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3440 Federal Dr - Electrical PermitsREQUEST FOR ELECTRICAL INSPECTION EfB-00001-05 See instructions for tom leti / ?? r J, i ? p rq this form on back of yellow copy 0 . f r2 9 "X"" Below Work Covered by This Request Adtl RS0.l ryppe of Building Appl in nces Wired Equipment Wired Mi N Fee Service Entrance Size k Fee Feeders rS ub/eeders a Fee Circuits 0to 200 Amps 0to 30 Amps 0to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swinmin Pool Above 100-Ams Above 100-Amps Transformers Irrigation Booms Partial-`Other Fee L Signs Special Inspection ,,Gq ,-0 15?c flemerks A,? G?.? - TOTAL FEE Darn oLt s ? Pe?tx; lt- /'? „ / e ?o r rinal I, the Electrical Inspector, hereby certify that the above inspection has been <;r'v c) -P LaGr4u 3830-P%?or 11asq Rd, 0- 99-682 /D r Mg Requ st Dale Fire -hfo. ough-In in Yion equ'red YOU am all inspector wren ready) Ins ion Other Than Rough-In Ready Now ? WI II Noltl eclor (/ ( Ye p No to Reatl If- -v li d ? o cense contractor owner hereby request insp above electri r Job Address (Street, Box or Route NO.), 3Y` G section No. Township Name or No. Range No. County Occupant (PRINT) I Phon Power 9upplier x J\ ? Address Electrical C or (Company Name IL- ' Contractors License )No. ?/ 7/ Mailin ress (Contractor or Owner Making Installs n) /IJo /G- 0 IF Amhoriietl 5 lure (Contractor/Owner Maki stallatlon) Phone Number 3 MIN OTA STATE BOARD OF LECTRICI Y THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5129 1821 University Ave., St. Paul, MN 55104 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 7 ( _ b REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 00, See Instructions for complchar, this form on back of yellow copy. 1??7/5f43 'X" Below Work Covered by This Request Net Add Rep. Type of Building Appliarices Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Conimcmess aemarks // ?_ J s A Compute Inspection Fee Below. 0 # Other Fee # Service Entrance Size Fee Circuits/Feeders Fee Swimming Pool o 200 Amps to 100 Amps Transformers AI ove 200 Ampyl ? S y bove 100 Amps Signs InsperlorsU Only ?{ TOTAL ? Irrigation Booms a( J71 v 3A Special Inspection Alarm/Communication ONNECT I?T THIS INSTALLATION MAY RDE D ISP Other Fee COMPLETED WITHIN 18 HS. I, the Electrical Inspector, hereby ROO9h-in - t ' z7 certify that the above inspection has been made. Final OFFICE USE ONLY This request void 18 months from This request void 9( K 18 months from D 35 3 L113/ Request Daie Fire No. Rough-in . Requir pectlon ?Ready Now Nntify Inspec- fo Wh / r es ?No r ep Ready ?Llcen sell Elect ical Contractor I hereby request inspection of above ? Owner electrica l work i nstalled at Street Address. Ron Or Route No. City ctwn o. e Township Name or No . flange No. unty y ai Occupant IPRINTI Phone No. I Q P wer Supplier A ess Electrical Contractor (Cmn anY Name l Contractors License No. Mailing Ad ss (Contractor or Owne r Making In tai latipnl X it" l? Authoriz . gnat ure ntratory n Mak- g sllationl Phone Number i I-P11 I 3F- 3P" if VV M1 IN SOTA THIS INSPECTION REQUEST WILL NOT STATE BOA 1, ELECTRICITY Griggs-Mitlwey Bldg. - r m -191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.- St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. /V#9 3i6 6 3 REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. "X" Below WO_k'Cvve7ed by This Request EB-00001-06 gt?y?lo Nevi Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixlures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peo v thor ISpoaryl Cher Spacify Other Other Compute Inspection Fee Below p Fee Service Entrance Size it Fee Foaders/Subfeeders p Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am >s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps d, Above 100_Amps Transformers Irrigation Booms P Signs Special Inspection s Rem irks'_j" lrve _? / /.. f -. G? /7 r • SZ TOTAL F E;6 vv g:j Hough-in Oate Pl. the El.rtriC,l Al? s?"ff Inspector, here D»i certify the above Final tactic., has been ? de. /? ' This rent ie o void 18 monlhs trom /? ??