? Ready Now ?'?Nill No[ity Inspector
?
,/
rye*es ? No K'hen Reatly?
I icensed coniractor ? owner hereby request inspection of above elec[rical work at:
Job Adtlress jSVaet Box or Route No.) p Cily
?
Section tlb.
I
Township Name or No.
Ran9e No.
County
Occupanl(PRINT) Phone No.
NL s s
Power Supplier Atltlress
ElacldcalConvactor(Company Name) ConVatlork Gcense No.
? oa
Mailing Aatlress (COnvaclor or Owner Making Installetion)
S
AuNOr Si a fConVaotorlOwner Making In talial ? Phoa Number
MINNESOTA $TATE BOARD OF ELECTRICITV THIS INSPECTION FEOUEST WILL NOT
GNggs-Mltlway BIOg. - Room S-1]] 9E ACCEPTED BV THE STATE BOAPO
1821 Unlvereity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone(6/2)66t-0B00 ENCLOSED.
4?s0
@ 19034
REQUEST FOR ELECTRICAL INSPECTION
op. See inslryFMions lor cempleling this form on back of yellow ropy.
'X` Be/ow Work Covered by This Request
ew Add Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex water Heater Electric Heating
Ap[. Building Dryer Othar (Specify)
Comm./InduSirial Furnace
Farm Air Conditioner
Other (speuly) ConVactor; Remarks:
Compute Inspection Fee Below: z
# Other Fee # Service ntra ceSize fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps er 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs msp?o.s Use onry: ? TOTAL ?yf
Irrigatfon Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
ther Fee 56 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify ihat the above inspection has
been made. Rough-in
F;nai ?
Dale
?(J
OFFICE USE ONLV
This request wi0 18 manths Imm
19033
Request Oate-
^ Fi Rough-in Inspection
Fequirea?
?eady Now, ? Will No?iy Inspector
`
h s ? No When ReaOy?
I acensed contractor ? owner hereby request inspection of above electrical work at:
Job Aetlress (SVeet, Bov ar Route No.) Cily
Settion No. Township Name or No. Range No. Gounry
S DY4-,?O
${ ) Phane No.
?
1 1.
W' ? Q
Power Supplier AOOress
Electricol Contractor (Company me) ConVeotorS Ltcense No .
03
Mailing Atltlress IConvactor or Owner Makinq Installation)
.
AuNOr 51 nalure ICOnVactor;pwn r Makin stalla q 7 Phone ber
MINNESOTA STATE BOAND OF ELECTHICITY THIS INSPECTION REOUEST WIIL NOT
Grlggn-MlOway BIOg. - Poom S473 BE ACCEPTED BV THE STATE BOARD
1821 Unlvernity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Glmne (612) 642-0800 ENCLOSEO-
'211,519cg REQUEST FOR ELECTRICAL'INSPECTION
j? See instruclio9G for compleBnq ihis lorm on back oi yellow capy.
(rv 19.033 ! "X" 8elow Work Covered by This Fequest
950001?--
e Add Rep. TypeoBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Other (Specify)
Comm./Industrial Fumace L,ES
Farm Air Condi[ioner
Otner (specity)
Compute Inspeclion Fee Below: Convador5 Remarks:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ro 100 Amps
7rensformers Above 200 _ Amps Above 100 _ Amps
Si9ns Inspector's Use Onry: - TOTAL
Irri9ation Booms /??.C ?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE ORDERE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby
f Rouqn?? / ? L? oate ?
' Q
T
certi
y ihat the above inspection has
been made. F;,,ai oate .- -?
OFFICE USE ONLY
This requesl voitl 18 months irom
?,/L?i?Q REQUEST FOR ELECTRICAL INSPECTION ea-oaoo,-m
No See inshuclions (or complefinq this form on back oi yellow copy
? ? ? ???
/GP(O
p 90? 5 "X"$elow Work Covered 6y Thrs Request „,£„'.
e Add Fep. TypeofBuilding AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Intlustrial Furnace
Farm Air Condi[ioner
Other(s0eciy) ConVaMOr's Remarks'.
Compute Inspection Fee Below:
# Other Fee /f Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Poal 0 l0 200 AmpS 0 to 100 Amps
Transbrmers Above 200 _ Amps Above 100 _ Amps
S ns mspecmr's use only. 2 TOTAL
Irrigation Booms 3z
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
ther Fee COMPLETED WITHIN 18 NTHS. r
I, the Electrical Inspector, hereby Rough-in
! oi,
certitythattheaboveinspectionhas
been made. F;nai - - ? oar
OFFICE USE ONLV
Tnis request voiG 18 monihs Iram
.f??4/S?
:1.9055 ,.2
- #lYO 5'GG?7
Pequest Da?e Fir Rough-in Inspection
Req?uetl?
•la'1'es G N. ?eetly Now ? Will Notify Inspec?or
Wnen Reatly?
I2licensed contractor ? owner hereby request inspection of above elecirical work at:
JoE Atltlress (SVeet. Box or Route No.) r
? Cify
ection No. Township Name or No. Range Na Counry
Occupant(PRMT) Phone No.
Power $upp0er Atltlress
Eiecvical Condacror 1 mpa Name) Gonvactor's License No.
41
Matling Acbress (GOnttaclm or Owner Making Installation)
-56!922 /,430 •
Aulhor SlgnaWre fCOMreNOr/Ow Makin stan on) M1one Number
INNESOTA STATE BOANO Oi ELECTqICITY THIS INSPEGTION qE4UE5T WILL NOT
Grlgga-MlAwey Bldg. - Room 5113 BE AGCEPTED BV 7HE STATE BOFRD
1821 Unlvenlty Ave., SL Paul, MN 55104 UNlESS PqOPEF MSPECTION FEE IS
PMne (612) 602-0800 ENCLOSED.
5/i 9/89 (?,3 9/&
E 9 5 9 8 8,?? °z'
Request le
?^ ?re No. ?, Rough-in Inspection
R uired?
? Reatly Now ? Will Notity Inspector
Wl
R
7
y ?s ? No ian
eaey
01?
Y
?9
9 ?
I licensed contractor ? owner hereby request inspection of above ele
?
work at:
,bb Address (SVeet, Boz ar Roule No.)
GLi?L? Ce?
S /27 Ciry
Fi4A*j
Sec4on No.• Township Name w No. Raige Na Coun???y?
! -!
Occupanl (PRIM) -
?? ? ??? Phme No.
Power$uppl
Ns AdOress
Elecin CoMr cb?/r ?(CO?mnp?e?nry? Neme?) ?,?p?
U1?Ri?ra" Ly?C'6U/F'I? ContraIXa§ License No.
Ti-Z
Mailing? yAOdrees (Conlraclor or O.mer Making Nstellatbn) .
7 40
Aulhoriz ,ftignature (CoMr ner king I lallation Phone Number
?/it r? ?Q'
S??" /?
MIdNESOTA STA7E BOAflD OF ELECTHICITV THIS INSPECTION REQUEST WILL NOT
GrlggaMlaway Bldg. - Room SiTJ BE ACCEPTEO BV THE STATE BOARD
1821 Unlverairy Ave•. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phonro (812) 862-0800 ENCLOSED.
G? / n/p?Q REQUEST FOR ELECTRICAL INSPECTION
// 7 O/ 1? See insWCtions !or completing this farm on badc of yellow copy.
E ,? 'rj a88 - X" BeYaw Work Covered by This Request
r E&OWO1-0]
" ei s/,?,
ew Add Fep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elactric Healing
Apt. Building Dryer Other (Speciry)
Comm.Andustrial Fumace
Farm Air Conddioner
Other(specity) Contrectork RemaMS:
Compute InspecNon Fee Below:
# . Other Fee # ServiceEntranceSize Fee # Circuits/Fceders Fee
Swimming Pool 0 to 200 Amps 3 0 to 100 Amps
Trens(Ormers Above 200 _ AmpS Abov Amps
Signs InepeclorS use Only: TOT? _
Irrigation Booms ? ?? ?
Special Inspaction
Alarm/Communicalion
Oiher Fee
I, the Electrical Inspector, hereby
certiry thatthe above inspection has
been made. Rough-in ?
Fnal Ilala
oa
OFFlCE USE ONLY
This request wid 18 moNhs from - ??
19056 ? ?.
?. °"o
ReQUest Data o. Rough-in Inspenion
Requiretl? `
?
? Reetly Now
? Will Notity Inspector
Wh
R
tl
?
? Ves 'P
NO en
ea
y
IVicenEied coniractor i-j owner hereby request inspection of above electrical work at :
Jab Atltlress (Street 6ox or Route No.) Clty
/ iAw
Section No. Township Name or No. Ran9e No. Counry
Occupanl(PRINT) Phone No.
PowerSuppher HOtlress
N
Electrical Contraaor (COn ny Name)
- ConVactor's License Na.
4
l
r
MEZ?
Ijc 0 o
r Owner Making I
Mailing Atldress nst511ation,
T
tPh'-
"MIN'NESOTA mmho tl Signawre ?COn clov ner Ma n In Iia?ion) STATE BOARD OF ELECTNICITY THIS INSPEGTION REOUEST WILL NOT
Grlggs-MlEway BICg. - Room 5-113 BE ACCEPTED BY THE STATE BOARD
1821 Unlvernlty Ave., SL Paul, MN 55106 UNLESS PROPEP INSPEGTION FEE IS
V1a. (612) 602-0800 ENCLOSEO.
40/5?o
@ 19056
REOUEST FOR ELECTRICAL INSPECTION
Ii See insimctions for,gompletinQihis lorm on back oi yellow copy.
"X" Below Work Covered by This Request
EB-00001-0]
e Add Rep. TypeofBUilding AppliancesWiretl EquipmentWirad
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Conditioner ?
` Olher (speary) Conlractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 10? Amps
Translormers Above 200 _ Amps Above 0_ Amps
Signs Inspecmr§ Use Only: TpTAL
Irrigation Booms 'd
( ?
Special Inspection !?
Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
iher Fee g'Q COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
h
f
i
i Rough-in
r oeAe
on
certi
yihattheabove
nspect
as
been made. F?„ai oarey/ d
?
OFFICE IISE ONLY ?
This request witl 18 mon[hs irom
8 616
V
„
1 4
Request Date Fiwgh-in InspeGion
R
'+
? Reatl
Now 11 Nolit
Ins
e
br
?(? - J'l ui?
57'/es ? No y
p
y
c
When Reeay? da
). ,.
IaIicensed crontractor ? owner hereby request inspection of above ele 'cal work at: ?
Job Atltlreas (Sireat, Bm or Rou1e No.) Ciy
' p
M t? crl
(nQ O i=
Settion M. Townshlp Name or No. Range No. Counry
Occupant(PRINT) Phone No.
5
Power Supplier AWress
Eleclncal Conhador (C parry Narne) CoMrectaS Liceiue No.
401036P
Meiling Atldress (COntractor m pvner Maki,g Insfalletlon)
(o S L
Autho" d ignaNre (COnvaclor/Ow r eking InbYalieti Phone umber
MINNESOTA STATE BOARD OF ELECTFICRY THIS INSPEGTION REOUEST WILL NOT
GNggaMltlwey BIEg. - Naom S/]3 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., SL Gaul, MN 55704 UNLESS PROPER INSPECTION FEE IS
PhonB1612) 612-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
instrucfiom loi completing this form on Eack of yellow copy.
