3155 Coachman Rd - Electrical Permitsr .i
4Q
M ?4 3 015 $a? ? -
?./ ? o?o °o
Request Oa1e T No. Rough-in Inspection NOTICE: You Mus[ Call ElecMcal Inspector
? Re4'iisd? ?? !f A Rough-lh lnspeclion
? ICYYes IGNO Is Requiretl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sheet, Box or Route No.)
O? ovr G City
Section No. Township Name or No. Range No. Coun
O ccu t (PRI ) Phane No.
Power Supplier Address
Electri ontractor (Company Name) Co or's Licen .
?
Mailing? s(Contractor r Owner Making Instalian)
p? i? r
S,??. JJ? Z
Authorized " n ure (Con rJOwner M ng Inst on)
• P ne Numbe!r
??l
MINNESOTA STATE BOARO OF ELECTRA`TY
Griggs-Mldway 81dg. - Raam S-173
1821 University Ave., St. Paul, MN 55104
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED 8Y THE STA7E BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
I,?0/9 5 REQUEST FOR ELECTRICAL INSPECTION
EB-00001-08
M 4 3 015 See instructions for completing this form on back of yellow copy
"X" Below Work. Covered by This Request 01' ?+ 7
Building ApplierfcesWired
EquipmentWired
Rahge Te mporary Service
Water Heater Eleclric Heating
g
w Dryer Load Management
strial Furnace Omer (Specify)
Air Cdtioer
specity)
Con ctor's Remarks:
?01 lor?
Com
t
I
pu
e
nspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers
EE Above 200 Amps 100 Amps
5igt15 Inspe ctor§ Use Only: TOTAI
I
rri
atio
B
g
n
ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ERED DISCONNE
Other Fee CTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
Final
been made
.
OFFICE USE ONLY
Thfs request void 18 moMhs from
REQUEST FOR ELECTRICAL INSPECTION EB-00007-04
' See instructions for wmpleting this form on beck of yellow copy.
? 069858
X" Be/ow Work Covered by This Request
AAtl Rep
,
Typ¢ ol Bmldin9
Ap0liuncas Wved
Equipment Wired
d
Home ange Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildm9 Dryer Electnc HeaLn
Commercial Bldy. Fumace Sito Unloader
Industrial Bldg. qir Conditioner Bulk Milk Tank
Farm Other peu v Other (5ner,ity)
thFi SPOpfy Q{hp? Oihar
fl Fee Servme EntranceSixa k Fee Feeders/Subfeeders N Fee Cncaits
0?[? U to 200 Am s 0 to 30 Am s j j,o 0 to 30 Am s
Above 200 qmps' 31 to 100 Amps 1 to 100 q s
Swimming Pool Above 100_Amps Above 100_/>mps
Transiormers Irngation Boorrs C Paitial; Other Fee
S'?s S4?ecial Inspection g
t?
???
Remaks" A_
L?•.r? ,
'9 TO7AL FU?'
,m?
Pough-in
1. heEel cV¢al
n6pectm,herBby
Final ? cerLly that tha nbove
insoection has haen
d
ma
e.
iM1ps reGUest voitl 18 montns irom
ThisrequestvoidSuZ?
18 mon[hs trom vG '
M9069858 L( co [u-klntiq,? ?y?LS 31SrOCD
Request I]dte Fire No. FouHh- in Insper,LOn
Requured? E]ReadY Nuw [!}W+II Novty Inspec-
rn?,? Jr-aj cves ?No tm When FeadV
lectncal Contmctor I hereby raquest mspactmn ot abova
? Owner elechical work installed st.
S:reet Atltlress, Bax or Route No. Crty
ecUOn o. Townshio Name or No. flanpe o. Counry
Occupa\p?/yPqINT) Phone No.
[` V \fJ.'Z
Power Supplier A dress
6 `?f7
Elec I Conuacior (COmpany Neme)
Z C??ntracmr"s License No.
l"
niti L? L?
Mailin Address 1 onVactor or Owner Mak ng Ins}9llaUOn)?} 1'
c
?
? (
l
U IJLI
P V\
cA -
Authon e Signatur (ConV ctor O r Making Ins II Lon) PhonefJUqhbe/
.
w
u,? ?
?
ci?4 ?
MINNESOTq STATE BOARO OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Grie9s-Mitlwey Bldg. - Hoom N•191 BE ACCEPTED BV THE STqTE 60ApD
1821 University Ava., St. Paul, MN 56104 UNLESS PflOPEP INSPECTION FEE IS
Phanx (8121 29]2111 ENCLOSEO.
REQUEST FDR ELEC7RICAL INSPECTION ee-noooi-oa
' Sae instruchons fur com'etin9 [his torm on back of Vellow copy. L
P A .,X.. Be/nw Wnra e,, rh„- o,,,..._,..
AdJ
Rep. .
Type o1 euilding
HOme
?uplex
y .
qpplinnces Wiretl
Ranye __•- "' ,)uIV?G
ent Wired`
Scrvice
?l
Apt Bwlding Water Heater
Dryer ixtures
Commerciai Bidg.
Furnace aLn
W
Industrial BIAg
Afr Condrtioner er
Ferpl
Offi
S ank
qr
OeoN fyl
COm(iut
e lnS
thar SnemiY
pectlon FeP RAIn?., Othnr
# Fea S
erviceEntrenceSiza
? m 200
b
Fee
Feeders/Subfeede,s
#
F?e
ci?cuits
Am s
Above 200
-Am? ?s to 30 Am s
31 to 100 qrn
s
i i
0 tn 30 Am s
Swimmin
P
l p 31 to 100 A
5
g
oo
Transformers Above 700_Amps
Irrigation Booms - Ahove 100_Amps
'
SignS Partial
Other Fee
nemarks C? 5 !T L FEE
Ro?An-?? ° f • O "
?.ie
J ?/ r-/ q ime Electn,al
n
F a? /? J n r „? ("i? ft' spector, hereby
p?.J U?t??-'?`-'v.EF Date ceridy thet ffie abova
,?/. y? ? ' Inspection has baen
made.
?"`-''Cif-- .
ihis repuest yoitl LA (/? / a. -
78 n»nths from `v ? ?m??aK tJQ[??? 3 G O"(p3
A /? ?, ? ?
n (1
Pequ st Date - Frte No. Rough-in Inspectron
? ? ? ? Reqmred? ?Ready Now [?]'Will Nntrty Inspeo
?es ?N t Wh R dy
Owner GU c'Y`.-_??t,?,y,V,
? I hereby repuest mspecbon ot above
ress electncal work mstalled at:
Street Add, Boz or flouje.NO. ,/^
City
;L p Ll =; ?
ect?on o. Township Name or No. ?
Range No. C roun
T D
IPflINTI
pli¢r? `
?
Con}ractor
ng
q, I Nhone Nn.
z t• C(,
on
)nvar,(tor's l icense No.
MINNESOTA STATE BOARD OF ELECTHICITV V
THIS INSPECTION pEQUESTWILI NOT
G,199s-Midwav 81tlg. - Room N-191 Bf ACCEPTED 9Y THE STqTE BOARD
1821 llnivarsItY Ave., St. Paul, MN 56109
Phone UNLESS PqOPEH INSPECTION FEE IS
(612) 297-2117 ENCLOSED.
This request vo,A
18rrwnthslrom
CA .. .. .,. .s e ne.t /x.F
QLicFnsep Elecv?cal Cnntractor
? Owner
Svee[ Atldress, 6ox or Foute No.
3S •Od
Rough-inInsper,Lpn
Reqwred'
oReatly No
w [&Will No(HY Inspec-
12 Yes ? No [or When R tly
I hareby request inspection of above
electncal work ins talletl aY
`
i? G[Y
?.,
fl
ange No.
Coun
C? i
Power $ ?? ? ?? ? yZ ?'A•
pplier
ddress
?
Elec n al Contrar.mr (Company Wemel ?
r ) ,? /?, d
Malb g Address (Coniractoi r Owner Makmg Insrailation)
AuxhDr/zetl Siqr?gtu 43
r9 'ont ror Owner kinp Insta labon.
? Wt L
MINNESOTq STqTE eOApD Di ELECTRICITV
Glie9s-Midwey Bldg, - Room N491
1821 University Aye., St Peul, MN 55104
Phona (612) 297_2171
cJ('U 2'1
V I Contrnetor's Lrcense No.