/JI l 11 5,1& 4895 Request Date Fire No. Rough-in Inspection Requued? ? Ready Now ]?Mll No Ty Inspector 12-18-89 es ? No when Ready? I [Nicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Bar or Roule No.) City 3440 Federal Drive 1250 Eagan Section No. Township Name or No. Range No. County ' Dakota Occupant (PRINT) Phone No. Retail Construction 738-7974 Power Supplier Md. Electrical Contractor (Company Name) PRATRTE ElFCTRTC, 20 Contractor§ License No. 040597-7 Mating Address (Contractor or Owner Making Installation) 6995 Edenvale Blvd, ign Aufthzed Signature (ConuactonOwner Making Installation) Phone Number E Den Prairie. MINNESOTA STATE BOARD OF ELECTRICITY IS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room r,173 BE ACCEPTED BY THE STATE BOARD 1621 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OSM NCLOSED. S"_895 REQUEST FOR-ELECTRICAL INSPECTION ? See instructions for mmplathg this fonn on Lack of yellow copy. X' Below Work Covered by This Request EB-00001-07 95,316 5z 8509 e Add }lap. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner other (spadfy) Contractork Remarks: Tenant Remodel Compute Inspection Fee Betow: # Other Fee # Service Entrance Size Fee # CircuitsfFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 4.00 Transformers Above 200 Amps Above 100 -Amps Signs inspectors use Only: TOTAL Irrigation Booms 30 0 Special Inspection 30. O AlarnJCommunication . Other Fee .50 A I, the Electrical Inspector, hereby Rough-in oatev 7 certify that the above inspection has been made. Final OFFICE USE ONLY This request void 18 monila from This request void 1R months frpor t 5A&I' /O D' 8 5 3 9 0v, ?i, 6rm.,( L,.,? 5?? s??s s Request [)are Fire No. Rough-in Inspection Raquiretl, ?Ready Now ? Wilt Notify Insoec- May 23 89 0Yes ?NO R for When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Be. or Route No. City 3440 Federal Drive Eagan 5 hip Name or No. Range No. County = Dakota Occupant (PRINT) Phone No. Fedeeral Crop Insurance Power Supplier Address None Electrical Contractor (Company Name) Contractor's License No. Dickson Electric A39880 Mailing Address (Contmctor or Owner Making Instnilation) 185 17th Ave. St. Paul Mn. 55112 Authorized Signature ra Ins' Ration) Phone Number 781-2445 1 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 UniversityAve.. Bt Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phnnu ENCLOSED- IF.191 RATORQQ E ? l / REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 853 ' See instructions for completing this form on beck of Yellow copy. 7[?' `? `? ® 90 "X'' Below Work Covered by This Request MeylAddl Rep.l Tvoe of Building I Aoolioncea Wired i Equipment Wired I Water Heater Furnace Farm ectr ce e Fee Service Entrenca Size h Fee Fasders/Subfeaders ft Fee Circuits U to 200 Amps 0 to 30 Amps 55. 0 to 30 Amos Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100Am]s Above 100_Am s Transtormers Irrigation Booms Partial Other Fee Signs Special Inspection S /p???-- Remarks , w 55.5 TOTAL L) e Electrical J ^speclor, hereby ifv that the above Final ' Is inspection has been made. request void 18 This rn from void --F,& O 18 months ths from D 21444 131 5?-4' ? °102 S? Request Date I Fire No. Rough-it Inspection Requiretl? Ready Now ? Will Notify Inspec- Feb 28, 90 ®Yes ?No Im When Ready ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed et: Street Address, q>f o cuts No. City 3400--Federal Drive M Eagan ectlon No. Township Name or No. Range No. County Dakota Occupant (PRINT) Phone No. FEDERAL CROP INSURANCE Power Supplier Address NONE Electrical Contractor (Company Name) Con Vector's License No. DICKSON ELECTRIC A 39880 Mailing Address (Contractor or Owner Making Instailation) 18 TH AVE. N.W. ST. PAUL MN 12 A Whonze S- n u act /Owner Making Installation) Phone Number 781-2445 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-0800 ENCLOSED. 3? /s 0 ®.21444 REQUEST FOR ELECTRICAL INSPECTION IV See instructions for completing this form on back of Vellow copy. "X" Below Work Covered by This Request EB-00001-06. ,fM :- - -- A d d '.+op. Type of Building ld ing Appliances Wired EtuiVmem Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin g Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm thnr peal y -Iher (911e1 ityl t ur SuecifV Other Othc; Compute Inspection Fee Below p Fee Service Entrance Size H Fee Feeders/Subieeders tt Fee Circuits 0 to 200 Amps 0 to 30 Amps 2 0 to 30 Am>s Above 200 Am is 31 to 100 Amps to 31 100 Am s Swimming Pool Above 100-Amps Above TOO- min, Transformers Irrigation Booms Partial, 'O e Signs Special Inspection s D qq,,..?r TOTA Remarks 5 L EE L1VLL61 V1111.CJ Rough-in Orate the Electrical 3 , nsp?cfor. harsh, certify that the above Final D t pection has been G de. This ruttiest void 18 months from 9,;2 09780; Request Data Fire No. Rough-in Inspection Required? Z ? Reedy Now ill Notify Inspector S- p . ONo when Ready? I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 3yy o e e ato Section No. Township Name or No. Range No.. Cou OQILO+CL Omupant(PRINT) Phone No. 6Qnj.