F. 80616 X" Below Work Covered by This Request
?/E/?B-00001-0/7 ?
y / //& L/
yr r 34
ew AOd Rep. TypeofBuildin9 AppliancesWired EquipmantWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
Farm ' Air Conditioner
Olher (specily) CoMracror9 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Gircuits/Feeders Fee
Swimming Pool 0 to 200 Amps a co 12 mps
Transformers Above 200 _ Amps Above 700 _ Amps
Sigt15 Inspector5 Use Onry: TpTAL
Irrigation Booms
Special Inspection w
? ??
Alarm/Communication [
Olher Fee 72 J?
I, the Eledrical Inspector, hereby
certity thattheaboveinspeclionhas
been made. Rough-in
Final y
? ' "` ( ., ,• x.? oata
oai ?
_,?? ?-
OFFlCE USE ONLY
iw„e ...,.. ?., ?..,.....?....,
? - 40635 4
Requcat oate- ' Fire Ng?j
I^/?-? ??
L Rougn-in Inspeclion
Requyetl?
?'?es O ?`b ????
l!? Reedy N.
O WilI Nolity Inspec1or
When Ready7
ice'nsed contractor ? owner hereby request inspedion of above electrical work at :
Job kdtlress (Street. Box w Route No.) ? Ciry
F
Secdon No.
. Township Narna a No. Fage No. Counry
?
Occupent(PflINT) Phom Na.
Dl G ov
Power Supplier Addras5
A?
/x
Declriwl CwiVaclor (COm ny Nama)
L Comrector5 Licanse No.
/v
10
10-3
Mailiig Adtlress (COniractor ar Owmr Makirig Insfallel'uMn)
S
AulMriz igneNre (CanM1actor r Makin Installa' ? Ph umEer
, 4 -
MINlIESOTA STAiE BOARD OF ELEGTflICT' THIS INSPECTION REQUEST WILL NQr
GAgprMitlwey BWg - Noom S179 BE ACCEPTEO BY THE STATE BOARD
1827 Univeralty Ave., SL Paul, MN 55100 UNlESS PqOPER INSPECTION FEE IS
-+'6pp.p900 ENCLOSED.
???%do REQUEST FOR-ELECTRICAL INSPECTION . ee.ooom.m
0/ ? See inslruciions tor completing ihis brm on back of yellow wpy. ?/%f??
/ 7 /
G? . 40635 ' `X'" eelow Work Coverea' by This Request
ew Atld Aep. TypeoBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
' Duplex water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Comm.Andusirial Furnace
Farm Air Conditioner S
Otlier (specity) Conhactor5 Remarks:
Campute Inspection Fee Selow:
# Other Fee # ServiceEntrance5iza Fee # Circuits/Feetlere Fee
Sw mming Pool 0 to 200 Amps 0 to 100 Amps ?
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs Inspectar§ Use only: TOTAL
Irrigation Booms
Speciallnspeclion
AlarmlCommunication
her Fee Q ?
I, the Electrical Inspecror, hereby
certiythattheaboveinspectionhas
been made. Rough-in •
Finei _
Date11 ? 7?
Dale
OFFICE USE ONLT
This request void 18 monihs from
P 40591,/1,? ?
LleQUest ate "
g'" F' o. Rough-in Insped'an
Req} ?' ed?
'?Yes ? No
?eatly Now
? W II NoNy Inspeclor
When qeatly?
Ialcensed contractor ? owner hereby request inspec6on of above electrical work at :
Jab ACdrea (9veef, BoK ar FoNe No.) Ciry
Sectron No. TownShiO Nama or No. Range o. Counry
OccupeMIPRINT)
PV,TU94 FPAMIN
Zq Phone No.
Power Supplier
N/N AGtlress
ElecVicel ConVacror ( mpeny Name) CoMrec[or9 Licensa No.
Mailing Adtlress (COnt2qor or Qvner Meking Insfallatlon)
,
L .
AiMOnz 5' naWre (ConlraclM/Owner irg I Siellabon) hona NwMet
MINNESOTA STATE BOAHD OF EIECfRICRV THIS INSPEC710N REQUEST WILL NOT
Grigga-MWwey fi1Jg. - Hoom S179 BE ACCEPiEO BY THE STATE BOARO
7821 Vniversiry Ava, SL Poul, NN 55100 UNLESS PROPER INSPECTION FEE IS
Phorre(B14)602-0600 ENCLOSED.
9/a?%89
1? 40591
REQUEST FOR ELECTRICAL INSPECTION
lo See insWCAons for completlng lhis lorm on baEk ot yellow mpy.
"X" Beldw Work Covered by This Request
y^'E13-00001-01
\Ie% Add ep. F.Typeol6uilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleclric Heating
Apt. Building Dryer Oiher (Specify)
Comm./Industrial Furnace
Farm Air CondRioner
Olher (specily) Conireclor§ Remarks:
Compute Inspectian Fee Below:
# Other Fee # ServiceEntranceSize Fee # Ciroui7s/Feeders Fee
Swimming Pool 0 to 200 Amps o to 10o Amps
Transformers P.bove 200 _ Amps Above-740 --? Amps
. Signs Inspeclor§ Use OnN: TOTAL
Irrigation Booms
Special Inspeclion
Alarm/Communica5on - --i ?
er Fee ? ?*'?
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. R0'?gh-in
Finai Date p r
oa / fr
r _
OFFlCE USE ONLY r f i?tr `?'f ??
This repuest void 18 monMS irom
P 40631
Request Dete Fi? Fough-in Inspection
iretl?
R
eq
u '.-.2.
?o neady Now ? Will Nmity Inspector
, ?- ?
?
.
1a ?es ? No When ReaaYT
10 licensed contractor ? owner hereby request inspection of ahove electrical work at:
Job Adtlress (Street
. Bo
x a Roule NoJ I7L'JW . cM
J
C..?
LL ?
Section No. Towmhip Nertre or No. flange No. Counry
D?F ?o
Occupent(PfllN'n Phone No.
G
Power Suppller /Wdrees
Z2o 5T
Ekcl.icel CoMroctor (Compafry Name) ConUaGorS Licerea No.
`C
Mailing Atltlress (Conlraclw a Ovmer Making Installation)
,
Aulhoriz igneNre (COMraqor/Owner Making Ins Vtion) B NumEer - -
'611NNESOTA STATE BOAHD OF ELEGiFICRY THIS MSPECTION REQUEST WILL NOT
Griygs-Midway Bkig. - Hoom 5773 BE ACCEPTED BV THE STqTE BOARO
1821 UnlveroNy Aw., SL Peul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phana (612) 6124800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee ooom-m
/ ? See insWClions (or oampleting ihis form on Cack of yellow wpy. ~ (7? /???
rX" Below Work Covered by This Request
IF 40631
Add Rap. ? TypeolBuiltling AppliancesWired EquipmemWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustnal Furnace
Farm Air CAnditioner
Olher (spedly) ConVac[or8 Remarks:
Compufe Inspectian Fee eelow: u&q "G1E /LbA$044-1 7O 2eW19 JZIEQU/QES /YJt,Q.
# Olher Fee # ServiceEnVanceSize Fee # Cirouits/Feeders Fee
Swimming Pool O l0 200 Amps 0 to 100 Amps
91.
Transformers Above 200 _ Amps Above 100 Amps
Signs inspecirnB Use omy: 70TAL
Irrigation Booms
Special Inspedion
Alarm/Communication
Other Fee S0
I, the Electrical Inspector, hereby
certifythatiheaboveinspectionhas
been made. RO1gn-m • r oate / i
F;,,ei
OFPICE USE ONLY
This requesl void 18 moMS irom
I? 07370
R¢ques[ Data
- Fire Rough-in Inspection
Requiretl?
eady Now ? WII Nofify Inspeclor
f? .
7-7 2-4 - es ? No When Ready7
IPcensed contractor ? owner hereby request inspection of above elecirical work at:
JW AtlGress ($taet, Box or Fwte No.j Ciry
ec)qo
Section No. Township Name or No. Range No. Couny
. 0
Occupent(PRINT) Phone N0.
?
Po,ver Supplier Atltlress
N
Eledrical Comrador ( pany Name) ConUac10r5 License No.
C- 3!v
Mailitg Addreas (COMrector or Owner Malting Installelion)
AuMO' Signalure (COnhacla/Ow?rer Ma irg In allaoon) Phone Number
INNESOTA STATE BOAND OF ELECiflICRY iH15 INSPECTION REQUEST WILL NOT
GdggrMidway BWg. - floom 5-173 BE ACCEPTEO eV THE 5TATE BOARD
1821 Universiry Ava., SI. Ceul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phore (812) 642-0800 ENCLOSED.
r- . O 1 1?. 1 O
REQUEST FOH ELECTRICAL INSPECTION
? Sea inslructlons for completing Nis lortn on back of yeliow copy.
"X" Below Work Covered by This Request
o EB-00001-07
y? 93197 9
e Add Rep. Typeof6uiWing '' AppliancesWired EquipmeniWired
Home ? Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner ? r S
Other(specity) ConVactor§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrence5ize Fea # Circuils/Feeders Fee
- Swimming Pool 0 t0 200 Amps 1 71 0to 100 Amps $?
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspectors Use Onry: TOTAL
Irrigation Booms ??SO
Special Inspec[ion
Alarm/Communication Z
ther Fee ? _
I, ih8 Electrical Inspector, hereby
ceAitythat the above inspection has
been made.
?
Rough-in Dai 4-
ata ,
DFflCE USE ONLY
This request void 18 manihs Im.
? G 7 3 61 z,-,l:, /
Fequast Date ,.._
ry 8p
' o. Rough-in Inspaction
Requiretl?
'
IR?Qatly Now
? WII Nolify Inspeclor
W
R
?
7
(J ? 0
Ges ONO hen
eady
Iicensed contractor ? owner hereby request inspection of above electrical work at :
,bb Pedress (Street, Bax or RoNe No.) City
_(00 ,. ., l F?f N
Section No. Township Name or No. Range No. Counry
OtcupaM (PRINT) Phoire No.
? s C? 5
aDimi
ulm
Power Supplier Atltlress
?
Elactrical ConVac[or ( ompany Name) CoM?acta9 License No.
Mailmg qtltlress (COnheclor or Owner Making Installetion)
S uc.
I
ANho' Nre (Coniractor/Owner Ma 'n Ins ) one Number
hllNNESOTA STATE BOARO OF ELECTAICITY THIS INSPECTION REQUEST WILL NOT
Grigge-Mltlway &tlg. - Flaom 5773 6E ACCEPTED BV THE STATE BOARD
1827 Univenlty Ave., St Peul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Poone (872) 602-0800 ENCLOSED.
?j ?j? REQUEST FOR ELECTRICAL INSPECTION
/V 7 I? Sae insvuctions fur completlng this tortn on Cack M yellow capy.
07361 `X„ Below Work Covered by This Request
EB-00001.07n
y n??
' T1?O_
e Add Rep. Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace ?s
Farm Air Condi[ioner
OMer (specity) ComraIXOr§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Amps
Signs Irepec[or§ Use Only: J
v 70TAL
Ircigation Booms
Special Inspection
AlarmfCommunication
01her Fee , P
I, the Electrical Inspector, hereby
certify thatthe above inspection has
been made. RO°9n;n ie
F;,,ai oeie a/ -
OFFICE USE ONLY ' This request voitl 18 months hom
s?.????9 "??1a??
