1565 Cliff Rd - Electrical Permits-lv/eo 7/9i
0 7 / /oi 5?80
H 51599 /71
. A?&°D
Repuest Date Fire No ough?in'nspectwn
R 0 peatly Now ?II NoUty Inspecmr
? Requi
s ? No When ReatlY1
Icensed contractor ? owner hereby request inspection of above electrical work at:
Job AdEress (SVeet Bw ar Route No ) Ciry
? ? ??
g
Sqqipn No TavnsNp Name or N. 7 R,n
No County
OccuOant(PRINT) Phone No
Power Su00ber
Dio Address
Elecincal ConVacror (COmpany Name) Gontrdc[or§ License No
O ?1
4_ 0
MaAing AEtlress (COnbador or Q.vner Making Installation)
3 «!`iL/ L 4pi 44:?
Aumonz nature ICO??? ner?+g?ing I,?yJlaoon) Phone Number
e i .? /A_ /i9'?d ? -
IHH OTA STATE BOAHO OF ELEC?PICITV
Griggs•MlAwey 81Eg. - Room 5-173
1821 Onlveraity Ave., S[. Peul, MN 55106
Wwnre (612) 862-0800
:ESee DUEST ? fOR 0.EL ECTRI ? CA ? LbNSPECTION
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
EB-00001-08 I
H`j 1 -5 g 9 "X" Befow Work Covered by Thrs Request
ew'Atld Rep. TypeofBmlding ApphancesWired EqmpmeMWired
Home Range Temporary Servuce
Duplex water Heatar Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./lndusVial ' FUrnace
Farm Air Conditioner
OtOBf(6peCih/) COOIYdC[0r!s F1BI118fk6
Compute (nspechon Fee 8elow: . •
# Olher Fee # Servic m nce Sme Fee # Circults/Feedere Fee
Swimmmg Pool D to 200 Amps , to 100 Amps
Transbrmers Above 200 _ Amps _ Amps
SIg05 Inspecror5 Use Only ?fil. TOTAL ?
Irrigation 8ooms
Special Inspectwn
Aiarm/Commumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
ther Fee S COMPLETED WITHIN 1 ldONTH
I, the Electrical Inspector, hereby
Rough-in ?a?e ^?
certAy that the above inspection has F,,,ai oWe r7 ??
?
been made.
OFFICE U3E ONLY
This request voitl 18 monMS iro.
/ G'?7
?a
F -66 4?10 e''
Dal Fire No. Rough-In Inspectbn ?
Re9unetl? O Remy Naw Wi0 NoIHy Irrsppc(pr
? Yas No en ReaMe
I X licensed contractor ? owner hereby requyst inspection of above electrical work at:
Job AdtlreSS (byreet, gny or Raute No )
/S6S ' ? ?m
Gl.' h?1 ?IaL
3ecban No. Township Neme or No
Rangp No. Courey ?
Occupem,(PRINT)
Plione No.
A.7 a Gt,N KJ C?. 1?'L
Power Supplrer AddIi
Eleclrical Cwtractor ( Co^WanY Name)
/ Conhaclor5l.ic¢ngg No.
aPc.? t ?ar.«wcvrr?`c? ?Ati ?s t17G ?j• S?
AAaningAildress(CanNdcWr or Ow,rer Making Installa'(on)
/ . , /
tr ? ? ,S 75 ,E_ ?_G . S'Jd 7
A??etl Signature (Cortl N- Instal ti
? Phone Numbpr
I `?rJ /- 9 j
NINNESOTA STA BOAqD OF CTpICpy 9-7
?«98°'?bweY B Neam 5 73 7FII5 INSPECTqN REQUEST WILL NOT
1821 IM?ye?ry? pye,paul N?104 BE ACCEPTED BYTHE STp7E BOARD
Pl?me (612) 6Cy-0gpp UNLESS PROPER INSPECTION FEE IS
- ENCLOSED.
,90 REOUEST FOR ELECTRICAL INSPECTION -I
? see Inshn,awna ror mmWeting ms fwm on back oi rellow c)vr Ee?ooool-o?
•F . 6 6410 X" Below Work Covered by This Request c??D g
Compute fnspection Fee gelow.•
# Other Fee
Fee
Fee
100
I, the Electrical Inspector, hereby RO1g^"" r
certifythattheaboveinspectionhas Fmei ,
been made.
WFlCE USE ON W ?
ho rgquest yaitl 18 monMs finm •
6?? G/9 /
'
?
?
?
G 6 6 0 0 3 / .
Request Date
? Fre No Rouqh-m Ins cbon
qu ?
s ? N.
? Ready Now iil NoUty Inspector
hen ReatlY?
1 licensed contractor ? owner hereby request inspection of above electrical vrork at:
J ???Stre(et„B i ?a
%?
V CM -
Sedwn N.
l- TownsM1ip Name or No Range No
C^? u^
/?
??'
Occupant(PRINT)
su l?w (? ic ? Phone No
' Power SuOPlier Pddress
leanc GonVador ( Jompany N ? t ??f ?, 1 Conv or5 L nse No
Mani AtlEress (Gomra r r ner
? g nl
............. c?
um r etl Sig Wre I mor/Owner
R A O ? in stal o) P?u er ?Q
I
MINN SOTA STATE BOAHD OF EIECTR ITY
GriggrMidway BIOg. - Aoom 54]3
1821 Univerelty Ave, SL Peul, MN 55100
Phane (61I) 6a2-0800
0
THIS WSPEGTION REOUEST WILL NOT
6E ACCEPTEO BV THE $TATE BOnRD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION 4a eee o m-o
? ?
?}3?? f???
See instmebons br complehng Mis tortn on back M yellow copy. +y
_ 0....rrecl Ak..?,. .
66a 0 3 "X tJB/OW VVUrn vuvc,c? i+y I'- ----- --- _
Adtl Reb` TypeofBuilding
ApphancesWrted
EqulpmentWired ,
e orary Service
Tem
Home Range p
Duplex Water Heater Electric Heating
it
Apt. Bmlding Dryer y)
Other (Spec
Comm.llndustrial Furnace
Farm Air Conditioner
Other (specryl Comracmr5 RemaBs
Wmpufe Inspechon Fee Befow
g Ofher Fee # ServiceEntrance5ize Fee # CircudslFeeders Fee
Swimming Pool D to 200 Amps 0 to 700 Amps
Transiormers Above 200 _ Amps Above Amps
Signs Inspecmr5 Use Only ? TpL
Irriga4on Booms
Special InspecUOn
Alarm/Communica4on
NNECTED IF NOT
THIS INSTALLATION MAY 8E ORDER
Other Fee . COMPLETED WITHIN 1 (
HS
Rou9han ai ? 2 7
I, the Electrical Inspector, hereby a-
certity ihat the above inspedion has F,,,ei ! °ate
been made.
OFFICE USE ONLY
This request voitl 1B months Irom
L
I
i
9 I
?
I
I
? ?%5??5
8f?lv/9/
43401 ? • '? `5
? ?
Request Daie Fre No Rough-in Inspection
q¢QwreV ?qeatly Now ? Will No[ity Inspactor
When Reatly'
-,e5 a
6censed contractor ? owner hereby request inspection of above eledrical work at:
JOb AdtlIe56 (SVBe[ Boe /of ROUte/jNo I
! ary
:
{'°./ r/' li?/ii r?
Counry
c-,,,, nin rownsnio Name or No
Range No
•f?A•2 -7'r
Go?lrac?orlGompanyNeme? ?/„/J-/ j??
tldre541Conlraclor or Owner M?Install?tion) j'
Gtlggs-Mitlway BIAg. - Room S473 °
1821 Untvesrty Ave.. SL Paul, MN 55140,11
Plrone (612)662-0800
Phone No ,/
J `i ° Z.
Conlrflctor5 Lroense No
> oyir4c :
t ' sPM1THIS INSPECTION REQUEST WILL NOT
BE PGCEPTEO 6V TME STATE BOARD
UNLESS,PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL 1NSPECTION
? See msVUClions (or oomPleting this lorm on back ol Yellow coPY
/
}Y?`?g EB-OCOOOt-OB?j
{?*?"?,??v? ?/??//
' "X HEIOW VVOlK I.VVeICU uy r nro ??cy.. .... --
ew Add Rep TypeoBwlding AppbancesWired EqmpmeniWved
Home
Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bwldmg Dryer Other (Specify)
Comm /Industnal Fumace Qy?s
Afr Conddioner
Farm
Other(syecify) C-oM(rado-r's- JRemarks
Co mpuf e Ins pechon Fee Below
F # Service Entrance Stze Fee # Crtcwts/Peeders ee
p Other ee ?
Swimming Paol 0 to 200 Amps 0 to 100 Amps
Transformers Above200-P.mps A Amps
Si9ns pspecmrs use Onry 1
? TOT
?
- ation Booms
Irri (?
g
Special Inspection
OT
Alarm/Gommunicanon THIS INSTALLATION MAY BE CONNECTED IF N
Other Fee COMPLETED WITHIN 18 MONTH3.
--
i, the Electncal Inspecior, hereby oaie
ROO9h-in
certily that the above mspec4on has F,nai ? oace
been made.
.
OiFICE USE ONIX
Th6lepuB6t voltl lB monlh5 hOm
L
61 ?
2 5 5- OFFI E U9 ONLY This rpwst vod IB moMhs hom wLdanan dqre pnmed in this 6ox
V /??r 530(44'/
PLEASE PRINT OR TYPE
Requesi Dab Rough-in inzpon reqwred2 ? Y. ? N.
ern Inspecnon pherThan Ro.gh-Im M Ready Now 0 Will Coll
? ?1'0? musl ?oll
Ifro inspecbr when ready) OaR Ready
licensed confroctor ? owner here6y reques} mspedion o the above eledricol work of:
Job AAdras (Siree, 8ox, or Rouk No ) ^ b
Ll ?p ?L Ciry Lp Code
CO.G a
Sechon No Tawnship Name or No. Ronge No. Fire No. Coonp
OccopaM Phone No
?_ a ? P n t+-r S
Power Suppliar Pddress
ElMnml Conkatlor (Compony Name) S? Cantroclar Limnse Na. Maskr lic No. (Plont EIM Only)
'?CL? - CN Cii ? ?CY4 A0OID'1 k
Moilirg Addrev jConhodor or O.mer Pedortnmg Insmllarion)
V \ (? . F?.?? t-2 ta L- e N . C) ?? r S
Avlhonxed Sigewwre (eonlractor or Owner Pe oimiiq Insmllalwn) Ph
No
? -
Y-V 1 % rl
EB-DOOOIA-10 6/95 sl'ATEBOpqD COW•SEEIl/STHUCTIONSONBACKOFYELLOWCOPV '
REQUEST FOR ELECTRICAL INSPECTION
INN?IIINI $$ 6 I?IIIII1r 8127 Unnersiry Ave?Rmt SElectricity
St. Paul, MN 5510a
6 1 1 Phane (812) 842-0800 ?lr?q(o
Home i.81dg. Other: New Addn
Commercial Indus}riol Farm Remod Re air
Air Cond. Hig. Equip. Woter Hh. Load Mgmf. Olher:
D er Ron e Elec. Heot Tem . Service ?