-, L(. nonf- Power Supplier Mdress Electrical Contractor (Company Name) Conim-dorb License No. ro ;(l 61--- r ?fOa7 -S Mailing Address (Contractor or Owner Making Installation) 7 3e fgoc S a Authored Signature (CgMractodOwner Making Install ) Phone Number e as -, a MINNESOTA STATE D OF ELECTRICITY _ THIS INSPECTION REQUEST WILL NOT OrlggaMtUway Bldg. - Room SAM BE ACCEPTED BY THE STATE BOARD 1821 Unlverally Ara., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. 5/,93/g-? M9780 REQUEST FOR ELECTRICAL INSPECTION ? See instructions for complefing Mis harm onback of yellow copy. X" Below Work Covered by This Request #Ii EB-00001-07 New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other(speofy) Contractors Ftemerks:G M4?( _nnCt_ 10 Compute Inspection Fee Below: {Z(lS-?-t J/S' •aL? O{--?( f # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ft-nn Transformers Above 200 Amps Above 100 _ Amps Signs Inspectors Use Only: TOTAL Irrigation Booms 0_rG 3o•so Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in V certify that the above inspection has been made. ` Final `l s? OFFICE USE ONLY This request void 18 months from This request void ?y 18 months from D 21471 --e6 5 ' Request Date Fire No. Rough-inl nspertion Required? [Ready Now E] Will Notify. Inspec- 18 88 ?Yes n Na NO for When Readv ® Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Bo• or Route No. City 3440 Federal Street Egan ectron No. Township Name or No. Range No. County Dakota Occupant IPRINTI Phone No. Xerox Power Supplier Address None Electrical Contractor (Company Name) Contractors License No. Dickson Electric A39880 Mailing Address (Contractor or Owner Making Installation) 185 17th Ave. N.W. St. Paul, Minn. 55112 Author d-S' nature (Con r/0 nor Making Installation) Phone Number ez7 781-2445 THIS INSPECTION REQUEST WILL NOT MINNESOTA S TE BOARD OF ELECTRICITY Griggs-Midway y Bldg. -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-0/0001-06 see instruetien.?gletirg this form on beck of yellow copy. D 214 7 1 X" Below Work Covered by This Request Nan Add Rep. Type of Building Apptiancea Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating x Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm - Other (Specify) Other specify) M Mir Specify Other Other Compute Inspection Fee Below F.. Sorvice Entrance Six 11 Fee FeedersrSnbfeedere p Fea circuits 200 Am s 0 to 30 Am s 0 to 30 Am s ve 200Amps 1 31 to 100 Amps to 100 Am R mming Pool Above 100Am s Above 100 `-Amps sformers Irrigation Booms artial-0th s Special Inspection g ? T OTA Li Ittin feeder alrd) a o Xerox space . Rough-in `J, ate I- the E cnica Inc pec lm- reby Final p Date c reify that the above ' t -* nspection has been metle O Kl . This napuest void 18 months from ?CYP aVp riv?v?y 2 4 - 6 3 OFFlC US ONLY This request void 1 6 monPos from validation dme printed in this box F; 5 , 15/1519& ka5 a Q PLEASE PRINT OR TYPE Reque Rough-in inspetlion required. ? Yes No 13 Inspection Oiher Thon Rough-In: Ready NavYill Gall (Yw must call the inspector when ready) Date Rea y: I, licensed contractor ? owner hereby request inspection of the abo electrical war si Job Sppy , Roule No.' Citr li de p, 0 l ? Section Na. Ta woship Nome ar No. Rouge No. Fire No, Count Ocwp tit ??/? Phone No. ? Power Sup ier Address EI 1 Con aor{Compony me) Contractor License No. Master tic. No. (Plant Elea. Only) IL/ rc a ( nhacbr r Own ing Inslallofion 7 1 Aormin Im Ila o o d ad Signotum (Contractor or Ow VV e IAu /t EB-00001A-10 6195 STATE BOARD COP- S1RUCTIONS ON BACK OF YELLOWCOPY 1,1III1111EI IIII111111IIIIIIIIII11111 B2°UEeST FOR ELECTRICAL ECTION rs?A .,RO4-12,S1Pal,MN55105 10 W s 0 2 4 6 8 6 3 5 s PI ) sae-0800S/,71g(p ome Duplex Apt. Bldg. Other: N Addn Commercial Industrial Farm emod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: D er Range Elec. Heat Temp. Service 7' above the work covered by this req st. Enter remarks in this space and on the back of the white copy only. oeci7?'1 Z' eVn J19"? - - bd Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 40,0 0 to 100 Amps Street Ltg./fraHic Sig. Above 200 Amps Above 100_Amps Transformer/Generator INSPECTOR'S USE ONLY Ta Sign/Outline Ltg. Xfmr. Alarm/Remote Control 20' " Swimming Pool ? I hareb cem that I ins erred the elernical installae herein on fie dales stated Irrigation Boom Ro,hdI Date Special Inspection ^ Investigative Fee THIS INSTALLATION MAV RE ORDERED nISCONNFCTEn IF NOT COMPLETED WITHIN 18 MONTHS. i</a9/so 12053 ? 