2113 Cliff Rd - Electrical PermitsThis reQUesi wid /
18 rtqnihs irom 5 ?p) i5 ( O J
W n7qFq n ? ??? ?, e7
flequest Date Fre a. ?ugh-m Ins on
Nepwretl? , , ?
E]fleady Nuw
KWill Nobty, Insper
Yes ?NO ,
t.rWhenpeady
ucenseo uectticai Contrac[or 1 hereby raquest inspection of ebove
Owner 11 alectncal work inStelleA xt
Svaet Atldr ss, Boz
outeN Qty
?
?
i ??
?? ?
? , in C ta ).
ection o. Tow?hu0 Name or o. ge No. Cow"ty
/
E^ C-L^i
OccuOant IPlIINTI Phone No.
i
i,:n?.
Power SuOPlier Address
Elecvi Contractar ICOmpany Namel Contractor's Lme
ns
e No.
.L ?
>
?inq Address (Cont'racror or Owner Ma inB IretailatioN
?f ?.
AuMori Sig??t ICOO[ r? ng Instailatron Ph
one
Number
j
?
YINNESOTA STATE 60APOELECTIIICITY
Griqps-MitlvaY Bido- - flo N-197
1821 Univeraity Ave., SL Paul, MN 561D4
Phonre (672) 297.2111
1? REQUEST FOR ELECTRICAL. IIUSPECTION
? ' Sae u?struecians fw comp?eUnp this fnm on back of vellow copy.
117 qRQn "X'" Below Work Covefed by This Reauest
I n15 INSPECTION REQUEST WILL NOT
BE ACCEPTED BY TME STqTE 90ARD
UNLE55 PPOPER INSPECTION FEE IS
ENCLOSED.
AdA ReO? Type ol BuilEing AppljHOCp3 WirOO Equipmen[ Wired
Home Range Temporary Service
Ouplex Water Heater Lighnny Fixtures
Apt. BuilAing Dryer Electnc HeaLn
Comrt?erc?al Bldy. Furnace Silo Unloader
Industrial 81dg. Av Caditioner Bulk Milk Tenk
Farm ther pen Other ISneafy)
t r pec? y tMr
ompute lnspection fee Below
Fee ServiceEntrenceSiae M Fee Feadars/SUbteeders p Few Circarte
Oto200Am 0 to30qms Otn30Am
Above 200 qm - 31 to 100 qmps 31 to 700 q
Swirmnin Pool Above 100_Am s A6ove 100_Am -
Transtormers Irtigation Booms Pertial"Other Fe
Speciai Inspection /
1
emgrks S'? TOTAC FEE
Rouph-in ate \ ??
? •? . Ma Elb.al ?
Insoector, hereb,
Final ^ pA rL(y thet Iha above
inspection has baen
d ? 49 maaa.
iM? ?apueal vaitl 1B monHn from
? EB-00001-04
w 6 re g5
/U//// Y/ 103oi
p 54198/,? ? .?? ?. 4/?5°°
Aequesl Done -" Fre N. Rouqh- spec0on
Re4
C
I?ReatlY Now L;
Will
Notify
Pector
? Yes
No W
nen
Ready
I,Xlicensed contrector 7 owner hereby request inspechon oi above elecincal work at-
Joe ACUress i5veet 6ax or Roule No I piy
Samm? NO Town? ship Name or Nn Range No Counry
?u
OLCUPant (PRIM I
<I'E
- Phone N.
a
Poxer SuopLer ? Htltlress
Elacincal Conneco? ?Company Neme, Conhaclor9 L¢ense No
MaiLng Atltlre55 iCOnlrador or ner Meii, Instellolion)
I s CE>4,?v je-I p
/+oihoraea Sig ???raaonOwner Mznm s4 Uom Pn? Number
'?1??.-?-?.
MINNESOTA STATE BDAR
i ELECTfiICITV THIS INSPECT ION REOUEST WILL NOT
om
Griggs-Midway BIEg - q S1)3 BE HGCEPTED BY THE STATE BOAflD
1821 UmverSity Ave. St Peul MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 642-Oepp ENCLOSED
REQUEST FOR ELECTRICAL lNSPECTION
/O?? ?/ ee-ooom-oe
? See instmctions for camV'enng iM1is lorm on Deck ol yenow copy ^"K°?'?' ?Q??? ??