'k' obave the work mvered 6y this request. Enler remarks in Niis space ond on Ihe ba<k of the white copy only.
"-O? C'(_f I D
Calculate Inspection Fee - This Inspection Requesf wJl nof 6e occepted wdhouf the mrrecF fee:
OILer Fee iF Service EMronte $ae Fee # Grcuils/Feeders Fee
Home Park Sfull 0 to 200 Amps 0 to 100 Amps
tg./fmffic Sig. Above 200 Amps Above 700 , Amps
rtnet/Generoior
0 INgpECTOW5U5EONLY TAL
utline L}g g{mr. r Q
Remote Confrol Q
Swimming
Pool
I
I hareb aen hwt I ins ected Me el«mwl insmllaLOn decrn ed herdn an dha dares smied
rrigation Boom Ro,gh-In poh
Speaal Inspecfion
TH Investigafive Fee
IS INSTALLATION MAY
BE OR Fin°l b fi
DERED DISCONNECTE 1 T COM ETE WI 18 MONTHS.
MINNESOTA $TATE BOAFO OF ELECTflICITY
Gri9g%Mltlway Bltlg. - poom 5428
1821 UnWetsiry Are., St. Paul, MN 55109
Phane (812) 642-U800
FEOUEST WILL NOT
THE STATE BOARD
INSPECTION FEE IS
??'-
- - a?...
REQUEST FOR ELECTRICAL INSPECTION 8?°
0008634k See mstructlons for complevng this torm on back W yellow copY
,?95 "X" Below Work Covered by This Request '"?_?•
......d 1Alirori
m Fr i.???•?v?? PE..P.s» iT
Compu[e Inspection Fee Below:
"- 5?
?`v -
THIS INSTALLATION MAY BE ORO
COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby
ceAify that the above inspection has
6een made.
OFFICE USE ONLY
This request vrntl 18 mmths hom
IF NOT
" /i /
?/?o?s
$0614 / ? ; ?• a? ??
Rre No Rough-m Ir?sG?on ? ReatlY Now Id'o'n?l NobN in.%Pemr
auest Dale Requ ° When Reazty?
?_?_ ?No
a'`rwnsed contractor ? owner hereby request inspection of ahove electrical work at:
naares:
or
Coniracbr
Making
? ?a?85
E-? -8-f
gppFO OF ELECTPoCR7 THIS IN3PECTION REOUEST WILI NOT
BE ACCEPTED BV THE STATE BOAHD
?. - poom 5-179 UNLESS PROPER INSPECfION FEE IS
„ gry, Paul, MN 55109 ENCIASED. _
q
EB-00001-07
REQUEST FOR ELECTRICAL INSPECTION
1, See insiructwne irn complebng this brm on back of yelbw copy
14 °x" 8elow Work Covered by This Request
FMnnmentWlred
Heater
Compute
I S's12?l41E j/YGC. ON /j/4'S£ TjLOG, PF-4m/7-
Fee Below. a.,??rasrPeeders ?
? Fee ?# ? Servm Enirar?ce$i e
to 200 AmF
bove 200 _
,.s uw o*
the Electrical Inspecto?, heseM'
ceAify that ihe above insPection has
beeo made.
OFFICE USE ONLY
Tl?ia re9iiest _ki 16 moMhs hom
f
^Thrsre9uestvaid/g/?/S?
18 months rom
D . 5 4 7 6 0 4?W'V;,'76Z A,
Peque?,l Date .
' Fire No. RouAh-m InsVecUOn
fleqwretl?
?12eadY Nuw ? Wdl NoUfy InsOec-
? ?
yes N.
?
ior When fleady
XUcensad Electncal C'Sntrector I hereby request inspecLOn ol above
f ] Owner eleclncel wotk vwtelled ae
Sveet Address, 8ox or Route Na. Giv
?
/
ecuon o. Township Name orNo. Range
o. Coun
ty
^
Y
OccuGant (PFlINT) Phone No,
/
Power Supplier Address
/L
Electncal Conhactor ICompany Namel Conhar,tor's Lroense No.
Ma g A ress ICOniractor or Owner MakinO Instaila
y onl
1? ,
a cY
Aut ! ed Sienawr nira r?0 ner king Installavnnl one Number
,
MINNESOTA STATE BOAND OF EIECTqICITV THIS INSPECTION REQUE51 WILI NOT
Griaes-Midwey Bltlg. - Room N-191 BE ACGEPTED BV THE STATE eOAHD
1821 Univarsitv Ave.. St. Peul. MN 55104 UNLESS PROPEfl INSPECTION FEE ?S
Phonet672)642-0800 ENCLOSEO.
- - ?
7 REQUEST FOR ELECTRICAL INSPECTION eej-Gooqoo/i-os
. 1 See instruct.o.s for wmplebrq M. torm on beck ol Vellow
n"` "f 'd 7Rn "X" 8elow Work Covered by Ihis Request
Ftltl flep• TvPe oi Bwltl?n9 APO??ancea Witl Eqmume-I Wue9
T
S
Home ?nge ervice
emporary
Duplex Water Meater LighUny Fixtures
Apt. Buildinc? Oryer Electne Heatiiii
Cominercial Bldg. Fumaw Silo Unloade?
Industnal BIAg. Air Condidoner Bulk Milk Tank
Farm Other Pe'_? Y i har ISP?rilYl •
O?her
t er Sucwfy Ot er
ompute nspect?on fee Below
k Fea Service EntraneeSiie H Fea Fenders/SUblexders ? Fee G??cui?s
0 to 200 qm s 0 to 30 qm s 0 to 30 An s
A6ove 200 Amps 31 [a 100 Ainps 31 to 700 Am s
Sw'nming Pool Above 100_Amps Above 100-A'^P'
Other Fee
P
l
L
7ransrormers IrrigaUOn Booms ,
ar
a
S?gns SVecial Inspection ? 70TAL F ?
flemerks
Rough-in ul; / .C
i 0 O , the EI 1
Ingpect0q hera6V
i
cerLty that ffie abova
Final "'?' Date
aY inspect.o. has Geen
r a-/ mede.
ihlnreQUeslvaltll8monlhstrom ' /C/• w"/Y??/Yl-?CJ
This repuest void Fd/ 7 /
18 months from ?7
.? f, ./,?/I f,j
D 95755
Renuest "Fire No. Mouph-n. ??nNect?on
RequireA? []fleadY Nuwk?rll NobfV sPec-
Ves ?NO ro When Reatly
Ln Licensetl Electncal ConVactor I hereby request inspacbon ot ebove
..,..o, elactncal work installed et.
SVeec Address, eowor ute
&5?
ecuon o. To sp Name m Na. Henge No. Counl
/
O cuGan IPflINT) ? Phone No.
? ?
/
Power upplier AddBSs
cal C nact ICom ny Namel `
b
Cmnvar.m
r's License No.
v.3 ? a
ail?np Atl ress?ontracl?4or O r MakinA In a 1
?
? n SS a?i
, ,
Author¢'d Si natur2 Contra or wner Makin InstallaLOn) Phone Nu mber
G'
? . i
MINPoESOTq STATE 80ANU OF ELECTVIti
G?igg5-Midway Bldg. - Room N•191 ?
182'YUnwersitvAve..3L Faul. MN 55104
Phone (612) 642-0800
In.s marea,ii-n rie'utvw7 naL m?s
eE ACCEPTEO BV THE STATE BOARD
l1Nl.ESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION &Vk ee-ooooi-os
?t?,
I;, See mahvctions loqcompletvq this form on beck ot yellow coR,
U'"1Ll 7 5'rj "X" Below Wwk Covered by 7his Request
FAQ ReD• Typa of B.iltlung Applioncea W?retl Equiyment Wired
Home Ranye Temporary Service
Duplex Water Heater Lightuiy Fiztures
Apt. Bwldmc? Dryer Hectnc Heatin
Commercial Bldg. Fumace Silo Unlodder
Industnal Bldg. qir Condrtioner Bulk Mrlk Tank
Farm Other peci v e 1 or?lyl
t r,r Sueu(y Other lhcr
ompute Inspect,an fee Below
M Fee ServiceEnVencaSiia tt Fee Feeders/Suhfeetlers # Fee Circwts
U to 200 qm s 0 to 30 qm s 0 tn 30 Am
Above 200 qmps 31 to 100 Ainps 31 to 100 A s
Swimming Pool Above 700 Amps Above 100_Am
Transtormers Irngavon Booms PartiaL'Other Fee
Signs Special InspecLOn 5
errarks
_ ? i T AL FE
I /JG s'O
flouen-in
he Elac<ric
Ins .aey
ceY?dV lhat the above
Final ( D ie inspection hae been
made.
Thie reuueat ro1E 18 mantire trom
Thisrepueslvoid
18 montbs from O p T!/
D18 7 81
ReQUess Date Fre No. qoagb-m Insoaciion
Reqmred? ElPeady Nuw2(WIll NoLfy ye
I I ?NO mr When Ready 1
'a(,jne-3Q:)1z) 7 1
AVicensetl Electncal ontractor 1 hareby requestinspecfion ot above ?
? Owner elecvieal work imlalled aY.
Sveet Adtlress. Box or Poute No. ? C.ry
ecuon o. ownship ame or No. Hange o. CounW
Daikig
OccupantlPPINT) Phone N0.
Power SuOpher
D k Address
3cW aao
, t?. I-E
Electncal CY tracmr ICompany Namel
(2r-71 C?+ntracmr's Lice se No.
MaibnB ddress (Contractor ar Owner Making In taila N
? r? S
Aut i ed Signewre ICOnt tor O ner aking Installa P one Number
MINNESOTA STqTE BOARD Oi ELECTRICITY THIS INSPEGTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - flaom N•791 BE ACCEPTED BV THE STATE BOAND
1821 Umvarsrty Ave.. St. Paul. MN 66104 UNLESS PPOPEX INSPECTION FEE IS
Phonet612)642-08D0 j ENCLOSED.
7 REQUE57 FOR ELECTRICAL INSPECTlON ' es-ooooi-os
- ? Sea instn.c4ons br completng [his form m peck of yellow copy.
D y? J? g 1 ??X" 8e/vw Work Covered by 7his Request
AAtl ReP4 ?'TVOe of Bu?IEing APPIi yy ? ?----'?,
y - E9uiumem Wvnd
uupiex
Apt. Bwiding Water Heater I ?? -
??9liUng Fixture5
Commeraal Bldy. Dr er
Y
Furnace Electric Heaun
Industnal Bldg.
Air Conditmner Silo Unloader
Farm
t qr S
f
thrr peci v Bulk MiIk Tank
OMrr ISpcrify) r
ueci
y Other
ompute lnspection fee Below
k Fee ServiceEntraneeSixe p
Fee
Feeders/SUbfeeders
#
Fe
U to 200 qm s
0 to 30 Am s e Cucutts
Above 20
Am )s
37 to 100 qniPs 0 to 30 Ani s
3
Swimmin Pool
Above 100 Am s 1 to 100 q
Transiormers
Irri ation Boorc
s Above 700_Am s
Signs i Partial:
ina requo:t .da
I
Q I
?
