3390 Coachman Rd - Electrical Permits.I
/V 5 (isp/ 7
?
22 =
J384
Request Date Fve No Rough+n'nspection Ll Reatly N. XWill No01y Inspector
11-23-92 Reqmretl
G Yes ? N. ?
'Mien ReaOy.
I[X licensed contractor ? owner hereby request inspecUOn of above electrical work at
Jab Atleress (Sireet. Box or Roule No 1 C'ry
3390 Coachman Road Suite 210 Eagan
Towns?i0 Name o? No Range No. ?u^h
Dakota
TI P?? ?
Gloves
;Gold;en
Atltlre ss
Eler.lncal GonVaclor (Company Name, Comractor§ License No
Total Construction & Equipment, Inc. CA01833
Maibng A3aress (COnhatlor or owner Makmg Installauon)
10195 Inver Grove Trail, Inver Grove Heights, Minnesota 55076
aumonzea Signawe iComractor.'Own r Maxing insanauon)
?, Poone Numbar
451-1384
NNESOi BOARD OF ELECTNICITY TMIS INSPEGTION REOUEST WILL NOT
Gnggs-MlOway BIEg - Room 5-173 BE ACCEPTED BV THE STPTE BOARD
1811 Unnersiry Ave 51 Paul MN 55104 UNLE55 PPOPER INSPECTION FEE IS
PM1One(612?642-0800 ENCLOSED
REOUEST FOR ELECTRIGAL INSPECl10N ea-ooooi-oe
/`? ? See mslmtlions tor compleling tM1is torm on Lack of yellow copy. /O
$?o/ 5
, ?? "X" Below Work Covered by This Request
f 3?MFarm
fBwltling AppliancesWireO
Wired
Equipment
Ranqe Temporary Service
Water Heater Electric Heanng
ng Dryer O[her (Speciy)
dusirlal Furnace
Air Condrtioner
Other(syenty) Si n ConVacbrS Remarks
g
Compute Inspection Fee Selow:
# I Other
Swimming Pool Fee # Service Emrance Size
0 t0 200 Amps Fee reuits/Feeders Fee
Transformers Above 200 Amps 100 _ AmOs
imspanr5 use Oniy
t TOTAL 15 • 5 ?
on eooms
al InspeCtion
/COmmunicahon CONNECTED
THIS INSTALLATION MAY BE ORDIF NOT
Fee COMPLETED WYfHIN 18 MONTHS.
F
lechical Inspector, hereby RO 09n-i° oate
t ihe above mspection has de.
'JNLV
voitl 18 monihs Irom
I _.
REQUEST FOR ELECTRICAL INSPECTION -
9_4 7 8 0 4 Sae instmclions lar rqmplenn STMF?? '
g this lorm on beck oi yellow copy 4? EB-00001-08
? g?aa
X
,Be/ow.Nork Covered by This Request ?. y?
ew Atld ReD T fa ?? _' ;
? C H APPuancesWietl
Farm Air Condi6oner ?-
Other(syeary?
Comrapor§ pemarks-
Compute /nspection Fee Below.
? . Ofher Fee
Swimming Poal
# ServiceEntrance5ae
Fye
Circuits/Feeders
7?ans?ormers 0 to 2? A'^Ps Fee
0 to 100 Amps
Sgns Above 200
- Amps
l^Specmr5 Use
Onty
Above 700 _ Amps
- -
Irrigahon Booms ? TOTAL S
Speaal Inspection /
?
-
/
Alarm/Communication I)
Other Fee THIS INSTA
LLATION MAY BE ORDER
?
th COMPLETED WITHIN 18 MONTXS CONNECTED IF NOT
,
e Electrical Inspector,
hereby .
RO1q^-'^
certrfy that the above inspecti
on has oe?e
been made Fi^et
OFFICE USE ONLY
h ( ?ata pL
is raquesl voitl 18 months from i
47804 '//?-- ?--
q
?Q /? • Fi,e Nb Ro? ?. -- ?