? 5 6112
Requesl D.I. ? e lFint No. Rough-in I on
flequiretl'+
Cy Naw
? Will Notity Inspaclor
_ ? No When fleaay?!Gr0
?
I icenSed contractor ? owner hereby request inspection of a6ove el ical wo , Q 0
JoC Adtlress (Streat. Bw e NoJ - Ci 011
/g
Section No. Township Name or No. Refge No. Cou
Omupant IPRINn ' . .:1 . hone No.
Power Supplier Atltliess
Eleclricel Cono- r(COmpa Name) ContraclorS Lice N ?
!
Mailing P.dtlress (COn dW Owner aking I stall (wn
/ ?
AuthonzeC Signature ractod r i Ins Ilafi Phona j?'
!
MINNESOTA STATE BOARD F ELECTqkI7Y THIS INSPECTION REOUEST WILL NOT
6rlgps-Mitlway eltlg. - R m 5-173 . BE ACCEPTED BY THE STATE BOARO
1821 University Ave., SL 1, MN 55704 ? UNLESS PROPER INSPELTION FEE IS7
Phone(812) 642-0800 ENCL0.SED. r
REQUEST FOR ELECTRICAL INSPECTION
? See inshuclionslOr complenig ihis fortn on Oack of yellow copy.
E5 6112 "X" Below Work Covered by This Request
E6-00001-0]
?sa
73
e Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home ange Temporary Service
Duplex ater Heater ElecVic Heating
Apt. Building Dryer Othar (Specify)
Comm.Andustrial Furnace
Farm ? ir Conditioner
Other (spscity) Contracror§ Ramerks:
Compute Inspecfion Fee Below:
# Olher - Fee # ServiceEntranceSize Fee ff CircuiGSiFeetlere ee
Swimming Pool 0 to 200 p 0 to 100 Amps
Transfortners Above Ampal - Above_ Amps
Signs Inspedor5 Use OnN: / ' ` TOTAL ?J?/
Irrigation Booms
Special Inspection
AIamUCOmmunication
Other Fee ?
I, the Electrical Inspector, hereby
certiy that the above inspection has
6een made. Rough-in oa ?q?
Final oate (
.?
OFFICE USE ONLY Thia requeat wi0 18 monihs hom ???/?
'+
9?`?'?8' ? • ?/ 9'O 9S?/.3/
p 4:0 590 ? i
Request De e ? . o. Rough-in Inapeclan
Requiretl? ?L
Ya neady Now
? WIII NaUy Inspector
y?es ? No 'Mian peatly?
I td'iicensed contractor ? owner hereby request inspection of above electriral work at :
,bb Atltlress (Slreet. B. m Rarte Na.) City
R #12
Section No. Township Nama or No. Range No. Counry
OccupaM (PRINT) Phone Na.
)tD1O ?
PowerSupplier Atltlr¢ss
Elechical Conbaclor Canpany Neme). Contrac[or5 Lkense No.
L ?p
MaiOg AEtlress (COmrada w Owtunr Makm9 InstalleGOn)
L L MN'
Aut ignaNre (COntr a or/OWW Mak lipiall qn) ne Number
- 9
611NNESOTA STATE eOARO OF ELECTRiCRY 1HI5 INSPECTION REQUEST WILL NOT
GriggaMidwey Bltlg. - floom S773 BE ACCEPTED BV TNE STA7E BOARD
1827 UnlvbaNy Ava., SL Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (812) 812-0800 ENCLOSED.
f? 4 590
REDUEST FOR ELECTRICAL INSPECTION
JI, Sae insM1UCtions tor wmpleting fiis farm on back oi yellow copy.
"X" Below Work Covered by This Request
EB-00001-0]
u 9.3/
Ne% A" Rep` '" TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waler Heater Electric Heating
. Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace IZ
Farm Air Conditioner
Other (specify) Comrector§ Remarks:
Compute Inspectian Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuifs/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TraflSform¢rs Above 200 _ Amps Above 7 Amps
Signs Inspecrors Vse Only: TpTp?
Irriga[i0n Booms -2/
Special Inspection
Alarrn/Communication
5 her Fee
4
I, the Electrical Inspector, hereby
certi thatiheaboveins ectionhas
? P
bben made. RougMin ? P
Final oe9 ?
0
Oate
OFFICE USE ONLY
This request void 18 mornhs ho.
rS1e /
7 7 _30?Y
,
f? 4 0 5 6 9,?,? i ?? ,,,, -1/90
Request Date " Fire
Rough-in Inspedlon
?^ _ ?
L Requ' d?
? ry Ready Now ? Will Notity Inspec[or
Wh¢n Reedy?
p
IVicensed contractor ? owner hereby request inspection of a6ove elec[rical work at:
Job Adtlress (SVeet, Bw or Foute NoJ
?i • F? City
?
Sectlon No. Township Neme or No. Range No. CouMy
•• D
Occupant(PRIM) Phone No.
T 2-0-S-S
PovrerSUpPlier Pddress
ElecVical ConVactor (CO pany Name) Convaaorg LiceRSe No.
LJ
Mailing Atldress (CoMrador or Owner Meking Installation)
t5T. I WAI
AWwn ignaare (Canheclor/OwnB Makiig Installafio . Plpna Number
- 140
MINNESOTA STAIE BOAPD OF ELECTAICRY THIS INSPECTION REOUEST WILL NO7
Orlggs,MiGway Bltlg. - Poom &1]3 BE ACCEPTED BY THE STATE BOARE)
1827 Univero(ry Aw., St PeW, MN 55100 UNLESS PROPER INSPECtION FEE IS
-Plaire (612) 602-08W ENCLQSED.
REQUEST FOR ELECTRICAL INSPECTION eaooom.m
% ? Sea insvuctbns for completing this form on back of yelbw copy.
Ip A A r!? !l uvu e._..... r...... ? I.. r?:_ r.__..__.
Lf' . Z) p Z-) uy
e Add Rep. Type of Building AppliancasWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciy)
Comm./Industrial Furnace s
Farm Air Gonditioner
Olher(specity) Confractar? Remarks:
Compbte Inspection Fee Belaw:
# Other Fee # ServiceEnirance5ize Fee # Circuics/Feedere Fee
wimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspecior5 Use OnN: NTAL
. IrFigation Booms
Special Inspection
- Alarm/Communication
her Fee
1, ShB Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final ? Dete
A
oat
..J .f
OFFlCE USE ONLY °
This request witl 18 months hom
? 07337 1j
RequeslDate FirfO . Rough-inlnspacHOn
uireE?
R
e
q
(7Me'ady Now
p Will Natity Inspeclor
,
?
L
ycrrs ?NO WhenReatly?
IVicensed contractor ? owner hereby request inspection of above electrical work at :
Jab Addrew (SVeat, Box or RoWe NoJ Ciy
9 " ?'ts 3 N
Section No. TownShip Nama or No. Range No. Counry
?
Occupant(PRINn Phorie No.
vwEs r o
Power Supplier Pdtlress
A '
Electricel ConVaaor (Co peny Name) Conrcacto15 Ucense No.
f? G c: O O 3 Co
Mailing AOOreas (COnVeclor or Orvner Melting Inslallatbn)
`T-3? O S ,
Aui?orize ' nature (COntroclor/Owrrer M ki Insta lation) Pho vmber
? - 00
MINNESOTA STATE BOAflU OF ELECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - poom 5-113 BE ACCEPTED BY THE 5T.4TE BOARD
782T Ilnivewlly Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phona(612)662-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION . ea-00om-07
O ? See instructions lar wmpleting this form on bazk ol yelbw copY.
Q 7'D7 X" Below Work Covered by This Request
ew Adtl Rep. TypeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Oryer Other (Specify) .
Comm,/Industrial Furnace r?
Fartn Air Conditioner
piher (speCiy) Conlradot§ Remarks:
ComputelnspectionFeeBelow: l5X(ST11\16,11 59PIVIG.E ? SL1731=00l
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fae
Sw'imming Pool 0 to 200 Amps o to 700 Amps
Transiormers Above 200 _ Amps A6ove 70 _ Amps
6ign5 InspeclorY Use Only: TOTAL
Irriga[ion 8ooms ? ?
Special Inspection
Alarm/Communication
Other Fee SQ ?
i, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn-m
Final o?' ?
? a
, !
OiFICE USE ONLV
This request voitl 18 monlhs hom
?
? 07334G2?Qi
Request Date FI . Rough-in Inspection
R
e
eed'?
?-edy Now ? Will Notiry Inspector
S-30 -$ ?
a ;
BYes ?No I,
WhenReaGy?
Ip4ensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atltlress (Sheet, BaR or Route No.) Ciry
?i ,. „ z E!f
Seclion No. Township Name or No. Range No. , County
OmupaM (PflINT) Phone No.
- KiDS wlu 7-3E s
Power SuvPlier Addrew
Elearical Coritracmr ( mpany Name) Coritrecior's Lkensa No.
l L O -3
' eiling AOtlress (Conhaciw or Oxnar Meking Inslalletion)
Aulip' SignaNre (COnlraQOr w er Makin Installali )
41, PMne N r
MINNESOTA STATE BOAFtD OF ELECTflICRV THIS INSPECTION pE0UE5T WILL NOT
GriggsMldway Bltlg. - Noom &773 BE ACCEPrED BYTHE ST.4TE BOARD
1621 Uniwrelty Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(el2)64R-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION • eaooooi.o
I W See inslructlons lor compieting this IOrm on back oi yellOw capy. 9as?? ?/
?9QMMZ?'33 4 - 'X" Below Work Covered by This Request
Ne% Add Rep. TypeofBUilding AppliancasWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
OMer (specify) CoMrador5 Ramarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SigOS Inspedor5 Use Only: - TOTAL
Irrigation Booms
Special Inspeclion .
Alarm/Communication
to? rOther Fee 51-0
P
I, the Electrical Inspectoy hereby
ceAifythattheaboveinspectionhas
been made. Rough-in oate
OFFICE USE ONLY
This request voitl 18 moniha irom
Requesl Date Rough-In Inspeclion
Requiretl?
? Reatly Now ill Notily Inspeclor
- -? GWs ? No When R¢aQy?
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltl;ess (SYreet, Box or ROUte No.) Cily
Q
Secfion No. Township Name or No. Renge No. Counry
Occupant(PRINT) Phone No.
W) 1-4
Power Supplier AWress
?
Eletlrical Contra ?(COmpany Name) CaMraIXO?§ licemse No.
Mailing AtlCress (COntractor or O.vner Making Instailetion)
, /
/v .
FuNOnze ' naWr GactotlOwner ing In IaUO Phone N r
_ M
IrNNESOTA STATE BDAPD OF ELECTPICRY 7HIS INSPECTION flEQUEST WILL NOT
Griggs-Midwey Bldp. - Roam 5773 eE ACCEPTED BV THE ST.4TE BONRD
1821 Unlvarsiry Aw., SL Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(872)864-0800 ENCLOSED.
r0ql;1739 REQUEST FOR ELECTRICAL INSPECTION eeooom?o7
? See insVUClions to^?nmpleting this brtn on back ol yelbw cropy.
C ) 7 7 ^ X" Below Work Covered by This Request
e Add Rep. TypeotBuilding AppliancesWretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. 8uilding Dryer Other (Speciy)
` Comm./Intlustrial Fumace
Farm Air Conditioner.
