3825 Glacier Dr - Electrical PermitsJ?
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Request Date
S n f Ire W. Rough-in Inspection
Requi d
? Ready Now I Nohty Inspector
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I licensed contractor ? owner er b requ pectko of abo ctncal work at:
J0C AOOress (Street. Box or ute No.)
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Se ti'We2i4c J ?c=?.eaG l4N
Sedmn o ow Nd e _
Name or No ang o rC?
?'+J o/u/yam/?d ?,/
//T ? 0 / -4J
Oc I (PRINT) Phone No.
Pow liar tlress
Eledr gnlrador (Company Namel C
o/pl{apjor5 icense D
/
MaAinp Address ICOntract r Owner Making Installation
Authorized Signa IG /Owner Ma 5 lionl Phone N her
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MINI? ESO T S ATE BOARO OF ELECT" V
y4
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
Griggs-Midway Bldg. - Room S-173 UNLESS PROPER INSPECTION FEE IS
1821 Unlveralty Ave.. St Paul. MN 5 100 ENCLOSED
Phone (612) 602-0800
REQUEST FOR ELECTRICAL INSPECTION
J 4-6783 Ii See instructions tot completing this form on back yellow copy
Below Work Covered by This Request
0!!, 'bg EB-00001-08
New Adtl Fep yTpe of of Building ApphancesWired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
r I J Contractor's Remarks
G'
Compute Inspechon Fee Below:
# '. Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps _ A
Signs Inspectors use only. OTAL
Irrigation Booms ??/ /?
3
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. i
Rough-in
Final
Date
y
i, 2 craur
OFFICE USE ONLY
This request Mid 1B months from
r / / 70`
in s /.? 2S I
467$2 "0/7 8?
Request n
ate
S? Z
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re No
Rough-in Inspection
Requ1 d7
? Ready Now 111 Notify Inspector
I
'
, s C' No
hen Ready
I icensed coot c r wner reby.request insp 'on of above electrical work at:
Joo ress (Stree o /?
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Section No Township Name or No
S Range No
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Occupant (PRINT) Phone No
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Pow ppber Atldress
Eledr cal Contractor (Company Name)
vt7 _if?2so ?.. CoMraclor5 cense No
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Mailing Atldress (Contractor or Owner Making installation)
Aomonaeo 5lgnalme ICO . er Making aeon Phone N mberr
MINNEOW TATE BOARD OF ELECTRICIT
Griggs-Midway Bldg - Room 5-1]3
1821 University Ave.. St Paul MN 651
Phone (612) 642-11800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED By THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
/ g? REQUEST FOR ELECTRICAL INSPECTIONEB-0000.08
?/ 1? ? See msirucirons for completing this lortim an back of yellow copy /O(
r4p11` "X" Below Work Covered by This Request A?> /I
eW Add TRep:' Typeot Building Appliances Wired EgwpmentWired
Home Range Temporary Service
Duplex Water Heater lectnc Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
yl contractor's Remarks
Compute Inspection Fee Below: T? Aore>e'T^'?/'?7nTU?+, (/?+
# Other
Sfyimming Pool Fee # SerwceEntrance Size Fee
c 2 # Circuits/Feeders
0 to ps Fo(J Fee
Transformers Amps 1 ;7,09 AbeWr199 Am IV,
Slgns Inspector's Use Only: TOTA
Irrigation Booms C
8 ?WMW
Special Inspection '
0
Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF?NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in (
Final Date q
?^ T
??
OFFICE USE ONLY
Thm rel uesl void 18 months from
k
9 42089 6(?
Request Date / No ougRm Inspection
Regwred?
? Ready Now Y Wtll NotAy Inspector
Yes C No WM1en Ready'
I P"iic$nsed Contractor ? owner hereby request inspection of above electrical work at,
Job Address I Street Box or Route No City
G
6
L
Gitzcun en
/lic{ ?/.a)
Section o Township Name or No Range No County
occupant (PRINT) Phone No
Power Suppler Address
Electrical C tractor ICompany Namel Contractors License No
LZ L d/
C40
Mailing Access iContractor or Owner Making Installation)
yao S?dr TH 19ve •c? f9!! cs .? ss y?
