2000 Cliff Rd - Electrical Permits
204?? .
?? C?6-. 7 ?
fieq st D te Fire No. Rough-m Inspectlon
Fequired? N?y Will NobTy Inspector
bga- y When Ready9
[A
li _ ves No
I licensed contractor ] owner hereby request inspection of above electrical work at:
JoG?Ep?[e? (S1reB1. Box or RDUte No.)
O?'° c?
!
Section No Townsrnp Name a No. Renge No. County
f
Occupant iPRINT) Phone No.
?:
Pawer Suppiier ? Addnelsss
Electricai Comracror (COmpany Na Contrector5 Licanse No.
7 ?
Maihng A dress ,Connacior or Owner Making Instailabonl
`? „Z`7i _
P? /C7 ? ? /1t ?i?C /??l? s?
Authonae Ig ature (C.?5t?ctorQwne? ?DCl?n
/1 // q InstallaUOn!
P 'Phone N?mer
MIH S A STATE BOARD F ECTRICITY TMIS INSPECTION REOUE5T WILL NOT
Grly -Midway B1dg. - Room S173 ? e? BE ACCEPTEO 8Y THE STATE BOARD
tg21 niveroity Ave.. St. Psul. MN 5510? / q UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ? ENCLOSED.
(`/?j"?.?J'? RE('iUEST FOR ELECTRICAL INSPECTION Ee-oooo,•oe
? See instrucbans lor completing this lwm a? back ot yellow oopy.
"X" Below Work Covered by This Request
ew Add Repw • TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building ryer Other (Specify)
CommJlndustrial J umace
Farm r C onditioner
Other!sVeptY1 Cont_ ractor'sRemarks',_
Af t _ E,?wcG C.a`za^???'
rn.r j?l7* v
Compufe lnspection Fee Below:
# Other Fee Service Enhance Size ee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 10o Amps
SignS ; Inspecmr§ Use Onty
TOTAL
Irrigation Booms
? Special Inspection
A1armlCommunication THIS INSTALLATION MAY BE dRQE ISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
Oate
I, the Electrical Inspector, hereby iiough-in ,
certify that the above inspection has Final Date ??'
been made.
.
OFFICE USE ONLY I
This request void 18 months irom
L- - - ---
IM ?......,.,
W U b.3 lqv2
?
Fe uest Oate G Fire No Rougn,in Inspeclion
? j? Repuire0?
ReaOy Now
C Will NoNly Ins
eclor
1 ? Yes C N. p
When Reatly'+
? hcensed coMractor Downer hereby request mspechon of above electrical work at
Jo0 Atldress ($veeL Box or qoute No ) ? Crry
y?
Section No TownsM1ip Name or N. Range No Counry
Occupant (PRI T) •?,L
/ -
PhOne No
?M. i ?•? C? ? ? ??
Power Supplier qdtlress
Jy,? e
Eleclnwl om actor (COmpany Name)
` Contraclar's License No
? I - ?/
MeiAng Atldress IGOnVecmr o ne MaWng In IleLOn)
,
Autnorrzea Sig ure ?ConVacfor:Owner kin Inst???atron, Pnane Nu r 7
MINNESOTA g7pT OAqObH pp ELEpTpICITy
Grlyga.Mitlwey Bltlg - Raom S173
1821 pniveqity Ava., 51 Poul. MN 5510i
Phone (612) 6412-0800
THIS INSPECTIDN REOUEST WILL NOl
BE ACCEPTEO BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENGLOSED
REOUEST FOR ELECTRICAL INSPECTION
See insimcUOns lor compleUng tbis form on back ol yellow copy
Ii, a 72963
"X" Be/ow Work Covararl hu Tni? ao,,,,eo# 40 - -I _ _ . ._,,....,.. ..w,._
ew Atld Rep TypeolBuiltling AppliancesWired
Equipment Wiretl
Home Range Temporary Service
Duplex Water Hearer Electric Heatmg
Apt Building Dryer O[her.(Specity)
Comm./Intlusinal FumaCe
Farm Air CondiM1Oner
Olher(suecily) Comraotor's Remarks
Compute /nspection Fee Below
H Other
Swimmmg Pool Fee # ServiceEntranceSae Fee # Circuits/Feeders Fee
Trensformers 0 to 200 Amps 0 to 100 Amps z
Signs qbove 200
- AmPs mL
'
Above 700 _ Amps
Inspector
s Use Only ? ---
Irngauon Booms
!
a? TOTAL
Special Inspechon ?
f
AiarmiCOmmunication THIS INSTAL
LATION MAY BE ORD RED DISCONNE
Other
Fee CTED IF NOT
COMPLETED WITHIN 1 THS.
I, the Electrical Inspector, here6y Ro°9n-'" Date
certiFy that the above inspection has
been made r Date
OFFICE USE aNLV ?
Tnis request mitl 18 momns trom
Requ s? Da?e Fire No AougRm Inspeclion
Reoulred"+
?eatly Now ] Will 1o111y Inspeclor
WM1en Raetly,
?
I? licensed contracror 7] owner hereby request inspection of above electrical work at:
Job A?otl/re?sys ?Isheet Box or Route No I
/?Vt?J ?• ? ? ? . C'ty r'1
LJ ?.