Olher(specity) ConVactar@ Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEmranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps o l0 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspenors Use Onry: 7p7qL
Irrigation Booms "J7Q
Special Inspection ?
Alarm/Communication G•?
?
Other Fee
I, the Electrical Inspectot hereby Rough-in .
? lY
certify that the above inspection has
been made. Fnai oat ,
. ?
OFFICE USE ONLV
This requesivoitl 18 rtroMhsirom
Request Date F e o.
I Rough-in InspBCtbn
Raqufi etl?
1-3 No
Vgeatly Now ? Wiil Notily Inspector
Whan ReaCYT
I Eplfic-ensed contractor ? owner hereby request inspection of above electrical work at:
JoU Adtlreas (S1reet, Eox or Route No.) Ciry
O
P-ewn
?MiY4?"d'
9111
Section No. Taxnship Neme or No. Renge M. Caunry
Oc,,upar0 (PRINI) Plrone No.
t S ,
Power uppliar AddreSS
Eleclrical Contradot (C peny Name) CoMredor5 Licen9e No.
Mailing Atltlress (Convaclor or Qwner Making Installation)
L ? ? S L xt
.
.
Nmhori e SgnaWre ConVactor/Owner elting Inslellati ) Phone u r
!
'MINNESOTA $TqTE BOAND OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
GrlggwMlEwey Bltlg. - Noom 5-113 BE ACCEPTED BY 7HE 5T.4TE BOARD
18Z1 UnirnSMy Are., St. Vaul, MN 55100 UNLESS PflOPER INSPECTION FEE IS
Plwm (612) 862-OB00 ENCLOSED.
(yo REUUEST FOR ELECTRICAL INSPECTION O: Ee-00001-07
W See insVUCtions lor mmpleling this lortn on beck o/ yellow copy. 9?+
J(" Below Work Covered by This Request
G? 07353 ??
e Adtl Hep. , TypeolBUilding AppliancesWired EqulpmeniWired
Home Range Temporary Sarvice
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace fG
Farm Air Conditioner r x
Other (specity) ConVac[or§ Remarks:
Cvompufe fnspectlon Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
. Transformers Above 200 _ Amps Above 100 _ Amps
SigflS Inspector5 Use Only: TOTAL
Inigation eooms
Special Inspection
Alarm/Communication
Ocher Fee '?-
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouyn-in
Final
r
Dal 27
_Ito
OFFICEUSEONW i . ?..
This request troltl 18 monffis from
(?faO/ffC? #tqd
? !07352
Feauesl Oete Fir 1 Rough-in inspeclion Requi ?
? ? Ready Now ilt Noftly Inspecror
.- Z? - "? ? No HTen Reetly?
I Ga'lricensed contractor ? owner hereby request Inspedion of above electrical work at:
Job AGtlress (Street, Box ar Roule NoJ Clty
[ ???ZZ
SeUion No. Townehip Name or No. Range No. County
Occupant(PRINn Phone No.
Power Supplier
14 Atltl255
Electrical Contrador ( pany Name) Contra4lor§ License No.
l G - (?
Mailing Adtlress (COnVaqor or Owner Meking I nstelistion)
3(? o 7-S>77
A or/Ow aking I stal on) Pho umber
??
no
•MINNESOTA STATE 80ARD OF ELECTHICITV . THIS INSPECTION HEQUEST WILL NOT
GnggsMidway Bldg. - Noom &1TJ BE ACCEPTED BV THE STqTE BOAFD
1821 UnFersiry Ave., St Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phana(612)BC2-0800 ENCLOSED.
?/W8q
V 07352
REQUEST FOR ELECTRICAL INSPECTION
J? See instructypns tor c6Mpleting this form on back ol yellow cvpy.
J(" Below Work Cavered by This Request
0 B ooo,
%??51i
e .Ar.6 w TypeoBuilding AppliancesWired EquipmentWired
Home Range y Service
Duplex Water Heater eating
Electric
Apt. Building Dyer l
Comm./lndustrial Furnace
Farm Air Conditioner X
Olher (specity) Con[rac[or§ Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEntranceSize Fea # CirCUits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov Amps
Sigt15 Inspector5 Use Gnly: OTAI
Irriga[ion Booms f b?-? t
? -yJ
Special Inspection l ,?
i
Alarm/Communication
Other Fee SQ ?v"
I, the Electrical Inspector, here6y
certify that the above inspec[ion has
been made. Rough-in
."Final
- -
OFRCE USE ONLY
This request witl 18 months M1om
93--279
0 7 3 71
Request Oate Fi Raugh-in Inspection
Reqwr d,
?
? Reatly Now ?ill Natly Inspeclw
Wh
F
tl
?
? No en
ea
y
?F?Kensed contractor ? owner
? hereby request inspection of above electrical work at:
Job AEEress (Siree1, BoK or Rwte No.) Ciry
\\ ?? ? 4F-
Section No. Township Nam¢ or No. Range No. County
Occupant(PRINn / Phone No.
S
Parer Supplier Address
Eledtlcal Comradoi (CO peny Name) Contrap0?5 LicenSe No.
Mailirg Atldress (COmractm or Owner Makirg Installelbn)
3lp ST
AuMO' Conhactor/Own r Maki 1 slalla on) Ph ber cerle
?
MINN OTA STATE BOAND OF ELECiHICRV T115 INSPECTION REQUEST WILL NOT
Griggs-Mitlway eltlg. - floom S173 BE ACCEP7ED eV THE STA7E BOARO
1827 Univerely Ave., SI. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PMre (812) 602-0800 ENCLQSED.
7?5/8'9 REQUEST FOR ELECTRICAL WSPECTION
? See instrudions tor,completing ihis brm on back oi yellow copy.
P 07371 "X° Below Work Covered by This Request
ARN EB-000019]
U qz5a7y
ew Ad6 Rep: ° TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm./Industrial Furnace ?S
Farm Air Cond'Rioner
Other(speciry) Convactork Remarks:
Campute InspecNon Fee Be/ow:
# Other Fee # ServiceEntranceSize Fee # Cirouits/Feetlers Fee
5wimming Pool 0 to 200 Amps 0 ro 100 Amps
Transfortners Above 200 _ Amps A e 100 _ qmps
Signs finspedor§ Use Only: TOTAL
trrigation Booms - ??
Special Inspection ?
arm/Communication
Other Fee .5-0
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouqn-in
Final oa?. ?
• • ;(-?'
OFFICE USE ONLV
This /equast vuitl 18 months Irom
/?-8'y
F 07352
REQUEST FOR ELECTRICAL INSPECTION
ll? See instrucjjpns for ca*qleting this tortn on back M yellow wpy.
X" Below Work Covered 6y This Request
EB-00001-0]
ea :-F.od ?r. TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
DDuplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner )(
ONer (speofy) Conlrnctor's Remarks:
Compufe Inspeciion Fee Below:
# Other Fee # ServiceEntranceSize Fee
Swimming Pool 010 200 AmpS
Transformers Above 200 _ Amps
S19fIS Imspedorg Us
e Only:
W TA
Irrigation Booms
Special Inspection
AlarmlCommu nication --
O[her Fee ? SO •.M. . oio
I, the Electrical Inspector, here6y
Rou9n-in
104
oa?
certify that the above inspection has
been made. Final -' O8e
„
OFFICE USE ONLV
This repueat voltl 18 monms irom
I 1977
fleJquest Oate
? Flre I R ough-In Inspection
ao.
da ??
pec[or
W'neaM Now ? W^e?R e
??,??- ? ?
OVes tly
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (3treet, Box or RoNe No.) / ,[,FF Ciry
(!(.i - Z-4kc CC/UTc'Ic SCr, /i C-"4
C?9-?11
Sec[ion No. Towmbip Name or No. Range Nd ` u
nry
Co
{
'?
V,sJ- 4-
Oxupant (PRINT) Phone No.
lZc-A 7
Pawer Supplier
I
I Atltlreas
Elecnical Contractor (COmpany Name) Contractor$ License No.
".s
s
0'
-i
?
a i u G i53(o-c?l
(ConVac1or or
er
Ma
king nsta llat
Iion)
Own
Mailing Address
" - S+ r?
Authorizetl SI re(Contrector/Owner Making I stallation) Phone Nu
m
ber
+
y
ANNNESOTA STATE BOAfiO OF ELECTRICITY THIS INSPECTION REQLIEST WILL NOT
Grlggc-Midway Bltlg. - Roqn 5-179 BE ACCEPTEO BY THE STHTE BOAFD
1621 Unfveealty Ave., 3t. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)6C2-O800 ENCLOSED.
?EQUES? m?Ra„v? eTRmCAo b?SPECTIcON
iE 81977 'X" 8elow Work Covered by This Request
r E&00001-07
,
%\/?on+ ?
r
ew AdC Rep. TypaofBuilding AppliancesWired EquipmentWireU
Home Range Temporary Service "
Duplex Water Heater Eleciric Heatinq
Apt. Building Dryer Olhe (9pecify)
Comm./Industrial Furnace
Farm ' Air Conditioner
?.
Oiher (speclty) Contrac[or§ Remarks:
Compute lnspecfion Fee Below:
# Other Fee # ServiceEnVanceSize Fee # Cirouits/Feedars Fea
Swimming Pool O to 200 Amps o to 700 Amps
ransformers Abwe 200 _ Amps Abov Amps
Signs Inspector5 use only: TOTAL
Irtigafion Booms
Special Inspection
AIarMCommunication
Other Fee ?
I, the Electrical Inspector, hereby
i
i
h Rough-in P oate
pertifythatiheabove
nspect
on
as
been made. F?ne? oai 'p q
? 8 0 /
OiFICE USE ONLY
This request witl 18 rtroMhs irom
?
7/?f-Fy
a 5
Request Dale
l I?j? Flre No. Rough-in inspec?ion
Required?
? Reaay N. ?iWlll Non(y Inspecior
Wh
? p?..f? ? Yes ? No en ReaOy?
IXlicensed contractor ? owner hereby request'inspectio6 of above electrical work at
Job Atlaress (Streel. BoM or Route No.? Clry
Seclion No. Township Name or No, Range No. CouMy
? .
Occupa I (PRINT)
AIA
Pho N??? 7 7-,?
P,,wer$upplier Atltlress .
Elecvical Contractor lCompany NameN Contractor5 License No.
!13 ? 1 S'
ce
/
Mgiling Atldress (Gontrector on Making Inslalle(ioo) /??
'i
'd
'
?• ? ?
h
ao1?
!
Z,
Au no( i nalure ICO rac l er aking ns?allation)
? Phone Number
^ ,
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
1+ -- ly UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
19S-147 REQUEST FOR ELECTRICAL INSPECTION
J/30I?O ? Se?,instmdions for compleling Ihis form on back of yellow cupy.
f%?5 ( O O 1 "X" Below Work Covered by This Request
_ E&OD001- 9
?41 a AS7
?
ew Add Rep. _ Typeot8uilding AppliancesWired EquipmentWired
h' , e Range Temporary Service
Duplex Water Heater . Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Intlushial Furnace u
Farm Air Conditioner
Ollrer (spacily) Conlraclor's Remarks:
Compute 7nspection Fee 8elow.
# Other Fee 3F ServiceEntranceSize Fee # Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A 100 _ qmps
Si9n5 - ? InsOector's Use Only / TOTAL
Irrigation Booms L?' ? ????