I
1
?This request void
18 . b. ffis tmm
Q _..932 Ri?
Aepuesl Date
r? Hre No. Rouph-in Inspec"on
R
ed>
DReady Now Will Noufy Inspec-
t
?
-? o
7- ?or When Peady
? ucensee Elecincal Contractor I hereby re0uest mspection of gbove
? Owner electricel work nwlel led et:
Svee[ Addr/ess, eox or Route No. ?'^(? /y?
?-^
1 ?
- "
? L1 Ciry
C_?i
T
'
IZ n?
ecvon o. Township Name or o. Range No. C unty
Occupant PNINTI Phane No.
?
Power SuOPlner Adtlress
Electn I Convactor ?Company Name) Contrar,lor's Liconse No.
?? ?? 'YISD 2
Mailing AtlJress JC Vactor or Owner Maktne InstailaUOnl
Authonz naiiure ICan cmJOwner Makmg Installatmn) Phone Number
MINNESOTq STATE BOANO OF ELECTqI TY
Griggs-Midway BIdB• - Raem N•197
1821 Universitv Ave.. SL 04
Phona (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
6E ACCE7TED BY THE STAiE 80APD
UNLESS PPOPEH INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?es-oryo?ooJi-oe
? Il, See inattuc4ons ior camplebnp this tarm on beck o1 vellow copv.
"'X" eelow Wark Covered by TMs Request
?
AAd ...
ReP _ .. .,
Type oi ewiding -
Apphances ri -
EquiVmant WireA
Home Range Temporary Servme
Duplex Water Heater Liahnny Fixtures
Apt. Bwldmg Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg
Farm Air Conditioner
,nN, oeu v 8ulk Milk Tank
tnerISncr?fN
t er Suecrtv mer Oth.r
n
p iy?.... , ,o
Fee p.,.,...,... ..,..
ServiceEntrence5ize
tt
Fae
Faxtlers/5abfeetlers
N
Fee _.
Cvcmls
0 to 200 qm 5 0 to 30 Am s 'O" 0 tn 30 Am s
Above 200 31 to 100 Amps 31 to 100 Am
j
Swimming Pool Above 100-P.mps Ahove 100_Am?
"
7ranstormer5 Irrigation Booms Other Fee
Partial-
Signs Special Inspectwn $ ? TOTAL 6F?? 1
Rert wrks
Rough-in D"1e?/ ! the EI al
Inspector, hereby
- - cerLfv that the above
Final '?
? mspection hes been
? mede.
ThN requeat voia 19 momrm Trom
This
y1e mo thest voitl
D s from eJ
() 5:0 4,
Henuest Dale
Qy-Licensed ElecVical Contractor
LJ Owner
1621 Universitv Av - ecom N-191
Phone (672) 692-0800 5, Paul, MN 55104
' "or+ KEQUEST WILL NOT
BE qCCEPTED eY THE STq7E BOAqD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELEC7RICAL INSPEC710N
q/"Scee instrucbons for comolatirp Ihis brm on back o/ vallow capy.
EB-00001-OB
klft D 9'S 0 ?} U --1(" Below Work Caverxl hu 7ho c
c.na Neo. Tyoe ot BuilE?ng
Home ApphOnC6a Wi?atl -
Equiumen? Wi.ed
???P??" nge iemporary Service
Apt Bwldmc? ater Heater Liyhhny Rztures
Commercial Bldg. t ryer
mace
E?ectne Heabn
Iruiustrial 81dg. Air
Conditfoner S110 UlllOd(jP.f
Farm
mr, nec, v Bulk Milk Tenk
eine. ?sn„c,rN
O/llOfll
E?2c ? .? Sueuty
nAriinnCo..O..i,.... Other
Other ? n-
k Fee . __ ?...,,..
ServlceEMranceS?ze
p
etlers ? _-
p Fee Cvcwt
? to 200 qm 5 Above 200 s
? to 30 Am s
_Am?u ps
= 31 to 1U0 qm ?
Swimming Pool
Transrormers Above100-Am
Am s
Above 100_Amps
Signs ms
Purtial,'
Other Fee
ction
SO Tora n. /
in
nal
Thla request vo1E /B monthe trom
Dlis W)T CDsmcn- 7b Sxp C?G?'a4? w*M (q 51r,)y
aReatly Nuw Q Will Nn?ify Insaec-
tor When Ready
1 heraby request insoection o} ebove
electncal work installed at:
I, the Electricnl I
Inspectoq hefeby
certity Ihat tha above
mspection has bean
metle.
FoTz rV U-PaOL
This request vwd ???p Q
18 rtwnlhs Irom , i'
D 9?655?.i 131??A , ??. ?3?°-?
Reques?ate ? R re No. Roueh-in InsVacLon
/? Reqwretl, ?Reatly Now??I NnVfy InsPec-
?" ?Yes ?NO lar When qeadv
licensed Electncal ConVactor I hereby reQUeat inspechon ot above
Owner electncal work mstalled at:
SVee[ Address, eox or floute No.
FF lr-QO 7,65nf 14 ''C Ct2 CrY
164 ,9,?
ecuon o. Townsh?p Name or No. Aanee No. Counly
aO TQ-
OccuOant IPflINTI Phone Np. .
<?- 1
Power Suppher Atldress
Electrical Co Vactor ComOany al
? ?I ' Contrar,lor's License No.
3?'
F
I 1 n/1?./) ?fELT/1/G 1?`C? 72L
MaJ,ng Addres IConVacto(r / or Owner MaWng Ins/[?ailationl
2u'?C J'T elFo I/L-
Authonzed $ig^ature IConvaa pwnerJ?Yking InstallatmN
? Phone Nu/m ber !
,
MINNESOTA STATE BOAFD Of ELECTNICITY THIS INSPECTION NEQUEST WIIL NpT
Grigge-Mitlway Bltlg. - poom N•191 BE ACGEPTED BY THE STATE BOARO
182t Universitv Ave.. $t. Paul. MN 55104 UNLESS PROPEN INSPECTION FEE IS
Phonel6t21642-OSOO ENCIOSED.
REQUFc- cOR ELECTRICAL INSPECTlON ES-00001 -06
Iii, See nslrucbona lor, comple?im tnis fwm on back af Yellow•coCV
This request voitl ?/?C7r
18momhslrom d O
D 73509/-i.j
Owner
crvcLuseo.
REQUEST FOR ELEC7RICAL tNSPECTION ee-aoooi-os
?p 7' c ' See instrucpans for comOlehrg Ih?g fonm on neck of vaiio„. caov.
LJ . 1 3J Q9 - -X" Be/ow Work Covered bv Th,s
AAtl Rep. Type obBuildmg Appfiancea Wved
EqwUment WvM
Home ? Range ervice
Dupl Water Heater tures
Apt. wldmg Dryer
aun
Commrnal Bldy.
Furnace Wd
er
Indusal Bldg. Air CondiUOner nk
Farm Other pe?.r y fy?
t er
mmnut a R Fae ServiceEntrance5ize p
Pea Fexders/Subleatlers d Fce Circwts
0 to 200 Am s 0 to 30 Am s 0 tn 30 An
Ahove 200 qm py
31 to 100 qmus s
37 to 100 Amo
Swimming Pool
Transformers
Above 100_Amps s
Above 700_Ampy
Signs Irrigation Boorcis Partial-'Other Fee
S
VeciallnsUecLOn
.
flemarks TOT E
E
Rou9n-1n /
?
1. tn iecrn
• w?p ? InsDecto
ereby
Final ,
? Uxte certdy that the above
i?s
ecxi
n
n
on
as eeen
Th19 re0uest voltl 18 memlu imm ?r??? mede.
I hereby request inspecLOn ol ebove
alectricel work inslallad at.
pe4O1?.••? •??N u I eatlY Nuw Q Will NntrtV Insaer
1-1 ? k'h R dY
??T? dEl ? IC 1 t
This reqvesl void f/ryV+/Ci0 ??/l?? pO p?/_?
18 montAs from ? r?? o? o 0 7 CI o o?r?
D 54792 -1 1f? /. 4&,A„ 7'.3ia°
Hequest Uate•: ... ._ Fre No. Rooph-in Inspeciwn
R mrea?
?Aeady Now ?Will Nouty lospec-
Y¢s ?NO [or When Reody
?Lic sed Flectncal nVactor I hereby raquestinsPacbon otabova
? Owner elecLmal work mstalled at
Street Address, Box or Foute No. I Citv
S IT ?
ecuon o. Township ame or No. e No. County
Occupant IWi1NT1 Phone Na.
v s
Power Suppher Adtlress
?
Electncal Conhactor (COmpany Nume) Con[ractor?s License No
Mai in0 ddress ICOmrac[or or Owner MakinA ??stai vonl
Qy?
AuM nzed Signamre (Comracior Owne• akiog Ins[alla Phone Number
7
MINNESOTA STATE BOARD OF ELECTRIClTY
Grigge-Midwey BIdB. - poom N-181
1821 Universitv Ave.. St. Paul, MN 56104
Phone (8121 642-0800
THIS INSPECTION REQUE3T WILL NOT
BE ACCEPTED BY THE STqI'E 80ANU
UNLESS PROPER INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELEC7RICAi INSPECTION E
( C If, Sea inatruchons lor compleLnq lhfs fprm on baek of yellow eopy.
D 54792 '"X'Below Work Covered by 7his Request
Add fl p Typ t B ltl g ApOl ances W"reA EOUiVmem Wvea ?
? Hnmc I Ranae Temoorerv Sffvice
? Duplex Water Heater J? Lighting hixtures
Apt Bwiding Dryei Electnc Heatinq
rv aldr, 7 F,r I I Silo Unloade.r ?
Farm
ir CondrtionEr
k r Fea ?ServiceEntraneeS¢e fl Fea Fexdees/Subfaeders # Fee Cvcmts
0 to 200 qm s 0 to 30 qm s 0 tn 30 An s
Above 200 qmju 31 to ps S" 31 to 100'A
Swimming Pool Above 100_L1m s Above lOD_AmW%
Transiormers Irri ation Booms SV I Pdrtial.'Other Fee
This reauest voitl0CI& & /
18 nwnths from O O
D 5 7 9 4 9? "?'
Neques( Oate Frte No. Rouph-in inspecuon
pequiretl> ?Readv NowXWi1 Noufy InsOec-
,-/f" y?
I ?Yes ?NO i
lor When fleadV
aLicensetl Electncal Contrector 1 herebV re9uest insPecUOn ai above
? Owner electrwal Work inslalled et.
Shee[ Address. Bon or Route No.
lJ C'/if - lW,/Ms Ia.t?o e?n Qty
?a •a.•?
ecuon o. Township Name or No. ange No. Counly
A
OccvpantlPRINTI
'-fly en ? u ? Phone Nc.
Power Supplle, Adtlmss
Electncal Contrtor (Cy mpany Nama)
1Y?9?i Ln?cp ?/e?7??cr 1%? Cnmractor's Lmense No.
