3501 Coachman Pt - Electrical PermitsC'-//.;? - j ,-7?J
REQUEST FOR ELECTRICAL INSPECTION
00- See in5lmcLOns tor complelmg ihis (orm on Oack ot yellow copy EB-oooo i -os
"X" Below vVOrk Covered bv This Reni ?u...
Neu Add Rep. Type of Bwlding Apphances Wired EqwpmeM Wved
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industnal Furnace Other (Speafy)
Farm Air Contlitioner ,
Olher (epealy) Conhacror's Remarks
Run rigid from fuel island to
Compute lnspechon Fee Below
, mdlritE?riaII
# Other
Swimmin Pool Fee # Service Entrance Size Fee Sf Circuits/Feeders Fee
Transformers 0 to 200 Amps 0 to 100 Amps
SI Above 200_Amps
' _Am s 11
P
fIS Insp ecmr
s Usa Only TO
Irrigation eooms ?
1-0 " TAL
S ecial Inspection
•1(/ j 20.50
_
Alarm/Communication /
THIS INSTALLATIO
Oth
F N MAY BE ORDERED pISCONNECTED IF NOT
er
ee COMPLETED WITHIN 18 MON
I, the Electncal Inspector, hereby Ro°yn'" oaie
certiry that the above mspection has
been made oa?
.? _
OFFICE USE ONLY
Tnis request vaitl 18 momhs Irom '
0? 1?1?Z?523 ? /?- o/ ?oo - oio -a e ? s
950
277
Request Dale Frze No Raugh-In Inspecliun Feqi Inspec4on plher Tnan Raugh-In
5/ 1/ 9 5 (You musi call inspeclor when reatly) Reatly Now ? Will Notiy Inspector
? Yes No R¢atl
I L.licensed coMractor ? owner hereby request inspection of above electrical work at
Job Atltlress ?3lraep 6ox or Routo No 1 CitY
3501 Coachmen Road Eagan
Sadion No Township Name or No Range No County
Dakota
Occuoent(PRINn Phone No
Eagan De t of Public Works
PowerSupplier Atltlres5
Elecincal Conlraclor (Company Name) CoNractoi s License No
Americn Eagle Electric, Inc. CA00161
Mailing Atltlress (Conlracloror Ovmer Making Installalion)
18475 Rum RiverBlvd NW Anoka MN 55303
Authonzetl Signe[ ?Conuactor/pwner Makmg InstallaM1On) Phone Number
753-0438
MINNESOTA STATE BOARO4F ELECTRICITV
Gdggs-Midway Bltlg. - Room 5428
II ! 1H15 INSPECTION FEQIJEST WILL NDT
1821 UNVeraity qve, SL Paul, MN 55106
I' I
I
I I
I
I
I I
I
II I
I BE ACCEP'ED BV THE STATL 80ARD
UYLESS PROPER INSPECTION FEE IS
Phune (612) 604-0800 u I ENCLOSED
0?13??581 ? ? 9?os
.
ao d'
Requ st Da Fre N Rou -In Inspecvon Reqmre0
(YOU mru?sl call inspeMOr v+hen rea0y) Ins ecbon Othar Tharrrn---...tttR,,,o'''"""u'''gh-In
? Reatly Now ?y}?ill Notdy Inspector
d J Vas- No Dale Read T
licensed contractor ?owner hereby request inspection of above elecirical work at:
Job Atldress (Slreet Box ot Rowe No I
? Qty.?+
O H'1
R.6Q 1...Ac,r1 ") 5sI z-7-
Secnon No TownsNp Name or No Range Na Counry
Occupani
IPRINTI
C
f Phon
?5,
o
`
ol ?? -
o
Power Suppuer AOtlress
Electncal ConVatlor (COmpany Nani Conlractor's LicensB No
0,,?_'nte?
Matlmg Atldress (COntractor or Ownar Makmg Instellallon)
l _i
V
Authonzetl S naWre (ConlraclodOwner Makinq Installation) ?hone Number
?sa 3 9?6
GB ggU
M tl
w
a y ?Itlg ??
5??8
?C? I I I I I I I? 1 III ?
P
T
^
?
?
??
5104 I I I I I I 1 OP ER MSPECTIO BF
EE
S
UNLESS
Phone (612) 6GP0800 ? ENCLOSEp
REDUEST FOR ELEC7RICAL INSPECTION
? See mshmcLOns tor com
ietn
tNS lorm
n b
ll
k
l
,?EB-OOOOtR- 9
p
q
o
ac
o
ye
o?v mpy
"X" Below Work Covered by This Requesf
Ne Add Rep. Type of Buildmg HppliBnces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Builtling
d Dryer Load Management
Comm./Industrial Fumace Other (Specif
Farm Air Contlitioner
Othar (spectly) Con[raclar'S Remarks, ? s
Compute Inspechan Fee Below'Zn`-/(?'?? ?n' C? '?