Special Inspection
- Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
` Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby
ertify that the above inspection has
been made. Rou9n-m
F;,,ai ? Date
oaie7
?
OFFICE USE ONLY
This request voitl 18 m0nID5 from
2685 y?-
RequeslDate
?j
/ Fr RsJgMinlnapoclion
Pequiratl?
?Yes o /
LTjleatly Now ? WiI1 Notity lnspector
WhenReatly?
I I?licensed con actor ? owner hereby request inspection of above elec[rical work at:
JobAd s 5 e, wOr No.) Ciry?
Z'
Seclion No. Township Name Or . Fange No. Caunty
Occupam (PRINT)
? Phane No.
PowerSupplier Adtlress
ElecUical Con ctor (COmpany Name) T j•?
r?? Contracl0r5 License N
_gy1?9- 1-
Mvling Agtl?tlrew ( tredor or /M?akinng InstallaGOn) Q
V ? V .?5? ?? ?? ?jy
Y
Aullqrizea ' e(COnUactor/Ow r MBItl stalletian)
Qn\ --"?_
. Phone NumbJer y ^
? (a r J
? MINNESOTA 5(ATE 60AiiD (OLECTii1CRY THIS INSPECfION HEpUE$T WILL NOT
GrigpoMitlway eltlg. - Poom &/'!3 BE ACCEPTEO BY THE STATE BOARO
1821 Univereily Ave.. SL Peul, MN 55f06 UNLE$$ PROPER INSPEClION FEE IS
t Phene(61II)802-0800 ENCLOSED.
i?-/4?lff 9
P 72685
REQUEST FOR EIECTRICAL INSPECTION
li? See inslrudions for cqmpleting ihis lorm on back oi yellow mpy.
"X" Below Work.Covered-by This Request
• EB-00001-07
L ?,J ?9?
ew l+.dd Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer thOer (Specify)
Comm./Industrial Fumace
Farm Air Condilioner
Other (specify) Conlracta§ Remarks: (^ ^ J/ O Q ?` ?? 1p
r ,.
.bompute Inspection Fee BeJOw:
# Other Fee # ServiceENranceSize Fee k Circuifs/Feedere Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above ioo _ Am
SigllS Inspector's Use Onry: TOTA TD p?
Irrigation Booms
Special Inspection
¢
7ir AlarrNCommunication `Y 40
f ?
Other Fee ,
I, the Electrical Inspedor, here6y
if flou9n-in oate
f
cerl
ythattheaboveinspectionhas
4ieen made. Finai s ?
. ?a
OFFICE U3E ONLY C JT/ ? ?
This requesl vdd 18 monihs irom / ?
0 Ile 5; 9 61
?23419 ?.. J? 0
Request Dale Fi Rough-in Inspection
iretl?
G Reatly Now iII Noiify Inspector
W h
R
?
?O Yes ? N. en
eatly
I? licensed c ntractor ? owner hereby request inspection ot a6ove electrical work at:
obAddrass (SVee: Box ore o.
? n
ex.i 1J[ /_ /X
T1- V(J
?
City
$ection No. Township Npme or No. Fange No. Counry
0 ?
OccupaM (PR 111 ? Plrorre 4
Power Supplier
? Atltlre
u
Electrical C ctor (COmpeny Na e) CqnVec1oYS License No.
p?
°
Meil' Atltlress (Contrac[or or irer Making Inslallatbn)
? ?
??
OO ? ? •
Auth zetl $ignaN oniractotl wner Meking Installa?ion) Phona Number
Q .?.
MINN240TA STATE BOARD OP ELECfPICIJY v . THIS INSPECTION REQUEST WILL NOT
GriggaMidway BMg. - Noom 5773 BE ACCEPTED BV THE STATE BOARD
1821 Univereiry Ava., S6 Paul, MN 55f04 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6934800 ENCLOSED.
JAS/` O
F, -22 3-4 19
REQUEST FOR ELECTRICAL INSPECTION
ll? See inshuctionzPor complefinp [his torcn on b9ck of yeliow copy.
? `7C" Be%w Work Covered by This Request
? EB000p1-07
? e? ffd?,
e Add Rep. TypaofBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm,/Industrial Furnace
. Farm Air Conditioner
Olher(specify) Conhactor5 Remerks:
Compute Inspection Fee Below: /
# other Fee # serviceEntranceSize Fee # Clrcuifs/Feeders Fee
Swimming Pool 0 t0 200 Amps S 0 to 100 Amps
Transformers Above 200 _ Amps ve 100 Amps
SignS InspecmrSUSeOnly: TOTAL
Irrigation Booms ? v
Special Inspectlon
AlarrtVCommunication
O[her Fee ?
I, the Electrical Inspector, hereby
certiy that the above inspection has
been made. Rough-in '
Fi„y Dal
OFFlCE USE ONLY
This requeat witl 18 months irom
o?/?co/°r (?
3 3 2 93 8 /g/ ?lr?/? a=
$C7,?o e--V
Fepues? Da-te`I s^
p ?O Fire Rpugp-in I dion
s o eatly Now ? Will Nolify Inspecbr
Wnen Ready9
I icensed contractor ? owner hereby e uest inspection of above electrical work at:
? Atltlres?Shge4 Box or Ro?e No] , l
?? ? ? ? t. ? Ciry??
Section No. Township Name or No. Range No. County
Occupanl (PRIN
L 6, r p oog--c 17 c
Phone No.
Power Supplier Adtlress
Elecvicsl Conlractor Cimpany Namef cc) ComrD ?cBa?e fyv. i I ,? ?
dYY
Mai ng AEtlress 1 niracror o wner Making In5lallation)
l
auIDOr Wre ICOntra ri0wner Maki. s?al ron Phone umper
Z --l
MIN?ESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION qEOUEST WILL NOT
Grlggs-MlEway Bltlg. - Foom 5193 BE ACCEPTEO BY THE STATE BOARD
1821 Univanlly Ave.. Sl. Vaul. MN 55106 UNLESS PROPER INSPECTION FEE IS
VMne (812) 662-0800 ENGLOSEO.
-2
lc?glq a
8 329.38
REDUEST FOR ELECTRICAL INSPECTION
lo See'mslmclions lor compieting ihis form on back ol yellow copy.
"X" Belaw Work Covered by This Request
EB-ooool-o]
? ?... ?
ew Adtl Rep. Type of Building AppliancesWiretl EquipmenlWiretl
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
? Farm Air Conditioner
ONer(spaoityI CanVector§ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 co 700 Amps
anstormers Above 200 _ Amps Above 100 Amps
SignS Inspecror5 Use Oniy. ' TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTAILATION MAY 8E ORDEREO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify ihat the a6ove inspection has
been made. Rou9n-m
pi„ai Date
o,
OPFICE USE ONIY
This request witl 16 monIDS from
i%
S 9
/ 9 ;/??c?
n
p
? 57OJ5 . /j? ??
/
. (?('/Y..
aaauest oata
1989
OC t
3 rvo. _ ao?yn-fln,lnsveCuon
Required?
? Reatly Now ? WII No4y lnspector
.
, ?Q7 Yes ? No X When Reatly?
I?] licensed contractor ? owner hereby request inspection of above eleclrical work at:
Jo A tlr ss (Srree( Box or Route No.) City
49ft Cliff Lake Rd. Eagan
$eUbn No. Township Name or No. Rarge No. County
Dakota
Occupent(PRINi) Ptrone No.
Radio Shack ?
Power Supplier Atltlres5
Electricel Contracmr (COmpairy Nama) Coniractor5 License No.
Sky Electric, Inc. 042173 1
Mailing Adtlress (Conhactor or Owirer Maltirg Inslallaiion)
11210 Washburn Ave. So. Bloomington, Mn. 55431
nar M' g Installalion)
Autlm" Sgna re (COnt Phorie NumCer
? 888-1736
MINNESOTA STATE BOAflD OF ELECiiiICrtY THIS INSPECTION REqUEST WILL NOT
arlgge-Nfdwey Bltlg. - Hoom S713 BE ACCEPTED BV THE STATE BOARD
18Y1 Unkeralry Ave., SL Peul, MN 55109 UNLESS PROPER INSPECTION FEE IS
phase (672) 562-0gpp ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See insbuctions br completing Ihis form on bfldc af yellow cnpy
P 11--f 7 g g 5 X' Below Work Covered by This Request
^ Eaoaom-o7
i
U 9 sc3c,
e A Rep. Typeof8uilding AppliancesWired Equipmen[Wired
- Home Range Temporary Service
Duplex Water Heaier Eleciric Heating
Apt Building Dryer Other (Specify)
X Comm./Industrial Furnace
Fartn Air Conditioner
? Olher (specily) Contraclar5 Remarks:
"Compute Inspection Fee Befow:
.# Other Fee # ServiceEnirenceSize Fee # Cimuits/Feeders Fee
I Swimming Pool X 0 to 200 Amps 1 5. 00 2 0 to 700 Amps 80.01
Transformers Above 200 _ Amps A ove 700 _ Amps
' Signs Inspecmr9 Use Only: p? TOTAL
. trrigation Booms 95.50
Special Inspection
AlarmfCommunication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Roogh-in
Final ?
? a-
?? 0
?
71-/7
OFflCE USE ONLY 71iis requesl vdtl 18 months irom
P 39387
Reques? Date
?? Fi RouBh-in Inspection
Pepuired? ,?"?
? Ready Now /e?will NOtiy Inspedor
' Wh
R
d
?
? V ? Ves A. en
ea
y
Klicensed contractor ? owner hereby request inspection of above electricai work at:
Job Adtlrew (SVee[, Box or Faule No.)
? L s G°r? -
3:s-?? Ciry
,,??•?
ection No. Townshlp Name or No. Range No. Cwnty ^
Occu t (PFINn
?
' Phore No.
?S /? /?? ! 7
?S
Power, u ier AOtlress
Elecfncel ontracbr (Company Name) CoMractor5liceree No.
G o-
Maili? (COMreclw or D.me in Nallalqn
?
Aullwnze7 SignaNre (Co qor r Ma ' allslion Phone N b?erJ
MINNESOTA STAiE BOAND OF ELECTfilfyT? THIS INSPECTION REQUEST WILL NOT
GriggaMidwey eltlg. - Room &173 BE FCCEPTED BV TME STATE BOARD
1821 UnWersiry Aw., 51. Peul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Vlrone(6IY) 84241800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
/ bi? See instrudbns for completing this lorm on beck W yellow copy.
P 3 9 3 8 7 'x" Below WOrk CoJEred by This Request
? EB-00001-07
"
ew Ar? ap. ' TyOeofBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial FurnaCe S"
Farm Air Conditioner
OMer (specity) Contractor5 flemarks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEniranceSiza Fee 8 Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 10 Amps
Signs nspecoork Use Onry: TpTAL
Ircigation Booms /
Special Inspection
AIartNCommunication
O[her Fee
I, the Electrical Inspector, hereby Rough-in oa?e
certiythatiheaboveinspectionhas
been made. Finel r
42 oa?a
OFFICE USE ONLY ?
This requesl witl 18 months from
5 9 6 5
flequast !Date g ?/
?
? o. Ro
ugRin Inspeclion
a?
R
fleatlY Nwv ? wilh
G?m
R
tl
( L d
V`
f? rya
Y e
O en
y
ee
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streeq Boz or Roufe No.)
l bO t.l.i G%r- Cil-C..
