2140 Cliff Rd - Electrical PermitsThis repues[ wol c??O L
?monpthqs/ ?irw/?n/?
1n[? lL1llM
?(« r?/I
?, -
R est Date
t? Fire No_ Rouph-in, l. ction
? ??ady N. Wfll NotHV ?nspec-
y
' ? 1 •? ?
?Y?s No b! W?1En NfdtlV
? Lftnsed Elec[rical Gontractor ? ryprgby Wequesl inspeccim of ahove
?e.-?? ral -i Hre.Ulletl aT:
Street Ad?ress, pr Houte N
.
Gity
, n
?
a
eciion - Townsh ame or No. Range No. LamY A
M
INTi?.1?
Occu
` Rwne Nn_
O
1
\A I
Povrer S Vli Address
J'
Elect cal Contract 1 om y.Na ) Coovac'?I??r s }h?cens¢ No.
Mai>np Ad ress Con[ra tor w Owne Marintp, IreUil tion)
AuH.o?f4d tur [or/Owner Maki lesUll ronl Phom NqMbeT
?
i?
MF1INESOTA STATE BOARO WELEC7AIGIT/
fi gpss-llidweY Bldg- - RoOm N-191
1821 University Ave.. SL Paul. MN %100
Phpm Ib'121 29]2111
BE ACCEPiEO•BY THE STpTE BOAND
UNlESS PROPER INSPECTION FEE IS
encwsEO.
?aU?r FoR ??rM I??? ??jq7F/
?? ? See imtructians tor rnnvbting this faR ?^ ?k of yellor copY.
1 Ul :: 7() rS 0 •'v" o?i..... W...L l?iwerPll hV TIl/S RCOUCSt
LD €a 1 J: i v
p
a of Bm10in9
T ApplianCa! ?ired ' EquiDmenl Wired
eo-
Add vo 7gn
prary Service
Nome y
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Elecvic Heatin
Conanerciai Btdg- Fu«?3ce Si!o Unloader
Industnal Bldg. Air Conditioner Bulk Mf Ik Tnnk
O?ha. ce??h' Duher ISpecihl
Farm
iMr SVCdfy
Oqher
9ihef
o mpute lns pecilon Fee Below _
F
ServiceEn<ra?ce5iza
k
Fee Feeders?5ublaetlers M' ?
? ?s
Fe¢
? ee 0 tn 30 Am s
Li U m 2W Amps O tp 30
A
Above 20D Am - 31 m 700 Amps 37 to 700 A
Pool
fmmin
S Above 700-?? A6ove 100-AmPs
g
w rtial-'01her Fee
Transfom?ers IRigatio? ?°'?s
Siq?s ?C1a1 ????'O? y TOTAL FEE ?
pouph-in Oate 1. tlK Elecvical
I?p¢ctor, hereby
( rti1Y thdt lh¢ abOVO
iBpeciion has been
Final ?vde.
1111111 griwid 16monms vun
c3/<?8/?7
C? 954 8 3,C/
Request Dare Fire N. Rough-in Inspedion
? '+ ? Ready Nov+?WiN NofiSy Ir?sPector
R¢q i"¢d
Ves No When Reatly?
I licensed contractor ? owner hereby request inspechon of above electrical work at:
Job Adtlress (Sfreet, Box ar Roule Qty
Section No. Township Name or Range No Coonty
Occupant (PRINT) Phone No.
Power Supplier Atltlress
Eledncal Cont ,`?? ??
? ?.r?nc $TFiM( Connactor5 Ucenae No.
MaJing Address (COMractor or Instellation)
?? mial
ANhorized Signat CoMr o40P g Installati I? Phone Number
MINNESOTA STATE BOARO OF ELECTFICITY 1- !_ Vr 7HtS INSPECTION flE0UE5T WILL NOT
Grigge-Mitlwey Bitlg. - Foom S173 BE ACCEPTED BV THE STATE BOARD
1821 Oniversity Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS 'i
Phone(612)692-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION r. ee-ooom-m ?
l b, See insiruchons ior mmpleting ihis torm on back ot yelloW coOY CJf
?' - 915,4g 3 `X° Below Work Covered by This Request
e Add Rep Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Buildin Dryer O[her (Specify)
omm./lndustri ' Furnace
Farm Air Conditioner
Other (specdy) ConVactor5 FBmarks '? ? ? • ?