5 LI.131 Request Date Fire No. Roughwin Inspection Requinad? ty Inspector ? Ready Now NM 7 G/ ? Yes ? No R . when eatly? I Icensed contractor ? owner hereby request inspection of above electrical work at: JoE Address (Street. Bar ar Routs No.) V .y5. I'S City V I i 2 Section No. Township Name or No. Ran No. Coun Occu PRIM) A55-. Plane No. Power uppim, Address Electrical on Mr (Company Name) Contr oorr`s Licensee No. Mailing A s (COnt,actor Or net Ma ing ilali V//?F.e? (7 Authodz Sgn a (Coneaclor/O , M 'ng sl tart n) Phone Numher Q'7Q? I 'C A STATE BOARD OF ELWTRICITY - THIS INSPECTION REQUEST WILL NOT i4K r e•a110way BIOS. - Rpm 5.173 BE ACCEPTED BY THE STATE BOARD 1821 UM amity Ave., St. Paul, MN SS104 UNLESS PROPER INSPECTION FEE IS Phone (612) 8424" ENCLOSED. ///o 9/j&7 REOUE$T FOR ELECTRICAL INSPECTION MM I? see instructions for completing this form on back of yellow copy. IfV''_ 2 n.? -i X' Below Work Covered by This Request E13-00001-M r 9 F1W New Add Rep. Typeofl3uilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks 1F if S>i%r 5 f/'JCF Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Translormers Above 200 Amps 0 _ Amps Signs Inspectors Use Only: ' C TOTAL to Irrigation Booms ?,t ? .J0 •i? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO S. 1, the Electrical Inspector, hereby Rough-in oa .?G e certify that the above inspection has been made. Final oa p ^ r OFFICE USE ONLY This request void 18 months from ??s?StJ yy??y a 12032 Request Da Fire No. Rough-in Inspection R aired? ? Ready Now No01y Inspector Vea ? No When Ready? I licensed contractor p owner hereby request inspection of above electrical work at: - Job Address (Street. Box or Route No.) voe city - - l Section No. Township Name or No. Range No. Coup 5eO Occupant RINTI . .usl Poona No. - Power Suppi Address Elecucal C raclor (Company Name) Contr 9 License N0. Meieg as (contractor o net Making Installs on) a SST Autho ed Si ure IContractonOwner Making Ilahon) Phone Number I TA STATE BOARD OF CTRICITY THIS INSPECTION REQUEST WILL NOT G s-Midway Bldg. - Room 1T0 - BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Pwl, N $5106 UNLESS PROPER INSPECTION FEE IS Phone 1512) ee2-01100 ENCLOSED- REQUEST FOR ELECTRICAL INSPECTION M jw See instructions for completing this form on back of yellow copy. H 2 n 'X" Below Work Covered by This Request J #? r EB-00001.OB 9rs 9 iu" ew w Add ep: - Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specRy) ConUactor5 Remarks /? !1so'-pir- E Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Abo _ Amps Signs Inspectors Use Only'. TOTAL & Irrigation Booms 4 ?O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in _ i Date : L certify that the above inspection has been made. Final ' ??• xt OFFICE USE ONLY This request voq 18 months from ?/ 3 p 054 9 -5033 N;11? 5' Request Dale _ Fire No. Rough-in Inspection Regwred? -Yes = No ? Ready Now Notify Inspector hen Ready? ensed contractor E) owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No I City Section No. To,i Name or No. Range No. Count Occupant IPRINTI /v/i4 s`G Phone No. Power Suppli " J7 Atltlress Elecmcal Co ra for 1Company Name) Contractor's License No. MaJing Adbres lcontramor o caner Making Installation o - z3 d Aulhunzec ?gin a IGOnVdClo^Owner Makin Instal on? -le ? Phone Number M NE A STATE BOARD OF ELECT9 ITY THIS INSPECTION REOUEST WILL NOT Ong s-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 632.0800 ENCLOSED. 3// 193 REQUEST FOR ELECTRICAL INSPECTION ":'ap Fa-00001-05 ? See instructions for completing this form on back of yellow copy. 3 03 9 5 "X" Below Work Covered by This Request New Ago Rep.- .' Typeol Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm /industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: D qG'? ??d _ f Compute Inspection Fee Below. d;(,ts, /A/ G C.?I C?S # Other Fee # Service Enhance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 -Amps Above 100 Amps Signs Inspector's Use Only. TOTAL Irrigation Booms (??0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Date OFFICE USE ONLY This request Vold 18 months from P 36343 Request Dat ^ /' Fire No. Rough-in Inspection Raquiretl? ? Ready Now Will Notify Inspector R KW / 7!