?-
6 L/
rPef d- s'
THIS INSPECTION qEQl1E9T WILI NOT
gE ACCEPTED BV THE STqTE BOAHD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION „ ee-ooooi-os
, Sae instructions tor comple:,ng this form on back of vellow copy
?j nR R 7k "j "X" Below Work Covered by This Request 3Te03a
Add flep. Type oi 8wltling pOPlmnces WrteA Equipment W,pd
Home ? Range Temporary Service '
Duplex Water Heater Lighhny Fixture5
i? Apt Bwlding Oryer Electnc Heabn
Commercial Bldg. Furnace Silo Unloader
Industnal 61dy. qir Condrtioner Bulk Milk Tenk
Farm ONer Speufv OtnEr (SUCmrv)
[hPi Suecify Oiher , ? ? Othor
Cmm nrd a lnc nnrrinn C,.,. o,.i,....
N
Fee
ServieaEntrence5,xa i
feeders
vcwts
? to 200 qm 5 s Am s
A bove 200 qinps rnps
= 00 q
:
Swimmin Pool Above
Amps g Am s
100
Ab
ove
Transiormers
S oms _
Other Fee
igns ection
T
AL FEE
Nou?h-in
W I tncal
Fnal
that thbve
-
?fl
I 7- e
ion has b
Mlernniua?w..Almm?n?bl.nm _ _
Minnewta State Board of Electricity
i!'54 i7niversity Ave., St. Paul, Minn. 55104-PAone 645•7703
REQUEST FOR ELECTRICAL INSPcCTION ,?23
CHECK BELDW WOAK COVERED BY THIS REQUEST .4 ti
/ 7Sgs
S I 8/,26
Type of Buiiding New Add. Rep. Check Appliances Wired m Check Equipment Wired Fo:
Home ? ? ? Range Tempoiary Wiring El
Duplex ? ? ? Watei Heater Lighting Fistures ^1
Apt. Bldg. <;F? ? Dryex ? Electric Heatmg D
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Indus ? ? ? Aa Conditione[ ? Bulk Milk Tank ?
Fazm
? List List
3Z Q
ls? 13?
Othe
6 66 ? Heie Hehe
COMPUTE IKSPECTION FEE BELOW '
Service Entrance Size: # Fee Feeders&Subfeedeis: F Cirwi[s: # Fee
D J00 Am s. .0 to 30 Am xes 0 to 30 Am ies 3 vo
'LO
1 0 200 Amps. D 31 to ] 00 Amperes 31 to 100 Am e[es
Above 2 Amps. Ab Amps. Above 100 Amps.
Txansfor ers o ontrol Ciic. Pa[tial or o[her fee
Signs Special lnspection Minimum fee $5.0
R ks `, 1? TOTAL F xE
v??r?x.- p?
t t?'1.1a??' -?' '?' 9J
I, the Electrical Inspector, hereby certi
(Rough•in)
(Final)
This request void 18 months from
- , -
This rewest void 18 months ftom
/ 1-6-g-7
Date of this Request ?1 (0- v ? 18226
I, as;mLicensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. co
Section Township
Range County MC4 T17
Which is occupied by d L-4 C C duc3T CU ,
Is a roughin lnspection rcquired on this jo6? No ? Yes>k, Ready Now ? WID Calig
Power Supplier A! Sp Address 4""'? ad c K,
Electrical Convactor fTL-AD3IAL Contractor'sl,ice n se Noo-
(COmpany Name)
MailingAddress Z4_'luwwef(Z'-,-(r?' Z+.j'c 5t _a-? _
',orized Signatu?e?z Czt
? (Electrltal Coatractor or Own
?(DQRD QOpIY
.--?
i'
the inSpection has bee ?ma?d,eyz v?
Date ? J?
Date
p?'??? 3v , o?
oruwnermaking1111slnstalla[lan)/
Q !/
"`?"`? Phone Nov r
aking ThiS InStelfitlOn)
TNis inspection request wilf not he accepted 6y the
State Board unless praper inspection fee is enclosed.
Minnesota State Board of Electricity
9954 Unfversity Ave., St. Paui, hiinii. 55704-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK ('(IVFRFn Rv T'utc uGniicrr
i83a?
p 4G'I 7C
Type of Building
New Add
. Rep.
Check Appliances ed For ? v v 1 L V
Check Equipment Wired Fm
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Hea[ec ? Lighting F"uctures ?
Apt. Bldg. ? ? ? Dryex ? Eiecttic Heatmg ? .
Commeroial Bldg. ? ? ? Futnace ? S0o Unloadet ?
Industrial Bldg. ? ? ? qu Conditioner ' ? Bulk Mdk Tank 0
Fazm ? ? ? Lisl ) List )
Other ? ? ? Rthers}
e
) Others}
re Here 7 ? o O
COMPUTE INSPECTION FEE SELOW
Service Entrance Size: # Fee Feeders ubf ets: ` ?rV C'vcuits: # Fe
e
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 6
]Ol to 200 Amps. 31 ro 100 Amperes 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Trans£ormexs Remote Conttol Circ. Partial or other fee
Signs Specinl Ins ection Minimum fee $5.00
Remazks
$i? ?,?
TOTAL
FEE
Q $,
r,g
••• -- .,..a. +113yc?w13 iI crooy ceruly iI13t [rie aboVe IRSp¢Ctlon h35 b0Qt1 If13d
(Rough-in) Date
(Final) Date
This request void 18 months frord'?
This request void 18 months fron Ho _ f y o x ??-
Q
Date af,ttO Request .3 '/•3 - go P 85125
I, as "cDl',icensed Electrical Contractor OOwne do heceby request inspectio of the above electri-
cal wiring installed at: ,?' ? / ??, { ?„Z
Street Address or Route No. -a,S -
Section Township
Which is occupied by
Is a roughin inspection required on this job? No
Range County
's
A
Yes ? Ready Now ? Wil] Cal] ?
Power Supplier Address
nQ? 3 9 4 £?'lo
Electrical Contractor f'S v1 t 1,46 Contractor's License No. _
(C pany Name)
Mailing Address G} d Y-Lo a 11 c
lectrl Coot?a<t r ar Owner Making This Installatlon)
Authorized Signature +?-1, ` -?- Phone No.
(Elecbical Contrattor or Owner Making Thts Mstallation)
This impection request will nat be accepted hy the
/??? (J?7 U State Board unless proper inspeetion fea is enclosed.
This request voia l S months from 1C)-l 8100 O/?Ij_ C?j /
Date of this Request_ S 18249
I, as )4Licensed Electrical Contractor ? Owner, do hereby request inspection of the above elecfi-
cal wiring installed at:
Street Address or Route No. ?`?? ?iOct <?/ 44 City gav?
Section Township Range County I> fC o 'teC
Which is occupied by? C2 r+ ?' O L i?t. (: n-in
Is a rougltin inspection required on this job? No ? Yes ?Ready Now,9 Wil1 Call ?
Power Supplier !iU J,%.? r Address _Rv d Gl?
B??LZoIC? : i 9 /F3Cw
Electrical Contractor C-IL 17` i9 3
Contxactor's License No. _
....,..., ?.,_e.
fr
Mailing Address
Authorized
"7 I r y
(?`j'?'? (`? ?? f+
['????fl?S??? ??(??U/ This inspection request will not 6e accepted by ffie
?'J !J [r' ?f State Board unless proper inspectian fee is enclosed.
Minnesota State Board of Electricity t?(j, c+-?
1954. ilnivgrsity Ave., St. Paul, Minn. 55104-Phone 645-7703
-G'?EQUEST FOR ELECTRICAL INSPECTION ?gn???
'HECK HELOW WORK COVERED BY THIS REQUEST ? ?? yq ?/,p? Q
Home
Duplex ?
? ?
? ?
? RanBe ?. mpocarYWuing .. .Y?
'4Pt• Bldg.
?
? Wa[er Neater ?
Dryer ? ghung Fixtures
El
t
i
H ,?
?
C [
ft
r
c
ea[ing
ommercial BIdK.
[ndustrial Bldg
Facm 0
?
? ?
?
? Furnace ?
p? Conditi ?
Lis[ I f ?? (?a o Unloader
lk Milk Tank
st 1 ?
?
COMPUTE INSPECTION FEE BELOW
Service En4ance Size: # Fee Feedeis?Subfeeders: # Fee C¢cuits: # Fce
0 tu 100 Am s.
]Ol to 200 A ps. 0 to 30 Am res
31 [0 100 Ampeies 0 to 30 Am ere
31 to 100 Am eres
?
