4429 Clover Lane - Electrical PermitsHEQUEST FOR ELECTRICH. . .oPECT10N
Ik See instructions ior comDleting thns form on beck o/ yellow coOV.
8 6 4 X" Selow Work Covered by This Request
ee-oooot.oa
c.na fleu- Type o+ euuim?e aooiot- ?a: w,,ea eauiument Wiled
"
Home Range Temporary Service
Ouplex Wate? Heater LiyhUny Fixtures
Apt Bwlding Dryei Bectric Heatm
Cominercial gldy. fuI nace Silo Unloadef
Industnal BIAg. Art Condinoner Bulk Milk Tank
Farm ?ne, oe?'rv 1n,
t er Ueci y Other Othcr
v?i
k N?a. .
Fea ...
? ?............ .v .
ServiceEntranceSiza
d
Fae
Fexders/Subfeeders
N
Fe
Cvcwes
0 to200Am s 0 ro30Am s ?0 tn30Am s
Above 200 qmps 31 to 100 Amps [ •31 to 100 Am s
Swimming Pool Above 100-Amps Abov 100_AmPs
Transiormers Irrigation goonis ParLal/Other Fee
Signs Special InspecLOn TOTA
Pemarks
flouBh-in On[e ?
5 ?? I.the lec eal
Inspec . leraby
carldy Ihat the nbove
Final ?
J ? /p ?
?I ?'i1e y4
l!7•rV i^soection hes been
mada.
mis requasl vaA 18 monNa Irom y?
Tbis reaues[ void ;L A' `
18 months (rom
f 7Rr, d Ll97,A -A_ ?ll 7-
Requesl Da+e Pire No. flouph-in Inspecbon
Re urted?
ED]Heatly Nuw ill NoufY Inspec-
50
es ?NO 1-1 When Ready
? Licensed Electncal Contractor I hereby requast inspaction oi above
n Owner electncal work inslallad at.
Street Address, Box o, 0.oute No.
-4nii 4z? G Gtv
F-a
ecUOn o. Township Name or No. Ranye No. C?ountY
Occu4ant (PpINT) Phone Np,
Pow r SupDber Address
EI rSncal Contractor (COmDanV Name)
?t?? '(?4- `E?' ConVZr.lor'S License No.?
q--? -1 `6
Mailmq Address ICOntractor or Owner Makiog InstallatioN
C>>S
.4 ?zed Signamre IConvacror/Owner Mabng Ins[allaLOnl Phone Number
MINNESOTA STATE 90AflD OF EIECTRICITY THI5 INSYECIION HEQUE51 WILL NOl
Griggs-MidweY 91d9. - Room N-197 gE ACCEPTED BY THE STATE BOAHD
1821 UnrversrtY Ave., St. Peal. MN 55104 UNLESS PpOPEF INSPEC710N FEE IS
ENCLOSED.
Phone 16121 297-2111
This request void '/,?'3/fll J' ? 7, Gl'??
18 ?nths fmm
C 18076 L?; ? e?-.
Reques? Da?e f?re No. RouPh-in Inspecuon
Requtretl? DReady Nuw Wdl Noury Inspec-
? es ?No " [or When Ready
? licenged Electncal ConVactor I hereby reouest insoecbon ot ebove
? Owner e leclrice I wnrk i nxtx I Iwd ac
Sveet Address, Box or qay No.
/ C ?
? 1 Crty
??.?.-
ecuon o. Township Name or No. flanye o. County r%
?
Occuua WTI
Phone Ne.
POwer Supplyer Addre.55
Electr al ConVactor (COmpany Name) Cnnvactols License No.
?
?
-k
X
Mai ing Address IConVdctor Owner Makinp InstailaLOnl '
?
?
,
?.?
Authonzed Signature (Con/tt?actodOwner Making InstallaAtronj
Phq,,¢ umber /1? .
?
.?{
?Ci
mirvrvtsOTA STATE BOqqD Of ELECTNICITY
Grie9s-Mi ? ey Bldg. - Hoom Nd91
1821 Uryiv9rs,ty Ave., 51. Paul, MN 55104
Phone (812) 287.2117
Fnis I rv5vEC11oN REQUEST WILL NOT
BE qCCEPTED BY THE STATE eOARD
UryLESS PFOPER INSPECTION FEE IS
ENCLOSED.
c, f?3/,F? REQUEST FOR ELECTRICAL INSPECTtON EB-00001-09
/ See instrucbans far com lelin this torm on beck of y /?
? a 9 vellow coov. ?/?
/
? 1 Q n 7` ""X" 8elow Work Covered by This Request ?" 7
{.?? ?„Jp. TVpe ol Bwldrn9 AOpIiancea Wved EqoiUment Wved
Home Range Temporary Service
Duplex Water Heaier lighUny Fixtures
Apt. Bwlding Dryei Electnc Heatin
Cominercial Bldg. Fumace Silo Unloader
lndustnal Bldg. Air Condinoner Bulk Milk Tank
Farm Other oeci v Oihe, (Snor,ifvl
t er Sueu(y Other Othor
p Fea ServiceEplrence5ae k Fee Fexders/5ubteeders k Fee Cvcuits
0 to 200 Am 5 0 to 30 Am s ? to 30 Am s
Ahove 200 Am xs 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Booms Pdrt?al,?Other Fee
Signs Special Inspection S4 _ TOTAL F?l
pemarks ? U ?
1
RouBh'uo Date , tha Ele
I `
? U' ns0ec,or, heraby
cer?dy that iha above
Fnal D?I//46 mspecLen has been
made- ..