3L?
Maihng Address Contractor or Owner MakinB InstailaLOnl
77-43? I{ )41e-
Authonzed 5ig^a[ure (Conttact Own akfng InstallaLOn)
? Pho ne Nu ber
MINNESOTA STATE BOAXD OF ELECTflICITY THIS INSPECTION NEQUEST WILL NOT
gE P.CCEPTED 6Y THE STqTE BOAflD
Griggs_Mitlwav Blde. - Room N•191
1821 UmvarBity Ave.. St. Peul, MN 55104 UNLESS PBOPEB INSPECTION PEE IS
Phane (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-oa/oo/i-_os
? See inshuchons far camDletinp this torm on beck oi Vallow copy ??[p?y ?
D? 579 4 9-?'?=-'-YeloW Work Covered by 7his Request ?
ada Neo. Tyoe of BwlCing Avoliancea Wvsd Equiumant wi.ee
Home Range Temporary Service
Duplex Water Heater Liyhtiny F'xtures
Apt. Bmlding Dryer Electnc Heatin
Commercial Bldy. Fumace Silo Unloader
Industnai Bidg. Air Condrtioner Bulk Milk Tank
Farm Otner 15pecify) Otner ISper.ilvl
[ er SucoTfy Other OtM1er ? ?
Comnute lnsnr.cbon Fee Relnw I
N Fee ServiceEntrenceSise N Fee Fexders/Suhfeeders # Fpe Circurts
U to 200 qm s 0 to 30 qm s T /06a 0 tn 30 An s
Above 200A mps 31 to
100 Amps 31 to 100 , Am s
Swimming Pool e700_
AbovAm s Above 100-Am5
Transtortner5 Irngation Booms
4 PartialOther Fee
Signs Special InspeGLOn $ TOT
?
Nemarks 11,9 ALiF
)
/ , - '.r111
RouOh-i? Dnie ?, the f V al
ebp
`^
A ? ?^spectoA, , heA ?
l
Final . ?DAl> i?spectlonhas baen
? mede.
Thls repueel void 16 manthe from
?Th,s lequest void i//?p/p??y
D ? ?IW - ,
18 ?n[hs
5 (rom fJ?d d0 g
4 7?:1
HepuesY Dafe Rre No. RouPh-in Inspeciwn
?
.?. i Flequired? ?ReadY Now ?Will Nntrtv In spec-
?
?
??J? ? ?,yes ?N ier When Ready
L,ce ed Elecincal Contractor
1 hereby reqaest inspection of above
? Owner
electricel work installeA aL
Street Address, 8oz or Route No. CIIy
?
bon o. Township ame or o. Ra ge o. Comny
Occupant(PRINT)
ea Phone Na.
Power SapPher - Adtlress
a
Electncal ConVactor ICOmpany Name) Cont?aclor?s Liccnse No.
1o rT ?/ o? ?l l?•
Mmp tldress IConhactor or Owner Making I ta' uonj
?
?+ut ri ignature ICon actor/Own Makmg Inst n) Phon
e
Number
r
?
O ?
MINNESOTA STqTE BOANO OF ELECTRICIiV iHIS INSPECTION HEQUEST WILL NOT
Griggs.Mitlway Bldg. - Room N-191 BE ACCEPTED BV THE STA'fE 90AND
1821 Universiiv Ave.. St. Paul. MN 55704 UNlESS PqOVEN INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
REQUEST POR ELECTRICAL INSPEGTION ea-ooooi-oa
I, See instructions fm complehn9lhis lorm on beck o1 vellow copY. 808? ?
DY -5,,.1 ?4 791 "X" Be/ow Work Covered by lhis Request
M Fea ServicaEn[renceSize k Fee Featlers/SUbfeedera k Fee Cvcmtg
0 to200Ams 0 to30Ams Otn30An
Above 202.A mps
129
31 to ips
5
31 to 100 A
Swimming Pool Above 100_Am s Above 100_Am s
Transiormers Irrigation 8oorris Pdrtial.'Other E-w
?•ev?? apeciai inspec[mn
errNrks v? S -90 TOTAL Flql. 0
I/is .a.•.i__ .. LYI.. ?3?
I the Ele rica
rb Insoector. eby
certify that the above
Final
iosoecuon nea eeen
thie
This re0uesl void /??/p g?/. P+ p
18 nwnths from
D 5 4 7 9 0
HeQUest Dale ^ iire No, uPh-in InspecLOn
?
'
ill Noufv In Oec-
?Aeadv NowgW
?/? ? ??. /9?? ?No
?Yes ?o
r When Read
?L-Wnsed Elecv,cal Contractor I hereh
y request insPection ot abov¢
? Owner elecnicel work installed atSveet Address, Box or Route No. CitV
S cr S
ecuon o. 7ownship ame or o. KdA&W No. Com+ty
ke "L
/
ge?
Oceupdnt(PRINT) Phone No.
Billwk
Power Supplier Address
Electncal CnnTractor ICOmpanY Nemel Contrar,lor's License No.
? 2=?hr? rr F??!'?rtc, C?a. 0 03
Mailing dJ ess IContractor or Owner Making Ins anonl
OO ?
Auth ed ? nature ( o t cto wn , Makmg Install
?O Phone NumOer
C 94Zf
MINNESOTA STqTE BOARD OFELECTXICITY
Gnees-Midwey Bldg. - floom N-191
1821 Universitv Ave., St. Paul. MN 55104
Phone tetY) 642-0800
TNIS INSPECTION HEQUEST WILL NOT
BE ACCEPTED eY THE STATE BOAND
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUE57 FOR E6ECTRICAL INSPECTION ee-ooooi-os
See instrw<mns far,comOletuq lhia fotm on bsck of vellow coOY????j ?
IZ• ^Fi -A 7`?,, Ll "X" Below Work' Covered by 7hl kequest
Hdtl
AeD.
TyOe ot Builtlrng
T
APOliaates Wired
EquiVmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt Bwlding Dryer Electnc HeaLn
Commeraal Bldg. Fumace Silo Unloader
InAustnal Bldg. Au Condmoner Bulk Milk Tank
Farm ?ne• oec? v e+nr, (sn.•,,dri
t e ueo v OIher otner
...,..
p .?...,. .....
Fee r.,_...,... _.. _..._..
ServiceEnhenceSize
H
Fee
Feeders/5ubfae1e1s
M
Grcui?s
U to 200 Am s 0 to 30 qm s 0 tn 30 An s
Above 200 qm>s 31 ta s 31 to 1U0 A s
Swimmmg Pool bove 10O _Am s
A I P.hove 100_Am 5
Transformer5 rngation Booms
I Partial/Othe ee
Signs Special Inspection WZ TOT FE
niks _ ??
Rough?n ~ ??e t, th le cal
?- InsPectoq hereby
certity tMt the above
Final ,,rndepaclien has been
/G .
Tnie reeuest voltl 18 monNu hom
/03G f(3
3
4 °?" ? ?
? 5
5 3?,/ .8/
?
9
. Rre N. RaugRin Inspection ? ??,o.
?
?? aeady Now
Wnen Reatly?
Requesl D2te Require0° ?
Ves
=
0' e e lectrical work at.
hereby request inspecuon oi abov
owner
1.ilK,censed contractor ? crn
Job Atltlress lStreet Box or Route No 1
S
S
qange No Counry
Seclion No Township Name or No
J¢ense
Namel
or
I Jli/ co wn ak?ng uauon I ?-.
Au1?0??
THIS INSPECTION REQUEST`NILL NOT
BE AGCEPTED BY THE STATE,BOARD
UNlESS PROPER INSPECTION F.EE IS
$TATE BOARO OF EIECTRICITY
INN OTP
GngBS"MiOway BICg- - pw^' SA73 , ENCLOSEO. - --
-----
1821 UnlversltY Ave. St Paul. MN 55104
Phone (612) 692A800 -
E&00001-0
/0.3GS?3
'J REQUEST FON E?ECTRICAI. INSPECTION
Ill, See instmcUOns tor complevng this forrn on ?ack oi yellow caPY ueSt
r? "X" Below Work Covered by 7his ReQ
EquiPmeniW?
Home
Olh?
InspecGO ??'Wp'
Othel ?
Booms
y?
1. the Electncal Inspectoc herey
certify that the above inspection has
been made
OFFICE USE ONIX
This iequesa voltl 18 montb5 tTa^'
Heater
Fee
--?? I Fee
g¢rvIce Enlre??e
COMPLETED W? H NM S MONTN£
Rough-In -r?
100 ? Amps
TOTAL ?
DISCONNECTED IF NOT
r
K7 272 ? /5/6840 q--
/o ? 9? / / • ;?? ao
R uest Dat Frte No Ro -in Inspeciron
D G G RequireOT Ready p Will NotiN InSpBClrn
:1 Yes o Witen ReatlY4
i?'icensed contractor p owner hereby request inspection of above electrical work at:
JoC Atltlress /(Sheet Boa or ?
Poule No
? / ?
R Ciry
/
67
f/ a (I4-+V
A
dion No Township Name or N.
Raige No.
Gounty
I
?
ONT) /
?4W' ? ?Ie?_ vILG?/CGFJ Phone No
Power Suppher AtlErass
Elxtlraal Contrattor ( pany Name)
- CoMrBqarS 4cense No
VV l /??T V (/
F7C_
MaiLng Atltlrgss (ponhapor or nar Mykmg Installation)
o a
6
-
72 ? r .? ,3
5Z ?-
AutM1Onzetl aWre CO aqoriOwn r MaMng Insia118tionl
-?---/f--- PMne Number
3
MINNESOTR STATE BOAFU OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Griggs,NWway Bltlg. - qopm St]7 BE ACCEPTED BV THE $TqTE BOARD
1821 Univerolry Ave., St. Paul. MN 551p1 UNLESS GROPER INSPECTION FEE IS
AMne (614) 642-0800 . ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °f?"?p /Eepgoy?oe?
iii, s?x
See insvunions 1w compleLng Ais form on Cack al yelbw capy
71272
I ?'X" Below Work Covered by This Request
ew ACd Rep. -" TypeOfBwltling AppliancesWirad EquipmeMWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bmlding
l Dryer Other (Speciy)
Comm./Industrial Furnace
Farm Air COnditioner
Other (spealy) ConttaIXOr§ Ramyk ? f (•{ ??'
L, co
Compute Inspechon Fee Below: .f? ? iiii-Alod
# Other Fee # arviceEnlranceSiza Fee Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to AmpsG` x
Transformers Abova 200 _ Amps AOOVe 100 _ Amps
Signs Inspector§ use ony T
p
TAL ?a
Irrigation Booms p??DU ?
l
O' q ?
Special InapecUOn
Alarm/Communication TNIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above mspection has
been made R°.9n,n
Final oate
oe?e/G_
L
OFFICE USE'JNLY
Thts request wM 18 moMhs irom
I
26602 /lg/
Repuesi Date Fire No Rougp-in Inapecbon
1
Required' 7 eatly Now ? WAi NoLfy Inspeda
?j ? Ves C?o Whe^ Rew1?
