2119 Cliff Rd - Electrical PermitsThis request vo,d !- G?
18 months from
o/
Raquest D te Firr No. Hauph-in.InsOecuon Re adY dN, ? Will Nnuty InsVe?'-
P
eqwred lor When fleady
?YOS Na
? 1 o ir
?
?Lmentied Ele tncal Coirtrsctor I hereEy request msDectron of above
nlnetncwl wolk in5lallBd at:
U VWI1C!
C?tY
Rnure No.
AddB
?.!
ip Name o? No. Ran9e No. Cnty
t P ,ne No.
) L V?
Address
Electncal Convactor ICompany Namel Contrncmrs Lu:e,nse No?
I
?cl-?I`l R? LFt,*1Z ! L Z N O
Mailin9 AdJress lConVactor or Owner Ma /
kinp Ins[ailatmN
S `
u J
Authonzed ipnaWre IContr mr/Own king InstallnUOnl Phone Numbrr
f Z - ?
crTimm ?cnuEST WILL NOT
MINNESOTA STATE BOAND OF ELFJKTNIGTY
Griggs-Midway Bldg. - Noom N-191
1827 UniversitV Aye., 5t. Paul. MN 55106
Phone 16121 297-2111
BE ACCEPTED BV THE STATE BOAflO
UNLESS PROPEF INSPECTION FEE IS
ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION EB-0OMI-04
- u
? 5U' See instructions for com g this fwm on beck of yellow --VY-
FO) "X" Be/ow Work Covered by Thrs Reqijest
0
A.P. l Bmltling AoPtiancea Wired E'u?orhent Wired
Service
T
Range emporary
p l g Liyhting Fi xtures
ldine? Dryer Electric Heatin
cial Bidg. Fumace Silo Unloader
BIAy.
inOILISTrial Av Conditioner Bidk Milk Tenk
Farm
Other Peu Y
(?? er ISUCnilv)
tiorl5u?c?fV Other O?hei
ion ree veiaw
meEntranceSize tt Fae
Fee
ta
Swinvnfnq Pool I I ilAbave 100 Ampsi I ! Pure 111'-^' ?
S gns Special InspecLOn ? $ ? O?DI TOTAL FEE
'R ??ks ?- l ID
the Ela wal
Inspectoq heroby
%
certity that the abova
Pinal / ?"? ' l
*L,f,;i:?
i
i
ri
an has been
sOecq
meae.
.
.il.•
/ %
L
l
ml6 repuest vofta le momai
7/i9/s ? y'7s??
.??oo
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,
.
P 32948,?/ ?
Request Date
j
? Fre No. Rough-in ction
Requiretl?
? Reatly Now ?II Nobfy Inspeclot
M?an Reatly?
?
?
( ? es ? No
I)k censed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Slraei, 8mx or Pou1e No )
-ltg e<<ff ?CAO
a Cay
?S ?? ?? N
?
Secbon No Tawnship Name or No Renge No Cou^N?n(. ..?Q
/mO?Q 1 T T
OccuPant IPRINn
,4(.i,tak) NoviNk. (6EALs IIZti wrME.fts) Phome No.
4L/Sa-3'Y0s
Ppwer SuppOer Adtlreu
Electnca/l C?oM/ra?cta (COmpan`y Nam`e)'
?.J iTC. AXb?C C.?-,11EC TKI L I N(_< Conlractor§ L¢enseN?o/.
(AI a a. (C l
MailiN AtlCre% (COnptractor or Owmr Making Installatnn)
Y"?`?3 1AIf7&k kl4N0 7K4vL F''j4604pJ/ /)9N sS/ ), .Z.
Autlmrix gna e( ra w ? M ' g Installation)
'`
'
? Plqne Number
y6?-323 t
?
,
MINNESOTA STATE BO RI OF ELECfRICfTY THIS INSPECTION REOUEST WILL NOT
Grlgge-Mldway Bldg. - Noom 3-193 BE ACCEPTED BV THE STATE BONRD
1821 Unlveeelty Ave, SL Vaul, MN 55100 UNLESS PFOPER INSPEGTION FEE IS
Phone (812) 642-0800 ENCLOSED. -
REQUEST FOR ELECTRICAL INSPECTION ?- esaoomo?
? See inslmc0ons for compleeng Ihis lorm an back oi yellow copy 9? ?-;?
"X" 8elow Work Covered by This Request
ew ..
gdd ?., ?
RF' TypeolBuilding
AppliancesWired
EquipmernWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Condihoner
Olher (specily) Coniractor5 Remarks
Compute fnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cirwits/Feedere Fee
Swimmmg Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 _ P.mps Ahov 100 _ Amps
51905 Inspec1or5 Use Oniy
? T L
Irrigation Booms ?
Special Inspection
Alarm/Communication
Other Fee
I, the Electncal Inspeclor, hereby Rou9n,n oa? Gl
••Zo
certify that the above inspection has
been made.
OFFICE OSE ONLY Thls requesl voiA 19 months hom .
r
i
This repuest wid
18 f
?? Ti
IyJ? vv r v _ _
Renuest Date fire No. ?q h????suect ??atly Now ? W111 Nuuty InsVec-
1ol23/85 ?YCS ?NO lor When fleady
? Licensed Electrical Contractm I herebv teauest inspcctian of aoove
rl .? w1..-Mira1 -4 insL11Bd 81=
Sveet Address. 9oa or Rouie No. CitY
2119 Cliff Road E8g8II
uon Townshio Name or No. Ranpe No. County
Dakota
Occupant IPRINT) More No.
Dru s Plus
Power SuDDba Atldress
NSP 3000 Maxwell
Eleclncal CoMracbr ICO;PaM Namel Cmtracmr?s Lice2se No.