?. 1 4 11_ ;7 P "X" 8elow Work Covered by This Request
ew 'hdtl Rep Typeo?ing
Z ApphancesWUed EqwpmantWired
Home
Home Range Temporary Service
Duplex Water Heater Electnc HeaM1ng
Apt Bwlding Oryer Other(Spacdy)
? Commllndustrial Fumace
Farm Air Condihoner
OIDer lsyecdyi Convactor's Remarus
('p.'vn.Pr_'?/c'? Of ? 5/r
Compute Inspechon Fee Below
a Other Fee k SerwceEntranceSae Fee k Qrcmts?Feeders Fee
Swimming POOI O to 200 Amps O to 100 Amps
I
~ Transformers A6ove 200 _ Amps Amps
- Signs ins0ecmrs Use Only TOTAL • C
F
l irrigation eooms
' Speaal Inspection
AlarmiCommunicallon THIS INSTALLATION MAV BE ORDER D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
L[he Electncal Inspector, hereby
f
h
h Rougn-?? oaie
certi
y t
at t
e above inspection has
been made, Finai ? Date /y /
7 ?
OFFICE USE ONLY
ISNS requast Witl 18 mon[hs from
_ i
3 0 4 m ( O 8 ? OFFICE USE ONLY This rcyoest wid 19 monMs from ?aLdanon daM pnnkd m Mrs box
P
LEASE PHINT OR TYPE
R, ?? Rough-m mspedian reqmred2 ] Yes 60 N. InspecLOn Olher Than Raogh-In Q Reody Now ? Will Coll
I V (You mos? mll ?he inspedor when ready) Dufi Reody
I, licensed mnfmdor ? owner hereby request inspedion of the a6ove electnml work a}.
Jo6 Address (Sheet, Roote No )
Z11 ?FP Gry
?
.4IJ Zip Code
S?%zZ
Sedion N. Township Nome or No Range N. fire No Coynry
I?A
? /?"?
p..rg,
Y• Il..' ?Li'?-?L/ IV G? •.?L/?? Phone/v' ? I
Pa r5vpplier ' Addrezz
Elennml Conhacfo ( mpan? Nome) . 1? Contrador Lcen.m No ?
C ? eTv Masrcr Lc N. (Naat Elect Only)
Mailing Address (Cant cbr or Owner Pehormmg In/smllmion)
`
?
?
r
?W L
?I v
Aulhon namre (Com tlor or Owner tallaM1Onl Phone No ,q d
Ee- . 6195 / S'f1CT?BOAgB'EOPY-SEEINSTitUCT10NSONBACKOFYELLOWCOPY
./
s?
Il II Illli IIII IIII II !1 IIIII? I? ?i REQUEST FOR ELECTRICAL INSPECTION
II Minnesaa State Board of ElectnciTy
' MN 55104
* Q 3 0 4 7 0 8 L* Phone (612) 642-0800 ?b09&
H le
? Bldg
A
t Other. ew Addn
ome up
z .
p
. R
Commercial Indus}rial Farm Remod e mr
I I Htg. Equip. Water Htr. Laad Mgmt Other.
ir Cond.
Dryer Ran e Elec. Heat Tem Service
"JC' a the work covered by fhrs request Enter /r marks in ihis space end on the back of the whnde copy only.
7
?--LJ,?r? ?''rc? 2Z - 2x ?f=??? .
Calwla}e Inspechon fee - This Inspecfron Requesf will nof be a<cepted wdhout the correct le
Other Fee # Service EMrance Size Fee # Circuih/Feeders Fee
Mo6ile Hame Pork Stall 0 to 200 Amps 0 fo 100 Amps
$treef Ltg./Traffic $ig.
Transformer/Genemfor Above 200_Amps A6ove 100_Amps
INSPECTaR'SUSEONLY TOTAL ?`
u
Xf
L
O
l
mr.
ine
ig.
Sign/
ut
Alarm/Remote Conirol
Swimming Paol I hereb cpm ?hat I ms the elxfri<al insmllation desmbed herein on ?e dates smted
Irrigafion Boom ko?gh-i? ?O"
Spenal Inspedion Fna p1
r., Invesligo}rve Pee
-o wcrnI I nrinu ue
V RF AP
DEREO DISCONN D IF NOT COMPLETEU WITHIN 7 M NTHS.
L ,34662 ?? P
? ?j
? ' j?a .
"equest Dale
3
? ? Fre No Fo InspecLOn
ReQUVad7
? Reaay Now ?/ill NoAry Inspector
??`
-
7 Ves _No Nhan Reatly?
I;(hcensetl contractor D owner hereby request inspecnon of above electrical work at:
Job ACtlress (Slreet 6ox or Roule No I
a c 4- , r,C- Rv Gty
61t7?
Seaion No iownship Name or No Range No County
Occupant(PRINT)
E?o ? oP c???r?•e Phone No
s z-Y y5??