-a CNicensed contracto
?
n h
b
l i
f
i
b
l
i
l
r
ow
er ere
y reques
ns ect
on o
a
ove e
ectr
ca
work at:
JoD Aatlress (Street. 6oxoule No r .Y^_ ? ? City ?
SecLOn No Township Name or N. qange No Counry
Occupgnt INT)
J P<-,
c-& Phone No
Power Supplrer Address
Electntal ContraC (COmpany Name) Conhac lor§ 4cense No I?''J
1 /
4,
Mad?y? ress (ConVa or o? Owner n
V
° IlaLOn)
J
..3 a
Author¢etl Sig atur onhacrorlOwner Maki Ins?allation)
o'?---- Phone Number J
1,. t f U 7
MINNESOTA STATE BOARO OF ELEOfRICITY THIS INSPECTION REOUEST WILL NOT
Grlgga.Mltlway Bltlg. - Room S173 gE ACCEPiEO BVTHE STATE BOARD
1821 UniverN[y Ave., 51. Paul. MN 55104 UNLE55 FFOPER INSPECTION FEE IS
VIwnB(612) 69241800 ENCLOSED
4?/jp REQUEST FOR ELECTRICAL INSPECTION '"? e?ooom-m
n ? See instmcLOns for campleting ihis lo?m on back W yellow cnpy. ??
G Z66.02 'X" Be/ow Work Covered by This Request ?. Y
ew Atld Rep TypeDfBmldmg ApplianCeSWired EquipmenlWired
Home Range Temporery Service
Duplex Water Heater Electnc Heahng
Apt. Builtling Dryer Other (Specify)
Comm./Indushial
d Fumace
Farm Air Conditioner
V
Other(pi Gonheatork Ramerks '.S' - O N J1
Compote fnspechon Fee Below:
# Other Fee # ServiceEniranceSize Fae # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
_ Transformers A6ove 200 _ Amps Abo Amps
Signs J lnspector5 Use Omy /
DO Tp7pL
Irngation Booms ?J :iii
Special Inspecfion
Alarm/Communicaiion THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certif
that the above i
ti
h Rough-in Date
y
nspec
on
as
en made. Final
ICE USE ONLY
rTNa
request vob 18 monifis fmm
i/a /?'?
MINNESOTA STqTE BOqpp OF ELECTRICITY
829 Unive efy pve. SI Pevl? S-173
Phone (612) 602.0800 ,
THIS INSPECiION REQUESi WILL NOi
BE ACCEPTED BYSHE STAT
-- E Bppqp
VNLESS PROPER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION (
? Sea insimc(in?s lor compleLng ihis krm on bepk of yellow copy tl?1e? I
""E6"00001 -08
"X° Below Work Covered by This Request 7,'
?ofewla?na - . _ ?
Home
/Indusirial
Inspechon Fee BelawOther ?.
Booms
? I, the Electncal Inspector cerhfy that the above mspection has
6een made
OFFICE USE ONLV
This request voitl 18 months Gam
water Heater
Oryer
Furnace
Av Condinoner
Connealor'g Remeiks
?C. L'I-pli
# ServiceEntranceS¢e ?
Fee
0 to 200 Amps
Above 200 _ qmps
Inspector's Use Only
TNISINSTALLATION MAV B ?
'.? 41'e'r- Z._.
'? C1GLSi?.
C.?
Grcwts/Feetlers
D to 100 Amn<
?? '
IF NOT
a
[^p REQUEST FOR ELECTRICAL INSPECTION
4 5 4? O O O Min^?? ?? B?b of Electriciry
1827 lJniversity Ave., Rm. 5428, St. Paul, MN 55704
Phone (612) 642-0800
Home Duplex qpt Bldg. Oiher New Addn
Commercial Indushial Form Remod Re ir
R
Air Cond. Hf . Equi . Water Hh. Load M mt. Other:
D er Ran e Elec. Heof Tem . Service
"X" o6ove fhe work covered by rhis iequest. Enier remorks in ?his space ond on the back oF fhe whife <opy on(y.
^"5 ??-.`nC? 1-• `K ?-N? f"C.+vO
Cokulate Inspection Fee - This lnspection Requesf wifl nof be accepted wifhout the correcf iee.
Qther Fee # Service Entrance Size Fee # Circuifs/F¢eders Fee
Mobile Home Park Stall 0 fo 200 Amps a 0 t0 100 Amps , OO
Street Lfg./Tmffic Sig. A6ove 200_Am s ve Am s
Tronsformer/Generotor INSPECTOF5115E ONLY ? OTAL
$i n/Oufline Lfg. Xfmr. so.
Alarm/Remote Conhol ? j
Swimming Pool - `?
Irrigo?ion Bopm I here6 cerri r ?; ?he el ' I ibed herein on rhe dm s sbad
koug6ln 15-
Speciallns fion
Inves}igative Fee F10pI -W !
THIS INSTALLATION MAY BE ORDEREo nI NuF[`7Fn tunr ??en...K?... ...?...........
y
OFFICE USE ONLY This req?est void 18 monllis lrom wlidoNon dok pnnkd m Mi
I?NIIIIU?III?IIIUI?INIIINIIIIIiI?I{NH?%?????-??4?? ??°g`
Requesi 4 5 4 0 6 8 8 %' PLEASE PRINT
OR TYPE
?.ey??,<dz ?re,
r ? (You musr coll th p? 'h p? °^ ?? Thon RougMn? Ready N II
?. ReodY
ysucensed canhacfor ??-
? owner hereby request inspecfion of the obove elechical work o};
l06 Addreu (Sheeq gox, or Rome Nn 1
F.a
?
STATEBOAq _q?E &?o ?qS/23o
- _?STIiUCf10N3 ON BACK OF YELLOW COW .
Phome (612)
BE ACCEPTEO BY THEOSTA7E gpqRpT
UNLESS PROPEF INSPECTION FEE IS
ENCLOSED
??j REQUEST FOR ELECTRICAL INSPECTION
o?
10, See msVUCnons For co Eg
X" B4916W mP10ing ihrs form on ba? of yqllow Mpy 1?? ?-'
?S S Work'Covered by This Request ? v
Add Rep. Type af Bwltlinp ???
c°mPTre ?=spechon Fee Below:
0 to 100
?Other Fee
I, the Electncal Inspector, hereby
certity thatthe above mspecfron has
been made.
OFRCE USE ONLV
This request witl 18 monihs irom
TNI5 INSTALLATION MAY
COMPLETtO WITF{IN 18 M
`7 ? OLi
DISCONNECTED IF NOT
This requesl void p -
i8mpnthsfrom ??/r7./sp?/?,?
E 14004; ? ? ??l ?ilLrnrt?n ?Gn ?? ?l,_. ??- ?'in ?
Hequest Da?e
?Jpp Fire No. RouPh-in InsVecLmi
ReQUneA?
[]
Heady Now %Will NoUfy Inspec-
?/ ??es N. ?or When ReadV
•_?? ?wuncmr I hereb re
y quasf inspection ol ebova
Owner electncal work inalallatl eY
Street Atldress, Box or Route No. CitY
S6.S C/,'Ff ? .
ectmn o. Towny?ip Name or No. RanBe No. County
Or,cupant (PflINT) Phane No. ?d?
Da,, D ysy - 6 c
Pow r Supplier Adtlress
a o 45 /r 4.74 /95sN
oo .220? ..,
Electri? Cnniractor ICOmOany Name) Coniracfor's License No.
MaiLng AAJress (COn acror or Owner Makinu InstailatioM
Authoriz Si nawre IContractor/Owner Mak q Ins IaLOnI Phone umber
tt- --- /.2 90
ti, MINNESOTp STATE 90AflD OF EIECTRICITY THIS INSPECTION REUVEST WILI NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BV THE STATE eppRD
1831 University Ave.. St Poul, MN 55104 UNLESS PROGER INSPECTION FEE IS
PhOne (6141 862-0800 ENCLOSEO.
gl8' REOUEST FOR ELECTRICAL INSPECTION es-00001 -os
, See instrucbon3 for complebn9 this lorm On back DI Vellaw cOpy. ?Q?9 Y
"X" Below Work Covered by 7his Request
E 14006
AAtl RBO TVPe ol Bviltlmg APPImnCef Wved Equqpmenl Wired
Home Range Temporary Service
Duplex Water Heater lighUny Fixtwes
Apt Bwldm? Dryer Electnc Heatin
Commercial Bldy. Fumace Silo Unlonder
Industrial Bldg, qir Condrtioner Bulk Milk Tank
Farm Otnvi oeci y _1ner ISpeG,fyi
t 11 UecAy ther 01her
bumUuIC //ISUCCI/O/1 fPP UE/OW
p Fee ServiceEntrenceSize n Fee Faxders/5ubtaed¢rs N Fae Grcmts
U to 200 qm 5 0 to 30 Am ,s 0 t? 30 Am s
Above 200 qmps 31 to 100 qrnps 31 to 100 Arrijus
$wimming Pool Above 100_Amps
Transformers IrrigaLOn 8oonis arual-'Other fee
g-s -? Jpeclal InspecLOn
OTAL FEE sp
emarks S
Ae?
NouBh-in _ Date
1, ?he Elecbical
Inspector, hereby
c rldy Ihet Ihe above
Pinal P D.I. speciion has baen
'I(q tle.
ThlarequestvoldlBmonlhelrom ? `•'?'? "? ??° O
i- 5- so gs???,
? 99727 ? ?' i
Rectl oWa F? ?
ROugh.,? ???n
EA2 Re7uired7 ,../ ? Reatly Now I?Will Notity Irepec[or
?Yes ibNO WhenReady9
I glicensed contractor ? owrier hereby request inspection of above electrical work at:
lab MNress (yyreet. gpx or Rrnrcn u,. ?
or No.
No
-a
•?o •, i?? = T Sa • ST s/??I VL /N 4/
s
Zip'l
MI ESOTA iE 89 OF ELEC7RIC1}y s S ? J ?
99%M?'.'ay Bltlg.(y ppp? gp3 1'HIS INSPECTIpN REOUEST WILL NOT
101
18Z1 UnNerNty Ave., St. Paul, MN 5510A BE ACCEPTED BV TNE STATE BOAiiD
Phom (812) Wp-pppp I/NLESS PROPER INSPECTION FEE IS
ENCLOSED.
y_Qv 0- REQUEST FOR ELECTRICAL INSPECTION Eemom-0? ?
See instrucHOns lor eompleuy Ihis form on back ol yellow copy
E 99727 ? '
'X" Below Work Covered bv This Reauest
e Atld qep ., TypeofBuilAmg ApphancesWved EquipmerRWired
Home Range 7emporary Service
Ouplex Water Heater Electric Heating
Apt. Bui?ding Dryer O[her (Speciy)
CommAndustrial Furnace
Parm ' Air Conditioner
Oiher (eeciN) 0011treMa8 Femvks?1/
7 / /. [9 d
Compute Inspection Fee Below:
S
# Other Fee # ServiceEnirenceSize Fce # Circuils/Faetlers Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transfortnere Above 200 _ Amps Above 100 _ Amps
Si9f15 Impec[prg Uae pny: ?TAL
Irrigation 8ooms
U
71,0
Special Ins
ecti
p
on
Alartn/Communication /
'
Olher Fee
I, the Electrical Inspector, hereby
certify that llie above inspection has
been made.
