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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 ? ? 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