Power Suopber Atldress
Elecmcai ConVamor ICompeny Name) Gonhectoe's Lioense No
6 6 C?`o Z? 3 z
Matlmg ad ss ICon.ractor or Owner Makmg InslalleLOn)
O. _ os ? / ?9??aor.? s?,? S,S-lS-a
Autranzed Si iConVect rvOwner M Inst li PM1One Numbar
MtNNf'§OTA ST B?GARtOPfCECTPICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlw Idg. - Room 5-193 BE ACCEPTEO 6V THE STATE BOARD
1821 Univ Ity Ave. St Paul, MN 55104 UNLESS PROPER WSPECTION FEE IS
Phone(6t2)864-D800 ENCLOSED
REQUEST FOR ELECTRICAL iNSPECTION ?? Eeooom oe
? See mslructions for comple0ng this torm. on back of yellow copy c? y..
L3 4662 X° Below Work Covered by This Request
ew Adtl Rep TypeafBuilding NppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heatmg
Apt. Building ?ryar Other (Specify)
Comm.llndustrial Fumace
IFarm AirConddloner
OtheI fspecityl ConVqacAtor5 Remarks
Cainpute fnspection Fee 8elaw,
# Other Fee # SerwceEnvance5ae Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 io 100 Amps ?a
Transformers Ahove200-Amps Above100_Amps
Sigf15 Inspectors Use Only ?
e6, TOTAL
?Q
Irngation Booms 3o 1 ?
Special Inspeciion
AiarmiCommumcation THIS INSTALLATION MAY ¢¢'ORDER DCpNNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 Fff S.
I, Ne Electrical Inspector, hereby
Raugh-m
-r'? -f a
.? •/ rL
certify that the above inspeciion has
been made
?
OFfICE USE ONLY
Tnis request void 18 months from
J
l
L
.,, i
?3903 $
?-0-c;,
J
Aenu st oala Flre No Rvug Insp ion
RBqu e?
Ready Now ill NOLty Inspecior
?
Whan Ready7
O?} G Vas o
I -Zlicensed contractor p owner hereby request inspection of above electncal work at.
N
o
?
Job Atltlress ISVeeI Box or Route ?ity
-
?-
?
I?ZcI 0? ?')
Secvon No Townsnip Name or No. Renge No Co?un?ty koic
j-
,
Orcupant(PRINT) Pnone No
i[tl ( U I ' I l,
Power Supplier Adtlress
Electncal Gonvaclor IGompany Name)
ot I e-1 tc, ?A.
; Contrad0r5license No.
cl?o zli3 z
Mirling Atlcrass IConVaclor or OWner Making InstelleVOn)
/ o
AmnI Si5^ IZ.o"nracHrOwne MaRm st lation Phone Number I
? OARD OF EL CiRICRY?-J?? THI$ INSPECTION REOUEST WILL NOT
NMI NE50T
Gnggs-MIEwa Idg - Room 5493 6E ACCEPTED BV THE STATE 80AFD
1BY1 Unrver y Ave. St. Paul, MN 55100 g/L'NLESS PROPER INSPECTION FEE IS
Phone(fi12)612-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION ?yr 'y
6me??'O^ fO [
O
19? ? E O'
see i?snucuons io, complaLng iNS form on oeck oi yellow coov 6-
?. C O 9 O 3 Below Work Covered by T'his Request Eqmpment Wtred
V-?-?-AppliancesWimd
ewiHUa I„ep ?- TyPe f8 Id g r Service
Inspection Fee Below:
Othe? Pae
nma Po01
si9ns
Booms
IOther Fee I
I, the Elecirical Inspector, hereby
certity that the above in5pection has
been made.
JFFICE USE DNLY
fMS'eCUest void 18 monlhs fmm
Watef Healer _
Dryer
Furnace
Air Condiboner
rac?or's RemarMSl
Service Enirance Sae I Fee
0 to 200 Amps
? Apove 200 - Amps
iecto?'s use only
W 1(C S 1 G??l
to 100
J?-
Fee
ps
?? la?
J IF NOT
THIS INSTALLATION MAY BE ORDERED
......e? eron wI7HIN 18 MONTHS. _
2 3/? ? l? O(? ?
l.+ ? ? OFFICE SE NLY Thn requeet roid 1 B monlhs fmm voLdotian dak pnmed in this box
/o'???,?c l G?yo
PLEASE PRINT OR TVPE
Reqou1t, i? ? 1 Roughm inspecnon rpmred2 ?
(Y
t
ll Ih Impecnon O1her Thon Roo9h-In ? Reody Now Will Call
ou mus
ca
e mspecror when ready) Dak Reody.
I, icensed contracfor ? owner here by request inspechon of ihe above elecfnml work at:
Job Pddrers (SVeet,Box, or Roa?
N r?
?
Lp Code
tm Nome ar No Range No Fire No ?
i
Ocapo 1
?