/ yea ? No eady? hen IAQ licensed contractor ? owner hereby request inspection of above electrical work at : Job Address (Street, B. or Route No.) City ?? /Vo F G-' - P b Sectb No. Township Name or No. Range No. County Occupant (PRINT) Phone No. Power Supplier Address s N ' Electrical Conimmtw (Company Name) Conlractor4 Ucenae No. Meiling Address (CoMracta or Owner Making Installation) '750e - IV le Authorized Sig re (Contractor/Owner Malting In n) hone Number 1 f l --d 3 Z/ 7 MINNESOTA STATE B OP ELECTRWIM THIS INSPECTION REQUEST WILL NOT GdggrMltlway Bldg Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Pau4 MN 55104 UNLESS PROPER INSPECTION FEE IS Ph. (612) 542-0000 ENCLOSED. V 36343 REQUEST FOR ELEC[RICAL INSPECTION I? See instructions for completing this form on back of yellow copy. 'X" Below Work Covered by This Request E6000m-0] e Add Rep. - Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) ContrecloB Remarks: Compute Inspection Fee Below., # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 110 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors Use Only: OTAL r®. Irrigation Booms y0? © Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby if h h b Rough-in _ / _ /MNy oala_ ' yG. y cert y t at t e a ove inspection has been made. Finsi Dole OFFICE USE ONLY This request void 18 months hom ?1f1032019 Request Dale Fire No. .? (; S Z( - Rough-In Igspection Required (You osl cell Inspector when ready) In pedi0n OMer Tha?n Rough-In Y eatly Now Will Notify Inspector o 6 Yes ? No Date Reatl I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City '>4-1 O P;e-pja r- L. c? ?. Section No. Township Name or No. Range No. County Occupant (PRINT) R a Cav,s P,-:y Phone No. ?S Co- ?I lei Z Power Supplier Atltlress Electrical Contractor Company Name) ( L -R , Contractors License No. (4 :;7 c u' . (: `e- , C-- C S Mai causes ( rector or Owner Making Installallon) 4 l7 k 3 ?V1N3 X531 S O o r-v? i Autho d S nature (Contractor/ er Ma 'nq Install r lot? Phone Number MIINES-CiTOCSTATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(612)842-0800 ENCLOSED. 0032j0?19 o.- REQUEST FOR ELECTRICAL INSPECTION see Instructions for completng this torte on hack of yellow copy. "X" Below Work Covered by This Request d ?q EB-00001-09 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 Other (Specify) Farm Air Conditioner Other (specify) contractors Remarks: ??--I Compute Inspection Fee Below: # Other Fee # Service Entrance Size 'Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 10 to 100 Amps Transformers Above 200-Amps Above 100-Am s Signs Inspector's Use Only: TOTAL Irrigation Booms Bp !?O SO Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF 7 Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby h it h b i Rough-In oet 7/- f? cert y t at t e a ove nspection has been made. Final Oate OFFICE USE ONLY This request void 18 months from i?/i x/89 97/,/ / 9 Req 8 1D &f Fre No. Rough-in Inspection Rv G Ready Now 04,11 Re Inspector wh F tl ? es ? No en en ea y 1 Q? licensed contractor i] owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route N . City Section No. Township Name or No. Range No. County /? pp --> A.KO?0. Occupant (PRINT) Phone No. X ?/ /" Power Supplier Address Eledrical Con rador (Company Name) ConVactor§ License No. ,? Mailing Atltlmss Contractor or Owner Making Installation) zilj? a kN k/ Osseo m Gs-3 (-ck AuNOdietl Sgnature (COntmctor/Owner Making Installation) Phone Number T? s-- / MINNESOTA STATE SQUI061- ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (512) M24800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Een000lo7 ? See instructions for completing this form on hack of yelbw copy, 62 5 9 9 7 X" Below Work Covered by This Request New Add Rep. Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Conlractor's Remarks: 42 ^ r_) r L4.i- ?1 Compute Inspection Fee Below. ?'C # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 1 7 o to 100 Amps Transformers Above 200 Amps Abqy& 100 Amps Signs bspecter§ Use Only: TOTAL Irrigation Booms JQ • So Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby if t h h b i i Rough-m ( Datj y O " y t cert a t e a ove nspect on has been made. Final • ^ Date ^ ?/? ry O° 'C OFFICE USE ONLY This request void 18 months from t, This request void 18 months from ..rE 14068ry pi 37el9.S 5'O Street Address. Box k Route o. `7 2j City 3 F e n v2 E ectmn No. Township Name or No. Range No. County `y k o a Orcu pant PPINTI (r _n4 ?,G `W ` D?, N Phuneahn.O - 4S? fc? -l Power Supplier Atldres5 Electrical ConVac?torllCompa nv^ame) N : Cnn trar for's License No. W l , 11. "u 2323 Mailing Address (Contractor or Owner FAAking Insfallation) G (i Wo ctn.eM?ov rae m Author ze Signature (Contr er Making Installation) tor NtPhone Numbeer j I F SS1,'OiIal MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT 136".