1 9 in Inspec?an
Raqunetl> . ?[
? Yes Na /q ReatlY Now p WlII qpGty Inspapor
I' licensed ?'M1enqeatly+
cnntractor ? owner herebY r
lop Atlaress sn ? QQuest inspestion of above electrical work at:
e@ Box or Route No j
?
anibn No Township Name or N.
a0y Name)
?
ar OWIIPi A
I.icense No
?
ininnESOTA STATE BOAqO OF El(GTq
Gri99s-MltlpaY Bitlg. - Room S/T3
1811 pMVersity Ave. SI Paul. MN SS10C
-vhone (61I) 5qZ_pg00
THIS INSPEC710N REpUEST WILL ryO-r
BE ACCEPTED BY THE STATE gpqqp
UNIESS PqOPER INSPECTION FEE IS
ENCLp$ED
This re0uest void
18 nnnihs Irom
0 ?52421,?.
2-?. J?Rh r(A,[ .,.
°QQ?1e Fire No.
p?
? n/o
a Rough.i Ins er,bon
PeQwretl? ?
?ReadY Nuw Q Will Nuutv Inspec-
LicenseA Eleclncal Contrac[rn ?Y ?fj [ Wh Road,
Owner 1 hareby repuest in spectmn of above
eleclnwl work ins telled at
Street AdJress, eox or floute No. Ciry
ecUOn o. Towns?
?o Name or No. qange No. Co
unty
j
T
Occupnnt?PRINTI 1
g
1
?"( Phone No.
.
l•
P ?-? vJ
ower Sappiier
AlltlfP.S$
?
Electncal ConVactor ICompany Nemel Cnntractor's License No
,
MailinB AtlJress IConUactor or Owner Makme Installadonl
a&is '
Authonzed Si na[ure (COnhactor Ow r Mak,ng Installatu nl a I
,0 ?
nPhoh2-Nurmb
;
r?.ca?iq y;?AIPE BpqpD OF ELECTRICITYI THIS INSPECTIDN HEQllEST WIIL NpT
Gr?99s-Midway Blde. - Aoom N-197 ?? BE ACCEPTED 9Y THE STpTE 60AFD
1821 Univerfiilv Ave., 5[. Paul, MN 55104 UNI.ESS PqOPEH INSPECTION FEE IS
Phone (612) 642-0600 ENClOSEO.
/-2/,/1$rl REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
0 See instruchuna for completing this lorm an beck ol vallow cooY. 0
0-1 5242 -"X'- Below Work Covered by This Request
and Reo. 7voa of Bmiaine Aoalinncea Wvee Enuiument Wved
Home Ranye Temporary Service
Duplex Water Heater LighUny Fixtures
Apt BwlAing
Dryer
Electnc Heatin
Commercial Bldg. Fumace Silo UnloaAer
Industrial Bldg Air Condmoner Bulk Milk Tank
Ferm Oinrr nrn v .?heriSUCr.ifyl
...
.,..,,s
,, 1..,. T' r Su"riv
..,..,..__ r__ ., ,. [hel Oihi•,
p Fae ServiceEntrance5rse M Fea Fexders/Subleetlers N Fee Cv uits
0 to 200 Am s
Above 200 qrri??y 0 to 30 qm ?s
31 to 100 qmps 0 tn 30 Am s
37 to 100 A s
Swimmin Paol Above 700_Amps Above 100_Am s
Transiormers
Signs Irrigation Boorc,s
Speaal Inspection U
5 Partial,'Other Fee
?
rkst?Pw?.w.9?w.6....d?J.e?.?.??.?._.f., ??JV TOT L F?.Q' 0)
NouBh-in - -
Da[a ?
I, the Eiectncal
Inspectoq heireby
Fnal r certily tha, the nbove
ins
pection hes Ceen
.
.. , ? da.
ma
4uest void?
ths Irom
9 187?7/i. r3i.
r.tfuest Uaie . ?
Owner
?
_ -?; s ?2,--2 /
? 77,9 ?
