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3080 Eagandale Pl - Electrical Inpsections/Fc- - 41 7G 52f/ ; a 4 8 51 LI/ Bl ff it,- 1? q01 w Request Da o. A. (Y h n psectwn Required usl call inspector when ready) Ins ection Other TW&Aough-in Ready Naw Will Notify Inspector ? Yee ? No Data Ready k licensed contractor ? owner hereby request inspection of above electrical work at: Job Address IStreet. Box or Route No.) / CiTty Section No. Townshi me or No. Range No. County Occupant (PRINT) Z' Power Suppler y- t ;A C L? i Adtlress Yom- a?a? • - 's oa ,p Electrka ontra<IOr Company Na I I;or)Lrac 0 N'Y'Y2 M ing Adtlress I omra r or Owner eking Install i m Autnoriz nature ICOngactoY. iner MaI g InslMal g Insl onI Pho a Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Midway Bldg. - Room 5-179 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. ??4J4, REQUEST FOR ELECTRICAL INSPECTION "' See Instructions for completing this form on back of yellow copy. C1 4 1 9 2 2 "X" Below Wont( Overfed by This Request 49lr>YqAa 41- .i ew Add Rep. Typeof Building Appliances Wired Equip Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (sVeoify) Contractors emarks: /,95174` Compute Inspection Fee Below: # Other Fee # Service Entrance Size ee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 ps Transformers Above 200 _ Amps 00 Amps Signs Inspectors Use Only. OTAL Irrigation Booms / Oin -?? Special Inspection (? Alarm/Communication THIS INSTALLATION MAY BE ORDE S C 1 1 Fr. TED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby tif th t th i b Rough-i Date y cer a e a ove nspection has been made. eI oat OFFICE USE ONLY This request void 18 months from /at?xo ? M 4192??N i 'X5o `i Re0uesl Dare F " o. o. Rou do I ps etl Inspection Other Tha Roughin pre (You mu call' sp rwhen ready) ? Reatly Now Will Notiy Inepedor GJX ? Yes ? No Dale Ready ) licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.j City Bection No. Township N or No. Range No. Co Occupanl(PRINT) Phone No. ?s^ ,,??JJ Po Supplier - ' Address TL K it- 2-6 L:7 -1 e 43 190 ylil? I Electncal ontractor ICO pony NameI A /? . ,l ? ` tractors LF 5G1y Mailing Address (C . ctor or w ne skin loot Aulho-etl nature IC tai r eking Ins Phones Number. MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. IIIIIIIII III III III II III II III III I I II REQUEST FOR ELECTRICAL INSPECTION I{I? Minnesota State Board of Electricity 1821 University Ave., I. S-128, $ Paul, MN 55104 * 0 3 4 5 7 0 6 6 Phone (612) 642-0800/1;1-/5/,V Home Duplex Apt. Bldg. other: ' New Addn Commercial Industrial Form Remod Re air Air Cond. Htg. Equip. Water Hh. Load Mgmt. CNher: r Dryer Range Elec. Heat Tem .Service p/,./. G<j fbG' i 171,1 "X" above the work covered by this request. Enter remarksth s e and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: 01her Fee ¥ Service Entrance Size Fee ¥ Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps 5treet Ltg./TraRic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL ? ? Sign/Outline U9. mr. ? Alarm/Remote Control nhol Swimming Pool I hereby c fivl I inx a lotion deun'bed herein on fha dare: eM*d Irrigation Boom Rough-l, Dab Special Inspection Investiga}ive Fee al Date THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 345-7M © OFFICE U^SE/9pNL?This request void 18 months tram validation dale printed in this ?? - F' CIO, ?Il BI " PLEASE PRINT OR TYPE , CiI Request Date Rough-in mspedion req i ? Yes A3 14o 1 O er Than Rough -In: ? Ready Now Will Coll (You must call the inspedor when ready) Date Ready: I, licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Sheet, Boa, or Route No.) 3080 G rP9L/? ?? City ?G?? Zip Code fi2 Sedion No. Township Name or No. Range No. Fire No. County Occu Phone No. /? y Pa., Suppplitir Address Eletln'o ILontman r (Co sty Name) Contractor License No. Mauer Lia No. (Plant Elti Only) Mai in Address (Contractor or Owner performing Installation) As, Si sfure (Contractor or Owner Pe ing 'o Phone Na. l -OOODIA-1 STATEBOARD COPY. SEE INSTRUCTIONSON BACK OF YELLOWCOPY ofTEllectricry INSPECTION 60 GfA" ELEC ?I I I I I III I I I I I I VIII Minnesota State OR 1821 University Ave., Rm. S 128, St. Paul, MN 55104 s 0 3 4 8 2 8 2 5 Phone (612) 642-0800l 9/9& Home Duplex Apt. Bldg. Other: ew Addn Commercial Industrial 1 1 Farm Remad Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Tem . Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Otfrer Fee # Service Enhance Size Fee # CirNlls/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./Troffic Sig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTOR'S USE ONLY TOTAL Sign/Outline Ltg. Xfmr. W S Alarm/Remote Control - / Swimming Pool I hereby cerlll that I ins a ale a ollation described herein an the dates stated Irrigation Boom R.,h-In Date Special Inspection Investigative Fee Final Data /V 1 r THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 3 ]I ?` n O n t ( o G OFFlCE 1f5E ON Y This request void 18 months from validation dare pnniod in this box / 99& ?// ? f?rXy Oa yn PLEASE PRINT OR TYPE / cJ '/ Request Dare Rough-in impection re ed ? Yes El Ins n n Other Than Rough-ln: Ready N. p Will Call (You must all the impedor when ready) Do sods: I, licensed contractor ? owner hereby request inspection of the above electrical work at: Job Address (Street, Box, or Route No.l City Zip Code .7080 dLw Se xm Na. Township Na or No. Range No. Fire No . Coanly Occupant Phone No. « /s Powm Sapp ier Address Eloona l Contactor (Company Name) Contactor Llrense No. Mash, Lic No. (Plant Elect Only) ?r COC Mailing Address (Contmdor or Owner Performing Inslollabon) 6 y 4 r/o-T " a, ,w Authorized Si nature (Con ctor ar Owner P 'n nstallation) Phone No. - t/A2 EB-00001 A-10 6/95 STATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELL OW COPY N 41851 REQUEST FOR ELECTRICAL INSPECTION ? See Inseuctions for completing this form on back of yellow copy. X" Below Work CoKiered by This Request ,a ¢° ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommAndustrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks:/J Compute Inspection Fee Below: ??? ATT G1 E0 10 L--/r?" '/ • # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Am - e 100 Amps Signs . Inspectors Use Only ='Y1 TOTAL ? Irrigation Booms ? O Special Inspection Alarm/Communication THIS INST ORDERED DISCONNECTED IF NOT Other Fee COMP WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough- F, Cate / r Cale T OFFICE USE ONLY This request void 18 months from