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200
Am s
0 to 100 Amps
O.
Transformers 200_
Above Amps Above 100
A ps
SI f15
Inspectafs Use onry k
Irrigation Booms ? S?
5 ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE
DISCONNECTED IF NOT
Other Fee ,
COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
certify that the above inspechon has
been made. RO°9h'? Date
.J
OFFICE IISE ONLV
' This repuesl voitl 18 monms trom
?3 ?2 ? /1e
,8 a'ffli .'s°
?3
? ?
?-(?? ?
c.? m P ?
Request Da[e
^ i? ?
/ No
tF,,, Rough-in Inspemwn
Requiretl? y
G Ready Now ?Q WAI No?tly IndYspecror
? ?WhenPea?
/ ?Ves No
I f licensed coniractor O owner hereby request inspection of ahove electrical work at:
JoC AOOress IStreat 9ot or FaNe No ) Ciry
??
c? a ?
c?- O? ?\
Section No Township Name or No Range N. Counry
Occu aM (PRINT)
t o?
E Phone No
s?-gJno
Cl-- 0.
Power Supplier
c.,?.G.?6 ?
e_c-?? / ? Htltlressr
YAY m,,•? t
?[:?
Electncal Contractor (Company Name)
Vactor§ liaense No
15_? C-j2
Mailing Atldre ConVador or Owner Mabng Irjstanllallon) ` `J 1
?V
1 ? ? ?
Authonz/ed,/? gnaW re(Connactor/Owner
// / VC'?l/Vl Makmg Installatwn)
?? M . Phon?e /Nu+myber
?/' f ? ' /?2
MM TA STATE BOARD OF ELECTHICITV ?
G.Igga-Mldway eltlg. - Room S173
18Y1 Univerefly Ave., 51 Paul. MN 55100
Phone (612) 642-0800
TMIS INSPECTION REQUEST WILL NOT
9E HCCEPTED BV THE STATE BOAPO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
[J ?^ REQUEST FOR ELECTRICAL INSPECTION E&00001-OB
7/// ? Sca msVUClions for completing this tortn on back oi yellow copy ??9 !v'
m Zr, `? 1?p "X" Be/ow Work Covered by Thrs Request
••••
ew v
Aad v
Re ? v..
peofBuJdmg
App?iancesWired
EqwpmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Budding Dryer Other (Specify)
Comm./Industrial ' Fumace
Farm Air Condihoner
Other(specity) ConVacmrS Remarks
Compute lnspechon Fee 8elow:
# Other Fee # Sarvice Enirance Srze Fee # Circuils/Feeders Fee
Swimming Poal 0 to 200 Amps 0t0 100 Amps
Transformers A6ove200-Amps A6ove100 Amps
Signs m?s peedo?s use oniy , L .$o
tJ'
r
Irngation Booms IG
/
J.04
?
a
Special Inspection b?ccu?,..3..
ser? I?e ?Y?.,.iQ y
Alarm/Communicalion TNIS INSTALLATION MAV BE ORDERED DISCONNE7:TED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9n-in Date
certdy that the above inspection has
been made. F,nai oa
?` ?
OFiICE USE ONLY
This request void 16 manfis (mm
Phone
.?vv
?l1 yap
i ni5 INSPECTION REOUEST WILL ryOT
BE NCCEPTED BY THE SiATE BOARD
UNLESS PqOPER INSPECTION FEE IS
ENCLOSED
,REQUEST FOR ELECTRICAL INSPECTIDN
? 19396 See rnsvucnons for ppmpletmg Ihis brm on back oi yellow <opy
Aiiri "X" Be/ow Work Covered by Thrs Request
PW 0.... ? . ._
5 yi " '?'# EB-00001-08
?,,,.
I / / I., /n S
'? CJ
/jr 55 3
65556 i ?
o-o
Pequest Date Fve N. Rough-in Inspection
Repmrei
? Reatly Now ?Will Notily InsOectar
Yes _ N. Wnen Reai
I? licensed conlractor ] owner hereby request inspection of abov
Job Atloress ?Slreel Box or RaRe No 1
3s'oi CcA,,?i Piii
H ?,gz19nS
Secvon No Townsnip Name or No RanGe No
/
Occupam (PRINT)
C'i-?r.f, ? -
7?*c., Phone No
L-&7/- 3,i
Power Supplier Atltlress
Eie/c[ncal ConVec[or ?IC?Ompany Namel
? Gonlre?ct7or?§
yLitense No
TiC.l1Q.l/ U
C V_22?
Maling Aodress 6onlracbr or Owne' Mnxing Installa ?
?vs6, ?''????,??,?,, ?,,Nti,
s??azc7
Aulhw¢ed &gn&lure IGOnVactonOwner MAkin I?ytallalio ?