Above mps. r ,..t qbove 100 Amps. Above 100 Amps.
Tiansformers RemoteConttolCSrc. Partialototherfee
Si ns Spec Inspec ion Minimum fee $5
00
Remarks , ,
TOTAL FEE 3 q
A
....,?v .,?,pccwr nereoy cer ? y}7y?-ipe a 6 e" ction s been mad '? ,) ???
(Rough-in) f? ? pi/????+ te ° ?- ?§-?! -
(Final)
This request vad 18 months from c%?
r .
2 436 SOb?
C?
ReQUest Oate
S??1 ` Q Fire N. Rough-In InOSectmn Reqmretl
(1'ou musl call inspec r wM1en ready) s tion Ofier Than Rough?ln
ReatlY Now ? WJI No[ity Inspector
/ ? ? Ves No Oa e Featly
I hcensed contractor ? owner hereby request inspection of a6ove electrical work at.
Jo0 Atltlress street Box or Rome No )
3/ SS Co ?{G?t{?c,?? 2o 7f-D City
Secuon No Township Name or N. Range N. County
K6 T?f
Occupanl(PRINT)
Ki5c.L Phone N.
qs 2 - 9ss ?
Power Supplier Atldress
Eiechioal Conbador iGOmpeny Nama)
ff (L inrE Gontrdcfol§ Ucenu No
Matling Atltlress IGOnvacYOr or Owoer MeWng Installationj
l `!S3 5
,¢wi,EE 2.a?p
Amh i qture IGOrora wa Makin InsteneLOn? Phone Number
?? ? ' ?SZ-8 SSCo
MINNESOTA STATE BOARD OF ELECTRIpTV
Gnggs-Mttlwey BIEq THIS WSPECTION RE4UEST WILL NOT
- Room 5473 j/ BE ACCEPTED BV THE STATE BOARD
1821 Universtly Ave., SL Paul MN 55104 UNLESS PROPER INSPECTIpN FEE IS
Phone(612) 662-0800 ENCLOSED
6/51/qcl REQUEST FOR ELECTRICAL INSPECTION ? ' ?` *"•`"wA EB-00001-08
? ? See inslmcLOns r compielinq tM1is form on back ol yellow copy
n? q c io
?1I?
W L7 `'+ 3 v ';X' Below Work Covered by Thfs Aequest ?"?.,;?k`
ew Add Rep, TypeofButltling ApphancesWired EqmpmenlWiretl
Home Range Temporary Service
ouplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm /Industrial Fumace Other (5pecity)
Farm Av Conditioner
Other(syecdy) Conhactor5 Remarks
(iaND scz It .rr«PaoL
Compufe Inspechon Fee 8elow
# Olher Fee # ServiceEntranceSize Fee # CircwtslFeeders Fee
? Swimming Pool 0 to 200 Amps 0 to 140 Amps
Transformers Above20D`Amps . AboNe?19Q,_Amps
S19n5 Inspecror's llse Ony? L
Irrigaiion8ooms G.? ?
Special Inspection I
Alarm/CommwicaAOn \
THIS INSTALLATION MAY BEORDERED-0ISCONNECTED IF NOT
Other Fee . Q COMPLETED WITHIN 18 Ni
I, the Eiectrical Inspector, here6y
certify that the above ins
ection h Rouqn, ?
p
as
been made.
?ai
In
oace
j
6- /N
OFFICE USE JNLY ?
This request voitl 16 months imm
FS'/> D
? 6 "?g 2/,
^
R
equest de,, Pire N. flough-m Inspecbon
Reqiyretl?
? No ? Reetly Naw 04111 Notiy Inspector
Men ReaCy
I 11Nicensed co
t
t
n
rac
or ? owner hereby req uest inspection of above electrical work at.
Jab AGtlress (Sheet, Bw or Roule No ) C?n,
.? lSS ?an_c?lotncxAJ ?r,?., zs.ej
Section No Township Name or No Renge No Counry
0,140
Fo?
Occup?amJ (PRINT) Phone No
r
VN aZl^rVICLA.? ?N r ?4:[,
3Z. ?-' ?
Povrer SUppli Atltlress
Electncal Cortlrador (COmpany Neme)
GL4
r'l
?'
? CoMredor§ L¢ense No
?
Q;,,?
ar
z c
oc.
rl c
• •/
r?r`dY6
Mailing Address (COnhactor or Owirer Making Installation)
Au[honzetl SgnaWre (Contractor/Owner Makmg Installation) Phone Number
6 SS`3 - ?.-
MINNESOTA STATE BOAPD OF ELECTHICITY ?
Griggs-Mltlway 81dg. - Room S-1]3 ?? THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Pfiane (E12) 892-0800 ENCLOSED
REQUEST FOR ELECTRICAL WSPECTION ee-coom-m
? See mstmceons far compleM1ng this form on becie oi yellaw copy
?
? .? ?812- X" Be/ow Work Covered by This Request
ew Add Rep. TypeofBUiiding AppliancestAhred EqmpmeniWired
Home Range Tempcrary Service
Duplez Water Heater Electnc Heating
Apt Building Dryer Other (Specify)
Comm /Indushial Furnace
Farm Arz Conditwner
Other (speary) Contraclork Remarks- Campute7nspechon Fee Below:
# Other Fee # SerwceEn[ranceSrze Fee # CircmtsiFeedere Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Trans(ormers Above 200 _ Amps Above 100 _ Amps
SignS Inspector? U. ONy. TOTAL
Irrigation Booms
Speaal Inspection
Alarm/Communication 4" ??•?
O[her Fee
I, the Electrical Inspector, hereby
certify that the above inspection
been made. Rough-in
Fnal -' --
-- ?
Oate?
? ,
OFFICE USE ONLY ?
This raquest wid 18 moMhs fro.
? .
/
b7o S
0 518 l 041? °D
ReQUest Date Flre No Rough-m Inspecfion
Reqmred'+ Ready Now C Will NotRy Inspector
? Yes l hb N1hen Reatly,
Ix hcensed contractor O owner hereby request inspection of above electrical work at:
Joh AtlC?ess (SVeet Box oriioute No ) C??y,
3ss Ca ? r1-m,4?? k'n (s?¢.cs-?-,-?
Secoon N. TownsMp Name or No Range No County
T
Occupant(PRINT) I Phone No
F3
Power Supp4er
r Atltlress
Elecmcal Com2ctor (COmpany Name) Connactor's License No
C.S.., ?-? ?C. o??a9a
MaJrng ntltlress (COaGactor o? Owner Makiny I nstallapon) '
c.?rr-
SiBnature (Co rac[on ner k
/
i nstaliation) I Pnone NumOer
5al S
MINNESOTA STATE BOARD OF ELECTqICITV
Griggs-MlEway Bitlg - Room 5493
1821 Universlly Ave.. 5t Paul, MN 55104
Phone (612) 662-0800
iN151N5PECTION REQUEST WILL NOT
BE AGCEPTED BV THE STAiE BOAAD
l1NLES5 PROPER WSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
See inshucYOns for complehng this form on back ol yeilow copy 4s,?
?j C lJ
j 1(? 7 O '"X" Below Work Covered by This Request ??".???
ew Ado Rep TypeofBmlding ApphancesWued EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm /Industnal Furnace It,
Farm Air Conddioner
Other (spacAy) Contractork Femarks
?
?'RrJEC- ' /k*-i? E4F./ . 5 M.otLF"'S
Compute Inspechon Fee 8elow.
# Other Fee # Service Entrance Size Pee # Cvcwts/Feedeis Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amp
Transformers Above 200 _ Amps Above 100 Amps
S19n5 Inspec[ar'slJSeOnly
6ee
TOTAL
Irngation Booms ??. ?
Special Inspectwn
Alarm/COmmunication Ztj THIS INSTALLATION MAY BE OR ED DISCONNECTED IF NOT
Other Fee )ftLeu O COMPLETED WITHIN 16 MONTHS.
I, ihe Electncal Inspector, here6y
trf
th
t th
b Rou9n-in . oace
cer
y
a
e a
ove inspection has
been made
Finai
OFFICE USE ONLY "
This reouest voitl 18 manfhs Vom
Minnesota State Board of Electricity
1'S4"University Ave., St. Paul, Minn. 55104-Phone 645-7703
HEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ sy a :;z
s I ?
m2
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wuing ?
Duplex ? ? ? Watei Heaier ? Lighting Futures ?
Apt. Bldg. ? ? ? Dr e Electric Heating ?