-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 642-0800 ENCLOSED. U LJCenseo cuecrn Cal bon it Clor 1 hereby request inspection of above ? Owner electrical work installed at: REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 9q a 1 See instructions for completing this loan on beck of yellow copy. 8'/(f / ,5 E-1 4.TJ 6 8 "X' BeloW Work Covered by This Request Hdd Rep. Type of 6ullding Apphrmr.s Wired Equipment Wired Home Range ntporary Service Duplex Water Heater Lighting Fi atures Apt. Building Dryer Electric Healing Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm d,ar (so,!,:, y -mer Is pn„rvl Moor Speci y Other Other .,ompute Inspection Fee Below M Fee Service Entra nce Size tt Fee Feed.../S.bfeedera p Fee Circ utts 0 to 200 Am is ?Mjill to 30 Anns 0 to 30 Amj)S Above 200 Amps fl.. ON 0.0,113S to 200 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-Am s Transformers Irrigation Booms Partial. Other F eb_ Signs SVed I Inspection Remarks Af> oE /AA.6 - yr tri I Rough-in Datj:: hereby /t the above Final j Dathas been the from This request from /h 9/G? yo id 8 nwnths Irom /f(X D -7129 .5--e?o IX:--'2,7 2 - Q Re?qu}Yed? ?Ready Now Notify Insper.- ?' ? [,Lrjt'es ?No for When Ready 11,Jq-icensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address. Box or R le No. 3 F / 1 I 1 O I 0 City %1 e 1 cnC sS ?. eclmn o. Township Name or No. Range No. Coun t ^ ?I ?J Q.Ka Occupant WRINT) T ` Qryni) Phone No. / 5,S 4z2-b5 Power Supplier IiA Address Electrical Contractor (Company Name) Contractors License No- MW u =s %- O z3z3- M&i1?d?ss (Contractor or Owner Making Ins[a ila tionl ` 1 //A ,w, SS3 (7`r Authorized ature IContract ?Ow a Making Installation) Phone Number 55 l -(V MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-MOD ENCLOSED. 9Ia9Igg REQUEST FOR ELECTRICAL INSPECTION EB-00001.06 C 0 Sea instructions for completing this loan on back of yellow copy. E J!tQ7 2 "V Below Work Covered by This Request Now Add Rep. 1 Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtwes Apt. Building Dryer Electric Hearn Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) -ther ISner.ilvl tier succi fy Othcr Other Compute Inspection Fee Below _ a Fee Service Entrance Size 4 Fee Faeders/Subfeeders Fee Circuits ' 0 to 200 qm s 0 to 30 Amps 0 to 30 Amps Above 2M,mis 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Am s Above 100-Amps Transformers Irrigation Booms Q Partial Other Fee Signs Special Inspection selll) s T Re 5 ? . OTAL .4 ( Mr W S T+?6 1' S'Jr 1 15 Rough-in Final ( Dnte // UW? OaFr? 2 l// -(O q, the E.a ctrlcel Inspector, hereby cartily that the above peption has been de. This request void 19 months from This reyuest void 2 7 ? '3 1 S'munths from S 76910 Date of?this Request Fire No. I, as ?'ensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. Section Township Which is occupied by Is a roughin inspectio Power Supplier 2, Electrical Contractor. required on this job? No O Mailing Address Range (7 County Yes ? Ready Now f9- Will Call ? ' gcjd2 Contractor's License No. _ (Electricalon Vector o Owner Making This Installation) Aut rized Signature q, 7"], Phone NwCs b/ • fJ z e ?(E,lectrical Contractor or Owner Making This Installation) I ?O? u This inspection request will not he accepted by the L [S Jl?.. uU State Board unless proper inspection fee is enclosed. Minnesota State Beard of E ity Griggs Midway Bldg. - Roo 1 - 1? E6-00001-02 1&21 University Ave., St. Paul. Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION S' -CHECK BELOW WORK COVERED BY THIS REQUEST C- 426 76910 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Weed For Hume ? ? ? Range ? Temporary Wiring Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? El Dryer C3 Electric Heating 13 (Commercial Bldg. , f ? Wr-u ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? Farm List L t Other C3 ? El Mers? - pp her Hei4 COMPUTE INSPECTION FEE BELOW /, , q l I I I I ) ) to r -Q?IF /- LTOTAL F E 3?? U V ?? I, the Electriokl Inspector, herdNyocertif the a?v tni?pection has been made (Rough-in) r L/ =" Date (Final) J { , fi» ?`? Date ?`al? m4-?-?U This request void 18 months from This request vgid !`/~ 8 i J 6 s i 9 (a 18 months m a OC , Date o'this Request O Fire No. S 76814 1, as icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal'wiring installed at: Street Address or Route Nq; .D. 9t zwz' ??rb?coY! ?. Ciitt Section Township Range County Oda Which is occupied by Is a roughin inspection required on this job? No D Yes ? Power Supplier cr1 l D Address _ Electrical Contractor Mailing Address A horized Signature Ready Now ? Will Call U?