1?'le? ?t.! ?1? PM1One Numeer
MINhE50TA STATE BOARO OF EIECTRItlTV
Griggs-Mitlway Bltlg - Foom 5-173 TNIS iNSPECTION FEQUEST WILL NOT
1821 Oniverspy Ave. SI Paul, MN 55104 BE ACCEPTED BV THE STATE BONRD
UNLESS PROPER INSPECTION FEE IS
Phane(612) 6d0-pg00 ENCLOSED
/!?/ REQUEST FOR ELECTRICAL INSPECTION es-ooom-oe
? See msimclions (or compienng mis lorm on pad ol ye?low capy z
Q F; S 5?F; "X" Below Work Covered by This Request
ew Ptlv Rep Type of Bwlding App6ancesWired EqwpmentWired
Home ?Range 7emporary Servwe
? Duplex Water Heater Elec[ric Heating
Apt Buildmg Dryer Other (Speaty)
Comm/Industnal Fumace j( Wri
Farm qn Conditioner (p?,Jp?"jpy
-?IOtner Isyentyi Cont,acmrs Remarks
Compute lnspecfran Fee Below
# I Other Fee a ServiceEntranceSae I Fee # CucutlslFeeders Fee
! Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
hansformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeaor's Use oniy i T TAL
?
Irnganon Booms ?
Special Inspechon
- Alarm/Com HIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
1 Other F e „?y71 O LETED WITHIN 18 MONTHS.
I, the EI al Inspector, hereb
certify that the abov as
? been made Ro n
F,nai Date
y
J
OFFICE USE ONLY
TM1is requesl voip 18 monlhs Iram
?
This raquest void7-Z W
1E months from
?ff 07441.0
/o c>r(poo 01o z$ 37V 3,;-,L
M), o^
Repuest Date Fire No. Roueh-in InsuecUOn yy?? v
? Re rteA7 ?qeatly Now I XWrII NouW InsDec-
'
, A.I`j 12g3 l?Y?t ?No ?or When Peatlv
r
_&icensea [iectncal CoVtfPr I 1 1 haraby request inepec4on of above
wner C3U lq l ALIdIh Q N. 1 electncel work installed at
Str t AdOress, Boz or Rou[e No. Ciry
m r?
ecuon o. Township Name or o. Range o. County
I a ?
Occupanl (PqWT) Phone No.
/t/
Power pp ier Address
Ele tncal coatractrgj? ompany Name) ? Cuntrar,mr's Lwense No.
' !.
Madinp Addres nVactor or Owner MakinG stallaLON
?.? Pau,? 1o z
Autho Sona re racl r Owner Install tiun) Phone Number
NriNESOTA STATE BOAqD OF ELECTqICITV HI INSPECTION REQUEST WI L NOT
gga-Mitlway BIdO. - Aaam N•191 ? e CCEPTEO BV THE STATE 90APD
1821 UnivarsitY Ave., St. Paul, MN 65104 UNLESS PflOPEP INSPECTION FEE IS
Phonn (672) 297.2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See inetruetions for ComplBting thig }ofm On bnck af yellow copy. .41. BeTOw WOrk Cov?ered by This Request ?'lU
7441
HAtl qap. Typa of 9wICU?U qpphances W?retl EquiV?ien: W??eJ
Home Range Temporary Service
Duplex Water Heater LiGhtiny Fixtures
Apt BwlAinc? Dryer Bectnc Heatin
Commeraal Bldg. Fumace Silo Unluader
Industnal Bidg. qir Conditioner Bulk Milk Tank
Farm in,,, oe=, v ome, lsuomfyl
S ? ?v ot er o?nc
Cmm nuf a ln? ?<?? .,., r,.,, a,.i,....
p Fea ServmeEntrencaSize p iae Faxders/Suhfeedera k Fxe Cvcmts
0 to 200 qm s 0 to 30 Am s 0 tn 30 Am ?
Above 200 Am ?s 31 co 100 Amps 31 to 100 Am s
Swimming Pool Above 100._Am s Am s
Above 100
Transiormers Irngation Booms O _
Partial-'Othei Fee
Si9n5 ? Sp@Clal If15?eCtiOn
R 3rks 5 TOTA
/ ?
!kW tv
pfi/C T q" . 0
Pough-in .
/µ 2 ?a[e
1. [h ICTI
Insoector, he,eby
Final e cerhfy thnt the above
? IlspBCIl011 h0s CeBn
ade.
This request void 7?Z(? ??b bl (O?O ??fl Zg
1q8 ?rt?nn('t?hs fmqmq1n
VMW 1 F? Ll ll /
37Y3V
25.OG7
Fenuest Date ? Fre No. Ro Pepmugh-reA m,Inspection eatly Now ? Will Nnuty InsOec-
?
3
?Ves ?NO
tor When Ready
z d
licens4d Electncal ConVactor I haraby reques< mspecbon ot a0o1e
n....,o. ! o?I 16 A_ A.. elecfncel work ?.stellatl eT
t l
Street Atldress, 8ax or RouCe No. '
clty
?oa all?fir !a A/?l .Ef< I'
ecLOn o. Township Na e or No. Range No. County
y-?