/?? "?' ? ? J // //
Compute Inspechon Fee Below: BI}le /??cery ? ?(/¢G LI ?`?!
# Other Fee # ServiceEntranca5ize Fee # Cimmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 fo i0o Amps
Transformers Above200-Amps - ,? Above700-Amps
Sgns Inspector5 use Onty TO
Irrigation 8ooms
L
Special Inspection ?
Alarm/Communicaiion
Other Fee
I, the Electrical Inspector, hereby ROO9n-'" oa?
certifythattheaboveinspectionhas
6een made. Final ome
OFFICE USE ONLY
?is request v0itl 16 months from
G.
? & :3 L//
This re.quest void
18 mon[hs tram
RPniest Unte, Rre. No. Noupn-m?lnspectw eaay
RequireA Nuw Qwill Nnurv I p soec-
? '
- ??
?Yes a tor When Ready
icensed Electn cal Con[ractor I hereby requestinspactinn ot above
U -,ner ---
Cnv
Address, Box?u( Fo te .
Sveet
?
?
or N, Range No.
ectron o. TOhep Countv
Phane No.
Occuu n[ RINTI _
Power Suuulier Atltlress
Contractor?s Lmense No.
Electrical Contr6E7tf4Wt;(?y,6jo?rCLvfC'y?S ?fCS,iFRVICF,ENC.
I
Mailmg Address ICOnVactory(, p?r a ?nstallatioN OY ti
MiNNFAPOUS. MN VAN
Authorize Si na e(Con we r Ma Installat?onl Ph.ne Number
ucrTlem ncnusST wILL NOT
MINNESOTASTAyt BOARD OF ELEOflIGl?
Gnggs-Midway Bldg. - Ronm N491(
1821 Umversi<Y Ave., St Paul, MN 55104
Phone i612) 297-2111
BE ACCEPTEO BY THE STATE 80ARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION „ ee-ooooi-oa
? See insbucbons for completi
0853A "9 xhis torm s back ot ? Ilow coov
"X"
-
Below
Wark Covered 6 7his Re uest
Hdcl Fep. Type ot BmlAing Appliancae Wved Epwpruent WireJ
Home Range Teinporary Service
Duplex Water Heater Lighting Fixtures
.4 t Bwldin Dryer Electric Heatin
Commercia Btdg. Fumace SNO Unloade.,
Air Cnnditioner Bulk Milk 7ank
Farm otner 5prr.ifv otne. (Spacity)
ticr SuecifY Other 7th1r
N Fea Service EntrancaSize ry Fee ieeders/Subfeeders p F. Cucurts
0 io 200 qm s 0 to 30 Am s 0 to 30 Am s
Abvve 200 qm psi 31 to 1 UO Amps - 31 to 100 q y
Swimminq Pool Above 100_Amps Above 100_.4mps
Transiormers Irngatmn dooms ParLal,'Other Fee
Signs Sp cal
ei Inspection
S
J71.11 .. . . . . . ?,.
nw.In ?,_. . i ?? TOTAL FEE /
L
Ftnal-
radueslvoitll9monthsirom (;2':) LJkle V404'r,
L c - 1,?o i>
-I ;A[ 1Q.a
-?'
I ehe Electncal
?unspectoq herohy
certdy that the above
? /03/lv 5
? 0 7 ?
ci a
,
71m ghn Ins
eqmred?
Ye ? ReaOy Now spa??r
When Reatly'
IP,1nsed contractor _J owner hereby req uest inspection of above el ectncal work at.
Job Addra/ss ISlreet 8ox or ftou
O
?ctmn No Towaship Neme or N. Range No , Goum
,an;?pFINTi ?1
? Pnone NO.f1- ? fa -{ 7
T,De o L: .Le r7i.e. A fC
,
r Snpplie' ? f Atlaress
" Conireaors License No
i Gonvacmr ICO any Name) 4!Q?l
g Atltlrass IComremo? or eking inst uopl r/?
?909
A„na,?eo ?„ac,o,;ow,e,,?aR, ins,aiia„on, 7??