- ,?772?j"^ Contractors License No. Phone Noe i l oo This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota state Board or olwww q q? Griggs Midway Bldg. - Roo /?,,,? 8 / DEB-00001.02 1621 Uniyersity Ave., St. Paul, Minn. 55104 - Phone 297-2111 ab REQUEST FOR ELECTRICAL INSPECTION 76814 CH?CYe BELOW WORK COVERED BY ._ THIS REQUEST 3 7 a o Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home Duplex ? ? ? ? ? ? Range ? Water He ? Temporary Wiring Lighting Fixtures ? ? Apt. Bldg. Commercial Bldg. ? ? U-? ?. ? Dryer Furnace ; -- Electric Heating Silo Unloader ? ? Industrial Bldg. Farm ? ? ? ? ? ? Air Con tone .: ) LList ) Bulk Milk Tank List ) 11 Other ? ? ? p ? Hehersi } OHere thersf COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. m eres 2C Am eyes C 101 to 200 00 eres -;26 1 Elm 3 00 eres Above 2 s. Above ps. . . A6ev -Amps. Transform o Partial or other fee Signs Special Ins Minimum fee SS Remarks / A C;Av- dam, A!Ga4 r TOTAL FEE 63; I, the Electrical Inspector; hereby certify raj a ve inspection has been (Rough-in) Date (Final) Date J/_ l0 v .?o This request void 18 months from This request void [L+ 8 months from -Request Uate Flre No. Beugh- in Inspection / Re?ui ? red 7 Ready Now Will Nalify, Inspec- 1 yes Nu for When Beady Licensed Electrical Contractor I hereby request inspection of above Owner .electrical work installed ac Street Address, Box or Route No. Cit Section No. Township ame o No. Range No. Cou I Occupant (PR TI Phone No. P er Supplier Address Eleo rioal Contractor (Compan ame) License NO, Co n tractor s ?• / ? ? j V / O V Mailing Address (C tractor or O ner along Innstailation) / Q W Authorized Signature (Contractor/Owner Making Installation) Phone Number P r s - MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Roam N-191 BE ACCEPTED BY THE STATE BOARD 1821 Un?vers ity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS o1___ 1.111 eq, 1111 ENCLOSED. f REQUEST FOR ELECTRICAL IN TION ER-00001-03 Sec instructions for completing this form on back o T f Vellow cppV 7047® X" Below Work Covered by This Request Qgy ,?L.??` ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures A(A. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other Specs v Iher (8oeci fyl the, (Specify Other cofnifule lllsoe Ct/o0 I-Pe uelow `f+'(/- nn K Fee Salem, Entrance Size k Fee Feeders%Subfeeders M Fee Circuits O to 100 Ams Oto 30 Amx. 0 030 Am 101 to 200 Amps to 10 Amps ' 1 1 to 100 Amps Above 200 Amps e 100_Amps 3 b., Above 100_Amn Transformers Remote Control CirC. J- PariialiOther Fee Signs Special Inspection s T R: cranks /aso OTAL FE (,m.m ?v Rough Date 1. the Electrical I t h b nspec or. ere y c tif th t th b Final y er a e a ova spec Lion has been 17-< made. ims request v010 a ?.--o w?yGh? 18 months from This request v0lid I5 L 1 1 ' G y? 1'?d?l Cl.l S?l r'te' I ?3`0 3 -Z D O- 1R moulhs from 33541 " - 17 -.2 J`fl/ Q 3 a- Rsqueal Dat D L Fire No. Rough-in Inspection Requ ired? Ready Now WillNoGfv, Inspec- []Ready lar Wh n R d 1 Z i ?Yes ?No . e ea y Liceesell Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box o Route No. City If,- O 1)rcvp ecUOn O. Township Name or No. Range No. .County Oc upant (PRINT) Phone No. P w r Supplier Jr 'w- Address Elec rl cal Contract r (Company amel Contractor's L icense No. o'.? / air Mailing Address (Contractor or Owner Mak ing nstailationl ' Y If J? jot- Auth rued Signature Conhactor?Ow er Making Installation) Phone Number L o MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Ph.. (6121297-2111 ENCLOSED. REQUEST FOR ELECTRIC! TIONI • ES-00001-03 r 933541 ? See instructions for completing this form an tl9?i of yellow copy. g y zq? ! X " Below Work Covered by This Request i%?6 oZ N Add Rep- Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm - ,her (Specify) Other (Specify) ter Spec, y Other Other Compute Inspection Fee Below .4 7.. t -n N Fee Service Entrance Size tt Fee Feedersrsubfeeders O F Fee Circuits 0 to 100 Amps 0 to 30 Am >s 2 0 to 30 Am s 101 to 200 Amps 31 to 100 Amps 31 to 100 Am s Above 200 Amps Above 100 Amps Above 100_Amps Transformers Remote Control Circ. Partial-'Other Fee Signs Special Inspection 8 / T / O' © pL FEE, R v lT v ITGYT.C i [ `? ough-in or I/ Date 1" the eetrieal Inspector, hereby FI'nal Dan: certify that the above inspection has been This r em vnid 18 nwnths from This request vod Z? sf6 ),-5,00 18 months frimt 7 q_7 Date oof this?equest U 3 'L_ Fire No. `T 37221 1, as L411censed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Addressor Route No. P r: Cit, Section Township- I I-' '' "``Range County . Which is occupied by, 2 (Name of pant) Is a roaghin inspectio rre?quired on this jo ? No ? Yes ? Ready Now ? Will Call A- Power Supplier, SJ_ P_ Address ??fj?? ?j % 9 ? ,?9bzs- Electrical Contractor)[ LG2CiQ [.o Contractor's License No. (Comps y Name) Mailing Address/ ?8J- D ? ?