Amhorizec Sigrature iCOnlra Iowne Making Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY r THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg - Roam S-173 - BE ACCEPTED BY THE STATE BOARD
1621 University Ave . S1. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
(( ? See insirucvons for completing this farm on back of yellow copy
Q. n "X' Bell Work Covered by This Request
?m?,Rr? EB-00001-08
New did R p' Type of Building Appliances Wired EquipmentWtred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air CondlLoner
Ome! epeml I Contractors Remarks
-120%OW,,4 mn?rcaL
Compute Inspection Fee Below
n Other Fee # Service Entrance Size * Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps s
rasformers Above 200 Amp _ Amps
Sgns Inspectors Use Only OTALL
dragation Booms J
Special Inspection
Alarm/Communication THIS INSTALLATION MECTED IF NOT
h the Electrical Inspector, hereby COMPLETED WITHIN 1
Bo"gh"" ate /?/? L
7
certify that the above inspection has
been made -Final f Date
-?-y 3
OFFICE USE ONLY V'I
This request void 18 months from
°
y
2 510 % "0Z ,
-2' -?e-15
Request Date F e No Rough-in Inspection
I Requeetl'+ ? Reatly Now Will NOhN Inspector
When Ready'
[ Yes No
I YlIlcensed contractor .] owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No I I Cry
&Z _A5 Gt C Q
Section No Township Name or No Range No. Cou
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T?
Occupant IPRINTI Phone No
L
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g% --1617
o-r- 1
12 14 , 1 ZA )jajjV . lr
o
-
Pow., Supplier Address
Electric onlrac., Wom IN met Cq "or's License No
t
M ling Address (Contractor or Owner Making Installs ron /
45 S /a b
F
Authonzetl nature ICOmracmnOwner Ma Insl oonl Phone Number
MINNESOTA S TE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway dg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD
1821 University A , St Paul MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 643-0800 ENCLOSED.
fQ???7 ?REQUEST FOij ELECTRICAL INSPECTION
Cq See insltidions for oomplelmg Iris form on Dack of yellow copy
LS/
51 0 "X" Below Work Covered by This Request
VfM•?4 EB-00001-08
g
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other(spedty) Contrador's Remarks
Compute inspection Fee Below
# Other Fee # Service Entrance S¢e Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps Xr 106
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors use only TOTAL ,
Irrigation Booms oly? J/.
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Da
OFFICE USE ONLY
This request void 18 months from
K 3 9 5 4 107111
e- 0.0
Request Date .? F No
,?/ O ?/? ?l
C
! L Rough-in Inspection
iretl+
G Ready Now XwAI Notify Inspector
Wh
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tl
9
. Yes C No en
ea
y
I licensed contractor D owner hereby request inspection of above ele t:
Job Addles (Street. Box or Route No.)
382?? 6:(-A z(tli City
C4
Section No TownsM1tp Name or No Range No County
Q- 4-tcp
Occupant(PRINT)
'
j Phone No.
EL'tk4ri7
4,z- ScffQO L (
Power Supplier Address
Etectncal Cartracmr )Company Namel
A//LrT,-4-' EckcT?cC /lUC . Contractors License No
aYQuY'.s
Mailing Address (Contractor or owner Making Installation)
14S3 SHt f 4Jr-jz< Zd ,
Aut q0S maturetCOnoa dO ner Aa ?g a II imn)
' Phone Number.
YJ 2 FYv
MINNESOTA STAT BOARD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-1T3 BE ACCEPTED BY THE STATE BOARD
1811 University Ave, S1. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 841-0600 ENCLOSED
9 REQUEST FOR ELECTRICAL INSPECTION
?" ^5? See instructions for completing this form on back of yellow copy.
K_ JJ3 l9l "X'.j9g1otl' Work Covered by This Request
EB-00001-08
f4r,_1!t N, ??,.; 6aT38/
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Sped
Comm /Industrial Furnace
Farm Air Conditioner '
Other Ispootyl Contractors Remarks. /C?•'l S '
TQ Y.? K h.A'r, tT? N t-? G S `t S r
Compute Inspection Fee Below
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps / 0 to 100 Amps Y,10
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspectors Use Only TOTAL
Irrigation Booms O()
O 3 d •S?
Special Inspection 3
Alarm/Communication THIS INSTALLATION MAY BE 0 DISCONNECTED IF NOT
Other Fee COMPLETED I 'ITHIN 18 MONTHS. t'
I, the Electrical Inspector, hereby Rough-m
certify that the above inspection has
been made. Flnai
P Data
pp -1
G? Or
OFFICE USE ONLY
This request void 18 months from