/
Phone Na. 7
PowerSupplier Address
Elµlnwl ntmclm ?Campany Name? ?? Convoctor Limnee N. Mosler lic N. (Plam Fed Only)
'l- \`1' , ,. L
;\ ?
_.
M-\n?-ross lCOnhada or Ow
n
?Pe
qn
do i g Instulloeon) ?---- ?
-
?
?
??(`\
AWVi6nzed51gnnNn(CoMroclo rOwrnrPedormnrglnspllaeon) - ` PhpmNo,
'° °i» a1nmuowqoGOT'-SEEINSipUC'f10NSONBACKOFYELLOWCOPY
i
IIIIIIIIIIII II?IIIIII REQUEST FOR ELECTRICAL INSPECTIONYIF?4q/O
AvearRm S ?cnic
?II IIII? (I II II III IIIII II?I 1na State
821 U St. Paul, MN 55104
* 0 2 3 4 2 0 9 5* Phone (672) 842-0800
Home Duplez Apf. Bh ? Other: New Addn
Commeraal Indusfriol Farm Remod Re oir
Air Cond. Hfg. Eqmp. Wofer Hfr. Lood Mgmt " Other:
D er Ron e Elec. Heat Tem . Service
above the work covered by 1his,requesl Enter remarks m iha space and on the back oi the whrie copy only
n,
Calculate Inspechon Fee - iha Inspedion Request wdl nof be accepfed withaut fhe mrreci (ee-
Olher Fee # Service EMra?e $ize Fee # Cilwih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps - 0 to 1 00 Amps J i
$freet lig./?roHic Sig. Above 200 / Amps Above 100 Amps
Transformer/Generofor INSPECTOR'BUSEONLV
r, TA7L
Sign/Oudine Ltg. Xfmr. ?
-?J -?"? e.? •,
Alarm/Remote Conhol ?
$wimming Pool
I
i
B ._ -
I hereb cem -Iiial e ennml ?nsmllaM1On descn6ed hoein on the darcs ew?ed
rr
gafion
oom Roogh-In Dot<
Speciol Inspection
TH
Invesfigative Fee
IS INSTALLATION MAY
BE OR Pinol pa ? -
UERED DISC NECT I0-f16T COMPLETED WITHIN 7 M THS.
0-1 Qs-z3o o
c?v'D
•
Requ 1 Oa
ite / J] Rre No
iretl
Ho gh-in Inspechon
Rlll?
ust call inspector hen rea0y)
(VOU m
Inspeclion Other Than Rough-In
? Reatly Now ? Will Noh(y Inspettor
?'/ ?
Yes N. Oate Featl
I? licensed contractor ?owner hereby request inspection of above electncal work at:
Job Address (SlreeL Boz or Routa No )
ZI15- G'L/? AW CilY
eeo''A4-j
Section No Township Name or No Range No Counry
Occupant (PRINT)
bs l?n? eE rles ewv S?? Phone 0
7Z- 7 1tq
Pawer Suppher ^/
D?Ff'? cG.?%. ./??f?'r Atltlress?o'?? ?
y,/?'"1l6??j/11
Electrical CoNrapor (COmpany Name)
k(Nt?< l.Mil ? -/-; eue nQ,J ?L?1 y Comracrors License No
?A OZ33?O
MaNng Ptltlress (GOmractor oe Owner Making Installalion)
/ ?3 i.?7t.?t?Mf6ti12 C?//? /?t?•C•?s?lu-? ?''?,t/ ,?33?
Aulhonzetl Signature (GOn ractor Owner Making InstallaYOn)
, 1? Phone NumDer
?P-zzs-a
MI SOTA 5 ATE BOARD OF LECTPICITY
Grlgqs-MlUway Bldg. - Room 5-128
II
II
I
I
?I
I
I I
I I
?
I
I
II THIS INSPECTION REOUEST WILL NOT
6E ACCEPTED BV THE STATE BOAflD
1821 Umverepy Ave., St. Paul, MN 5510C
VM1one 16191 6C2-11NM . , . UNLE55 PROPER INSPECTION FEE IS
ENCLOSED
/ ?c/ REQUEST FOR ELECTRICAL INSPECTION ?? ?ee-oooai-as
S? /?uy v 3O Saa insimc?ions br oompletmg iM1ia torm on bdrk ol yellow copy ltf ?, o?
&/g( 9 ?
L
"X" Below Work Covered by This Request
New Add Fep Type ol Building Appliances Wired Eqwpment Wired
Home ngz Temporary Serwce
Duplex ter Heater Electric Heating
Apt Budding
Comm /Industnal TDryer
nace Load Manaement
Other (S ecrfy
Farm Condihoner
ONOr (specdy) C.rilr,rchrs Remarks ?' ? ?