Fnei
,
,°?le ?
OFFlCE USE ONLY '
This eequeat witl 18 momhs Irom
f
J
? lI -?',I 98 REQUEST FOR ELECTRICAL INSPECTION
[ -(_? ? See msiructions lor cwnplehrg tNa form on back of yalbw wpy
E J2 1J 12 `7(" BEIow Wnrk !'.nvaraN h.. rh:- a,.....,....
QEH&OOOpt-W
• O /?/?
e Add Rep. TypeofBuilding
. - -?
AppliaricesWired ..._ .._,_..?.
EquipmetrtWiretl
Home Range Temporary Servi6e
Duplax Water Heater Electric Heating
ApL Building Dryer Other (Specily)
Comm./Industrial Furnace
Farm '
O
Air Conditioner F
ther (apepN) Cqniraciprk Remarks-
Canpute InspectJpn Fee Below:
# Other Fee
Swimming pool # ServiceErr[ranceSize Fee # Cirouits/Faeders
?e
Trensimmars 0 to 200 Am s
P 0 to 100 Amps
SiyflS Abpve 200 _ Amps
I Above f00 _ Amps
Irrigatipn Bpoms nspacWr§ Use OnIY: TOTAL
.032
Special Inspectton
Alarm/Communication ?- [(-
(V-
Other Fee ?
z.)-d
IY
L the Electrical Inspector, here6y Bough-In .
?
certi(y that the above inspec[ion has -
, been made. F.i
• o ??
OFFICE I/SE ONLY
TM1is requ¢y ypb 18 monihs irom
_
`3/l5/8S' ? 9/aaj8g
; `5ZG°13/
? ' ?- d !Y 'Yes ? wo
Alicensed cqntrector ? owner he ?
reby request inspec[ion of a6ove
,b Atltlresa (51r¢yy gox w Poute No.)
No. JlAvnship Name w
Supplrer
Name)
! AWOZcA
]wnerMaking
- J
?7s93#2o3
? ?
? ReeOy Now i(µryll NoLy Inapw ?
When Reatly
cal work . j
uWnae
Num6er
MINNESOTA STAiE BOARU OF ELECTpICITV
GN99??a+ay Bltlg. - qpom Sil3 THIS INSPECTION qEpUEST W ILL ryp7
1821 UnNeBity Ave., gL paul, MN 55104 BE ACCEPTED BY THE STATE BOAqD
Phone (612) gpy.pgpp UNLE55 PROPER INSPECl10N FEE IS
_ ENCLOSED.
, - - - -
E 52049 ; (
Requesi Date Fre No RougRin Inspeclion
"? ZI
-
?
Rdv ? ReadY N. ? W?I
w
O O 0 Ves hen ReadY
Icensed contracfor ? ownar here6y request inspection of above electrical work at:
Job Ftltlress (S1reet, Bu or Route No.) Ciry
?
Sedion No. Township Name or No, flenge No Counry
?
(PRINT) Phane No.
Mffiz E e-
Powar Suppller
M Address
Elaclncal Comracb
Neme) ConVadorg bceM1S¢ No.
Matlmg Adimss (Connacror or Owner Making RisUllelbn)
Authotlze 5 eture (ConVadarNwner ing In I Ph e NumOar
7
f
fflusiscae[A swm gpqRO OF ELECTRICRY THIS INSPECTION qEG1UEST WILL NOT
GrlggaMitlway Bldg. - Raom S173 8E ACCEPTED BV THE STATE BOARD
1827 UMVeralty Ave., yy. paW, MN 5510/ UNLESS PROPER INSPECTION FEE IS
Phow (812) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
APA% ee-aoom-m
? See msvucbors, far completing ihis form on back aF yelbw copy „_„ ,?
/
E- 5.2?49 X° Below Work Covered by This Request SY??
ew Add Rep. Typeofeuilding
Heater
Compute lnspection Fee 8elow:
# Other Fee
Fee
use Onry
L/10ther Fee ??n
I, the Electrical Inspector, hereby
certity thatthe above inspection has
been made.
)FFICE IISE ONLY
riis request vaitl 18 manlhs hom
100
7100
1a11a17'sr 89?is
E 73869 ? M 6&
i .
Requesl Dc!_ '
I R. No.
1 RougM napeclwn
ReQwretlP
XRwEf' Now ? Wi0 NoNY IMpec[ar
? Ves N. When Refldy?
10 licensed contractor ? owner hereby request inspection of above electrical work at:
JM Atltlress (SVeet. Boz ar Routa No ) Ciy
! ?s o RD l
Sectlon No. Taxnship Neme a No. Renge No. County
p k -r/?-
oxupam (vnM*) Fnore No.
1
r?rV e1--
Power SupDlier Address
l Comracbr (Compariy Neme)
Eledr
ice CaNeclar9 Llcenae N0.
?
-
?CY' G-1V lI . :ILS
Melllrg AtlCress (ConVaqw a Owner MekinB I ^siallauon) ?Umr F- #ry ?L b q'
a- ,? , z ? h/G7s s? ?
AullwrizeA naWre (Cantrecta/Ownet Making InstalW6on) PMne Number
S
NINNESOTA STATE BOAXU OF ELEC7HICRY 11-1IS INSPEGTON RC-0UEST WILL NOT
GXgga-Mldway Bldy. - Foan &1]3 BE ACCEPTED BY THE STA7E BOARD
1827 UnNereHy Ave., St Paul, MN 55104 UNLESS P(iOPER INSPECTION PEE I5
Pliace (672) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ea000o1a7 I
? Sea inslruclions for mmpleeng tMe tam an Oeck o/ yellow mpy
E 6 9 X" Below Work Covered by This Request
Ne,A Add Rep. TypeofBUiltling AppliancesWred EquipmeniWired
Home Range Temporary Service `
Duplex Water Heater Eleciric Heatlng
Apt. Buildirig Dryer Other (Specify)
Comm.llndustrial Furnace
Farm ' Air Cond'Rioner
Other (specHy) Conlractor§ Remarks
Compute Inspecfion Fee Below:
# Other Fee # ServicaEnManceSize Fee 8 Circulis/Feeders Fee
Swimming Puol 0 to 200 Amps 0 M 100 Amps 10.
Transfortners Abova200-Amps Above100-AmPs
Signs irepecrora use oniy: / TOTAL
IrrigationBooms /O•? /
Special Inspection ?
AIarMCommunication
Olher Fee
I, the Electrical Inspector, hereby RO19?'" °?` ?` f`-
certify that Me above inspection has
been made. ?;,ai oa?e A4
?
OFFICE USE ONLY
This requast wM 18 momha Irom
ihis request voutl/_
18 months irOm ?F'.!? 6 p
E 11 7Fn?V
'K"°°•"° `•°`•'•°°' °°"°^`•O' 1 hareby npuest inspaction of above
? Owner elecbieal work instelleC ab
Sveet Add
ress, Box or Houte NO• , Cny
J
ecuon o. Township Name r o. ange No. Coun
?-U /
Occupant (PHINT) Phone No.
/ z- e-
Power $vpplier Address Si
Elec[ncal Contrac[or ICompany Name)
2 Contra ,tor's License
U•?-
?5. 0F S? ?LGVO /Il/? O o?/o?
Madin0.4ddress ICmtractor or Owner M king InstallatiOM
Author 9gnature ICOnhacl /Owner Makmg nstallalionl Phone Number
U
MINNESOTp STATE BOARO OF ELECTRICITY
Gruggs•Midwav Blag. - Aoom N-191
1621 Universitv Ave.. St. Paul, MN 55104
Phone (612) 642-0800 ,
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOAflD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Aft ee-ooooi-os
II, Sae instrucUans br ca
mpleton0 Ihis brm on Eack ol vellow co0v. E 11 760 ' ""X" Below Work Covered by 7his Request ,
AAtl Reo. Type oi Builtl-ne Appl?aneea wil.a Equiun+ent WireA
Home Range Temporary Service
Ouplex Water Hea[er Lighnny F.xtures
Apt. Buildmq Dry¢i Electne HeaLn
Commeraal Bldy. Fumace Silu Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tank
farm otnxr oeo v .ihcr ISVr.nfvl
t e? Veulv Other pth.r
..vinpuRe nrsuecuun ree uemw
# Fee Service EnVenceSize tl Fea Fenders/SUbleaders p Fee Crtcuts
0 to200qms 0 to30Ams / 0 m30Am
Above 200 qmzs 31 to 700 qmps 31 to 100 q
Swimmin9 Pool Above 100_Am y Above 100_Amps
/' Transiorme Irngation Booms Partial. Other Fee
••.n..? oyccia? nispecuon n
Herrr?rks S •YO TO
A[IX,
Rough-in .
? Data
I [he Elecbmal
?? ector, naree
Rnal ' eerti y above
•
? ^ie/
? unspaction has Eeen
/(D mede.
I - c / ., i.-
IVVI 7/
?? 62448 It Jr?d.
- fk 6?,; ? o,o
Raquest Dele
??a q r ire No. Fougn-in Inapechon
Required? ? Reatly Now?lill NoLly Inspecbr
as ? No NTen ReaGy7
Ij?k(censed contractor ? owner hereby request inspection of above electrical work at:
JoE Atltlress ?S?reet, Bw or Rou?a No )
Ciry
Cli o
d Ea a.?
Secnon No Towns?i0 Name or No Rarge No. CounaY?\??
V/Q??
0.cupant (PRINT)
7homa-, I11ke ?o? ?
QCfL-k-e- (Lo-t- .v/t£
Power SupPlier AWress
Electn
comra?? qmpany Wme)
A9orYh
ern ConVactor6 licens e No.
E(eclr?c
LRC.
^
, .
y04a
0-4
L
Maihnaclor or pwnei Mabn InsWllabon)
A??onh pr/Owner Makng Installa l Phone Number
? 4S?)-344b
MINNESOTA $TATE BOAqD OF ELEGTpICITY THIS INSPECTION REOUEST WILL NOT
Grg9s MbweY Bltlg' - popm y179 BE ACCEPTEO Bv THE STATE BOAPO
18II UnlvenMy pve., yy, paul, MN SStpa UNLESS PROPER INSPECTION FEE IS
Phone (612) 802-0Bpp ENCLOSED.
S/3o/91 REQUEST FOR ELECTRICAL INSPECTION "?a EB-00001-0e r
? See insnuqians for complenng Ihis brm on pack ol yeilow copy, '? ??z
a 6 2 4 4 8 "X?? 8elow Wnrk Crn.Ara.i ni. r?,r? ae,.,,,.,.. ????
ew Atltl Rep ` Typ¢oBuilding AppliancesWiretl
H ?
ome Range
Duplex Water Heater
Apt. Building
Dryer iFl
Comm./Industrial ' FUrnace
Farm Air Conditioner
her (speci )r Conhacmr's Ramerks [ ? A r .