THIS INSPECTION REQl1EST WILL NOT
MINNESOTA STATE BOAAO OF ELECTRICITV BE HGGEPTED BY THE STATE 80ARD
Griggs-MiEway Bltlg - Room 5-173 UNLESS PROPER INSPECTION FEE IS
1821 Unrversity Ave St Paul. MN 55106 ENGLOSE?
Phone(612) 642-OB00 -
REQUEST FOR ELECTRICAL INSPECTION "-
"u EB 00001-08
?y
-
? Seo mslmctions lor mmpleting IM1U torrn on back ot Yellow oopy ?
n r n a? 7 t? "X" Below Wak Covered by This Request
eniWired
?
Newl Add ReP ?: T9PeO?BUtlding qppbances Wued - Eqmpm
,TMnoraN Service ?
??uplez
Water Heater Othe "' "
r (Spacify)
Apt Bwlding ?r er
Y
Comm Andustrial Fumace _
Farm Av Gondltioner
Oiner isyemfyi ? Gammmor's Rismalkiir
Compute lnspectron Fee Belaw # arcwcs/Feeders Fee
F
# er jh Fee ee
d Service Emrance Sze
0[a 100 Amps
-
Swimming Pool 0 to 200 Amps
pp _ qmps
Transtormers Above 200 - /+mps
TOTAL
SignS ?
inspectors Use Oniy
r
Irngallon Booms
Special Inspechon
non
THIS INSTALLATION MAV BE RED DISCONNECTED IF NOT
Alarm/Communica COMPLETED WITHIN 16 MONTHS.
Other Fee oaie
the Electncal Inspecror, hereby
I -??
Rough
,
certity tha[ ihe above inspecnon has ' oete
F,nai
been made .
OFFICE USE ONLV
This requer wid 18 manihs imm
c
R g . 2 14 k/ 48i ;v ,
Request Date Fire No qougRln Inapectlon
3 - ?.y 7
1 Requiretl'+ ? Ready Now )Ili Nohfy Inspector
?f
- Yes ? No When Ready'+
ID(licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Skeet, Box or RoNe No ) CITy
2/#0 CLIFF oAr? 'll G
Section No Township Name or No Range No Counry
'a T
OxapaM (PRINT)
? Plwne No.
41104,1 TT r'
Power SuppLer Atltlress
Elecincal CamracloY (COmpany Name) Contractor5 Lmense No
rJc FGTR1a Co c7 (oS???
MaAing Atldress (COMracior or Owner Makin9 1nstellatan)
G/I "X C S o R 13 v t7 P M a/
Authonzed Si eNre (COnir r ng Insta on) Phone Number
92a,.66A/ Y
MINNESOTA STATE BOAiiD OF ELE ITY
6jigga-MlOway Bltlg. - Hoom S
YB21 Universiry Ave., St Paul, MN 55109
Glione (612) 842-OBpp
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE $TATE 60ARD
?NLE55 PPOPER INSPECTION PEE IS
ENCLDSED
REQUEST FOR ELECTRICAL INSPECTION ,- . ee.oaam-m ?
/ lli? See mstruqions tor complMinq Ihis lorm on back oi yellow cupy.
(y (? /? ?
? C1 U?14 X" Below Work Covemni hv Thi.a Rwmract
ew Add Rep TypeoBwltlmg AppliancesWved EqwpmentWired
Mome Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt. Buildmg Dryer O[her (Speciiy)
)( Comm./Industnal Furnace
Farm ' Air Conditwner
01her (speay) Contrector5r? Femarks,.,
'7 7 .Yi' ? L??Lr.?-??"??? 91
?
Com te Ms ' 1J?TJf_
W pection Fee 8elow ?
# Other Fee # ServiceEntranceSrze Fee # CircuiGS/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abov 4 Amps
SIgfIS Inspedor5 Use Only TAL
Irrigation eooms ?.
S
ecial Ins
ed
p
p
wn ?
Alarm/Communication C
,
Other Fee Ic? ' JG : _ti ;
I, the Electrical Inspector, hereby
certify that the above inspection has
beenmade. pO°9h"" ?
F??? ''' oat
'?
OFFICE USE ONLY
This requeet wid t8 moMhs trom -
J