ALc1.e? . ,8;/,;:21T c"
uph-in Insuer,tion
quvetl,
?R¢ady NnwXWill Nmifv Insoec-
?Yes ?Nn ?or When qe d
I heraby reOUest inspection ol above
elachical work insl elled at.
qgs. `° ^'?i i? -nis INSPECTION pEQUEST WILL NOT
MiAway Bltlg. - qaom N•191 BE ACCEPTED BV THE STqTE BOAND
Unnversitv qve., St. Vnul. MN 55104 UNLESS PNOPEN INSPECTION FEE 1S
I6121 642-0800
ENCLOSED.
'-7-7 REQUEST FOR ELECTRICAL INSPECTION
See instructions lor completi EB-00001.06
??? ?y'? ?? ?ro tbis form on back oi yetiow ropy, 757?/
"X" Below Work Covered by 7his Requesl
Ada Neo. rypa ot amlmng ?--
AoPlIancwa WireA ?im ?I Win,
?
nome
Temiwrary Service
tn
nal
nner
? Servica Enhence5?ze n
0 t0 ZOO p
Feaders?
Fee Subieeders p pyd
c
,m s
Above 20 mPS 0 to 30 Am
s
Q 31
?
0 tn 30 Ai?. ?s
S to 100 Am?s
? 31
wimming Poal to 100 Am
S
Transiormers D Above 100 Amps
Irrigation Boorc
s
' <lbove 100_,Ami
Signs ,
SpeciallnspecLO 0
5 Parnal. Oth e
n
$
TOTAL F i
D:ite
? 1, the EI -
Ins
t
pec
or, he.oby
% Q certily thet the above
? inspec4an has been
vo1C 18 montha Irom
?C.'Z- ctkGA ?(Lie,:ufi 7t (?_ ?'J%.S matle.
Thie re0uest void `??5? ? / ? ? ?s? ? ?? •
18 nwnths Irom Q 8 715 ;
Nequest Uaie ? Pire No. R.oriuphedn,lnspecbon XReady Nuw Q W. II Nmrty InsPec-
.jlllY 10, 1987 0 ye5 N. mr When Reatly
? Licensed Electnwl ConVactor I hereby raquest mspechon oi above
....,.n melnlled et.
? .....???
SVeet Address, Box or Houte No.? ?90
CnY
Yankee Doodle Road & Coachman Ea an
ectwri o. Township Name or No. Hange o. Cnumy
OccuVant IPRINTI Phone No.
FOX RIDGE SHOPPES
Power Supplier Atltlress
N.S.P. South 5309 W. 70th St. Edina, NiN 55435
Electncal ConVacmr ICompany Namel Contrar.lor's License No.
Killmer Electric Co., Inc. A 040301-8
MailinB AdJress IComracmr or Owner MakinB InstailaUOnl
7901 Brooklyn Blvd Mpls, NIIV 55445
Au h ri? ignature (CoMr cY r Owner Making Instxilation) Phone Number
425 2525
. t
MINNESOTA STAyE eOARD OF ?CT ICITV BE ACCEPTED BY THE STATE BOARD
Griggs•Midwey qldg. - Aoom N.'191 UNLESS PNOPEH INSPECTION FEE IS
1821 UniversicV Ave.. St. Paul, MN 55106 ENCLOSED.
Phone 16121 297-2111 _
REQUEST FOR ELECTRICAL INSPECTION ee•ooooi '.
ji? See insVUCpons lor comolevep Uis form on beck of Vellow eaoV.
?17? "X" 8elow Work Covered by This Request
Fdtl Bep. TVpe of BuilEing AODlionces WveA Equiumem Wved
Home Range Temporary Service
Duplex Water Heater Liahtiny Fiztures
Apt. BwlAing Diyer Electric Heatiri
Commeraal Bidy. furnace Silo Unloader
IndusUial BIAg. Air Conditioner Bulk Milk Tank
Farm
otner oer.ity
Ou,er ISnenivl
L P.! SVCCI y ShC! Onll'f
p Fee ServiceEntrenca$ae H Fee Fextlers/Subfeeders
Oto200 Am s Oto30Am 5
Above 200 q?nps 31 to 100 Anps r
mminy Pool A6ave 700-Am
;
sformer a ertial,'Other Fee
s SVeaal Inspection S 10
5 OTAL F
Remarks .