Commeicial Bldg. 0 ? ? Fu ? 9 Silo Unloadec ?
?ndustrial Bldg. ? ? ? Ai
0= Hulk Milk Tank ?
Fazm ? ,
Lis
LJ List
Other ? ? ? Q
}
Heiers) He?ersI
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fee Feedeis8.$ubfeeders: # Fee Cucuits: # Fce
0 to 100 Am s.
101 to 200 Amps.
Above 200 Amps. 0 to 30 Am tes
31 to 100 Am exes
Above 100 Amps. o 30 Am eres
o 100 Am eres
ve lOQ_Amps.
L 6
Toansfotmeis
Remote Control Circ. t
ial or other f
ee
Signs Special Inspection imum fe
.
Remaxks TOTAL kE? ? ?
a
11
D
I
I, [he Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) Date
(Final) t ?.?32'afZ `?•' / ?'- 7?
This request void 18 months from
This requcst void 18 months &om
??9 aa
Date of this Request .('? ? T /$?,. (}7? 18 J?l ?
1, as ? Licensed Electric Contractor ? Owner, do hereby reques? ?t ins ection of the above electri-
cal wiring installed at: L l6 , ?C?7?£??
l?
Street Address or Route No.
Section Township
Range County
Which is occupied by C?it??? ?-y- n f? o/r"s rn,-n no
--(Name ot ccup t) /
Is a roughin inspection required on this job? No ? Yes ? Ready Now O Will Call ?
Power Supplier /l .,"', P Address ' ` 'er-iC /&r, /C
Electocal ContractorN/-'?? 0CCC:lt J??- ? ConYractoi s License No. _
? (Company Name)
Mailing Address
Authorized
0 /'JV -r
il GoMractor or Owner
STAgE. BOAE?D Opu
Phone No. 6;VV-02 72 36;
nstallatlon)
This inspection request will not 6e accepted hy the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
iiEQUEST FOR ELEC7RICAL INSPECTION
e,HECK BELOW WORK COVEKED BY THIS REQUEST
Type of Building New Add. Rep, Cbmk Appliances Wired For Check Equipment W'ved For
Home
Duplex
Apt. Bldg.
Commercial Bldg. ?
? ?
?
?
? ?
?
?
? Range
WateiHea[er ?
Dryei }?
Furna .l.l f? Temporary Wiring
LightingFutures
Electric Heating
Silo Unloade[ ?
?
?
?
industrial Bldg,
Farm
Othei ?
?
? ?
?
? ?
?
? Au Co ione
pList
Herels , Bulk Milk Tank
List
Ol?he[s?
A 1 0
COMPUTE INSPECTION FEE BELOW
Semice Entrance Size: # Fee Feedeis$Sub[eeders: # Fee Ciccuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 ta 30 Am eres
101 [0 200 Amps. 31 to 100 Amperes ? 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Abave 100 Am s.
Transformecs RemoteControlCuc. Partialoiothertee
Signs " Special Inspection Mmimu fee $5.00
Remazks F I (Z.`,>T 2 uN ?t6r ; TOTALF
I, the Electrical Inspector, hereby certifq t the above inspection has been made. (, S 27d-
(RouBh-in) ?r? Date ?--?
(Final) Date f D - -
?his request void 18 mont}?s from
? ? )( 7iD + / U x
This :equest void 18 months fror,i
Ba0 of this Reqaest
I, as'<,I,icensed Electrical Contractor ? O
cal wiring installed at: ?
Street Address or Route No.
Section Township
Which is occupied by_f>A_?ZTDL /6 I-C/V 57- CJ .
re est inspection of the a6ove electri-
c??? (?10--)
/
Range County Plf4d 1-4
? -?? - 31.29
? ... .
/ 7?-/ 6 ?
S 18298
(Name of Occupant)
Is a roughin inspection required on this job? No ? Ye^ Ready Now ? Will Call3?,'
PowerSupplier N-SP Address gep
/ 3 i 9 {?
Electrical Contractor,?"?,j LD/N 61Ar /C/ c Contractor's License No. _
(COmpany Name) ?/?L ? ?y /? ?
MailingAddress ?IU? ??SJ?Y 4v'-^"L-
Authorized
or
?[
(tlectrical Gontractor ar Owner Making Tbis lostalletlon) '
(r? p?? ?? ? ?+???(?/,} ?? ???? This inspecvon request wiU not be accepted by the
? tj ? State Board uniess proper impectian fee is endosed.
MinnesoW State Board of Electricity
1 654 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CIIECK BELOW Wnux rnvFrzFn uv THrc uFnriFCT
? I P7A fl
Type o( Building New Add. Rep. Check Apptiances W'ued r Check Fquipment Wired For
Nome ? ? ? Range Temporary Wiring ?
Duplex ? ? ? Water Heatet 0 I,ighting Fixtums
Apt. Bldg. )9? ? ? Dryei ? Electric Heatmg ?
Commercial Bldg. ? ? ? Fumace Silo Unloadet ?
Industrial Bldg. ?? ? A'v Con Bulk Milk Tank ?
Facm ? ? ? Liet
?hers
? Lis[
thef
s?
Other ? ? ? ?
ie
e 1 ?
ete
COMPUTE INSPECTION FEE BELOW
Semice Ennance Size: # Ece FeedersR.5ubfeedets: # Fee Circuits: Fee
D to 300 Am s. 0 to 30 Am eres 0 to 30 Am res Jili "
101 to 2 Am
Above s.
%
ZI [0 100 Am s
Above ]00' mps. 31 to 100 Am tes
Above lOQ-Amps. 0
Transf m cs RemoteC ntrolCirc. Partial or other fee
.
Signs Special Inspection M'utimum fee $5.00
Remarks
fpQ 0 V ?s -? SF/LV IC?S ?dHro I.?TG
TOTAL FEE
I_ the. F,leciriral Incnrotnr
(Final) , ,
This request void 18 months from
C l ,g I ?/
has been made. syq,
Date
Date_
This request void 18 months from ? a 3? A
O + d
D'ate of is Request ? 1' 8 L 4 4
I, as Licensed Electrical Contractor ? Owner, d hereby r,equest inspec n of the above electri-
csl wirin installed at:
=A?: ?
Street Address or Route No. J ` ? ?c) ('itv ?
Section Township
Which is occupied by
Range County *?' J A
'ST, CJ,
(rvame or VccuD
Is a roughin inspection required on this job? No 0 Yes I?
Power Supplier &I / r Address /t-
Electucal Contiactor ?PY1?{
(Campany Name)
Mailing Address LAij ? /--?kS /TV
Ready Now
,It Will Call O
I
Authorized Signatumt::?l-L%?--11 1Phone Nc6 f-5'?-f f
(EiecVicalCOntractoror wnerMakMg7hlslnstallatlon)
??AE o/hj [3, ?? ?O??n This inspection request will nat be accepted 6y the
`?AQ V State Board unless proper inspection fee is enclosad.
This request void y?7 Ll i/? , 29( Sp3'
18 mon[hs from ?C) C)
Date of this Request ?? Fire No. T 14772
I, as El'Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No, 0/Jo F0 °"`K (!) A?l I? 2 City?
Section Township Range County jCe
Which is occupied by j? C7 $(f w UD
Is a rouglvn mspection required on this job? No ?
Yes CL}' Ready Now ? Will Call GY
Power Supplier
Electnca? Contractor
Mailing Address
Authorized Signature
/ ?!o a 4.14
? G e C e Contractor's License No. _
?' ?, M 7l ? S?l 2 3
ctor or Own r Making Thls Installatlon)
) L ? Phone No.
(rJea[n<ai contractar m oWner Making This In:tallatlon)
????? PRO (?'O??/J This inspection request will not be accepted 6y the
? Q U State Baard unless proper inspection fee is enclosed.
Minnesota Stata Board of Electricity - --
Griggs Midway 81dg. - Hoom N781 ES-00001-02
1821 Univei'sity Ave.. St. PaW, Minn. 55104 - phone 297-2111 ? ?-q
REQUEST'FOR ELECTRICAL INSPECTION ? ?
CHECK BELOW WORK CnVFRFn nv T'uic ocnnceT T1 A7 7 7
Type of Building
New Add. _'
Aep. __ _" " .,....?va.?a
Check Appliances Wired For . 1'Y I :. L.
chwkEquipment uipment Wired Fot
Home
Duplex ?
? ?
? ?
? Range
W ? TWiring ?
A
? d?
?
?