Compufe Inspechon Fee Below: N? ~ V?I ?? t U ?S?~? S?STL,tiI
? O[her Fee # ServiceEntrance 5ize Fee # Circurts/Feeders Fee
Swimming POOI 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ qmps ptiove7op _ qmps
Signs Inspecmr§ Use ony 70TAL ?(IN,
Irrigation Booms
c?e,.,?? ?....,.._..__
P4*THISPINSTALLATION "..".'"„"'°""" THIS INSTALLATION MAY BE RE
ee CONNECTEDIF NOT
COMPLETED WITHI MONT .
ctrical Inspector, hereby Ro°qn-'" the above mspection has F??ai . ? NLY q 18 monlhs fmm
C? 46046 Jobiw 334J ?
Re uest Daie
q Frte No Rough-in Inspeciion
Reqmred' p pead Now ?Will Not?ty Inspedor
Y
'
? ?
?„ n 1'es l?No When Featly
IA licensed contractor ? owner hereby request inspection of above electncal work at:
Job Adi (SUeet @ox o, Rou[e No I Gity
Section No Township Name or No Rang No Coumy
K
Phane N.
Occupant (PFINT)
Power SuOPlier Pdtlress _???
GaMrector9 Lcanse No
Elemncal GonVactor ?Company Namel
/G/? ?fL%RlC D ?
Mailing Address (GOnhacmr or Owner Making Inslallation) S?/2 S
?gS3 S ul .?? ?1,?!
? Phone Number
?nat fC vgGUnO?? king Ips[allafionl
Aut d ig
? I. - - -
THIS INSPECTION PECUEST WILL NOT
MINNESOTR STATE BONflD OF ELECTRIC V eE /+CCEPTED BY THE STATE BOARD
Grlggs-MlCway Bitlg - Aoom 5413 l1NLES5 PROPER INSPECTION FEE IS
1821 UnlveraHy /.ve.. St. Paul. MN 55104 ENGLOSED
Phone (612) 642-0800
f REOUEST FOR ELECTRICAL INSPECTION
q
?
?? s'??`•`'? ea-oaom-o?
??:? ?. p1
J
j
•? ? Sea insimvYmns Inr compleuog this Iorm on back ol yellow aopy `-,?
(yj Q Fj n4G X" Befow Work Covered by This Request "
ew ABtl Rep ?TyPeoiBwiding AppliancesWved EqwpmentWired
Home Range Temporary Serome
Duplex Water Hea[er Electnc Heating
Apt Butlding Dryer Other (Specify)
Comm /Indusirial Furnace
Farm Air Gondi4oner
Olher (speury) Gomreaor5 Remarks
Compute Inspedion Fee BeJow
fi Other Fee k ServiceEntrance Sze Fee # Qrcmts/Peeders Fee
Swimmmg Pool 0 to 200 Amps 0 to IOa Amps Z.
Transtormers Above 200 _ Amps 0_ Amps
SIgOS Inspecror's Use Only TOTALQ
<0
Irriqahon Booms _
Special Inspec6on
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee re
al Inspector, hereby
I, the Electnc 777
certify that the above inspection has 6een made. 71t
?
OFFICE USE ONLY
Tn?s request voitl 18 monfis fmm
i
8/0?// ? v # Co 3I 9F915 9
0 68289 ? ao
`0
Requesl Date
/?
Q ?p
rte N. Rough-?n Inspec?ion
Reqm ? atl
Now ? WJI N
?
D
-
L
?? S y
oOry InsPecbr
• BS G No WM1En RBdtly,
Icensed contractor ? owner here6y request mspection of above elecirical work at:
Job Aptlress (Sireet. Box or Route N. I Pty
?
S
S
ion No iowrehrp Name ar No Range No Counry
OccuOant(PqINT) Phone No
Power SuppLer Atltlress
EIecV¢al Conlracior 11pavy Name) Contractor's Ucense N.
M
h ?? 13W "3
?
ai
ng dmess (COnrcac?m or Owner Making la
Aumonz i nawre IConvac• ar/N in IilY n?;{?(?}f'alion ? ?
)ii`?ho e Number
?. l nw ? 1 l?67/?_
INNESOTA ST i
qTE BOAflO Oi ELECTRICITY
GriggsrMiEway BIEg. - Room 1113 THIS INSPECTION REOUEST WILL NOT
1ffi1 Unlversiry Ave., 51. Paul, MN 55104 BE ACCEPTE? BY THE STATE BOARO
Flwne (612) 86241800 UNLESS PROPER INSPECTION FEE IS
_ ENCLOSEO
Q?n //? REDUEST FOR ELECTRICAL INSPECTION ?+a? ea-ouooi-o?
?
?J/?? ? See inslmdions lor completrtg Ihrs torm on Oack oi yellow copy ?,y???s? GQ`/ qq
O V
lL``J CJ (5 ?('S Q "X" Be/Ow Wnrk n„ ?'ii;?.?. 7 T /
ilding qppliancesW ired
Eqmpment W iretl
Range
Temporary Service
Water Heater Eiectnc Heatinq
w Dryer her (SpecifY)
ial Furnace
Av CondRioner
spec Conlrecfor's Remerks
Compute Inspec[ion Fee Below:
# Other Fee # ServiceEMrance5rze Fee # Cvcwis/Feeders Fee
Swlmming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ qm s
Si ns p Above 700 _ Amps
_ 9 Inspecmr§lJSeOnl?Other Fee I S!
I, the Electrical Inspector, hereby
certity that the above mspecUon has
been made.
IFFICE USE ONLV
his request tB monMS (rom
Y TOTAL
36 ?- !W
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
"3?''?(J
# 32?92. 9GG 9i
19062 /
Fequest pate Fire N. Rough-in Inspeclion
L , ReqmredP ? Reatly Now ? Will Notity inspedor
Wh
P
+
?Yes Mrvo en
eaOy
I?Pnsed coMractor ? owner hereby request inspection ot above electrical work at:
Job Address (Streel Box or Roula No I Qty
Senion No , Township Name or No Range Na County
Occupant (PRINT) ? Phone N.
S
Power Suppuer AEtlress
Elecv¢al ConVactor ?CO pany Name? Comrnctor's Ucense No
» /
Mailing oeress ICOnvactor or Owner MaWng Installauon?
/?
Autnor Signawre iCo? u n?'Q
?j
?
pn) Phone
IVE
m
be
r
)uII/
/
?
?
J
?
/
.LU6? /]P ? L ?A?d'Y
MINNESOTA STATE BOAPD OF ELECr- TRICITV ^
Griggs-MlOway Bltlg - Room 54]]
1821 Univenity Ave., St Peul, MN 55106
Phone (612) 602-0800
Q REQUEST FOR EIECTRICAL INSPECTION
/ lli? Sae msvucvons tor compleLng thrs lorm on Oack oi yellow copy
(019062 "X" Below Work Covered by This Request
THIS INSPECTION PEOUEST WILL NOT
6E ACCFPTEO BY THE STATE BOARD
UNlE55 PROPEP INSPECTION FEE IS
ENCIOSED
EB-OW01-07
? (0 75
'?. ?..
ew Atlw Rep. ' TypeoFBmltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heahng
Apl Pwidinq Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Au Conditioner
Oiner(specdy) Contraclor5 Ramarks
'
Compure Inspection Fee Below: GEIUN(? L.(Gq hl'TS ]?'j
?ILZT pp 6WLY
# Olher Fee # SermceEnlranceSze Fee # Cimutls/Feeders Fee
SwIm g Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov 70 Amps
SIJnS InspecNr's Use Only TOTAL
Irngahon Booms
?
Speaal Inspechon
' Alarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
iZI bIh., Fee . S'Q COMPLETED WITHIN 16 MONTH5.
I, the Elecirical Inspector, here6y
certif
that the ab
h
h Rouqn-in Dale
y
ove mspec
on
as
been made. F,nai ?e
OFFICE USE ONLY
This reQUest voitl 18 montM1S irom
? ? ?C- G'?
09389 -?? ? ,
Request Dale Fre No Rough-in Inspedion
Reqwretll
2orr
eady Now ? Will Nofity Inspector
? Ves '
?O
When Reatly?
I icensed contractor Ll owner hereby request inspection of ahove electrical work at:
Jo? a s(s?reeL Box orR te Ni ??r.1_ ,? ?
Ti.
????.V
?
Qry
Senion No Township Name or No. Range N. Coun
Occupant iPRINT)
8 - EG Rn1 'W, f S i2 . t
(T#,e? PM1One No
Pow r Oplier Adtlress
Eieccncal Gonvactor (COmpany Name)
° ConVactor's Lreense N.
Y
o +- CLO D i.vL
. v ?sa6-r
Mdilinq Atltlress ICanVa r or Owner Making InS? ' d?i0nl
Auffinip9 igna re ICOnlractonOwner Making Installation) Phone Number
/
41../w+.v? .7
\
MINNESOTA STATE BOARU OF ELECTHICITY THIS INSPECTION REOUEST WIIL NOT
Griggs-Mldway9ltlg - Room S173 BE ACCEPTED BYTHE STATE BOAFD
1821 Oniversiry Ave., 51 Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 6d24N800 ENGLOSED
/0?-/5L REQUEST FOR ELECTRICAL INSPECTION eeaoomo?
, 7 ? See mstmcLpas br rampleling Ihis lorrn on nck ol yellow capy '3
X" Below Work Covered by This Request ???,•?
G ..09389
ew Add Rep TypeofBUdding AppliancesWiretl EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heahng
Apt. Bwlding Dryer Other (Speciry)
Comm./Indusinal Furnace
Farm Air Condrtioner
Omer (speatyl Comraotor§ Remarks
Compufe Inspecnon Fee Below
# Other Fee # Service Entrance Size Fee # CircmislFeedars Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
j Transformers 5. Above 200 _ Amps A Amps
j SignS .6? Inspectors Use Only ?J ? T TAl
Irrigation Booms '!? ? `Su
Special Inspection
AlarmlCommunicatson THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Elecmcal Inspector, hereby Rou9n,n oaia ^ ,)
f/
certiFy that tlie above mspection has
been made.
F,
lai '-/
v?}'-/Cw
OFFICE USE OMLY
This request voitl 18 manths from
?
f? 6 6 441
Zz .>
Request pate
?.?/ ?.. Fire No Rbugh-in Inspection
q¢Gmretl>
? Reetly Now a?
?y Will Nollly Inspector
R
d
'
? ??^lh
Ves ? No en
ea
y
I(? licensed contractor ? owner hereby request inspection of above electrical work at:
Jab AdCrB/SS (Sireet, Box rn Route No.) ? Cily
Seceon No Township or No. Ra No. Couny
OcwpaM (PRIN'n
4/ Pt¢wne N/o
Y fP
? /
Power Supplier Mtlress
Eleclrical onhaclor (COmpany Nama) ?
z- Co racior5 License No ?
? ,-
C
Mailirig Address /(COnirador or Owner Mak'vg InOallalbn)
f? /--<
> ?/ V
AN onzed nalure ( ontracfotlOwner Making Inelellation) Phone Number
/j
.