/!TJ
hl ?i Hr!?/pC? 7.
Compufe Inspec6on Fee Below
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps ?-140 ?.A ?• ?'
Transformers A6ove 200_Amps
z ?
Above 10 Amps
SI f15 Inspecror's Use Onry ? TOTAL
Irrigation Booms ? Z?•3
Special InspecUOn
Alarm/Communication ORRED
THIS INSTALLATION MAY BE DISCONNECTED IF NOT
Other Fe S ?,yv COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°9n-'" Date
cedify that the above inspection has
been made. F???ai
X 'P _?
OFFICE USE ONLY
This reQUest void 18 monihs trom
a 37350i
Request Gate ._. Fire W. Rougn?m Im mn
S Repuiretl7 ?eady Now ? WII NoM1y Inspeclor
R
'
?N
l pyqg 1Kryp WhBn
eatly
I$Zhcensed contractor ? owner hereby request inspection of above electrical work at:
Jol, Atltlress (Slreet, Box or Route No.) piy
45,PVG JD" ti
Seceon No Townstn0 Name or No Renge No CouMy
opi, kG"C"I+r
OccupaM (PRINT) Phone No.
kE
r
Power SuOPlie? ? qypress
Ebttncal Conlractor ICOmpeny Name) ppntrector5 LcansB No
i2 F 2 -
Mwing Adtlress (ConVactor or O.vner Making Insta(Wtion)
R2 ?
IbA)
Aullwnz Signature ntrect mg InsfallaLOn) Pnona Number
O-?J ?
NINN $OTR STATE BOARO OF ELECTRICITV 7HIS INSPECTION REOUEST WIIL NOT
GrlpgrMlAhesy Bltlg. - Room S113 BE ACCEPTED Bv THE STATE BOARD
1821 Univehlry Rve, SL Peul, MN 5510{ l1NLESS PROPER INSPECTION FEE IS
PMrro (612) 642-0900 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION eaaaom_oe r
M °7 ? See msVUChons for compleling INS lorm on pa<k oi yellow cupy 4% 1!'? ? 7Q50 4?'' 6cr
? 'X" Be/ow Work Covered by This Request '?.v..? eN'A, ` TypeofBUAding ApphancesWired EquipmentWired
lome Range Temporary Service
Duplea Water Heater Eledric HeaUng
Apl Budding Dryer Other (Specity)
Comm./Industrial Furnace
Farm An Conditioner
OVier (spxiy? Cop0actor5 qemarks
Compute Inspecfion Fee Below:
# Dlher Pee # SerwceEniranceSize Fee # CvcmtsiFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ qmps ve 700 _ Amps
? Signs Inspactors use onry TOTAL
Irri
aaon B SV
g
ooms ?
S
i
l I
pec
a
nspection
Alarm/Communication THIS INSTALLATION MAY BE 0 I
Oth
F SCONNECTED IF NOT
er
ee COMPLETED WRHIN 78 MONTHS.
I, the Electncal Inspector, hereby RougRin oare
certify that the above mspection has
Fnei
been made Dar
OFFIGE USE ONLY
Tnis requpst wq 18 monPoS hom
?71926 ,?? ?Joh 333g"' ?x. P.k. s%??"/?o°s
Request Date Frte No Fougn-in Inspection gReady Now ? Wdl Nmity Inspacmf
S/re/9 I R?'""?' `• When Featly?
ij Y
licensed contractor ? owner hereby request mspection of above electrical work at:
Jo0 Atltlress ?Streep Box or Roule Na ? ? _??
^ CTyf -
e or No Range No
?
Atltlress
nv r,emei
fpi?fi?
or O ner Making Installatron) ?? 1•
3c v eijMakinyk s,alauonu ?
MINNESOTA $TI1TE BOARD EtECTRICITY
Grlggs-MlAway B oom S'n3 C/qQ?. ??}
u MN 5510C
1831 U y Ave.. S1. Pe l.
V e(612)WZ-0800
No
CoNracmr5 Lmenu rvo
?75?owf
rne Number
I'T ;J,_ p884
THIS INSPEGTION REOUEST WILL NOT
BE AGGEPTED BV TME STATE BOARD
UNLESS PA4PER INSPECTION FEE IS
ENCLOSED
51REDUEST FOR ELECTRICAL INSPECTION E&00001-08 ?
.
?`I/
? See mstmcUOns lor mmpleLng thia brm on back ol yellow mpy ?