? ate i Heater ? Ltures ?
p
`
g'
Commereial Bldg
?
? ?
? ?r7'e?
F ? 7
Eting ?
.
Indust.lal Bldg.
?
?
? urnace
Au Conditio I ?
? Ser ?
Farm
O[her l?`
?
?
?
?
?
?
List f?u?,?,?
Others? Bank
L
O ?
Here ) H wmrUi c tivSrEC71UN h'EE BELOW ?
Seevice Enhance Size: # Fee Feedets&Su6feede[s: # F Circuits: # Fae
0 to 100 Am s. 0 to 30 Am eres 1 0 to 30 Am eres 1 ;I.
101 to 200 Amps. 31 to 100 Amperes 31 ro 100 Am eres ?
Above 200_Amps. Abovc 100 Amps. Above ]00 Amps.
Transformets
Si Remote Control Circ. Partial ot othet fee
gns Special Ins ec[ion Minimum fee
Remarks
TOTAL F
i fho Glo,...:....I
.- ...,e.. ? ,,«IrUy cer nat t a vetinspe ion has been made.
(Rough-in) ? Date
(Final) i41 ?Y) Date ?-?
This request vad
18 months ftom
Thisreqoest void ?? .?
,,,708'89 ?, ?1,?a??., oa1?s 3a?cZ
Reyuest Date. Fire No. Rouph-in IntiVecuon
??T-Z- FequtrH> []ROady Now?ll Noufy Inspeo
N Wh R dV
?i?en,ed Electncal Con{ractnr
I hereby reyuast inspecnon of abova
? Owner
..........
Sveet Address, Bgx or Poute No.
7
-? ct, ir- o a Gry
n
s
? . ?
.? ?,fiIN, ?
tR l
ection o. Township Namn or No. Ranqe No. ?a ?iy
?
Occupant INwrI,??.,?? ,, (7
? Phcue
Power $upplier
"..................
1
Adtlress
'?
...
Elec ncal Comractor muany Name)
'
?
Coi
V
ar,
tor's Lir,ense No
-y ?
7 ry?q
S?-M }...f.rv .
)4A J
?
?
.
T"lD ?,-,
Mailing
Z&O Adtlress (Contracto or Own?er Makinq Instai noN
?
?
i"v7
?
A
horized Si
gnature Cont a? ner Makirie Installaiinnn . Phoj?e N
umb
er
?
Mln /
?
YJ?4(1 Y?V V
Gng9s-Midway 81dg N N.191 en-
??r
1821 University A? ul, MN 55104
Phone 16121 297-211 . Pa
1
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa
instrvctions tor rompleting thls (nrm on back of ?, yenuw ?onv
l X Q 90 See
,"-?z-'ow Wark Covered by Th;s Request I -?
rvew qdd Rep. T
Yp¢ of Bulldnly
ApplianCBS Wuetl "" ' ? ?
Equipm¢nl W
Home
Rarige ved
D
l Tempoiary Service
up
ex
Apt Bmld Water Heatei iyhuny Fixtures
ing Dryer El
Canrnera
l Bld octnc Heavnc
a
g Fumace S
f
U
Industrial Bldg.
Air Condihoner i
o
nloader
Farm
Other ueo,fy Bulk Milk Tank
OtherlSUeiifYl
Uici Spe?i(y? Othor -
?OOJOUIP InCnnrNnn C,.,, o Othe?
Fee Service EntrencaS ze
0 to 1 UO A
a .?%! 0..6Q fi- to
Fnal lhns requeal vc
18 month5 iFoin
Fee
TO I W Arllpti
"e 100
iote Control C
cial Inspectioi
?? 1•S?
Inis rrvsYhCl10N HEQl1EST WILL NOT
BE ACCEPTED BV THE STqTE BOARD
UNLESS PftOPER INSPECTION PEE IS
ENCLOSED.
31 to
Above
Partial
$ ??„S? TOTqL
I, [he Elecvical
1'llspector, hyreby
certity thAt Yne above
U - on has been
mode.
Thisrequestvoitl
18 months tmm & -1 y LI X? N? Q?)?s b?
? •?'v? 'n•n \ ?'? /?
?nM 069?63 ?s.ac?
Request Date Frre No.. flouut-?i? Inspecbon ?
Oa p? Re?eA? fleady Nuw [].1Mrll Noufy InsOec-
d? * ?N [ Wh R tly
us
L1?^Cicensed Electncal Contnctor 1 hereby request inspecvon of ebove
? Owner _ oi.._...__? ...
Streec Atldress, Box or Route No, Ci?y
''?
• ? V k (
l..
er.uon o. Township Nama or No. Hanyc No. Coun[y
?e 4L'}
DA.
OccuINTI Phune N
o,
0
? O n c??
Electn I ConVactor ICompany Name) Con[rar.tor's Llcense No
.
r, ?-? ?N O a4
Mailing AdJress IContmctor or Owner Making Instailation)
koz Autho ed SiB nalure (C ram Installation?
r Phone N mb _r
«c?,imciir
G??Bea-Mitlwey Bldg. - qoom N•781
1821 Vnivars,tv A%,e., SL Paul, MN 55104
Phone (612) 297.2111
REQUEST FOR ELECTk, 1L INSPECTION
' See metractions for complet. g this form on back ot yellow copy.
? Xn BeIOW'Wi?p@red bv This Rnmi.,c?
arcc i iun NEpUEST WILL NOT
BE qCCEPTED BV THE STqTE BOAflD
UNLESS PqOPEFl INSPECTION FEE IS
ENCLOSED,
r % Ee-ooooi.oa
Ll n I
Adtl NBp. TypO ol Buildmg APOliancqs Wiretl
E4uipmen? Wired
Home qe Temporary Service
Duplex ter Heater LightinG Fixtures
Apt Buildmy er
T Electnc HeaUn
Commercial Bldy. nace Silo Unloader
Industnal Bldg. Condiboner
Air Bulk M?Ik Tank
F er pcu y otner Isuacifyl
tior Suecily ffier Oiher
ompul e /ns Dection Faa
N Fee ServiceEnvenceSize N Fee Fextlers/Subleaders N Fnn C?rcmts
0 to 200 Am s 0 to 30 Am>s 1 0 to 30 A??!
Above 200 q?????s
31 to 700 qi»py ?
31 to 700 q
Swimmin Ppp1
P.bove 100_Am s 5
Ahove 100
Am s
Tranytormers
Si n Irri ation Booms _
Partial. Other Fee
Re?n?rks s Speciallnspection
??
F
3.1 u
RouBh-in
D.te
t
Final i '7 spector, heraby
certdy that the abova
? -i?? j ? inspection has been
Tnis reauest vme ix mnnms e.nm made.
ThisreDUest voiA
18 mon[hs Irom to-lq ?llOl1 `00lCh'&4A -- Qu F -5 ?tUq?l &90 69862 ? - 3sDate Fire No. Rnv h-rn
B Insuection
? [j ? flepu r A? ?ReaAy Now ?II Nob1v ?nspec-
Q ? es ?No tor When Ready
icensetl Electncal Convactor _
Own I hereby requast inspection of above
? er elechwal work instelled et
..__..._.....?... ...,,. o? n 1e no. `
L? ? ? A? CnV
ectio o
T?
h •? ? +K??
.
ns
,o a
Fange No. C ??y
OCCU pd rif(P9 ? ryT) V 19
/ ??y•
\ ? tsUf)? Phune No.
Power Supplier
AAd ss
ST
Ele . I ConVactar ICOmpan? aine) ?
Cunhacmr's License No.
Mailin A
tl O
O
re4?^n[ract
? or or pkin
N stailabonl
? /
? 0 ?
+uthon?p 5? a[ur (Co rflcto wnw er Mak?ng histallavon)
'JalIr. c h
MINNESOTq STATE BOAPD OF ELECTRICITV THIS INSPECTION qE0UE5T WILL NOT
GriBHS•Midwey Bldg. - Room N•191 BE ACCEPTEO BY THE STATE BOAPD
1821 Un,versity Aye., St. Paul, MN 55104 UNLESS PqOPER INSPECTIpN FEE IS
Phonn (612) 297_2117 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-ouaoi.oa
' See inatr-ciions lor complnting thig tnrm on beck ot Vellow copy. ?+~
Re,ONN Co9red bv This Renun.ct
Fee Fee c,,=. .ts
M A 0 to 30 Am s
31 t100 qmps to 30 qn
3to 7p0 qrn
Aboe 100Amps Above 100_Am)s
gr?. Irrigtion oms
c.,..-. _ 1 Pdrtial-?Othei
hemarks
?a
1 $
J-
cartity thqt the above
inspection has been
mede.