AougRin 1`• • Date ji.n the Ela n?V
hb.fi 1y I Act IMu l?nvn
Final Date specFOn has ben
J7tle.
Thia requesl voiG 18 monihs Irom
Thrs reQUes[ voiA /'0 ?
18 mnnths from r O tG?G
3 0 9 5 5
Reques[ pate Rre No. Nnuph-in Insuer,bon
_, _ /3 -He reA> qeadV Now Q WJI Np1ifY InsUec-
?s ?No lor When Reatly
? Lwensed Electncal ConVacmr
I heraby ?eduast mspectron of above
? Owner electncal work instalied a[SUee[ AAAress. B/OZ or Foute No. Ci1Y
J
. 7
ecLOn o. T nshiP Name or o. ange No. Counlv
OccuVant IPpINT)
? Phon¢ Nn.
S j
Power Supul?er Addre ss
B/ec
t
n
c^al' C
onvact
o
r (Company Ndmel Commc?o?'s Lic ense No.
?
,
?
?
q
?
GT f ?/4? ? /C?
7"E'
?%? G .
M11a ng AdJress IContrac?nr pr Owner Ma
k?nO ??stallation
A ?
u[hor e S, ure IConhactor Own aki i9 Ins[allalionl Phon
umber
?
? c?
!VV
""'-°`??• o?qi[ oUAxU UY [LtCTRICITY
G??B9s-M?dwey Bidg. - poom N491
1931 Umvers11v Ava.. SL P.O. MN 55104
Phone(617)692-0800
inis inSPECTION HEGUEST WILL NOT
BE ACCEPTED eY THE STATE BOANO
UNLESS PFUVEH INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON ?
- - ? Sae inshucpans lor complebne this form on beck ol EB-00001-06
G 3 0 g 5 5 ??xee,oW Wnrk ('nvn.ad ?,,, qti a Vellow coov.
REQUEST FOR ELECTPoCAL INSP ?
ECTION
/ Sea insAUChons lor complehng lhis form on back a/
9-3 3 q
'??X"
? ??
EB-00001-06
?a??ow ?oF?.
1 8e/ow Work Covered by This Re quest
J Add RaP. TYPe ol BuilCme
Hom AP?IianCea Witad
E
e Range u.iumem w„ed
Duplex
Water Heater iemporary Service
L Bufldi DrYe Liyhbny Fixture6
Commercial Bldy. . Furnace Electn? Heat.n
In ustna
9
Air CondiLnner Silo Unloader
Farm ptn,,, Pe?;? y Bulk Milk Tank
+ er Suc,.i ? . n;he, (Sue??r?i
Fee
CLOn $?'J" TOTAL
Thierepuestvo1p18montln1 p?j ?
Thns
18 nwnIhs 1mm O 6
? 93 3 61
?i ?
re
crce.nsetl Electncal Contractor
Owner
611NNESOTA IKqTP90ARD OF ELECTflIC
6li69s-MI Bidg. - poom N•191
1621 Universitv qve., St, Paul. MN 551U4
Phone (612) 642-0800
? ?? 1. the Elech?cql
Inspectoq herBby
? Uate ?a????r ? ehe above
??/? ?? ctionhas q?
xde.
phin Insuer.pon
lyYes eiretl? ?No ?ReadY Now Wir ll µNhn ouf Rd
V InsOer-
N
I hereby request inspec[ion of above
elecnical work installetl at'
BE ACGEPTED'6Y THEn5Tq7EWB qqp T
UNLESS PpOPER INSPECTION FEE IS
ENCLOSED.
'REQUEST FOR ELECTRiCAL INSPECTlON es-ooooi-os
- / See instructions for comolatinp this form on back o/ yellow ca,.,. 75457
Q F Q "X" Below Work Coveied bv 7h, s
AAd flep. Tvoe ol Bwleins
Home apolianc.s wirsE •??-'
E9uiVmem WveO
RaO9e porary Service
Dupie.x
Apt. Bwldfng Water Heater
? Ll
ghtlciq
Fixtures
Commercial Bldg.
r
rye
Fumace
tric Heatin
Iustrial Bldg.