Hilite Electric 40445
Mailinp Address 1Contractor or Owrbr Mfekirg Iretallauonl
600 Kennebec Drive Ea an
Authoriz 'S ? IConha od r Mak?ng InsTalla?ion) Phone Nonnber
425-1565
YINNESOTA STATE BOARD OF EIECTRICIT'
Griygs-MidweV Bldg. - Room N-191
1821 UniversihAVe._ St Paul, MN 661a
Phone Ib121 2972111
....., .._... ?..-._.._ ..?__" ""__
BE ACCEPYED B`I THE 5fA7E eOARD
UNLESS PROPER INSfECT10N fEE IS
ENCIOSED.
- `/
???? " IEQUEST FOR ELECTRICAL INSPECTION
Nis tam on Oaek of wlla+ ?oYY•
s f
r
o
tin
S
v
ti
l
i EB"°°°°»+
'
ee
ue
o?a
o
c
mp
e
?
Y
R 16 9-13 "x • Bem,,• . a,Kovered by This Request / (_- / .- ,! }
v aaa xeo. Trre ot e.ueo.w Apuliances NirW Epuivmant MlireA
Home Range Terriporary Service
Duplex WaTer Heater Lighting Fixtures
Apt Bmiding Oryer Electric Heann
x Coommercial Bldg. Furnace Silo Unloader
Industrial BIAg.
f-arm Air Conditioner
ONe, oec. v Bulk Mflk Tnnk
ther ISpenry7
f . Vc<nlY Olh.F Otne,
ompute lnspecbon Fee 8elaw
A Fee ServiceEnLemeSize b Fee Fceders/5uhfeeders 0 Fee Circutts
0 to 20
mps 0 to 30 Am s 0 to30 A.
200
Above Am 31 to 700qmps 37 to 100 q
j
Swimml
Transios
i Above lIX)Amps
luigation Boort?s
Special Inspec!ion
.5
S 30
50 Above 7(10_Am{x+
Partiai: Other Fee
TOTALFEE
?
('
Nertarks . , i. (_ '
•`
Rowh-in oaie ? /
1, <he Ebctr'cal
- , Impec?or. herehy
tMt the above
Final
? `7t /J?`
O
? f?oection has 4een
F ""?
• / i made.
11brey?rtst vd? 18mdMauom
This reqae5t voiA ?
18 months from ? -
-?aT
? 085021
Fii'LicenscA
?Q Owner
MINNESOTA STATE BOARO OF u<<.????•
Grig9s-MiAwey Bldg. - Room N•191 04
1821 University Ava.. St. Peul, MN 551
Phona 16121 297.2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTEO 9Y THE STATE BOARD
UNLESS PNOPEp INSPECTION FEE IS
ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION ? EB-00001-04
' Sae instruchons for complaling this torm on back of yellow copy.
R"' Beiow Work Covered by This Request 1
Gdd Reo. Tvoe ot Bwlding? APP??encna W?reA E?mUmanc Wved
H
r
ouin i?nirc ia?in
InduStrial Bldg. Au Condivoner
O?her (SOenfyl
? O[her SPe.cify .
Lom
p pure jns
Fee pecuuo ree ?C/Vrv
ServicaEnVanceSixe b
Pee
Fendees/Subieeders
p
Fee -
Cvcwts
0 ta 200 Am s 0 w 30 Am s 0 to 30 Am s
_ Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool
_
Above 100Amps Above 100_AmPs
Transtormers nis
IrrlyaUOn Boo PdrtiaL Other Fee
aigns "r??•?--- - 5 rbS? TOTAL'FEE?I
He ?rks ....y 'T ` f ? /'/1-0(?
qouAh-i^ 4
I,thg ElecMical
InspeY hereby
r? cartifv thet the abova
???}}}
F,nal ??( ?
cJ U`??P
? ?nspectwn has been
?aa.
? d ?-< C<; n. v\ f IC (Tv
Re4n h red>In'sP >t?un oe. 6Y Now [] WiII Nnbrv Insoec-
?N` lor When ReadV
n Yes
ThIS request witl 18 mon[rre rram
Eleclnca? ConV?clor I herabV request ins0ec11on of above
elec<ncal wurk instelled at:
453-89-1
/4 5 7
Fl REQUEST FOR ELECTRICAL INSPECTION ?
Minnesota State Board of Electriciry
1621 Unwersity Ave., Rm. 5-128, St Paul, MN 55704
Phone (672) 642-0800
ome Duplex Apf Bidg. Ofher: New Addn
Commemial Industriol Farm Remod Re ir
A.r Cond. Hig. E uip. Waler Hlr. Lood M ml p?e(?
'?
D er
Range
Elec Heoi
Temp. Service ?
?'
W/
"X'"1 1ob\ove the work covered by lfiis request. Enler remorks in this space and on the back of fhe whi opy only
Sj?-t711p a
ColculaM Inspecfian Fee - Tbis Inspection Requesf will nof be vccepted wifhout fhe correcf fee'
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mabile Home Park Sfall 0 to 200 Amps 0 fo 700 Amps
Streel ltg./Tra'rfic Sig. Above 200_Am s ove Amps
Tmnsformer/Genemror MSPECTOR'S USE ONLV TqTAL
Sign/Oudine Ltg. Xfmr. ?
Alarm/Remote Conhol
$Wimming Pool
I
i
fi
B I hereb ce ihof ie Me eleciaml ?nskllafP de:cn6ed herein on the dalea stated
rr
ga
on
oom Ro?e64a
T Speciol Inspection
Inveshgafiva Fee
HIS INSTALLATION M
AY BE O
F.2
E D D CO ECTED IF NOT COMPLETED WI7HIN n M Nr c