Sec?ion No. Towns?ip Name or No. Range W. ? O l (fY
OccupelA (PRINn n pq y, A/ Phone No.
PowerSup r?,?/ y? ??J? )
VT Pddres
?sp???j
?4?
?'?
"
'
[
U T?
L
G?
EleMCal CaMrac[or (COmparry Name)
` Contrector9 License No.
V vo S
j il?-
a Z
Meili dtlress (Convacror Or 0 r Making Instpllay'pn)?. z 7-tt ! D
L? ./ ?
aw?o re(comr « e? ? na?to?) Pn ?m C/ ? D?
L l
NINNESOTA STATE 80AND OF ELECTRICRV THIS INSPECTION REQUEST WILL NOT
GNgg&Nitlwey BIEg. -S113 BE ACCEPTEO BY THE STATE BOAHD
1021 UnhersNy Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phorw(6fY)692-0800 ENCIOSED.
REQUEST FOR ELECTRICAL WSPECTION ee-ooom-m-"q
fs? See insVUCtiorrs for eomp+tin9 [hi4 form on back ol yellow copy.
?_5 996 5 'X" Below Work Covered by This Request
e Atltl Rep. Typeofeuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater . Electric Heating
Apt Building Dryer O[her (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Olhe, (speciy) Contraclor5 Remerks:
Campute Inspection Fee Belaw.•
# Other Fee # ServiceEmrenwSize Fee # Gircuits/Feaders Fee
Swimming Pool 0 to 200 Amps O to100 Amps
Transformer5 Above 200 _ Amps Above 100 Amps
SigflS InspeporY Use Only: / OTAL
Irngation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Rouyn"" `
Fl?sj
• oate
ate
(f f `
OFFICE USE ONLY
This request wid 18 mortlM Irom
This reQUesl void
,D rLh= 6 8 4 7 ?
?.
e?39s
flequest Date Fire No/ ReoquuuhreA -in ? Insuer,tion
R
C]ReadY Nuw Will Nulify InsOec-
-?? ?Yes P1?0 ???r Whxn Reotlv
M?lcensed Electriwl Cuntractor 1 hereby request inspaction ol above
C] p.npr elecbical work installed at
SVer.t Atldross, B/o?a or Povte Na
/
Q
t
_ C irV
}?oj
l e
. !/ (2
1/' 4
' `
ect on o. Townshio Name RanBe No. Couuty
U
Occupq (PRINT) ? Phone No,
Power Suvplier
I Address
I
Elej?, al Con[racmr ICOS7?pany Namel Cnnlractor'S License No.
IJn 6h1 lA. lG. (?LC ° ...y_
1 N ?? 1 (1) ? ->+ 4 >-' q
a[ki 0-i stailationl
Mailing AdJress ICOn[ractor or Owner M
?.
b -?,
eamre ICo V ct Owner Maki InstallatiuN
Autho ' ed Phone Number
Xl
0 1I n
6q6 /
THIS INSPECTION pEQUEST WILL NOT
MINNES Tp STATE BOANO OF ELECTRIGITY
Grigga-Midwav Bldg. - 0.oom N-791 BE ACCEPTED BY THE STATE BOAHD
1821 lJnivarsitv Ave.. St. Pxul. MN 55106 UNLESS PXOPEN INSPECTION FEE IS
vnnno 16121 662-0800 ENCIOSED.
&/-'//so
97?76
2115 2 ' 90?-//a °a
O?u.?
ReQUest ?ate
? Fire ft) Rouqh-in Inspection
Required?
? Ready Now ?III Notity Inspec[or
Wh
R
tl
?
o es ? N. en
ea
y
icensed contractor ? owner hereby request inspection of above electrical work at:
Job AaEress (Street. Box or Rouie No.)
966 G'Z, r)?r L? f1l Ciry
Z r-
Saction No.
i, Township Name or No. Ranqe No. Cou/nyj?? ?
,r,G./A?O'?° •
Occupanl(PFINT) ?p"1 Phone No.
/V C'N\i"ill
? Atltlress
Power Supplier V
ElecVical ConRactor DOmpany Name)
Standard Electric Co., Inc. ConVactor's license No.
40837
Mailing Address (COnireclor or Owner Makinq Installation)
Maplewo , MN 55109
2672 Maplewood Dr.
,
Humonzeo Signawre ICOntr tailati
__ Pnone Number
484-8044
"?E BOfMO OF ELEC ITV THIS MSPECiION REQUEST WILL NOT
"+way BIAq. - Foom S47BE HCCEPTED BY THE STATE BOARD
4., SL Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS
ENCIOSED.
REQUE. FOR FLECTRICAL INSPECTlON es-ooooi os
' , See instructiens for completing ffiis form on beck ol yellow copy.
6 8 4 7 1 "X" Below Work Covered by 7his Request
N Add RBO. TVPe Ot BuilEinB APPliante! Wired_- Equipment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
. Apt. BuilAing Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unbader
Industrial 81dg. Air Conditioner Bulk Milk Tank
FBrm Othe? Per.ilv n?her ISneciivl
t n $V?>?i V t?er Oth,,r
p Fea ServiceEMrence5ixe B Fee Feedars/5abfaeJers # Fee Circul[s
0 to 200 Amps o 0 to 30 Amps_ __ ? ? 0 to 30 An
to
-5 d DGee f r
) .I TOTAL
flouBh-in e , the Elechical
/ Inspectoq hereby
canify Iha[ the abova
Final D ? sDaction has been
de.
This rapuest void 18 montlxi iro.
le1l415a
8211_52
REDUEST FOR ELECTRICAL INSPEMON
b. See insimctions lor completing iM1is torm on pack of yellow copy.
")(" Below Work Covered by This Request
?g, 9?5t?G?
11;w Atltl Rep. TypeofBUiltling AppliancesWired EquipmenlWired
Home Range 7emporary Service
Duplex Water Heater ' Electric Heating
Apt Builtling Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Omer Ispearyl ConVacbrS Remarks:
Compute Inspection Fee Below:
q Other Fee # ServiceEntrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to Amps
Transtormers A6ove 200 _ Amps Abovee6B _ Amps
ig
Sns
inspecro's Use oniy:
OTAL ?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MQNTHS.
I, the Electrical Inspectoi, hereby R°ugh-in
certif that the above ins ection has
Y P
been made.
Finai oaie c
OFFICE USE ONLV
Tnis requesl voitl t8 manlhs Irom
5/19I rq g
P Q7..319
REQUEST FOR ELECTRICAL INSPECTION
; See instmctions for completing ihis tartn on beck Of yellow wpy.
X°Below Work Covered by This Request
E&00001-0]
y
e Ctld Rep. Typeofeuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm.llntlustrial Fumace S
Fartn Air Conditioner
Other ?specity) CanVxfor§ RemaMS:
Campute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuiisffeetlers Fee
' Swimming Pool 0 to 200 Amps o to too Amps
' TransformeB Above 200 _ Amps Above 100 _ Amps
Signs Inspactar5 Use Onry: TOTAL
A Iniqation eooms G
Special Inspection
AIarMCommunicadon
Other Fee $)j ?
I, the Electrical Inspector, hereby
certi thatthe above ins ection has
? P
been made. R01g"4" , n
.
Finel oa3
a?e
OFflCE USE ONLY
This request witl 18 months tmm
REQUEST FOR ELECTRICAL INSPECTION Eso/o/om-07
? See inSVUdions tor completing this torm on beck ol yelbw copS
P' 0 7" M43-- X" Below Work Covered by This Request
e AQd Rep. Typeof8uilding AppliancesWired EquipmentWired
Home fiange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm AirCondilioner T /X ?S
Other (specvry) CqMractor9 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuil5/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
iiansformers Above200_Amps Ahovei00_Amps
Slgns Inspecwrs U. Onry: '
G TOTAL
Irrigation 8ooms vy ?
Special Inspection
Alartn/Communication
Other Fee
I, the Electrical Inspector, hereby
certifythat theaboveinspectionhas
been made. Rough-In
F??ai •. oat
?2?
oa?a?
OFFICE USE ONLV ?
Ns request witl 18 monihs imm
5 ?
G?
0731?.12,1 ? 170,
FeQUest Dele '• Fre Rough-in Inepedion
irgtl9
R
eq
u ???
qdNeady Now ? Will Notiry Inspactor
?^ -?? ?
,
?
unns ? No 4Vhen fieattyY
I p licensed contractor ? owner hereby request inspection of above electrical work at:
Job AdEress (Street, Box or Route No.) ( Ciry
f £!07 ;E 61
Secl1on No. Township Name or No. Range No. Counry
Oxupant (PRINT) , Phone No.
5
Powpr Supplier Pddress
Eiecinwl Conhactor (C pany Neme) ContractorS License No.
0lp
Mailing Adtlress (COnfraclor or Owner Making InBfallation) ?
eryl?ingln etlon)
iAWwri 7 ignaW=lCOnlraNor/O.m/
?
Phone Number_
"'NINNESOTA STqTE 80AqO OF ELECTNICIT' THIS INSPECTION REQUEST WILL NOT
Grigga-MlAwey Bltlg. - Foom 5173 eE ACCEPTED BY THE ST.4TE BOARD
1821 Unhersity Ave., SL Poul, MN 55104 UNLESS PROPER INSPEGTION FEE IS
Ptanrt(612) fi6241800 ENCLOSED.
6u/SY'
9 ?
1
/
L? 07283, .
-. #-19D- (v
?
Request Oata Fireftl Inapection
Requ?i tl?
? ReaOy Now Yill No1iy Inspeclor
3-Z 3 ?'Pas 0 N. when Reatly?
I licensed coniractor ? owner hereby request inspection of above electrical work at:
Job ACdress (Streeq Bm or Rome NoJ City
\\ 0
Section No. Township Name or No. Range No. Counry
/
Occupant(PRINT) Phone No.
Power Supplier Atldress
Elearical Conireaor (COmpeny Name) Conhaclor§ License No.
'' T L !o
Meiliiy Atldress (COnVactor Or Ownar Meking Inslallfltion)
1A
L ?V/v .
AutM1Orize ig aNre (COntraMOrlOwner M ki Ins II ion) P? Number
g
- 9&?O
; MINNESOTA STRTE BOAND OF ELECiflICRY THIS INSPEC710N REQUEST WILL NOT
Grlgga-Mitlvrey BIEg. - Room S173 BE ACCEPrED BYTHE ST.4TE BOARD
- 1821 Unlvpdty Ave., St. Poul, MN 5510a UNLESS PROPER INSPECTION FEE IS
Phone (812) 6924800 ENCLASED.
This reques[ void/'//dQ
18 nnriffis tmm ?)" O /
D 66°989 i-?
qer-Vs
.f-? D'L'J
?
He9uest ua?e • ire " / uP.? ...sv?
y(? Pe retl? ?$eatly Now 0Will Notity Inspec-
? ? y fS ?? ?Jp / ?us ?No ?m When Peatly
4LLice.nsed Elec[rical Contrnctor I hereby re4uest inspaction of ebove
? Owner electricel work installed et:
Sirepet Aadr?esDs, Bax or /Ro?ute No. n
?<Cc0 C.,F/ ?x
ectmn o. Township Name or No. Range Nn. Co nry
,A.COT?4
I
OcwDen (PRiNT) Phone No.