? ? f/
Or.capja?m (PRINI)
? Phone Nc.
/?a ,o $ s
PowerSupplier ? OT,Q F4C, ?'-CIOP tldres ? i
=
ar 999 l?/
actor (Company Name)
Electncal ConV Contractor?s License No.
?
' 'T ( H (/ ? GT n.? Z
ailing Address IConvactor or Owner MakinP lnstallauoN ?
?7d Gr ? ,/?
!?°_/ ! au? A? .????d'?
Authoraed Si cure IC nvator Owner Ins[allaLOnl Phone Number
aa0 -a?
/,jmNNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOFND
-?GriB9s-Midwey gldg. - Room N-191 UNLESS PFOPEN INSPEGTION FEE IS
1821 University Ave.. Sc Peul. MN 55704 ENCLGSEO.
Phnna t6121297-2117
REQUEST FOR ELECTRICAL INSPECTIDN Ee-00001.01
w,
' See lnshuchons for comola4ng th.s form on back oi yel low copy.
?74412 ? ?-?l?a 3Y
••V••. ? inu. IA/n.L !`n.mrnrf fiv Thic Ranua.ct
" Hdd B.P. TYOa of Builtlmg APnliances Wrted E9??i0ment Wire?
Home flange TemporaYY Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uilding ?ryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Industnal Bldg.
Farm Air Conditioner
OMe? ? Pou v Bulk Milk Tanla
Mer ISUUCifvl
v Other Othcr U? PS
Date
Hough-in I. She Elacvmal
1
Inspectoq herohy
---,-4,, thet tha above
Fnal te_` ?nspection has been
?/? ? ? 7 mede.
Thls request voia tn manmv umni
This request void 7- Z4o
18 nianths From
W.07441 3
la ol(noa oto Z8' 3-7 q 3;Z
ao, ac?t
Feq
ues
t Oate Pire No. q
Insuection
ugh
?
? ed
e
R qeatly Num? ? Will Nobfy Ir.speo
p/(? 4 v g() / v ? Ves ? No [or When Ready
ja\LIcen$etl Elec[neal Contrac[or I hereby requast inspection of above
"? dwne" r?,q lq. Pnac? mQm je a electncal work mstallad ab
Street Atldress, Box or Route No. Crty
?
C R/ !.s O cf
ec on o. Township Name or No. Range No. County
/ ?-
Occupant IPRINTI Phone No.
A Ov ,? b j rt !5%
Pawer Suuplier A OrA r! 'G1E 55.1 Address A? qF6 09 p
,? N SSO
Electncal Contractor ICompany Name)
? deAA/F( G r// Conhactor"s License No.
r-
c. -
Mallinp AdJre s(Convar,tor or Owner
Ma bng nstailaLOnl
?q / . 122
Au[hor¢ed Si wre ntracmr Owne g InstallaLOnl one Nurnber
+( ? OC `6??7
?nINNESOTA STATE BOABD OF ELECTPICITY
? Griggs-Midwav Bldg. - Noom N497
1821 UniversitY Ave., St. Paul. MN 55104
Phone (612) 297-2111
THIS INSPECTION PEQUEST WILL NOT
BE ACCEPTEO BY THE STATE BOAND
UNLESS PFOPEP INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa
, $ee insirucbans lor completin9 this form on back of yellow cooV.
?
.??4413 .? 37?3?
? X' Be nw Work overed by Thrs Request ?1 ?l g a
AAd R.P. Type of 9uiltlmq Apniinnces Wvetl EquiVni¢iit w,ed
Home flange Temporary Service
L)uplex Water Heater Lighhng Fixtures
Apt. Buildinq Dryer Electrvc HeaLn
Commercial 81dg. Furnace Silo Unloader
Industrial Bidy. Air CondiUOner Bulk Milk Tank
Farm Ot ar SpNnfv ?ther (Spuuly)
otne. otne? 4 w.P'>
%-umuule insvecrrun ree rrelnw ?
Sarvice Entranee5ize ? F Fxnders/SVbfaedeos ? N Foe C?rcurts
to 200 Am s 0 to 30 Am s (1•b 0 to 30 !?m s
r Above 200 qmps ; 31 ta 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Am s
Transformers Irngation Booms 0
• Pertial'Dther Fee
l Signs Speaal InspecUOn U
Aemarks
' G ?D TO FEE
?
E Ceu- q r e? ? -- 0'
Rough-in
r Dnte
?, «a a?„??a?
Inspector, hereby
Final
•
U??e
Ji? cerUty Mat the above
inspecvon has beaq
made.
iOq fBqUB3[ V0101 b monlns i(Om
---
i{(f 7 5 FEGuEcr rOR a.ECrwcu iMKcnon 71rz l? ? ?-°°°°,.°•
? y- qSaa i+abitians /s ea?PNtiW this fwm m 4sc Ys
t of 11o, ???
nq?'1 E S I ..x.. Be/ow /fwk iwe,ed er Th,s Reaurs.