? 7 1 Q'? 6 . X" Beiow Work Covered by This Request "",:,jifi;r'"'
ew .°.tld f;ep TypeofBmiding AppbancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl Building Dryer Other (Specity)
Comm /Industrial Furnace
Farm Air Conditioner
Olher (specity) Contractor5 Remarks
Compute fnspection Fee Below'
# Olher Fee # nceSrze Fee # Crccwts/Feeders Fee
Swimmmg Pool 0
M 0 to 100 Amps
Trensformers AAmps bove Amps
?nspectors
UwOrly TOTAL/
? rs?
IrngaUOn Booms /
Special InspeCtion
Alarm/Communica6on THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT .
I, the Electrical Inspector, hereby Fough-in !' Oete
certrfy that the above mspection has
6een made. F,,,ai oate
OFFICE USE ONLY
This request voitl 1B months Imm
L
) p6 F41?F Thu request wid I B manMs (rom oLdanon daM pnnted inIlia, bh
3 01 m.
,
PLEASE PRINT OR TYPE ? 7' ?
Q?7 ?
?
Re u st Rough-in inxpe Ton repmred2 ? Yes N
?+? '?? ?You m
st
ll fh
N
` Impecnon Otherthan Rough-In ? Reody Now Will Coll
o
m
e insp<cror when reodyl Oote Reody
I, li<ensed contractor Q owner hereby requesf inspecfion of ihe obove eleciriml work at:
lob Pddress (Skee?, Bm Ro te N??
S"
i
G
Zp Code
, g e-tfl S
Senion No Towmhip Name ar No, Range N. Fire N. Coonry
onr
1
Ph ne N.
,
1L
P
r p Imr Mdress "
Ele 'mlConimcior I mpo y mel ?- CanrmcmrLameNo. MmlerLc N. (PlonfElect Only)
?
aI,t
dre
' 9 ( ctor Pe ing Installalion,
o
?
? ?
fmhon
5i Nrc (Conw
oi P.ner eA mg Inskllaeon) Phone No
FP.INIMt /
? " /
-11 ( ) a'wicouwnoGOPY-6EEINSTIIOCTIONSONBACKOFYELLOWCOPV
I??IIII?IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII?I?II??I gE? UQB5ta? 0? M. E R?i 4St. 'Paul P, M`N 55 O1o4
8
* 0 H Q 1 5 6 4* Pnone (eiz) saz-osoo M
Home Duplex Apt. Bldg. Other: New Addn
Commerciai Indusfriol Farm Remod Re air
Air Cond. H}g. Equip. Wofer Hfr. Load MgmG Other:
D er Ran e Elec Heat Tem . Service
"X" above the work mvered by this req est Enter remorks in fha spoce and on fhe bock of the whi?e copy only
M
` ?
ov e e?aus .
n S?-?
?nS?ll ? - 1???-}S
Colculofe Inspechon Fee - This Inspechon Request will nof be occepfed wifhovt the tormct fee:
Olher Fee a/ $ervice Enfronce Sae Fee # Circuih/Feeders Fee
Mobile Home Park S}all 0 fo 200 Amps 0 to 100 Amps
Streef Lfg./TroHic Sig. Above 200 Amps bovz 100 Amps
Trans{ormedGeneroior INSPECTOR'SUSEON T07 L G
Sign/Outline Lig. Xfmr. S ?1--
Al < < ??
orm/Remo}e Control
Swimming Pool
Inigafion Boom I h<m am Mal I inz rnbed herein on Ma dmes
Aovg In
Speciollnspecfion Dois
Invesfigotive Fee
THIS INSTALLATION MAY BE ORDERED D ONNE _ ic unr cnuot cren unr u... e
.... .`. _.. ..... ?? . 1a mvn I na. I
Thw recluest void 7 , 6Z? -
?18 nwn[k
s from i- /
1,7 ?? i? a 61 ?_! (./),µ?rr Lvyl.
?.i?•?y
077244
quest Date Fire No. NouPh-in InsVon rc?
Hr$. wred? DRCady Nuw ?g?^LII Noldy InsOec-
Re 1/7(1/R?i '$Y?s ?Na Im Whe.n qeadV
[pLicensed Electncal ConVaclnr I herehy request inspection ot ahove
niwcviral wnrk installed at
Strect Address, Box ar Route No. City
Cedar Cliff Shopping Center Eagan
ection o. Township Name or No. RTnyr No. County
Dalcota
Occuuant (PRINT) Phnne Nu.
Da s on Wheels
Power SuUVlier AdArrss
A
c[or ICnmpanv Name)
Electncal Cnntra C??i?vactor's Lice?se Nn.
Hilite Electrie 40445
MaJinp AdJress IContrac[or or Owner Makinp InstailnLON
?owner Making Ins[alla ionl
Auho i,ed 5 na e ICoM?ac ? Phone Number
/ 452-1565
/
l1 L'
MIfJNESOTA STATE BOARD OF ELECTHICITY
Griggs-Midway gldg. - Aoom N-191
1821 University Ave., St Paul, MN 55104
Phone I612I 297-2111
REQUEST FOR ELECTRICAL INSPECTION
, See insirucAons lor completmg this form on back of vellow cooV.