Pdwer Sapplier AAtlress
?letiical Conhactor (Companv Name) Conirncmr's License No.
?
E 13 S79r
?cr2
?
Mailinp AdJress IContractor or Owner Makine ]nstai nl
`
?
Aut ri SiBniYUre (COnhactor/Owner Making Instal tionl Phone Namber
-d
THIS INSaECTION HEQIIEST WILL NOT
4AINNESOTA STATE BOAXD OF ELECTflICIiY
Griggs-Midway Bidg. - Xaam N•791 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. St. Peul. MN 56100 UNLE55 PROPER INSPECTION FEE IS
ahnnn 1R191 942-oBOO ENCLOSED.
REQUEST FOR ELECTNICAL INSPECTION es-oooot:os
, Sea instructions for complating this lorm on beck ol vellow copy.
D 66989 "'R" Below Work Covered by Ihis Request
Nars HAtl flq;. rvoe of Buiiding ApOlianeea Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater Eightinp Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bidy. Furnace Silo Unlonder
Industrial 01dy. Air Conditioner Bulk Milk Tenk
Farm tnur TS-P v _tner Isuccilvl
tic, uocily Othee Oihi:r
Comoute lnspection Fee Below
M Fee SarviceEntrencaSixe tr Fea Fexders/Subfeeders N FrzA Circaits
• 0 to 200 qm s 0 to 30 qm s 0 to 30 An s
Above 200 qmps 31 to 100 Amps 31 to 100'qm s
Swimming Pool Above 100_Am s ove 100_Am?s
Transiormers Irrigation Booms artial.'Ot
Signs Speciallns ' S
TA
;
Nema.ks . L F?
PouBh-in Di1e I, the ElacVical
//,,? Inspector, hereby
ceilify thai the nbove
Fi? al ?`? Q sVection has been
? ??/O(J ?rwud..
fhie reauea[ voltl 18 monlhe irom
e -7
0 6 3.5 yr5 -3/-"
flequest Dete Fi Rough-in Inspection
?7 /?
-
? Required? ?
' ? ReaCy Now ? Will NWity Inspeclor
[_
p ?ves IB
NO When Reatly?
I,21icensed contractor ? owner here6y request inspection of above alectrical work at:
Job.Atltlress ($4ay?,,,?CCV or Rwte No.) city
ectian No. Township Neme or No. Range No. Courtly
Occupartl (PRINn Phone No.
? 7 l Z 7-
Powar Suppller Atltlrew
?O F?LE.?TiZIL p0
Eleclrical Contractor (COmpany Nema) Comracta5 License No.
7-
M18iling Atltlrees (COniredor or Owner Making Install9tion)
L o .D 5 ,
Authori re (COnVactoqOwne ing Ins[allfltio PMn umber
-
?
MINNESOTA STATE BOANO OF ELECTpICIiY THIS INSPECTION REQUEST WILL NOT
GrIBBe-Midway Bldg. - floom S173 BE ACCEPTED BY THE STATE eOARD
1827 Univmity Aw., St. Peul, MN 56104 UNLESS PROPEF INSPECTIDN FEE IS
Phoire (612) 612-OB00 ENCLOSED.
k/
.?/? j grp REQUEST FOR ELECTRICAL INSPECTION ee-ooom-o?
? See inatmctiom for complating Mis tortn on back oi yellow wpy.
E 90635 '9C" Below Work Covered by',...a Request
ew Add Rep. TypeoiBUilding - AppliancesWireA EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ? Air Conddioner
O[M1er(spedy) ConlractorSRemerka:
? U?G ?fiD! 1?G 9 O 2GtvI? SLC ItFEE l? s£./L?
Compute Inspectian Fee Below: ? S l ?ir
# Other Fee ff ServiceEmranceSize Fee # Cirouits/Feeaers Fee
Swimming Pool 0 to 200 Amps O to 100 Amps 610
Transformers Ab0Ve200_Amps Atova100 Amps
Signs Inepector§ Use Onry: . TOTAL
Irriga[bn Booms 3G' ' SO
Special Inspection
. AIarMCommunication
Other Fee
I, the Eledrical Inspector, hereby
Fertify that the above inspection has
been made. Aougn-in ?
F?? oare7
p 7- 3
OFFlCE USE ONLY
This request vo10 18 momla irom
9a'S41R 1f
07327%a/?/ ??/ . #!g0 ??ic?`'
Request Oate Fre d? Rough-in Inspectlon
Ra
q
oireE4
I.?eatly Now ?
Will NaGty InSpecror
,?
/
?res ? No When Reatly?
L E] licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Boz or floute No.) Ciry "
9 cufF " s
Secllon No. Township Name a? No. Range No. Counry
D
Occupent (PRIN1) Phone No.
Power SupPlier Atldress .
S
Electncel ConrvacWr (GOmparry Name) CanVaclor5license No.
?
Mailing Adtlress (Cqnirnctor or Qwnar Making InslallaYOn)
3&60 s
•
Authoriz? gnaWre (COMrec?ot/Owrrer Makin 1 stail ?on) ore NumDer
NINNESOTA STATE BOAflO OF ELEGTRIGITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlEwey BWg. - Faom 5173 BE ACCEPTED BY tHE STATE BOARD
1827 Unlversiry Ave., S6 Paul, MN 55109 UNLESS PROPER MSPECTION FEE IS
prypm (612) Wp-pgpp . ENCLASED.
P n7a27
REQUEST FOR ELECTRICAL INSPECTION
? See inshuctions for Wmpleting fils torm an beck of yelbw copy.
)C" Below Work Covered by This Request
EB-00001-01
e A tl Fc5' TypeofBUiiding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Conditioner L
Other (specity) Contractor§ Remaila: Sr•,OV?+
7(ilc?.
Compute Inspection Fee Below:
f} SU FOEo w Uz- U 1Z,E'
# Other Fee # ServicaEniranceS
ize Fee # Circutts/Feeders Fee
Swimming Pool O io 200 Amps 0 to 100 Amps ?p
Transformers A6ove 200 _ Amps Amps
SignS Inspecmr5 Use Only U? TpTAL
Irrigation Booms
Special Inspection
AlarmlCommunicalion
Olher Fee SX (
I, the Electrical inspector, hereby Rough-in a ?
certify fhat the above inspec[ion has
been made. Final
c?
4
OFLICE USE ONLY
This request wiC 18 monMS Irom
`l
? 6 3 9?? c ?'ao
Request Date
S" iq Fre No Rough-in Inspeclion
Required?
?eaGy Nmv ? Will Notity Inspeclor
W
? Ves Np hen Reatly7
I)Q licensed contractor ? owner hereby request inspection of above electrical work at:
Job A(tltlress (Slreef, Box or R(o?ut'e`No.) l
a''?-E C I?tT l.l'?M?L ?
. VC d. ply
?
SecOOn No. Township Name or No. Rarge No. Cpunry -?
OccGpanl(PRIM) PMnre No.
?k sy -Z?s
Pocx?rer S?upplier
y V ?1 c Adtlress
Eleclncal Coritr w(CO peny Name)
: (I ContraclorB ' rwe No.
D Z ?- ?
Meiling AdOrese (COMractar or Owner i?g In Iletion)
Z
t
s V
. (5o
ANMrizetl SigneW Conv wrrer Mekiig Instellali
`? Phone NumOer
? ZZ8 - ?03
MINNESOTA STATE BOARD OF ELECTflICRY THIS INSPECTION REQUEST WILL NOT
Grlgge-MiEway 61Eg. - Room 5-173 BE HCCEPTEO BV THE S7A1E BDARD
1821 Unlvarolry Ava., SL Paul, MN 55f06 I/NLE55 PROPER INSPECTION FEE IS
Phone 1612) 642-0800 ENClOSED.
?/,?n7/SQ^ REQUEST FOR ELECTRICAL INSPECTION F- esao001-07
? See Inshuctions for completirg Ihis brm on back oi yellow copy.
_E 6 4 6 3 9 "X° Below Work Covered by This Request
e Add P&p, TypeofBuiltling AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Api. Building Dryer Other (Specify)
Comm./Industrial Furnace
Fartn ' Air Conditioner
Ofher (spacify) ? Caritrflclork Ramarks:
Cqmpute Inspection Fee 8elow:
# Other Fee # SarviceEntrenceSize Fee # Cirouits?Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 700 Amps
. Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inapedor§ use Only: TOTAL
Inigation Booms ?
?, .
JV ?C.)
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tif
th
t th
b
i
i
h Rougn-In oa?e
cer
y
a
e a
ove
nspect
on
as
been made. F,na; oa?
OFFlCE USE ONLY This request witl 18 monins fro.
10? ??A /SV yj (s V
This request void ?/)'?d`
nnnths fmm /? •?
E, 813
flemuest Ua1e Fire A Ro?Ehe??lnspection 6Neady Now?Will Nolity, Insoec-
?-- 0 7-? 7 ` QYOS ?'NO eor When ReaAv
gLicensetl ElecVical ConVactm 1 hereby request inspection oi above
? Owne.r elecvical work instelled et
Sveet AdAress, Baz or Royte No. Ciry
/?l
•C?i ??tK'
C
ftT s
.e.n
,
ecuon Township Name or No. NanBe No. County
OccupantlPNINTI Phone No.
Cra-
Power SupOlier Atldress
EI ct ical Contracmr (Coi panv Name) Conttar.tor's Liciense No.
? 121,` a,/ /iy??. ?
ailing d ress IContractor or Owner MakinB instailutioN
8 !3- hr.e.-? ?_ &*,t- 5t
Autho' ed Signat r ICOntraciDr Owner Makinp Installationl Phone Numher
MI ESOTA STATE BOAPD OF ELECTXICITV
Griges-Midwey Bldg. - poom N-191
1821 UniversitvAve.. SL Gaul. MN 56104
V ??_ J./pN FO/+R?OT
iM15 IN EE IS
e
MMO- . REQUEST POR ELECiRICAL INSPECTION s-oooo
i
-
? ? 0 / See inshuctions tor completing this form on bnck of yellow coov ? ?
p
'
J70 ^
E• 813 ""X' Be/ow Work Covered by 7his Request
HAd flep TVPe Of BuiltlinA APPIianCea Wired Equiyment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtinp Fixtures
Apt. Building Dryer Electric Heatin
Commerdal Bldy. Fumace Silu Unloader
InAustrial BIAg. Air ConAitioner Bulk Milk Tenk
Farm oinr, oE,,;i y _ino,
? nr succi v otner tq?a oin,_,
Comuute Inspectian fee Below "
k Fee ServiceEntranceSize 4 F. Fexdars/Subfenders N Fee Circuitg
U to 200 Am s 0 to 30 Am s U to 30 Am
labove 200 qmps? 31 to 100 qinps 31 to 100 A s
Swimming Pool Above 100__Amps Abave 700_A
Transtormers Irngation E3oorcis Pertial/Oth ee .
Signs Speciallnspection
52 j?
TOTAL FE
e?rks f,L _I .. ?? - /
1, the Elactricel
Insoactor, haraby
certify thnt the above
Final U^t2! / i spection has been
r
l. ? de.
? - ,.m
?G
8 U91
2
Repuest Date Frre No ugRin Inspedbn
?_
0 '- Required? ? Ready Now ill NoHry Inspectar
Wh
R
?
?Ye
s No an
eaOy
I/ licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Address (Street. B/ox RouwNo.) ? City
w ?.
eclion No. Township N&qi No. Range No. CouMy
Occu (PRINn Phone No.