Add ReD. Typa of &ritliep Applieecsa wir?A Epuipmgnt wired
Home Ionje Tempprary Service
DUPIex
Api 8uildim? Water Fleater
Dryer Ligfiting Fixtures
Electric Heatin
Camnercial Bldg Funwce Silo Unloader
InAt,trial Bldg. pir Corditioner Bulk Milk Tank
Fefm Othr,r (SImmitVI
ther ISUeciNl
t r SWec? OtM1er
ompute /nspectron Fee Be/aer
11 Fae ServieaEnlrenpSQa C
Oto? Oto30
Above 200 s 31 to 100 A-ps
Swimmi Pool MAbo? Abore 100_A
rms
Tra?toxmer5 ms
Signs cuon
amrks??? ? fl ? ???.
S ? rtial.'OUher Fee
TOTAL FEE
Rouph-in Da[e
1, the Elxbital
InsYeetor.lreroM
Fingl
Date ?srtitY Waf tM abuve
r /
6
_( IRi' Pc40n I05 baOn
?.
,bl° Y?`79 dq IY Go
5631 '1/1X
00
-..._...-.?.. ?.w...w. ......u..a.w. 1 heroer roYUSSt insD?tioo ot abova
TT?'ner slscbiol ?erk i?felwl nr-
Street Address. Boz or Ibute No. City
?? ,:*'//
ct,on No. TownshfD N. or Na
I Ib?qe No. Counly
o,..uoanT ( miNn
C?
`f
f' ?-a
?
PM1oe No.
,
o
h
- ys - 8?od
PoWe, s?ppher
?, ?
?
Z14o f
Z'/ ?.?
?
.
ssa
ee-
El?«;c,nl cont.ecta ?CotNx,n,. Norne) Cooba..a. _ L,?se No.
I*vfike oul Z"a? ri ? T? yo ?3/ -3
Maili?q Address ICwrtrac[w nr pwoer I
b
kinpI?b
'W "ml
/
?
Q
? ? d? /? 0/0 / N /
H f. J?
Auihoo$ ,prem?e (GOn Owmer ?? ' Ilali
/ ' Rwie Nunp¢r
xIryNE50jA g7q7E gppM pF E1EG161CI7Y ? THIS INSPECTION REUUEST wILL NOT
Grippa.MldwaY BIOp. - Bom? M-19t BE ACGEPfED 9Y THE STA7E BOARD
7821 Uniwraity Ava_. SL Aul. YN S1W UMlE55 PppPEp IMSFFC770N FEE IS
Phpne (812) 29]2717 ENCLOSED_
_.?___..__.__----- „_ 7?•0?
This rnquest void 18 months from / D D/&oo O/// 0'2
? 69258
Date of this Request 9?a a. ? 99
• .
I, as Jkl Licensed Electricalci r? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Str?et Address or Route Na. ?.?.J? .?..,.??°YC'vac l. r,a?.. h'? City a<^•
Section Township i Range County .4?&dT.o
Which is occupied by_Pco uh A)a j' ral Gu5
(Name ot Occupant)
Is a roughin inspection required on this job? No 0 Yes ? Ready Now ? Will Call ?
Power Supplier IZDA&o TAT_Address iA?rLo2'll1te,? ,,??
I 3?70?
Electrical Contrac[or /7! 1.%G Elco Tr) C. Contractor's License No. _
(COmpany Name)
MailingAddress .3G00 /{Cnhebec. Df, JC• Eqqc?^ M???
? (Electrical Contractor or Ownor Makina This Installa tonl
Authorized Signature ,,?K. ?? Phone No. `A5a-)56 S
Minnesota State Board of Electricity !a` d 80 Qd
1P54 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION (D 6 9 2 5 8
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired Fo: Check Equipment Wued For
Honie ? ? ? Range ? Temporary Wiring ' ?
Duplex ? ? ? WaterHeater ? LightingFixtures ?
Apt. Bldg. ? ?? Dryer ? F,lectxic Heating ?
Commercial Bldg. ? ? Fumace ? SIlo UNoader ?
Industrial Bldg. 3-? ? qir Conditioner ? Bulk ?anL ?
Faxm ? ? ? pList )}
?s p?sryt S
Other ? ? ? f
Here fit}e? )
COMPUTE INSPECTION FEE BELOW i-?
Smice Entrance Size: # Fee Feeders&.Subfeeders: # l t?fm?'1 1 ~ Ctircuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am exes
101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Ampa.
Transfoxmers Above 100 Amps.
Remote Control Circ. Above 100 Amps.
Partial or other fee
Signs Special Inspection Minimum fee 55.00
Remaxks
TOTAL FEE
I, the Electrical Inspector, hereby certify that the above inspection has been made. s
(Rough•in) Date
(Final)
void 18 months from "A? DateI D-- .'-'?7
This
?