.
MINNESOTA STATE BOARD OF ELECTHICfTY THIS INSPECTION REOUEST WILL NOT
6riggo-N(tlway Bltlg. - Raom S173 BE ACCEPTED BV 7HE STATE eOARD
1851 UnNeraity Ave., St. Paul, MN 55106 l1NLES.Q PROPER INSPECTION FEE IS
Phorre (612) 642-0800 ENr' ED.
REOUEST FOR ELECTRICAL INSPECTION ee-oooOI-07_/
?;[e insVUCbaM1S lor compleUng tNS form on back of yelbw copy
'X" Below Work Covered by This Request
e Atld Rep: TypeofBmltling AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplex Water Heater Elec[ric Heahng
Apt. Building Dryer Olher (Specity)
' Comm./Industrial Furnace
Farm Air Conditioner
Oiher (spectly) ContraIXOr9 Remarks'
Compute Inspection Fee Below:
# Other Fee # ServiceEnlranceSiza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps
Transformers Above 200 _ Amps Abov 0_ Amps
Signs invpecx,§ use omy: ? 70TAS ?
i
Irrigation6ooms b.j?
Special Inspection
Alarm/CommurnCation
Other Fee
I, the Elecirical Inspector, hereby Rough-in
certify that the above inspection has
been made. Fnal - Date ?
36
OFFICE USE ONLY
This request witl 18 months from
d"9?
ieQUest Date Fve No. Pough-in Inspeclion ry?qeaoy Now ? Will NotAy Inspec?or
Reqwretl? When ReflGy°
O -7- ?Ves EJAo
Ilicensed contractor ] owner hereby request inspection ot above electrical work atCny
l00 Atltlress iSireet Box or Raute No I ,? AA ?
C?. / f F ?? ia
Secnon No townsn, Name o, No flenge No Counry
04 /fo Ti`}
Pnone No
Occupant(PRINT)
D
Power SuDDlier Atltlress
Conlrecto?s Licensa Na
Electncal GonVector iCOmOany Name)
Ti'fE x?a?Nr r?,4r? c/) pz.iG S
Malnq AaEress iGOnvactor or OwnBr Mabng Inslaliationl
^ r ?
PhaneNUmper
AWhonEed SignaWre IConVectonOwner Making InslallaLOnl ? Z' ?a D?
THIS INSPECTION REOUEST WIIL NOT
MINNESOTA STATE BOARD OF ELEGTFICI(Y gE ACCEPTED BV THE STATE BOARD
Griggn-MiEwey BIEg - Noom 5-173 UNLES$ PROPEP INSPECTION FEE IS
1B21 Unlverelty Ave., SL Paul, MN 5510E ENGLCSED
Vhona(612) 842-O800
p/? p?.?'$ E8-0000 0?
p/O/?J3.HEQUEST FOR ELECTRICAL INSPECTION Z -
? Sea insimcnons lor <omplaung this form on Oack of yellow wPY
L ' 2 q?g 9 "X" Below Nlork Covered by This Request
AppliancesWired EqmpmentWired
ew Add Rep ? TyPeofBuilding Temporary ServiCe
Home Range
Duplex Water Heater Electnc Heaung
Apt Bwitling DrYer Other(Speciry)
i
Comm /Induslnal Furnace
Farm Air Conditwner
Omer Ispearyl Comractor5 Remarks tt/ I/T & G?? p 7
pq/tGN,
Compute Inspechon Fee Below' 14 /A/
q Other Fee # ServiceEntranceSize Fee # 0tot00cAmpseeders Fee
Swimmmg Poai 0 10 200 Amps
Transformers Above 200 _ Amps Above 100-Amps
5i9n5 Use Only TOTAL `J?
Inspecror§
C9 15
Irnganon Booms
Special InspecLOn
Aiarm/Commumcauon THIS MSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTHS. oaie
I, Ihe Electrical Inspector, hereby Rough-in
??7 f
certiry that the a6ove inspection has F,,,ai i G C Datd/7
?
been made. -
OFFICE USE ONLV
Tnis requesl witl 18 montns Imm
1
649
9 58
3/r?y?-,C
FeQUest Date - ire No. Rough-in ln wn
Reqwretl' V.
G Ready N. y W ill Nofity InSpMOr
3- 3- 9 3 ? Yes X N. W hen Reatlyl
I?x licensed contractor D owner hereby request inspection of above electrical work at:
Ja0 Atltlress (SVeet Bov or Route No.) City
. 1565 CLIFF ROAD SUITE 17 EAGAN
Secuon No Townsmp Neme or No Range No Gounty
DAKOTA
Ocmpant(PRINT) Phona No
PLUMBLINE BUILDERS 933-7755
Power Suppber Adtlress
Elecincal ContraclorCOmOany Name) Convacror5 License No
WHZXSX WEST STAR ELECTRIC INC. CA01936
Maihng AtlCresslGontractoror p.vner Making Installai
XXXx 6324 LAKELAND AVE N BRDOKLYN PARK MN 55428
Avthorrze0 SignaWre ntretlornOwner Makinq Instailationl PM1one Number
537-0807
MINNE50 STATE 60ARD OF ELECTFiCITY TMIS INSPECTION REQUEST WILL NO- ?
GnggaMPUway BIEg. - Foom S193 BE hCGEPTED BY THE STATE BO"
1821 Unrversrty Ave., St Peal. MN 55106 UNLESS PROPER WSPECTIO"
phone (612) g42.06pp ENCLOSED ?
REDUEST FOR ELECTRICAL INSPECTION
'?ld
C3 58 649 , See mstmtlmns for completing this lorm an beck af yellow capy
"X" Below Work Covered by This Request ???.:•?
e Add Rep. ' TypeoiBwltlmg AppliancesWired EquipmentWiretl
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Bmlding Dryer Other (Specify)
Comm.7lndustrial Furnace
Farm Au Conditioner
Omer (sVeciy) CoNractor's Remerks
DEMO & INSTALL 21 TROUGHERS
Compute Inspection Fee Below
# Other Fee # ServiceEnvanceSze Fee # CircuRS/Feadars Fee
Swimmmg Pool 0 l0 200 Amps 3 0 to 700 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS inspecror5 Usc Only Ov TOTAL
Irngation Booms ? 5 • -?'B %??
Special InspecLOn
AlarmlCommunicallon THIS WSTALLATION MAY 8E OR D DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certrfy that the a6ove inspection has
been made F,,,ai oa1? o
-?
OFFICE USE ONLY
Tnis requesl void 18 months Irom
4.i<? ni
10411'yy # 3Z
G? 4064 3 ? -
Requee[ ?ate Flre No. Rough+n bspeciion
Reqwretl?
Aeedy Nrnv ? W II Nody Inspedor
ipr
?Yes ? No When Ready9
ijKlicensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlEress (Slreet. Box or Route No )
? Ciry
!S s Y ? q o 1r
SecOOn No. Township Name or No. Ra?pe . Counry
pccuPenl IPRINrJ Plpne No.
Power Supplier
NAI AEtlrew
FJectrical Coniracror (COm ny Name) CoMracmr5 Lwenee No
MaiLrg Atltlrass (Canvaclor or Owrer MeWng Instelletion)
s G .
qtNqnx ign?W (Cqiry n¢r king In lallaho Phane Numper
INNESOTA STATE BOAFD OF ELECiHICT' THIS INSPECTION REOUEST WILL NOT
Gtlgg&MMwey 91Og. - Haom 5-173 BE ACCEPfED BV THE STATE eOAHD
1821 Ilnlversiry Aw., SL Peul, NN 55104 UNLE55 PROPEF INSPECTION FEE IS
Plwm (612) 89]-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E&/000?°1-0/'
1? See ins1ruclions for completing ihu iwm on back ol yellow wpy. ? 9Cfy f(,A
"X" Below Work Covered by This Request
L;l .&
Add OU
ReP. 43
TypeofBUildirig
AppliancesWrted
EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildmg Dryer Other (Specify)
Comm./Industrial Furnace
Fartn Air Gonditioner
Olher (specdy) Contrac[or5 Remarks
Compute Inspection Fee Below: ?j / 5 S
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps
Transtortners Above200_Amps A??loo -Amps
$ign5 Inspector§ Uae Only TOTAL
Irrigation 8ooms
Special Inspecnon
Alarm/Communication
r
O[her Fee
Rou9n;n °d1e
I, the Electrical Inspector, hereby
certifythat theaboveinspectionhas
? ,a1e
been made. A
1
„
OFFICE USE ONLY
This request witl 18 mornha trom
?
/ '
J
( ,g CO J
.>
Feq st Da?? ^
? Flre No Fough-in Inspecuon
Reqwretl? ?
?'Yes No
Reatly Now 0
Will NoLfy Inspoctor
When Reatly?
I licensed contractor ? Owner hereby request inspection of a6ove electncal work at.
Joo Adaress t5ireei x r Roule No )
1 5i?95 Ci
Secuon No - Township N me r No Ra ge No cou
O t(PRI T)
1 Q
\.1.. PhWe Nq..
v ?-1
(Ll V I
PowerSuppOer Adtlress
Ei tnc I oMranor ICOmpa Namel ?
G"
? ???
? Contrector5 4cense No
?
ny AOOress IGonVatlor or Owne: Making InslallaLOn)
ao ?.?-aac?, ?. ?
s? ??-w? k
rn rv ssg
AW zeC Signaw?re inCanv'acto^nOwner Makm/q ?-Insv$?auon
1 Y l ? n1 , ?A I / 1 . P e Number
? /1 ? -?? ? O
MINNESOTA STATE BOAflD OF EL T CITY
Grlggs-Mitlway BIEg - Hoom 549
1841 Universiry Ave, 51 Paul. MN 551
Vhone (612) 692-0600
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED 8Y THE STATE BOAFO
UNLESS PiiOPER INSPECTION FEE IS
ENCLOSED,
li?_
3/9 3 #3REQUEST FOR ELECTRICAL INSPECTION eeaoom
? See ms!vclmr: for compleling Mis lortn on back ot yellow mpy y-
? ? ?-`'''33G
p nnC ; ?.k?
I?. O 7 J O L "X" Below Work Covered by This Request ?.•
ew ntltl Rep.- TypeolBuilding AppliancesWUed EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Budding Dryer Otheo(Speafy) i
Comm.llndusirial Fumace
Farm Air Conditioner
Otherlspectlyl ConVac[or5 Remarks
Compute lnspecfion Fee 6elow:
q Other Pee # ServiceEniranceSae 11 Fee # Gircmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 - Amps AOove t00 _ Amps
!5-0
TAL
Signs J5,50 _
Inspxmr5 Use Only TO
Irrigation Booms /l)
Special Inspection
i
t STALLATION MAY BE ORDERED DISCONNECTED IF NOT
ion
ca
Atarm/Commun THIS IN
Other Fee COMPLETED WITHIN 18 MONTNS.
I,
the Electncal Inspector,
hereby 06te
Pougn-in
certdythattheaboveinspecLOnhas F,,,ai
?
been made.
OFFICE USE ONLY
This repuest voitl 18 monibs from
I