REQUEST FOR ELEGTRICAL INSPECTION
, See instructions (or comolating this form on beck of Vellow copy.
'"X? Bepws4{?9r?Coered by 7his Request
Ee-ouoai.oa
..r'
3(p(Paq
Adtl Bep. TvOe oi Bwlcfm9 ApPlmnces Wved Equipn,nt Wired
Home Range Temporary Scrvice
Duplex Water Heater Lighuny Fiztures
Apt Bwldmq Dryer Electric Heatin
Commrnaal Bldy. Furnace Silo Unluader
industrial Bldg. qir CondiLOner 8ulk Milk Tdnk
Farm oine, oeci v ntn,,, Isn,:fy;
.??
?..,n
a /,,.. Iler (SVer,ifY
....,......, r__ .._i__. Ot Oiher
N Fee ServiceEntrencaSae A Fxe Fxaders/SUbfeeAers # Fae Cvcarts
0 to 200 qm s 0 to 30 qm s 0 tn 30 Am ?5
Above 200 qmpy 31 to 100 qrnps 31 to 100 Am s
Swimming Pool Above 100_Am?s Ahove 100_Ampy
Transtormers Irrigation Boorr,s [ i$C.) PdrLal.' er Fee
Signs Speciallnspect?on - J
Rem?rks $
`
TAL FEE
RouBh-in Da[e
the Ele al
heiebY
F?nal /a;
. D, 1e
i -
/ certdy that the above
spection has bean
m?de.
---- -----------
This re4mest void I(J'Z7.- GI ? B1, Coae.kP&4a%. aqK.s 3?`?? 1
18 mon[hs from
GU069865 3s.oa
Raqun [ pate
h
fF4
?..? Fr2 No. Rouph-in InspecM1On
fleQmretl7
?
Yes 0 N.
E]Featly Nuw [E] Wi11 NnHfy InsP
ec-
lor When Ready
u? .?????_____??? cleuricui i.onvactor I hereb
..... Owner Y r t ipspection o} abOVe
?
BlBC1fICTl wnrk initalleA a
Sbeet Address, 9oz or R ute U. N
°l
D ?C A^?
Y
Q Cuy
?
_ `Y ?
\
-
n
F} i nj
ecti n o. 7ownshlp Name or No. Range o. Covnty
OccuPant PRINTI Pho e No, ?.
r.
Pawer Sup
? 4 " Addre s
IE
• ??r
Electncal Con[racior lComoany Nemel (:onvncmis Lmense No.
? rr.i R o ? ? v -
Mailmg Address IContractor or Owner Makine Insta ilationl
L? -- +? ?j _
v ?`@( SSyz3
!+uthnn Sig ature ICo [ actor ner Making In allaLOnl Ph e umber
r-
MINN SOTp STATE BOAND OF ELECTRICITY TMIS INSPECTI N NEQUEST WILL NOT
Grig9s-Midwey Bldg. - Poom N•191 gE ACCEPTEO BY THE STqTE BDAflD
1821 Universitv Ave., St. Peul, MN 55104 UNLESS PqOPEF INSPECTION FEE IS
Phonn 16121 297.2177 ENCLOSED.
fhis repuest ?oid ?J
18 months from
?7069851
RNnuest Date Pire No. pougihre -i d ii > Inspectin ?
?L? / q (7 ' Requpeatly Now Q,Wi!I Nptifv InsOec-
'w 0,0 [ Wh' R dY
,rucensed tlectncal Contrec[or I hereby request inspecLOn ol abova
] Owner a1nc?.??ni ?
SVeet Address, Boz or Rou?e No. // I1`
l 7Ci ?` ?ILC-?'? ??(` J `? ?.. Ci1y?
? Pq
"?
ecUOn o. Township Naine or No. Range No. Count
?
v
1 ;4 4
OccuPant (P.qiNT) Phone No.
Power $up0lier Adtl ss
Elechi al Contractor iCompany Name ?
Conhuctor's License No.
Mailinp AAdress (Contracmr or Owneo Makmg Instailationl`
? (?.? , .? ?
l ssy? ?
Authorize
fu?ef,,?Co trector/ ner Making pIry5-talla?ion)
'8 SiB?
? Pho eNumber ?7
L
`Z?J
u?niu ?
Gri99s-Midwa Bld
V e. - floom NA91
1821 University Ave., St. Paul, MN 55106
Phona (612) 297-2711
- rrvbrtcuUN HEQOEST WILL ryOT
eE ACCEVTED BY THE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELE^TRiCAL INSPECTION- _'- --? " Ee.oaooi-oa
See mshirctions for com.'sLng this form on back of'yellow copy, -
I7v(U Be/ow??rE'p17'g,'ed bV Thic Raniinc? '? !l
uda aeo. rvoe or euiiaine n
pplancns Wrtetl ?`-??`
Equ?ument Wireo
Home V "Range Ternporary Service
Duplex Water Heater Lightuig Fixtures
Apt Bwlding Dryer ElectncHeahn
Commeraal Bldy. Furnace Silo Unloader
Industri?l Bldg. Air Condrtioner BWk Milk Tanl<
Farm o'.ne, Speufvr Otnpr ?SUecirv)
[herlSUFU y Other -
•.5 0 nrh?i
Om OUt e ln.c neCtinn Foo aal,..,
N Fee
?° ServiceEntrence5¢a b
? Fee Feaders/SUbtee.tlers # Fxe
Circwes
Z00 qm s
to
0 to 30Am s
0 to30Am s
Above 20D q211y 31 to 100 Amps 31 to 100
Am s
Swimming Pool Above 100_qmps Above 100
Am s
Transtormer.s
Signs Irngation 8ooms _
? p Parti " ther Fee
SpeG81 InSpZCtlon
Remurks S ,
.3s.?Co,
T°
BauBh-in
Oa[e
?
3? I, the lectrical
??soecm.
ne.
n
Fnal .
a
y
Ddte carhfy Ihat ihe ahove
1
i inspection has been
Thlarenuestvnininm??.n...,.,.,
/
? m
ade.
Tn, re4uest ?ond
18 monThs from
NW 26249
L i i l3 ? i Coc.? r?t u?a ?\ Oa?S ?`t ? q D
35'ob
Re?uest Date
- -A Fire No. FouP??-??? InsuecLOn
Fequ retl?
?Reody Now ?1II D4olity Inspec-
?/(J/..? ?1 - G3J
sr?lL 7 O 7 O Tv_g ?NO [or N'hen FeadV
?Licensen Electncol ConVactor 1 herebY reques< inspection ot above
? Owner eleGrical work ins[alled et.
Street Address, Box or Foute No. j?
I{ G(V
6? -
O ^O cc.?. a?4
S R. 9 s?
ection o. Township Name or Nn. qanpe No. County
/4??•
Occupant PRINTI Phone No,
C7
PowerSupplier Addr s
EI ical Convacmr ICompany Name) '
6 Cnntmcror's Lmense No.
C
?,R 67 O 1
p 2
Maili q P.d ress ICOnVacmr o[.-0?(?ner M
king Instaitabenl
i
r"
.?
Ao?ho zed ignatur Conva ?Owner Mak e InstallavoN Phone Nymber G
MINryESOTA STA?E BOARO OF ELECTRICITY
Griggs-Midway Bldg. - Roam N491
1821 Univarsity Ave., St. Peul, MN 55100
Phone I612) 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTEO 9Y THE STqTE BOAXD
UNLE55 PROPE0. INSPECTION FEE IS
ENCIOSED.
REQUE57 FOR ELECTRICAL INSPECTION ,?; EB-OOOD7-03
Ir See nstruccions for r.ompleting this form on hack of yel!ow copY.
GM26249
"X " 3elow Work Cnvered by Thrs Reguest ??f `y 9Q
ew Add Fep. Type ot 9wltlmy Appliences Wvad EquiVmenl Wired
R Home Range Temporary Seivice
? Duplex Water Heater Lightiny FMUres
Apt. 8uildiny Dryer Electnc Heatin
Coir,mercial Sldy. Fumace Silo Unloader
Industnal (31dg Air Condivoner E3ulk Milk rank
Farm OthNr Spe<.ify, Othar iSpNaNI
ther SGecifY O h r? ?? Offier
wlnuuie nrsor.cuun ree oelow ?
a -ee ServiceEntranceSize # Fee Feade?s?Subfeeders 7 foe Grcwts
0 to 100 Am;s 0 to 30 Am>s 0 to 30 Am s
101 to 200 Amps 37 to 100 qmps 31 to 100 Am s
A6ove 200 AmPs Above 100_Am s Ahove 100_Amps
Transiormers Remote Control Circ. jEO Partial%Other Fee
Sign
s Specizl Inspection /
S
I
ftAm'irks [L?. T 21Z?- ?!