??7
7
7
E
3 ? j
Request Date ire No, qough-i
n Inspechon
Raqmretl9 ? Reatly Nav Will NoHy Inspeclor
? Ves When fleady+
I P?'licensed contra:{ctpr ? wner ere6y requ ection of a6ove electrical work at:
cF
?
Job Atltlrass (Street, Bpx or Raute No.)
Co,?HMAn? WR rR 7t&arm;vr?v Cily
a - ' da an M?
Se ion No Township Name o? No Range o Coun
y f /
?
Occuparit (PRINn Phone No.
.. V r a?
k..
Power Suppher
`,- Atltlress //_i21 (0 '7/3
?d?d
???
Fv1n?n /7d?
ElecincalContraclor
(Company Name) Co trec?0
r5 Lmense No
1?1? SIGr? [LCC7R l C, -,.'A3` G C?? y877-O
Maling Adpr¢ss (ConVactor or Owner Making Insfellatian)
Cjo..?? M/J Sb3o?-
Au[ i Wre (COntrdcmr/Own aking?tpn) Phone NumOer
minneaUTA STATE BOpqp OfWLECTpICITY iHIS INSPECTIDN REQUEST WILL NOT
Griggy-Mltlway BIOg, - paom 5173 BE ACCEPTED BYTHE STATE 80ARD
1821 Univeralty Ave„ St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
C?/? Jo/8'C? REDUEST FOR ELECTRICAL INSPECTION Ee-oawi-m ?
w?
0,- See mshucbans for completing ihis brm on back of yellaw copy
7 /
? 77738 X" Below Work Covered by This Request
ew Atltl Rep -' Typeaf8mlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Heatmg
Apt Building Dryer Other (Specify) -
Comm/Industnal Furnace
tarm An-6en9Meaer L?MI
Other (specify) Comractor5 RemarksJ? f? Q p^ O r?
YJ J -
Compute Inspection Fee Below:
/f Olher F. # ServiceEntranceSize Fea # Qrouds/Feetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 ps p„
Transtormers Above200-Amps Abo Amps
Slgns Inspector5 Use Onty. / V TOTAL /t1/'?
Irrigation 8ooms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certiythattheaboveinspectionhas
been made. Rougnl
F,nai oeie
oale
OFFICE USE ONLY '
This requast voitl 18 months irom
«
7
5 ?g? ?
io a
a
7 615
4 • o
4;173
Repuest Date
_7 _ Fre No Rough-in Inspecbon
ReqmreE'
*aEy Now ? Will Notdy InsOector
W
'
n yBg A. hen Featly
IXlicensed contractor p owner hereby request inspection of above electrical work at:
.we aeeress (streei. eox o. aome No )
? SG ?' ?aa4 ? /
-
d
?
? c;iy ?.
/?
- cx
r,
/
,-t
i _
Section No Townsnip Name or No Range No Caunry
aK?r?
Occupan[(PRINT) Phone No
., Z z lJ
Powye?r SAoAOP.I r
p
/ PAtlress /J /? {y
V <' 1 l `-G /
fi
(? 2 / / / ?V ? ? l ? L.O , V 4 -
EI Incal ConVaclor (Company Name)
4__ s6
T???? COcn,ir /actor? 5 Lice ?nse No
! W
Maibng (COmrac or Ownen Ins 1
? r?L
?
Autnonze Si re (GOn/lr?p? i0wn/er Inst bon)
? PhL?..e//ryu?ber
/ ? ?
? ? /
it/L?_-- f
/ .J
MINNESOTA $TATE BOAHD OF EL pICITY THIS INSPECTION FEQVEST WILL NOT
GrlggpMiOway Bldg. - qoom S173 BE ACCEPTED BV THE STATE BOAflD
1811 Unlversity Ave., 51 Paul, MN 55104 l1NLE5S PROPER INSPECTION FEE IS
Vlpne (612) 692-011100 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION ?
? es-oaom -oe ?
See mcimctions lor compleVng mis fortn on pack ol yellow copy
fr?
M,'-/IF 7 6,1 5 "X" Below Work Covered by This Request
ew Add Rer,' TypeolBmldmg
Home ApphancesWired
Range EqwpmenlWved
Temporary Serv
ice
Duplex
Water Heater Electric Heating
Apl. Building
Dryer O[her (Specify)
Comm./Industrial Furnace
Farm Av Contlitioner
Other(speofyj ConVector5 Remarks f
I WIP.? S ih Se
, /f S/a?ca
Compufe lnspection Fee 8elow: ea?e ?? ? XiS7`r H?
61 h 2.^
# mher Fee ? ServiceEntranceSize Fee # Circmis/Feetlers Fee
Swimming Pool
Transformers
SIgOS 0 to 200 Amps ,SOO o to 100 Amps 9 00
Above 200 _ Amps Amps
Inspector's Use Only /?.? O T TAL
Irriga6on 8ooms p?F! ? 3
O
Speaal Inspection ?