Section No TownsOip Name or No Range N.
Do^?b ?
Oco-upanllP?RIN'TrtI Phone No /
Power S,PPher Aoi
Elem¢al Convactor ICOmpany Name?
?Yl '? d- r
i'l
I?C-I-r Convactor§ License No
CY-4-oi Z 3l-
Maihn A re? Comra'? Owner Makmg
?ri?u Install ?
I? IL ? ? Z ?
Autnor¢eo nzture ICOrtatlor w eM g InstallaVOn? Ghone Number
il
MINESOIIll BOAFD Of ELECTPICITY ? THIS INSPEGTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg - Roam St)I BE AGGEPTED 8Y THE STATE 00HRC
1821 Univeraity Ave. 51. ieul. MN 55104 UNLESS PPOPER INSPEG110N FEE IS
Vhone (612) 642-0800 ENCLOSED
7/7.`/p? FiEQUEST FOR ELECTRICAL INSPECTION `""`?'??, ee-ooao,-oa
f"?s?=i ? O
/ ? See mslrCUions br compleLng Ihis forrn on back oi yellow capy OpZ?
r? *a-
30202 "X" Below Work Covered by This Requesi ?•? ?
ew Add Rap TypeofBwldmg AppliancesWired EqmpmentWired
Home Range Temporery Service
J Duplex Water Heater Electric Heating
Apt Bwlding Dryer ?Other-(Specity)
? Comm./Industrial Fumace
? Farm AirConditioner
IOlher sVecilyi Gomrnctor§ Remark5 pQpO,_j UL.rt,x(nt
C?T
Campute fnspection Fee Below:
# Other Fee # ServiceEntrance Sze Fee # Crtcmts/Feeders
Fee
Swimming Poal 0 to 200 Amps 1 o to 100 Amps j ?
Transformers Above 200 _ Amps A6ove 100 _ Amps
Sigf15 Inspectors lJSe Only, TO TA` S?
Irr?gation eooms C? p")
J J
Speaal Inspection
Alarm/Communicauon THIS INSTAILATION MAV 8E ORDERED DI NNECTED IF NOT
? Other Fee SO COMPLETED WITFIIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in oe?e
certify that the above inspection has
been made F,nai
OFFICE USE ONLY y r
TnIs requast voitl 18 manNS trom
FOR IIII IIIII II III I II II III II III I I I IIII II III I IIII BEtOUn' ersifj Ave., Rmo E-lectricity ASt.IPauP MCNT50 04?r1 r?
? 0 2 0 6 4 5 5 8* Phone (612) 642-0800 ??(?
Home Dupiex Apf. Bldg Olher: {Jew Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Woter Htr. Lond Mgmt Other;,nstall outlet fOL
D er Ran e Elec Hea} Tem . Service
-Re
"X" above the work covered 6y thrs request Enfer remorks in this space and
on the back of fhe whife copy only.
Colculate Inspedron Fee - 7his Inspection Requesf will no} be occepted wiffiaut the mrrect fee:
OIFrer Fee # Service Enhance Size Fee $ Ciraiih/Feeders Fee
Mo6ile Home Park Stall 0 fo 200 Amps 1 0 to 100 Amps $.00
Streei Lfg,/Traffic Sig. Above 200 Amps Above l OD Amps
Transformer/Genemfor INSPEC70R'SUSe y? TOTAI Z0
iO
Sign/Outlme ltg. Xfmr. ?? ..
Alarm/Remofe Control ?
$wlmming Pool I hamb cetli Med Ihe eledncol insrollanon desmbed herein on the daks smted
Irrigo}ion Boom ao h-n
?9 ?
?aro
Speaal Inspedion
TH
Investigativa Fee
IS INSTALLATION MAY
BE OR oo /n
, ?
DERED DISC ED I COMPLETED WITHIN 18 MONTHS.
r
2 06° 455 ? OFFIC USE 9NLY Thrs reqoesl.ad 18 manths from vahdanon date pnnkd in thrs box
JOB N0. 9611041
PLEASE PRINT OR TYPE
?11,611
3?
Reqvesl Dole
11/08/96 Ro,gh-in inspxhon reqmmd2 ? Yes OHJo
(Youmuslmllfiem:pedorwhanreodYl Inapealon Other Than Ro?gh-In0 keody Naw?] Will Call
DaieRmdy
1,61 Lcensed con}rador [I owner hereby request mspecfion af }he above eleclriwl work at:
Job Addms (Streeq eox, or Route No )
2000 Cliff Road GN
Eagan Iip Gode
55122
S Fire No Counry
Dakota
Phone N.
Taco Bell #5644 688-6068
PovrerSupplmr Ada,e„
Dakota
Elecmml Conhactar (Company Name) Conlmdor Lronse No. Moskr bc No iPlam Elect Only)
Hilite Electric Inc. 040445
Mailmg Addreu (Connacror or 0.ner Pedorming InsrollaLOn)
Aullionxd Si e(Conhador or Owner Perfarming Inik Imion Phone Na
452-5886
EBOODOIA-10 6/95 STATEBOARD COW-9EEINSiRUCT10NSONBACKOiYELLOWCOPY