Power ? Supplier Aatlress
Elecin Coniractor (Cq Nema) Cqntrector§ Licensa No.
?1 01n i?
ailiry Atltlress (Conir r ar Owner Maki?g
Inetallatl )
)
r
27 k
Au o' SignaWre (COMraclor r Making InstellaYron)
? Phon Number
??
L? h r Y
p
-
MINf?ESOTA STATE BOAPdOF ELECTqICRY// THIS INSPECTION REOUEST WILL NOT
GHggs-Mbway Bltlg. - qoom 5179 BE ACCEPTED BVTHE STATE BOARD
1827 Unlveralry Ave., St Paul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone(812)fiC2-OB00 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
ll? Sre instruC4'ens lor compleHng fiis farm on Cack of yallow capy.
? 80914 - °X" Below Work Covered by This Request
M% E8-00001 ?Ol
4 mwy
ew Atid il - Typeof6uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
lex Water Heater Electric Heating
ing Dryer Other (Specify)
c ?? j dustrial Furnace
; Air Condftioner
Olher
(?ffy)
CorNector5 Remarks:
CompJte Inspectron Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 1ao Amps ; LryO
ransformers Above 200 _ Amps Above 100 _ Amps
a SignS Inspector5 Use Only: TpTpL g?5
Inigation Booms 3G,? -
Special Inspec[ion
Alarcn/Communication
O[her Fee ?
I, Athe Electrical Inspector, hereby
certiythattheaboveinspectionhas
been made. flO°9"-in
F;nal ? oate
?? j7Jj
OPFICE USE ONLY •
Thia requaet wid 18 months irom "
?
?
61,
;7 0 7
2
uest MtA ire Fough-in Inspection
Required?
eaCy Now ? Will Notity Inspedor
?Yes o WhenReady?
I p licensed conVactor 0 owner hereby request inspection of above electrical work at:
Job Atltlress (Stree[, Boz or Routa No.) City
/-0o
Sectian No. Township Nertre ar No. Range No. Courny
Occupenl(PRINT) Phone No.
7P
Power Supplier Address
Eletirical ConUactor (COmpany Name) Cqm
ra
clor5 License Na.
/
'?
VLIvZS
Mailipg Addrew (COntractor or Owner Making Instal
l
a
t
pn)
?'y 1 b ?
?
4
\
N? .{,
? I
f.s S c??.c.2
Author' Signature lCOMractor/O?mer
kin
g I
nst
alla
tion) Phone NumOer.
^
- Y
A
P ?r
1 -?U
MIIlNE30TA STATE 90APD OF EIECTHICf1Y iHI51NSPECTION REQUEST WILL NOT
Griggs-Mitlway Bidg. - Poom S173 BE pCCEPTED 0Y THE STpTE BDARD
1821 IlNVersHy Ave., SL Pauy MN 66104 UNIESS PROPEA INSPECTION FEE IS
Phow (612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
? Sae iripinictions MF compktinB thle tortn on back oi yeliow copy.
Il' *17n72 X" Below Work Covered by This Request
^ ?E&000p01/-0'?J?
• %/?OCl?Gi
ew Add R -. 7ypeofBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[nc Heating
Apt. Building Dryer Other (Specify)
Com.Andustnal
m Fumace
Farm Air Condi[ioner
Olher (specity) Cantrea)or4? Rema/rk?9:?.?p?? ?.?rIv {,?/?
WIW K/??I?C:V
Compute Inspeciion Fee Be/ow: cl etw 4
# Other Fee # Sarvice EnhanceSize Fee # Cirouits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps Above 100 _ Amps
Si9f15 Inspector§ Uee Only:
? 1 TOT L ?
s=
Irzigation Booms ,?
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RO1gh"" .
F?ai °d18
o
OFFICE USE ONLY •
This reQUest wid 18 moMhs imm
-"
19
E
Requeat D'/
?
^
? ?? Fre RougRin Inspeclbn
qq '?p?
? Reatly Now Wi11 Nofiy lnspector
?? Ves ? No han Peady?
IxrIcensed contractor ? owner hereby requast inspection of above electrical work at:
.bb Atltlresa (Sireet, Bm or RoNa No.) '
9 0 Y?F ?
? Ciq
??a "? "d
Secfion No. Tawnship Name or No. Renge No. Couny
?? gOT-4
Occupent(PFINn I
SO I'Yl _? .?T S Phone N0.
. v G 5
Power Supplier
e_C . Aatlress
171,f., TO?I/
ElecVicel Contractor (COm any Neme)
i
?N?
? Contrector5 Licanea M.
/
"
6 S
?2
w r ? Z.?
lO
Meilin?g7 Anddre1 s (COniractor or Owner Making qIns-?JaAll ?' n) /• C
y
AulYari ed Si re(COmractor/Owner M' Installali Phon/e /Num [? R
c
?
? ?
?
?-
^ f-'
?
'
f
MINNESOTA STAiE BOARD OF EL6EfVICITV THIS INSPECTION REQUEST WILL NOT
Grlggs-Mitlwey Bltlg. - poom 5773 BE ACCEPTED BY THE STATE BOAHD
7827 Universiry Ave., SL Paul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Phona (612) 642-0800 ENCLOSED.
C.?/1? REQUEST FOR ELECTRICAL INSPECTION - ea-oooo,.o7
t O/' (() 0? Sea Inslmaiom for compleGng this krm on back of yellow copy.
? d (f/
E ? 6n 3-51 g `X" Below Work Covered by This Request
kle% Add Rep.? 7ypeofeuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
ApL Building Dryer Other (Specify)
Comm./Industrial FUrnace
Farm Air Conditioner
ONer (specify) CoMrador§ Remerks: Compute Inspection Fee Below:
# Other Fee # ServiceEnirance Size Fee # Girc
uits/Feeders Fee
Swimminq Pool 0 to 200 Amps A
o to 70o mps 44&,V
Transformere Above 200 _ Amps Above 100 _ Amps
Signs imoecmrs uae oNy: TO7AL
lrnyation sooms (?? I 30•,5,b r+??;n
Special Inspec[ion y[ a SP?c. +'w-S
Alarm/Communication
Other Fee (
I, the Electrical Inspe or, hereby
f
h
i
i
h Rough-in oafl
q; ? 7 7
? -d
cem
yt
attheabove
nspact
on
as
been made. F;nei
? oe?
"?fwr
OFFlCE USE ONLY
This repuest vaitl 18 monihs Imm
ThiS reques? void f?//YC]
E 43799 ?- aliN;,?
?C/ 3,5"D 1
Re?uest Uate
?
I Fi o. NouPh- inI nsuer.tion
Repu red?
eady Now Q Will Notify Inspec-
?`
? • 1'es ?NO L.r When Readv
A Ljcensed Eleclrical ConVacior I hereb
y redue6t insOaction of ebove
? Owner electrical work installed at:
Streei Addre!s?s, B /oz+ o/r Route No. /{J (?//
y
J•? ?U l./(1 ?/ J???-71@. ?CT Citv
/?/? p ?
l o'TCT
ectwn o. Townshio Name or No. Bange o. Counry
? ?6 714-
Occup' m (PflI ,? ?y
Td- ?
' Phone No.
7 ?4-
.2 ?
/
Pawer Su
o
??? Adtlress
j
y
T°?/lA?/ T L. !'s-I
I Co ractor ICOmDanV Namel
? ??.? ?./ < Contrarmr's License No.
o LGorG ?-?
Mailing AtlJress (COnvactor or Owner Makina Insteilation)
U
Z 7 SG
?
Authorized Signature IComr todOwner Making Installalinnl Phone Number
, ? ? ? q -7 ?
MINNESPIA STqTE BDARD OF EIECTHICITY THIS INSPECTION REQUEST WILI NOT
GrigBe-Midway BIO9• - Aoom N•197 BE ACCEPTEO 6Y THE STqTE BOARD'1821 Universitv Ava.. SL Prui, MN 55104 UNLESS PROPEH INSPECTION FEE IS
Phone 16121 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
r q See inshuc4ons tor com0leting this lorm on bnck of Yellow coPy.
?q C?3? 0 9
`E ?'iF.3 7 g 9 "1(" Below Work Covered by lhis Request
Fdd ReD. Type ol Builtling Appllancxa WireA EQUipmani WireA
Home Range Ternporary Service
Duple.x Water Heater Liyh[iny Fixtures
Apt. Building Dryer Hectric Heatin
Commercial 81dy. Furnace Silo Unloader
Industrial dldy. Air Conditioner Bulk Milk 7ank
Farm Olh, oeci y O1her ISnedlyl
t nr Syccify Ot er pih(ir
Compu[e /nspection Fee Below
M Fee ServicaEntrenceSixe tt Fea Faxdere/Subleetlers N Fea Circuits
0 to 200 qm ps 0 to 30 qm s ? 0 tn 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 100 qm s
Swinvning Pool Above 100_Amps A6ove 100_P.mps
Transformers Irrigation Booms Partial.'Other Fee
Signs Special Inspection 5 Q
pem?ks `j TO L FEE
?O.O
Final
Inspectoq hereby
certily thet the ebove
e 6nsoection has baen
Thla repueal vofA 18 montlu fwm
y/a7 d'Y ,?a,?3?;•C??''?b?'`? c!?,`?? -?'IqD 51an?'/
'
"
-0 310 , ? ?
j1:?-°
Requast Date Fire No. Rough-in Inspection
Requ' + ? Raedy Now Cl Will Notiry Inspector
?' - es ? No When Reatly7
I licensed contractor ? owner hereby request inspection of above elecirical work at:
Job AGtlress (Sireet, Box or Route No.) Ciry
'2(00 •? ,?
Sectlon No. Township Name or No. Range No. COUnty
D
Occupenl (PRIM) Phone No.
Powar Suppller Atltlress
N
Electncal CoMractor (Compa Name) Conlraclor§ LicensB No.
T
Meiling qtltlress (COnirector or Owner Meking Installetion)
S/ / `/ •
Aulho' i n ConUactoUOw e Mekin Instell 'on) hona Number ,
MINNESOTA STATE BOARU OF ELECTRICM THIS INSPECTION REQUEST WILL NOT
GriggrMitlway Bltlg. - floom 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Universfly Ave., St. Paul, NN 55106 UNLESS PROPER INSPEGTION FEE IS
Phone (812) 642-0800 ENCLOSED.
.?/.?!;7i4
P N?310
REQUEST FOR ELECTRICAL INSPECTION
r See irMnwMions lor completing ihfa lorm on back of yelbw copy.
X" Below Work Covered by This Request
^ EB-0000 ]
% 9an/
Ne% Add Rep. Type of Building AppliancesWirad EquipmeniWired
Home Range Temporary Service
Duplex Waler Heater Eleciric Heating
Apt. Building Dryer O[her (Specdy)
Comm./Industrial Fumace
Farm Air Conditioner
Olher (specily) Conhadon5 Remarks:
Compute Inspection Fee Below:
# Olher Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 AmpS O to 100 Amps
Transformers Above200_Amps A 0_Amps
Signs Inspectorf use onry: Tp7AL
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee S"Q
I, the Elecirical Inspector, hereby RO°gh-in oa?e
certiTythattheaboveinspectionhas
been made. p;,;ai
?-
OFFICE USE ONLY -
This requeat witl 18 months hom