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONN
Other Fee
,60 ECTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical In pector, hereby
certify that the a6ove inspection has
been made. Rough-in
? oaie
oate
OFFICE USE ONLY .
This request void te momhs from
Tnis reouest ma /?1,2
18 mpn[hs fran
C? 6-2482 Sc c_+
Hequest Dele / Fire No, ftouPh-in Inspectron
Requ?red? eatly Now Q Wil I Nnufy Insoec-
ol?Yes I ?Np [or When R¢atly
icensed Electncal Convacror
Owner I haraby requeat inspactlon ot above
?
?
Street Address, Boz or Route No_. ' . . __. .._ .. .._.....o., a..
V Crt
?
D N
?N •
ea?on
o, 7o?,ns?
ame o
. . an9e No. CoU"'v
?
OccupantlPplNT)
? G?. yv ?v Li 1-1 G c.(/ ? P
Nc
{? ,
Power Suppher Address
Elecnical Contractor (Company Name) Con[rar.tor's License No.
??
?
Maiin AtlJress
, B (Contr tor or Owner Maki g
33 ?
?
'???- nsta! aboN +
.
.< . ?3-??.-. S' ? G i
Authorized $jignature (COmractor Oweer akinp Installationl Phone yNumber
C+rigpa-Mitlway Bltlg -?Room N•191
1827 Univsrnitv Avs.. St. Peul, MN 55104
Phone(612)647-pgpp
orcc i iurv nepuEST WILL NpT
9E ACCEPTED BY THE g7p7E gpppp
UNLESS PNOPEH INSPECTION FEE IS
ENCLOSED.
FIEQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oe
0 See instr?ctians lor completirp thig form on Gack of Vellow copy.
82 492 ?"X" 8elow Work Covered by 7his Request C?
or au I ia
Wved
urnace
lo Un
ilk Mi
# Fee ServlceEniranceSixa H Fee Fendera/Subleedars N Fea Cvcwts
(7 to 200 qm s
Above 2 0 0 to 30 qm s ? D 0 to 30 Am s
qm,, 31 to 10) Amps 31 to 100 Am s
Swimming Pool qbove 100_Am s Above 100
Amps
Transiormers Irn ation Booms _
Partial'Oth
f
ftin er
ee
xem?,ks ???'?ja??•?"??????? 5??.? TOTALFEE`
vV Z
flough-in /'? /
Da?e v
I, the Electncxl
I ^eDector, here0y
Fnal certily ihax ihe above
?f') A/ ( ??paction has been
//.1
tltls repueat volO 10
Li,f?a?r,
Phona (612) 291.27?7' reul, MN 55104
I M1ereby request insoecbon ot ebove
electncal work instelledat
^10 insv[CTION pEQUEST WILL NOT
BE ACCEPTEO BY THE STqTE eOAND
UNLESS PqOPEH INSPECTION FEE IS
ENCLOSED.
es-ooooi.oa
REQUEST FOR ELECTRICAL INSPECTION
r9 (I A -1 n^ ?,Wn OFFl?E U?E ONLY Thie roquest void 18 monihslrom volidaeon doi.. 1111nd .., 4k.. w....
JOB #2258
PLEASE PRINT OR TYpE U
R"1B'`t D°h Ro?gh-fninspecnonrp?nedY Yes
? ? No Inzpemmo Other Thon Roagh-In 0 Reody Now ? WJI Cvll
(You musr mll fha inspenor whan reodYl Date Reody
I, ?] Lcensed mnfracfor ? owner hereby requesf mspecfion of fhe obove elecfncal work at:
Job Iddreu ISheel, Box, or Rouk No ) ' Ciy
?
.
?
3501 Coackucan R
'?.d
? `
'I Zip Code
SeaonNo TownshipNam<orNO Ea
RangeNo
FireNo an Coun
h 55122
o«ovom
aho?e Na
City of Fagan
PowerSuppLer Pddress
Dakota Power
Eleclnml Conhacror (ComponY Name)
Confranor Lcense No.
Hilite Electric Inc Mvskr L¢ Na ?Plant EIM. Only?
. 040445
Moiling Address (Contmcror m Owrmr Pedorming Inskllaeon)
1953 h wn R d
'AoMwri=ed -nalure(ConhoclororQvnerPeharmi. , InsklloM1On, Phone N.
'P. ie_in uoc -ARS1G
eEtinsrqUCiIONSONBACKOFYELLOWCOPV IIIII
*
IIIII REQUEST FOR ELECTRICAL INSPECTION
Minnesota SWte Board of Electricity
?Y°?qjy u
ao2912 ?51?6-5-
Fequest Date
7 Fne No Rough-in Inspedron
Reqmretll
YReatly Now ? Will NoM1fy Inspedor
?Yes A. WMnReatly9
I?.'licensed contracror p owner hereby request inspeclion of above electncal work at:
Jo0 Atltlre55 (Sheel. Boe or.qo
% CJ Ciy
? ?