? nT1244 '"X"" Relow Work Covered by Thrs Request
D
9E qCCEPTED BV THE STAiE BOARD
UNLESS PPOPER INSPECTION FEE IS
ENCLOSED.
? EB-00001-04
iltvA FAd Nep. TYOe nl Bmlding ApPlianta. WiraA Equiunient Wved
Home Ranye Temporary Service
Duplex Water Heater Lightinp Rxtures
Apt Bwldiny Dryer Electric HeaLn
Commercial Bldy Furnace Silu Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tanl<
Farm otne., Soecifv Oihoe (SUnmfvl
thcr I u?'c?fv OHiar Oth?jr
!'mmriuta Incnarfinn haA 1lalnw
p Fee ServweEnhenceSrze k Fee Fextlets/5ubfeeders a Fee Grewts
0 m 200 Am s 0 to 30 qm ps R ? tn 30 Am )s
Above 200 Amps 31 to 100 Amps r% 31 to 100 Am s
Swimmin Pool Ahove 100-Anips Above 100_Am 5
Transiormers Irngation Booms § Partial."Oth r Fee
StgnS Speciallnspecuon $ TOT FEE
Pem?rks 24.5
ar?
1
Rough-in 1, the cal
C/. Insoector,here0y
cerbty that tM1e ebove
Final u•?t e inspectmn has been
mede.
This repuest voitl 18 months from
Tliis request
^? f( 1 ?
04
'?In?Vo1 'Y g ! f+ '_ G •,
°
Hepuest Date Fve No. qnuph-in InspecnoN^.1
?nmred? ?fleady Now ?W?11 No?ity_ Insper.-
L 10/23/85 ?YCS ?No ?or When 1leady
[gLice-sed Electncal Condactor 1 hereby reqmst inspecliun ot above
? Owner electriwl work installed at:
Street Address, Box or Route No. City
2115 Cliff Road Ea an
er.tmn o. Township Name ar No. qange No. County
Dakota
Ocwpam (PflINT) Phone No.
Aardware Store
Power Supplier Address
NSP 3000 Maawell
Elechical Connactor ICOmpdm Name) Conlraclor's 1 icense No,
Hilite Electric 40445
Maibng Atldress (ContraCmr or Owner Makinp Instaila[ion)
Rennebec Drive Ea an
'j
re IConha r ner Alaking IrrsTallationl
t
n Phone Number
m 452-1565
l
YIf?NESUTq STqTE BOAND OF ELECTi11CITY
G?gg,_MiAway Bltlg. - Room N-191
1821 UniversitY Ave-, St. Vaul, MN 56106
Phorre (612) 297-2111
THIS INSPEGTION REQUEST 1,ILL NOT
6E ACCEPTED BY THE STpTE BpqRp
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-0"
, See instrucpons tor completirg this fprm on back of.yeltow copy. /
0 16- ?p J 14 "X" Be/ow Work Coyesed by This Request
Ie4Addj Nav. Type oi 9wltlinB APOliancea qirW E9uiotire^t Wiied
FIXlUfES
?g ? ? ? Cofrnnercial 81dg. Furnace Si!o UnloaAer
n Industnal Blda. Air Corxiitioner Bulk Milk Tank ?
p Fee ServiceEMrencaSiae b Fee Faeders/Subieeders p Fae Circuits
1 10 0 0 to 200 Am 0 to 30 Am s 0 to 30 Mi s
Above 200 qm s 37 to 100 qiryn 1 ?'j 0 31 to 100 AnRLs
Swimming Pool Above 700_Am Above 100_A
Transiormers Irtigation Boorrs Pattia6"O1heFFee,
aigns apecial inspecuon 51$.S0 TOi/lL/FEE
Nemarks
RouBh-m Da[e \ /
1. the Electriral
? Inspector.lrereby
f?1fY ?M1a l tF1@ TAOYB
Final '1e i impeetim has bsen
?
.? ?aa.
TME roquest voia 18 momme rcom
cY?s
????1w
?
? CJ24rJG S/ Bo
P,epuesl 3ate '
X
d Frt o Roug -m chon
Reqwre
u Ye5
14?Y Now ? WAI Noiiy Inspeclor
When Reatly'
Ipt cr ensed contractor ? owner hereby request inspection ol above electrical work at:
.bD Atltlress ISVeet Box or Route No1 ?,
? Ciry ?
c
?