Av Condrtioner I
i
Unloader
arm
oin?? Milk Tank
, isne??tvl
r
om pute ns pection Fee Below
M Fee ServiceEntranceSixe d Fae Fe+ders/Subleeders p
Fee
? t0 2?? /?RI 5 C,rcuits
0 ta30Ams
Above 2_qm u Oto30Ams
31 to 100 Amps
Swimmin Pool 31 to 100
'4 s
Abcve 100_Amps
Transiormers Above 100_Am s
Irn tion Booms
'
oeT
i.._ Si
S Pertial.
Other Fee
Special Inspection _?
F
Thla request voiE
This repuest vo' d
?8 ^thA.tm
m
Q?w ?5968
/ - / / -d- /
Li¢ensed Electrical Contracmr
Owner
reet qddress. Boz or Route No.
33 9 0
': TOTAL
eh--n Inspecuon
`uired? OReatly Nuw? Will Notity Inspec-
J?es ?No tor When Neady
I Aereby raquest inepection of ebova
eleetrical work installetl at:
No.
.ver aap0iner -
ectncal Contractor (Compeny Nai
T6'2 Y ? 'TZ-n? y ,
^B AtlJ/ess IConva?- .i?. n....
MINNESOTA STqTE BOARO OF ELECTRICITY
GriBpa-Midway BId9• - Room N•191
1827 Univsraitv Ave.. St, Paul, MN 65704
Phone (812164p-pg00
//?lw S? 30?
Phone Number
TNIS INSPECTION pEQUEST WILL Np7
BE ACCEPTED BY THE STqTE BOARO
UNLESS PROPEfl INSPECTION FEE IS
ENCLOSED.
? Oa[e I, the E
7yt' ? ceInapector, hereby
D?e rti(y tha? the a0ove
M ? ?nspection hes been
%a? moae.
C 41/i /c;% -- - .
Request Date Frre Na Rough-in InspecAon
Reqwretl?
NOTICE: Vou Must Call Eledncal Inspector
Ii A RovgM1ln InspecUOn
IsReqwre0
I icensed cont
t
rac
or ? owner hereby requ est inspection of above electrical work at:
Job Atltlress (Street. Box ar Route No )
33 ?'r0 ?dxcw,et N /c .t?
S Qry
t, - "
eclion No Township Name or N. Fange No CountY
?
Occupant(PqINT)
?
Phona FJ
Power Supplrer Address
Eleclncal Conlraclor (COmpany Name) '
Sc,.l3?.??s9-•? Contracror5 Lwense No
•r
Mailing Address (Conhacmr or Owmr Making Installahon) iv c. c?R 0 ?7 ?s'
I
?7
Authonzed Signature (Co Uactor(Owner Making Installation)
Phone Number
? I
M;NRES siqTE 60ARD OF ELECTqIqTY THIS WSPECiION REOUEST WIIL NOi
Griggs-Midway Bldg. - Room 5473
1921 Unlveralty Ave., SL Paul, MN 55100 BE ACCEPTED BYTHE STATE 60APD
Phone (612) 642-0800 UNLESS PROPER INSPECTION FEE IS
_ ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION Ee.oo?V
ll? See msimclions br mmpleLng this iorm on back oi yellow ropy 1
o? V
P? 66118
_ 'X" 8elow Work Covered by This Request ?.
iw
e Atld Rep 7ypeotBmltling AppliancesWred Equipmentwired
Home Range 7emporary Service
Duplex Water Heater Electnc Heanng
Apt. Buildmg Dryer Load Managemem
Comm /Industdal Furnace pthar (Speaify)
Farm Air Conditioner
Olher (specify) ConVac[or§ Femerks
cvl,eE ?P f-rN•7 Gnc.A
Compute Inspection Fee Below: & ;,-- /.4 L
# Other Fee # ServiceEntrance5ize Fee # Crtwits/Feeders Fee
Swimmin9 Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 2D0 _ Amps Above 100 _ Amps
SIgnS ?s-- Inspector's Use Only. TpTAL
Irrigatlon Booms L? > G?J ?7 y_0
Special Inspecnon t
?