Senion No Township Name or No Range No L,d ty
Occupanl (PqINT)
?
O'
PM1One No.
rlo n rtre
Power Sup ier Atltlress
ElecVksl Comractor (ComOany ame)
- /U?r'hern
?tecf??'? lQC Mra 5 Lkense No
Co 7
Mai6ng Atlaress (COWa "Owne Making
8 b la iron)
Aulhonzetl Signature (COntracbr.Owner Making Installatron hone umber
cf ,?.
MINNESO E BOAPD OF ELECTRICRY
Grigge-MlEway eltlg - qoom 5-073
1821 UNVerelty Ave., SL Paul. MN 55104
Vfwne (612) 642-0800
962912
tHIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE 80ARD
UNLESS PROPEfl INSPECTION FEE IS
ENCLOSED
REOUES7 FOR ELECTRICAL INSPECTION
0- Sae ms[ruclions lor compl¢ting this form on back ol yellow copy
'X" Be/ow Work Covered bv This Ramioct
r kTM?'??q l EB-00001.08
t ?.
ew
Adtl
Rep.
TypeofButlding ,
AppliancesWiretl --•x^-
EquipmentWrted
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. emlding Dryer Other (Specity)
Comm./Intlustrial Furnace
Farm Av CondRioner
Olher (syecity) Contractor's Femarks Wtr,e (4
(? ;
m Qorn
?u
?
Compute Mspechon Fee Below 1
?1
tT
81 s0.?T gf?r? •
. 3tiS
#
Olher Fee
? ServiceEntranceSrze Fee # Circuns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ qmps Above 0_ Amps
Signs
I
nspector's use onry
Irriqation
Booms
/J 7ov 707AL
S
eaal In ?
l5
p
spection ,
AlarmiCommunication THIS INSTALLATION MAY B
Olher Fee E ORD D DiSCONNEC7ED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oele
certdy ihat the above inspection has
6een made. oac y/3
Fine1
OFFICE USE ONLY
Tbis requesl voitl 18 months Irom
J
o- 0 m os 19
7 ? -
Requ si Oate Fire No
? s-& ff ?
00 - 1014 - 8' O °°
Rough-In Inspechon Requiretl Inspecfion Other Than Rough-In
(VOU musi cflll inspeatar when reetl» ? Ready Now ?Y(Ntll Nonly Inspeator
? No Oate Reatl
I)(licensetl contractor ? owner heraby request inspeotion of above electnca) work ai.
Job Adtlress (Street, B or Raule Na ) - Qty
?
Sec ian N. T
oumship Name 0p Range No Count
Occupan(t?(PRINT)
P
T, ' Phone No
?•
awer Suppl'er Atltlress ^
T?-
\J
Eleqr I Conhaolor (Cohi Name) Canhacfar's License No
M
l tq C
?
ai
mg tlyess (C
O
ntractor Owner Making InsWllet nf
/
?
A
t
d ?
u
onze
Signetura (COPhaoto00wner
Meking Inslallation
)
P ber
(ja 51 3?-503
MINNE OT STATE BOARO OF ELECTRICI
Griggs-MlEway BIOg. - Room 5.118 THIS INSPECTION REOUEST WILL NOT
III?I II
1821 Univerei(y pve., 51. Pevl, MN 55109
Phone (614) 6<2-0800 III II I? IIIII II I IIII II I II I? II
BE ACCePTED BY TME STATE 60ARD
UNLESS PROPER MSPECTIUN FEE IS
rniri ne?n
?6?;X REQUEST FOR BLECTRICAL INSPECTION
? J
,&ee insfruatwne for completmg this farm on back ai yellaw aopy
3? 7,yr5 X" Below Work Covered by This Request
nil?'eT
E&00001-08
?'? v? c3t?3t? ?j
:?•,
ype ut ourivmg
H AnnliapqeS Wif2d
"
Equipment Wved
ome Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Builtling Dr
er
y Load Management
- Comm.lindustrial Furnace Other (Specrfy)
Farrn ir Conditioner
OIhEr (6pBOdyi COOi RBTNkS
Compute lnspection Fee Below:
# Other Fea
Swimmin Poo! Jt Service Entrance Size Fee # Circwts/Feeders Fee
Transformers 0 to 200 Am s 0 to 100 Amps
SIgnS Above 200
-Amps
I
A ove. 100 _qm s
P
nspemors Use only /
TOTAL
Irrigation Booms L
S acial Inspection
Alarm/Communication TNIS MSTALLATION MAY B E ORDEREO DISCONNECTED IF NOT
Other Fee CO
MPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, here6y Roug
n,o oate
certify that the above inspection has
been made. F'"
a?
'
oa?e /
[0-5'
OFFICE USE ONLV
This request voitl 18 monins irom