(Fla reQUeat vald 18 moNha trom
REQUEST FOR ELECTRICAL WSPECTION E8-00001-04
H
I, See instrucLOns tor complebng this lorm on back ol yellow copy.
C 7854 "X" Be/ow Work Covered by lhis Request ?A
FAd Type ot Bwltlmg AOObaoces Wrted EqmVnient Wired
Home flanye Temporary Service
Duplex Water Heater Liyhnny Fztures
Apt Bmlding Dryer Electnc HeaLn
Commeroial Bldy Fumace Silo Unloader
Industnal 61dg. Air Conditioner Bulk Milk Tank
Farm tne, paci v emer lsnc,,r,)
? er Spcufv Othcr Oiner
CO/I]D(/IE IASDBCIlOtl FPP BPIOW
# Pee,, ServmaEnhanceSize d Fee Feeders/Subfeeders ? Fee_ Crtcwts
?; U to 200 qm s D ro 30 Am s cV, 0 tn 30 Am s
Above 200 Amps 31 to 100 Amps _l.? -'?1 ta 100 q y
Swimming Pool Above 100_Amps Above 100_P.mln
Transmrmer5 Irngation eooms PerLaL"Other Fee
Signs Special Inspection
'
$ '? \
T T
Pemarks ?
S AL FEFi? ?,1
? ?
.- r
Rough-o Da[e
? I, the Elec nce
? insoectoq by
cerhly that the above
Final ? le inspection has been
?j `l" ;Z mede.
Thie reUUeaf voltl 18 monthe from
ihis re0uest void 41 ?? y^'?? ?O / y 5 f
18 months from
C 7854 4i?
Fe uest nate Fve Np. Nouph-in InsVecbon '
F? w/reA, ?fleadY Now W?irIlWhen1fReady eC
?'?'es ?NO .
? licensed Electncal ConVactor I hereby requesl inspection ot ebova
n Owner electrical work installed et.
5[reet Address, 9ox or Route No. c'tv
ecLOn o. Township Name or No. Range No. Cw?n?ty
OccoUan[IPRINTI Phone No.
c
d
7rsc
Powe $up0i ier Address
/ J
Ele} ?,cal Contracmr (Comvany Nnme) Con Snaor's License N^, +
-A tQ?
Mailinp Address IConnacm`^` Own r Makinp Insiailavon)
(1
u
?
?
¢ed Sienamre (COnttaciodOwner Making InstallaUnn)
"'
A o Phnne Number
5 . ?d
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MINNESOTA STqTE 90ANO OF ELECTRICITY IhI5 IrvSYeciiUrv ntuuesi wiLL rvUI
Griggs-Midwey Rlde• - Reom N491 BE ACCEPTED BV THE STATE 60AND
MN 5510G UNLESS PPOPER INSPECTION FEE IS
1821 UniversItvAVe., St. Peul, ENCLOSED.
Phone (6121297-Yit1 _
This request void -V - p'rf'
18 months from '
?
C 7855
Fequest Da[e Fire No. Rouph-in Inspectwn
R quired?
E] ROatly Now?ill Nouty Insoec-
5 ? es ?NO a? When ReadY
? Licensed Electncal Con[ractor I hereby request insPecOOn ol ebove
? Owner elecincal work installed aY
Sveet Address, Boz or Route No. +.'
?, ? ?V?V'
\v? ? V
ecuon a. Townsh.p Name or No. Rande Na. C
OccupantlPqlNTIa A Phone No.
Pow $uppliBf Atldv255
c.? c?,?
tn'cal ?ConactoJ?r (COympa/ny Name) ? I
Elec
C_ Com/ra?r.mr?s Li c nse N..
a
j5`?l_/1
Ma?ling Address IConvacto? r Owner Making Instailabonl
?v n
r¢etl Signature IConvacm O ner Makine lristallauoN Phone Number
MINNESOTA STATE BOARD OF ELECTHICITY THIS INSPEGTION NEQUEST WILL NOT
Griggs-MiAway etde. - poom N•191 gE ACCEPTE? eY THE STATE e0AN0
1821 University Ave., St. Paul. MN 55100 UNLESS PPOPER INSPECTIDN FEE IS
Phona 16121 29]2111 ENCLOSED.
? q REQUEST FOR ELECTRICAL INSPECTlON es-wooi-oa
1 See insVUCVOns for complabng this fwm on beck of yellow copY. l G?/
/
r "X" Below Wark Covered by Ihrs Hequest
dA R Ty e ol Building APDltances Wiretl Equipment WveA
ome ftange Temporery Service
Duplex Water Heater Lightiny Fixtures
Apt. Bmlding Dryei Electne He2tin
Commeraal Bldy. Fumace Silo Unloader
Industnal Bldg. Air Condrtioner Bulk Milk Tank
Fafm Othrvr Pe<,ilv .thae ISOocJVI
I er SuociTy Other Othar
p „yu
Feef .. r...
ServiceEnNenceSae
H
Fee
FexAers/Subfeeders
k
Fee -
Cvouits
U to 200 Am s 0 to 30 Am s
' ..
. 0 to 30 Am s
Above 200 Amps 31 to 100 Amps < 31 to 100 A
Swmttning Pool Above 100_Am s Ahove 100_AmPS
Transtormers Irr?gation Booms Partial. Other Fe
$iyis Special Inspection $
7TOTAL FE
Rgmarks
?
qou0h-in DQfe I,the Elact
, Insoecior, nereev
cerbfV that the abova
Final inspaction has been
. i _.. / /
lrhIS reQuest voltl 18 monlhs Irom
/ y