(y r ?lrxV (??? Ss? ? r ?? (Llectrlcal Contractor or owner Maklnt This Installation) Aut orized Signature l?1i a, `/ j r? Phone N4 36.r(FL o {?ry2'r??a (Electrical Contractor or Owner Makinli-iCnIs Installs ion) Il (,1 tl LS Bono CLVJpy This inspection request will not accepted the (`nj State Board unless proper inspection fee is enclosed. - Griggs Midway Bldg. - RoomfT73-- --4? 1821 University Ave.. St. Paul, Minn. 55104 - Phone 297.2111 8 ! a'? REQUEST FOR ELECTRICAL INSPECTION q CHECK BELOW WORK COVERED BY THIS REQUEST Zl- 3 7 ry L 2 1 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home Duplex Apt. Bldg. Commercial Bldg. Industrial Bldg. ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? [j Range Water Heater Dryer Furnace Au Conditioner > List ? ? ? ? ? Temporary Wiring Lighting Fixtures Electric Heating Silo Unloader Bulk Milk Tank at ? ? ? ? ? Farm Other ? ? ? pp F Herersf p Herers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Are s. 0 to 30 Am res 0 to 30 Amperes .S.d o 101 to 200 Amps. 31 to l0U Amperes 31 to 100 Amperes -Above 2 Amps. Above 100 Amps. Above 100 Am s. Transfo T Remote Control Circ. 1 Partial or other fee c ,e'l- Signs Special Inspection Minimum fee $5.0 Remarks L TOTAL F /, , UO .f? ?- I, the Ele rical Inspector, hereby certify that the above inspection has been m . (Rough4n) Date Dale -rf (Final) jq?j This request void IS months from om "W-5 VOId 1298 LI, gl, Bf'cFa4?rtnc'a( S+^ 3S7s6 /forgo eguest Date ? ire ^ . Fire No. ,.m Inect) Ron R gh equird? Reatly Now ill Nntity Inspec- ? (_J L/ .. 7??7?l Y. ?S n [or When Reedy Licensed Electrical Contractor ?} I hereby request inspection of above ? Owner br 1 V P-- electrical work installed et: Street Add jer?. Box or Route No. Gv,?t il/GTDit/ FiAgorzx, City ??WA Section No. Township Name or No. Range No. Count Z)4x/ Occupan (PRINT) Phone No. Power Supplier Address 'Ele ical Contractor (Compan Name) ?acG ??rss t rr c r G` Contrartor's License No. D3 s- 2 -Mailing Address (Contractor or Owner Making Insta{lation) Auth ed i we IContr t Ow r M i Installs [ion) Phone Number ?a -a 83? MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grigvs•Midwey Bldg. - Room N•191 teq Am BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. SL Paul. MN 55104 J1. / UNLESS PROPER INSPECTION FEE IS Pk- Ia19t 71179111 S4uQ. r-t zC 1 ENCLOSED. W REQUEST FOR ELECTRICAL INSPECTION yti1l?V? ?51 'See instreetlons for completing this form on back of yellow copy. Below Wo Cohered by This Request X EB-00001-04 U0 3s7so Add Sep Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm - 0,,, peel v t er Isoccify) t in, Specify Other Other ompute nspection fee Below N Fee Service Entrance Size s Fee Fenders/Subfeaders k Fee Circuits 0 to 200 Amps T - I 0 to 30 Am s 0 to 30 Am is Above 200 gin is 31 to 100'Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Am s Transformers Irrigation Booms Partial/01her Fee Signs Special Inspection $ q ,.flemnrks T'?-.» // Y t sewn A 7-11 n tJ L FEE ill -(1 f Rough-in Date I,the Electrical Inspector, hereby certily that the above Final Da? "/, y nspection has bean me de. This request void 18 months from This request void 111ro?7 C 809429/X, h9 t4i quest Date '• " Fire No. Rough-in Inspection Required? ( ady Now [] Will Notify InsPec- f Wh R f ? Yes [l Na or en eady -grLicensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Address, Bo. or Brute No. 8946 V,ir City ecLOn No. Township Name or No. Range No. County TT )) / y XA t f r ' ' Occ N n`-V?iE' Ti 7 ?/ /( ? 7 ' ? Pnob ?q•- / 7t% / Power Supplier S '4?9 66 Address Electrical Contractor (Company N el Contractor's License No. Mailing ;d ress ntraclor ner Mak ?? ing /il/af'on) ?' r /J / ? Q J / / ? c7 Autho ed a Contracto O er king In Lion Phone Number ,/J` ,.? 'MINNESOTA BOARD OF E RIC ITY TNIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N. --? CEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55100 UNLES OPER INSPECTION FEE IS Phone (6121642-0800 ENCLOSED.