Alarm/Communication THIS INSTALLATION MAY BE OflDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector. hereby
certify ihat the above inspection has
been matle. Ro°9n-'s
F,,,ai Date
Date
f-
OFFICE USE ONLY
This request void 1B monlhs from
'REQUEST FOR ELECTRiCAL INSPECTlON es-ooooi-os
- / See instructions for comolatinp this form on back o/ yellow ca,.,. 75457
Q F Q "X" Below Work Coveied bv 7h, s
AAd flep. Tvoe ol Bwleins
Home apolianc.s wirsE •??-'
E9uiVmem WveO
RaO9e porary Service
Dupie.x
Apt. Bwldfng Water Heater
? Ll
ghtlciq
Fixtures
Commercial Bldg.
r
rye
Fumace
tric Heatin
Iustrial Bldg.
Av Condrtioner I
i
Unloader
arm
oin?? Milk Tank
, isne??tvl
r
om pute ns pection Fee Below
M Fee ServiceEntranceSixe d Fae Fe+ders/Subleeders p
Fee
? t0 2?? /?RI 5 C,rcuits
0 ta30Ams
Above 2_qm u Oto30Ams
31 to 100 Amps
Swimmin Pool 31 to 100
'4 s
Abcve 100_Amps
Transiormers Above 100_Am s
Irn tion Booms
'
oeT
i.._ Si
S Pertial.
Other Fee
Special Inspection _?
F
Thla request voiE
This repuest vo' d
?8 ^thA.tm
m
Q?w ?5968
/ - / / -d- /
Li¢ensed Electrical Contracmr
Owner
reet qddress. Boz or Route No.
33 9 0
': TOTAL
eh--n Inspecuon
`uired? OReatly Nuw? Will Notity Inspec-
J?es ?No tor When Neady
I Aereby raquest inepection of ebova
eleetrical work installetl at:
No.
.ver aap0iner -
ectncal Contractor (Compeny Nai
T6'2 Y ? 'TZ-n? y ,
^B AtlJ/ess IConva?- .i?. n....
MINNESOTA STqTE BOARO OF ELECTRICITY
GriBpa-Midway BId9• - Room N•191
1827 Univsraitv Ave.. St, Paul, MN 65704
Phone (812164p-pg00
//?lw S? 30?
Phone Number
TNIS INSPECTION pEQUEST WILL Np7
BE ACCEPTED BY THE STqTE BOARO
UNLESS PROPEfl INSPECTION FEE IS
ENCLOSED.
? Oa[e I, the E
7yt' ? ceInapector, hereby
D?e rti(y tha? the a0ove
M ? ?nspection hes been
%a? moae.
C 41/i /c;% -- - .
Request Date Frre Na Rough-in InspecAon
Reqwretl?
NOTICE: Vou Must Call Eledncal Inspector
Ii A RovgM1ln InspecUOn
IsReqwre0
I icensed cont
t
rac
or ? owner hereby requ est inspection of above electrical work at:
Job Atltlress (Street. Box ar Route No )
33 ?'r0 ?dxcw,et N /c .t?
S Qry
t, - "
eclion No Township Name or N. Fange No CountY
?
Occupant(PqINT)
?