??
""
? ? /in?? /
Bough-in
?•'S^"
.y A Y
? Oaie
I
,
?
i . t ca
l
ry InsVector
, hereb
v
Final
? ?
?
,?? ? certify ihat the a
boye
iy spection hes been
i
F? `'
•
v f
tl
p ? ,?z
e.
n ? s revuesI vom
16 months fmni `' ? " '
rniz ,ea-est vo,d
18 rrionths irom "7
?l 0 p
q r4 .? 7 Li ? C3 I, Cn_ aG?l/I?Or? L%k-S ? S? nn
Aequest Datc Flle No. ppugh-in Inspection
- ? Requiretl? E]fleadY Now M-Nill NoufY Inspec-
? ` ?'Ves ?No [or When Readv
?ucen?eu eieccncai t,onvactor I hereby request inspection ol abova
? Owner elactncel work installed et.
Street Atldress, Boa or Foute No. Crty
ecbon o. 7own5h?0 Name or No. Range No. County
T
Occupant (PqINT)
? Phone Ne.
C
W ?
POwer upphe,
C ddress
Ele ractor ICOmp.?y Name)
t
c Convacior's Lroense No.
?• 1
Ma
,
s ?Contractor or Owner M?kinB InstallaLOnl l
Auth ¢e Signat (C actor?Ow er MaWng Installauon) Phone Number
?
MINNESOTA STqTE BOAND OF ELECTHICITY
C+uges-Midway Bldg. - Hoom N-191
1821 Univarsity Ave., St. Paul, MN 66704
Phone (812) 297.2777
TMIS INSPECTION HEQUEST WILL NOT
8E ACCEPTED BY THE STATE BOARO
UNLESS PPOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTtON „ ea-ooooi-oa
' See instrucqons for co
mPletine Ihis torm on beck ol yellow capy.
X' I Below'Work 857ed bV 7iris Request -,> c7, -7 n ?
Fdtl Pep. Typ¢ of Builtlmg Apphancns Wved Equrpment Wired
A Home Range Ternporary Service
?
• Duplex
Apt. Building Water Hez'.er
Dryer Lighhny Rxtures
Electnc Heatin
Commercial Bldy Furnace Silo Unloader
Industnal Bldg. Air Conditroner Bulk Milk Tank
fafm Other ppci y ther l5uocify;
L 9f $yCGI y Q ?ihLf
"••Y`••`• •aYc?.vvn i CC OC/UW
# _F¢e ServicaEntrenceSue 4 Fee Gnanu.c/sim?uone.n a ce.. ?.._...._
_F+mpsI I ? st to lUU qmps 31 to 100 Amus ?
?•a^? apeciai inspecvon
TO y1KL FF?
7 7. \ .O?
Rough-in
Ome `??
1
theEre«., c
r
ry .
a
Insoecxor, nereby
Final Oxte `er4fy thet the above
q
U . ?/jy? inspection has baen
•.i.................?..e___.._..__
94. LV mede.
' `p- "'CfJ
T`!is re tuest void 18 months from s'? ZVZJ;/
v
Date of tYils Request _` $ 18307
I, as PI,icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. d4K5 49 CitySecGon Township Range County`t?&P i-A
1Nhich is occupied by
d
Is a roughin inspection required on khis job? No ? Y Yes ? Ready Now<' Will Call ?
Power Supplier Address 4ak I""" `-'
Electrical Contractor ??f Al ?iL" 'r''? c' Contractor s L c? N'. _
(Company Name) ' p.
Mailing Address
Authorized Signature
or
or
({???°??j ?°? This inspection request wiil not be accepted by the
J State Board unless pmper inapactian fee is enclosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Pbone 645•7703 ?? a bv
REQUEST FOR ELECTRICAL INSPECTION
" t:K BELOW WORK COVERED BY THIS REOUEST
type ol 6uilding New Add. Rep. Check Appliances W'ved Foc Check Fquipmen[ W'ved For
Home
Duplex ? ?
?? ?
? Range
W
t Temporary Witing ?
a
ei a Lightmg Fixmies ?
Apt. Bldg. ? ? ? Dryer Electric Heating ?
Commetcial dldg.
Industrial Blqg.
Fazm /. ??
? ?
_ ?!E]. ?
?
a Fuma •
ir Conditioner ? Y
1 Silo Unloader ?
Bulk MBk Tank ?
List i
COMPUTE INSPECTION FEE BELOW - - - -- .,. « ra. cirauw: p
0 to 100 Am s
.
101 to 200 qmps. qm eres
t
0 to 30 Am eres
Above 200 Am
Ps. Am
?1e5
Above 100 Amps 31 to 100 Am eres
Ab
Transformers .
Remo[eControlCirc. ove 100 Amps.
Par[ialorothe
f
Signs
Remarks Specmllns ection I r
Minimu $,pp
1>e ? I TOT LFEF?i
1. t?te t'_'`_ '
-+cicuy I:CCIlIY IL12[ LI1Q
(Flnal)
This request void 18 months £rom
has beatrmade.' " /$, 1950
Date
J?tte - .20 `7;e
This request void 7,( S
1q8?}mponffis(+from
l/1% ('? O CJ 9p (S Op
(]
L( ? 131? Coa??? qx.?S 3701 3-
3S.ad
-t Dai?
1 f l Fire No. Rough-in InsPecLOn
Reqmredl
E]ReadY Now [k?'Will NoU}y Inspec-
'
??j?(••j 931?es F] N. conWhen ReadY
LF6 ucensetl El2ctncal Con[ractor I heraby request inspaction of ahove
? Owner electncal work instelled eh
Sveet Address, Box or,Rou[e No.
70
F
C?
k Crtv
d ?.?,?i
o
s
?- *,V
ecLOn 140. Township Name or No. qange No. Coonty
M1? ? ?T
Occupant IPflINTI ? ? Phone Ne.
) S l t?} J` G v rZ
Power Supplier A ress
? ?e
Electnral ConVac[or (COmOany Namel Conhactor's License No.
i ?lulb?L •(4
g A dress nConVacior or Owner Making Instailation)
si 23
?- d
U
-
,
r, -
Auffi ed Slenamre'Conamr Owner king tnstallaUOn) Phona Numbcr
?? ?
F d:? 7
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
G,iees-Mitlwey Blde. - Poom N•191 BE ACCEPTEO BY THE STqTE BOAflD
1821 Universitv Ava., St. Peul, MN 55104 UNLESS PROPEN INSPECTION FEE IS
°hooe 16121 297-211I ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-00001-04
' See inahuctions tor complating this form on hack ot yellow copy.
'"XU' Be?ow WH CoOered by 7his Requect
Hdd NeO. TvOe o1 8mltling Applmnces Wned Equipmenl l'Jired
Home ; ftange Tempotary Seroice
Duplex Water Heater Liqhting Fixtures
Apt 6widing Dryer Elec.tn? HeaUng_
Commercial BIAg. Fumace Silo Unloeder
Industrial 81dg. Air Conditioner Bulk Pl?ilk TaNa
Farm oihe, oec y orner Isouc?fvl
ther SUeufy Other i ?_? ? j Oth?r
Gompute 1nSAeCiIOn YeB tielaw ' '
N Fee ServiceEnhanceSae U Fee feeders/Subteeders T Fee Cucwts
U to 200 qm s 0 to 30 qm s -TA 2, 0 co 30 Am
Above 200 qi»py 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 10D-Am s Above 100_F+mUy
TransPormers Irngavon Boorriiiis Pdrtial,'Other Fee
Signs Special Inspection
5
Tp,
Fe n"arks ?
-
?
Fough-m
inal ,
[/
•
ili fJa[v
(
?._?!!•'6?
?
D°l
jJ }
/ "
I, the Elecvical
inspector, hereby
cervfy ehat the above
ins0ection has been
made.
This request vmE 1 B monIDa tmm
Thus reques[ voud Ma?V
18 months (rom
bV069867
Request Date Fire No. qoueh=in Inspecu on
y ?
iiequired? ?