Section No Township Name or No Ranqe No Gouny
Occupant (PRINT?) ? •p? Phone No
Power Supplier Atltlress
Elactncal Comraclor (GOmpany Name) Convaclor5 L¢ense Na
L4 - "3 > L d
1!:16 -
!h -, -?.v
7'/
,
.
\
Mailing htltlress IGOniractor or Owner akinq Installa[ n)
Aulhorrzetl Sign re IracloYOwner Making ?laylla4on, ?- Phone Number
MINNESOTA STATE BOARO OF ELECTRICITY
Gtlggs-Midway BIOg - Aoom S173
1821 UnlvereHy Ava., SL Vaul. MN 55100
PMne (614) 542-0800
THIS INSPECTION REQUEST WILI NOT
BE ACGEPTED 6V TNE STATE BOARD
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED
I/?? /?i ;ESee QUEST?FORoEP ECTRICA?L?NSPECTION
/
MC? ') A G`) "X" Below Work Covered by This Request
4=?E2'fl EB-00001-08 I
/i
ew Aod Rep TypeofBuildmg ApphancesWired EqmpmentWired
i
Home Range ce
Temporary Serv
Duplex Water Heater Eleclnc Heating
Apt. BuAding Dryer Other (Specity)
Commllnduslnal ' Fumace
Farm Air Condilioner
Other(spaodyl Gantracror5 Remerks
Compute Inspection Fee Below.
,y Other Fee # Sermce Enirance Srze Fee # Qrcurts/Feeders Fee
Swimming Pool O to 200 Amps 0 to 100 Amps
Translormers Above200_Amps A6ove100-Amps
?
1 rv
eciors use onry TOTAL
igns !/
B AS
ooms
Irrigation
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ugh?in Oa?e
Ro
ceridythatiheaboveinspectionhas oete
been made.
OFFICE USE ONLY
This reQUest voitl 18 months Irom
OFFICE USE ONLV This request wid 18 rtronihs frrm vaM1a are pnnled In this box
?O i
352-703 03 Or
/T O?
R TVPE? •
P EASE PR ""'
Reqiu:st Date RwSh-1n inspection reamr ? Ves gNn InspecLOn Olher Than Rough-In ? Reatly Now ? Will Call
ryou musl call the inspector when reatly) ?ate Ready
I, 4 hcensed contractor ? owner hereby request mspection of Ihe above electncal wotk at
bb MAress (Street. Box. or 1 r r ??
I! 3 rr CiIY ZiD Cutle
Seqqn Nu. T nsh?p Name or No Ranye No Firn No Counry
r- L L
Ocaipant Plxane N.
-
T?µe
cowo, stivai., ndd.s
1oRRtJ ? 1 JOC.
Electr .al Conlrac?ar (CO mpany Nam9 Gontraclor Laense No
c,ao aaa, 0? Master Lc? No (Plant Elect Only)
Instelloh n)
PI
GOntraUar or O
Meiling tlr
.)
?
?
?
. S 1
Aulhorrzad i8??eture ?GOnt2<ror o er P ormmg Instellebon)
Sly C ?,C_.!
Eg.ppppIq-11 pa STATE BOAflD COVV - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
I /a.. 0 94
i REQUEST FOR ELECTRICAL INSPECTION 6'g 4.
I I?II III II I III II III III I II ' 1^821 eU?vessty Avear Rm f S-128c5t. Paul, MN 55104 ?
* 0 3 5 2 7 0 3 3* Pnone (. i2) 642-0800
Home Duplex Apt. Bldg Other New Addn
Commeraal Industrial Farm Remod Repair
Air Cond. Htg. Eqwp. Water Hh Load Mgm}. Other.
Dryer Range Elec Heat emp. Service
"X" above the vrork coveretl by thrs 2quest Enfp remaMS m thrs space and ar the back of the white copy only.
Cunt.v E?T 51 GN S
Calculafe In`pec6on Fee - This Inspechon Request wJl not be acceptetl wrthou[ the carect fee:
Other Fee Service En[rence Srze Fee Cirouits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 l0 100 Amps
Streef Ltg./Traffic Sig. Above 200_Amps -= - bove 100_Amps
Transformer/Generator INSPECTOR'SUSe9aev? TOTL
?
Sign/Outline Ltg Xfmr
O. ?
? ?I
?
Alarm/Remote Control
Swimmmg Pool i hareby cet,y tnatimsnecied i? eiacmuai mstallatan tlasanbetl norem on the tlirtes statetl
Irrigation Boom Rouqn-in oe¢=
?
Special Inspection
F
l ?
oat
C/
Investigative Fee na
a z
S{?
THIS INSTALLATION MAY BE ORDERED DISCON D IF NOT COMPLETED WITHIN 78 MONTHS.