Reatly Now ?'SNlII NoLty Inspec-
?,? Q1'es DNo tor When Peady
LZlicensetl Pleetneal ConVactor I herebV raquest mspacuon of xbovz -
? Owner elactrwal work installed eL
Sheet Atldress, eax or Route No.
-' Gty
a
_?.2 4 i 4-11
ecUOn o. Township N2me or No. ange o. Cnunty
Occupan( (PFINT) I Phone No.
Power A reIs
L
Electmpa ?y Namel ontrar.tr's License No.
?
; "
Addre.s
Mail np (Contrar.tor or DwneriMakmg Ins[2ilavon)
iii,
Auffiori ed SiBnaWre IGonv or/Owner Ma ing InstallaLlonl Phn?e Number -
7
MINNESOTq STATE e0A170 OF ELECTRICITY
GriB9s-Midway Bldg. - Room N•191
1821 University Ave., St Paul, MN 55106
Phnnn (612) 297-2111
IMIS INSPECTION PEQUEST WILL NOT
BE 4CCEPTEO 9Y THE STpTE 80AND
UNLESS PROPEH INSPECTION FEE IS
ENCLOSED.
REQUEST FOR EIECTRiCAL INSPECTION ea-aoooi.oa
' See
06-9 67 imtrvcpons for completing this (orm on back ot vallow co0n ?
?
"R" Below Work Covered by 7his Request I -:2, -]
FAd flap. Type of Bwlding AOPt,ancnslWved Eqmpmenl Wired
Home Range i Temporary o'ervice
}i Duplez
Apt. Building Water Heater
?ryer ' Lightinp Rxtures
Electnc Heatin
Commercial Bldg Fumace i Silo Linloader
Industrial Bldg. Au CondiLOner Bulk Milk Tank
Fafm Other peciPy
. Other (511o1 ify)
r ther Suecity
`
Other ? pthrr,
_ _., __" ..._?__.._.. ..? ...,..... .
# Fee ServmeEnhence5ae n Fea Feaders/Subiaetlers p Fee Cvcmts
U to 200 Am s 0 co 30iAm s 1 0 to 30 An, s
Above 200 Amps 31 to 100 Amps ( 31 to 100 Am s
Swimming Pool Above 700 _Am s Above 100_.Qmps
Transiormers Irngation Booms !J Partial-"Other Fee
Signs Specialllnspection Rv
Remarks S3 T AL FE?_
V
flough-in •
Date
?
7 1. tha ical
- InsPectoq hereby
Final certify ehet the above
? v?
!A ? ??
i inspection has baen
meda
Tki? , .
ihis reQUes[ wd L/
18 mon1hs fmmr T d Y D? G p
k? ?? . , 'hma" ? / o • o 0
t? y J
HenUest Dat¢ , . Fre N
o. Poughtin Inspection
. lieqwretl? ?{(eady Now W?II NoLfy Inspec-I'll
??es ?NO or When Ready
liCensed Electncal ConVactor 1 hereby requaseinspaction of above
Owner r e1..1411-1 ...,..? :..?.?u_a ?.
Stree/t JAtldress, Box or floute/N?o?., /? ' A67
? ! ! ??
? t
City ?r?/l/
/r+J r/?/(.3
ecuon o. Townshi0 Name or No. Range No. County "-`
7"A
OccupantlPRINTJ Phone No.
'POwer SupDher
' Address
Electrir.a Cnnhactor ICompany Name) Contractor's License No.
M?a/iling Address (C?O/ncractor or uw ¢r Making InstallaLOnl / ?
'7'"?0 /!l. li
pO H JT
-
G
J ?S
.
/
s?
Au[ho ed SiB?ture (C t wner king Iosia aGOn) C.C." i(
oZ
Phone Number
?-? • /.Z 3 °?77
k MINNESOTA STATE BOApD OF ELFCiiiICIT' q ? T IS INSPECTION pEUl1EST WILL NOT
' Grie9s-Mitlwey 6ldg. - Ropm Nd91 BE ACCEP7ED BY THE STAiE BOARD
1821 Univeraity Ava., SL Peul, MN 55106 UNLESS PROPER INSPECTION FEE IS
;; Phone (6921 297-2111 ? V ENCLOSEO.
5`,?/ 4 (( REQUES7 FOR ELECTRICAL INSPECTION Es-ooooi_oy
bift Sae i shueQens (or camDletinq this form on bge4 of Vallow caOV. ??? ?-
(ff?
Be ,
u 76,89 X""
/nw Wbrk Covesed bv This Reouest
FAtl Rep. Tyoa ot Bmltling
H ApOliamea Wirad
^? Equipment Wiretl
ome Rarty? Temporary Service
?uplex Water Heater Lightin,y Fxtures
Apt. Buildin9 Dryer Electnc HeaLn
Corrnnercial Bldy. Fumace Silo Unloader
Industnal Bldg. qir Conditioner Bulk Milk Tank
Farm 11 Offier Spe.ci Offier ?Snec?fy?
•
....
,.....
_ ?__ t e? Sueu y
__'..__ ? .. . Orher O?h??
-. _
# iee ServicagEMraneaSize p Fea Feetlers/SUbfaeders # Frze Cocwts
• O () to -?BB Am Q - 0 to 30 qm s - 0 t? 30 Am s
F.bave 200 qm? 31 to 100 Amps 31 to 700 Arnps
Swirmning Pool
"
" Above 700_Ariips Above 100._E1ny?s
TrafSfo
rmer5 Irtigation Boorcs Partial/Other Fee
Si?s Sp¢Cfal InspeC!fon
f '
?s
marks ?5
'le
- 70TAL'"FEl?''
.>.._?_ ?
.
? C_•---- ?
?3[C ?
1, the E?ecirrcal
Inspactor, heraby
? cer[ifY that the abaVa
e
F s PecLOn hes baen
19 `
l?C in neda.
REQUES7 FOR ELECTRICAL INSPECTION ee-oooot.oq
' See instructons for compleLng th,s torm on bnek ot yellow copy. ?n 06???5 ? ,/
?'7("' Below Work Covered bv Thrs Renue.ct `7 U
A iltlmg AppLancns Wvetl ? Y
Eqmpment Wired
Range Temporary Service
Water Heate r LiyhLng Fixtures
W
Apt.Buildinq
ing Dryer Electnc He2tin
l Bldg. Fumace Silo Unloader
1dg. qir Cond7noner
Other peo v
,
fy pt
t
?
Othcr
? F¢e ServiceEntrenceSae k Fee Feaders/Subfeeders k Pee Crtcm[s
U 0 to 200 Am
s 0 to 30 Am s ;L 0 to 30 AmPs
Above 200 qmps 31 to d 00 qmps -r? 31 to 100 qin s
Swimming Pool Above 100_Amps Above 100_P,mps
Transrormers Irrigation Boonis Partial."Other Fee
Signs Special hispecGOn "
Rem?rks 5
e l:k
2- J D
aouen-no oria
l I, the cincal
l
?U Inspector, hereby
Frnaj
D.I. cerlity that the above
nspecbm) has been
ed
r n:. -e.. ...... . o ........... ..,.... e.
I i.o
This request vond S-Z-
13 manths from
rd 0 6 9 8 55
3SS-7y
Li ? b1 ,?Coac.?. ?a?S 3s o?
Re est Date
_ , Fre No. Rough-i Inspecuon
Reqw tl? ?
qeadY Now Dtf ill NoLty Inspec-
I
?
? es
?NO
Wr When ReadY
-.?...-.. I hereby request inspectuon of ebova
? Owner elechical wnrk inuroimn.r -
S[reet AAdress, Boz ar R?4 te Nn.
- ?2 A/ 5 0 rti GtY
11
`
ecLO o. Township Name or No. R.nge o. Coun
R VI% C)
Occup IPRINTI Phone No.
?.(! Q ?
Power Supplier
? A tlressl
A
Electncal ConVactor (COm any Namel Contractor's Lmense No.
R,? ? '
?
Mai m0 Address (ConVactor or Owner Making Instailatwnl
tc -i,
Auto igna ure ( ct / wner Makallavnn) ne Nu er
vp
i
mINmE50TA STATE BOARD OF ELECTHICITV THIS INSPECTfON REQLIEST WILL NOT
G,.99s-Midway Bldg. - Room N-091 BE ACCEPTED 8Y THE STATE BOARO
iB21 Univareity Ave., St. Paul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS
Phonw 16121 29] 2171 ? ENCLOSED.