Phona FJ
Power Supplrer Address
Eleclncal Conlraclor (COmpany Name) '
Sc,.l3?.??s9-•? Contracror5 Lwense No
•r
Mailing Address (Conhacmr or Owmr Making Installahon) iv c. c?R 0 ?7 ?s'
I
?7
Authonzed Signature (Co Uactor(Owner Making Installation)
Phone Number
? I
M;NRES siqTE 60ARD OF ELECTqIqTY THIS WSPECiION REOUEST WIIL NOi
Griggs-Midway Bldg. - Room 5473
1921 Unlveralty Ave., SL Paul, MN 55100 BE ACCEPTED BYTHE STATE 60APD
Phone (612) 642-0800 UNLESS PROPER INSPECTION FEE IS
_ ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION Ee.oo?V
ll? See msimclions br mmpleLng this iorm on back oi yellow ropy 1
o? V
P? 66118
_ 'X" 8elow Work Covered by This Request ?.
iw
e Atld Rep 7ypeotBmltling AppliancesWred Equipmentwired
Home Range 7emporary Service
Duplex Water Heater Electnc Heanng
Apt. Buildmg Dryer Load Managemem
Comm /Industdal Furnace pthar (Speaify)
Farm Air Conditioner
Olher (specify) ConVac[or§ Femerks
cvl,eE ?P f-rN•7 Gnc.A
Compute Inspection Fee Below: & ;,-- /.4 L
# Other Fee # ServiceEntrance5ize Fee # Crtwits/Feeders Fee
Swimmin9 Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 2D0 _ Amps Above 100 _ Amps
SIgnS ?s-- Inspector's Use Only. TpTAL
Irrigatlon Booms L? > G?J ?7 y_0
Special Inspecnon t
?
Alarm/Communication THIS INSTALLATION MAY BE OflDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector. hereby
certify ihat the above inspection has
been matle. Ro°9n-'s
F,,,ai Date
Date
f-
OFFICE USE ONLY
This request void 1B monlhs from
mnggs-M10way Bldg. - qoom S473
1841 Univermty pve., St Paul, MN 55104
Pho- (612) 641-0800
5 5?
J..0709
THIS INSPECTION qE0UE5T WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PqOPER WSPECTION FEE IS
ENCLOS[D
REOUEST FOR ELECTRICAL INSPECTION
? See insimcuons lor completing this brm on'pack oi yellow copy
" X" BEtow WOrk Covered hv Thic Ran?mc?
ea-oo/ooi.oe `
',ld7?P'Do)
e
Atltl
Rep
TypeofBwiding . _ _ _. ...._ .._y
AppliancesWiretl __... _.,m..
EqwpmentWired
Home Range Temporary Sermce
Duplez Water Hearer Electric Heating
Apt. Buddmg Dryer Other (Specdy)
Comm /Industnal Fumace
Farm Air Condihoner
Olher(sUeciry7 CoNractor)s Remarks.
Compufe lnspechon Fee Below. ?
# Other Fee
Swimming Pool # Service iranceSrze Fe e # Qrcurts/Feeders Fee ?
? 0 to 200 A
mps
? S 0 to IDO Amps
Transformers Above 200 _ Amps Above 100 Amps
$ign5 I nspecmrs Use Onry
Irngahon Booms TO7AL
Speaal Inspection
Alarm/COmmunication THIS INSTALLATION MAV
(her F BE ORDERED DISCONNECTED IF NOT
ee SfJ COMPLETED WITHIN 18 M THS.
I, the Electrical Inspector, hereby Rough-m oe+e G?
certify that the ab
ove mspection has
F
been made.
i°81 oaie??
c?
OFFICE USE ONLY
This request voitl 18 monihs Irom
J .
EB-Oppp?q.10 6/95
STATE BOARG COPY. SEE INSTRUCilONS DN 6ACK OF YELLOW COPy
I IIIIIII??I RE?UE57,FOR ELEC7RICAL INSPECTION ?lP ?
Minnesota State Board of Elechicfly ?`?-° .?,
6 1 7 2 7 8 ;k 1821 University Ave., Rm. -72 , St. Paul. MN 55104 ??
Phone (812) 842-080p? ? p? ?.??1
Duple: Apt. Bldg. O?her. 7 ?
?? ?? ? "°? ?=y????. cmer remarks m ?his space and on the botk of fhe while mpy
Nc?W ?S? 6 NS AS /vEL-pl-D.
Cvlculote Inspec?ion Fee - This Inspecryon Reques/ wiq nof 6e occepted wi?houi Ihe rorretl
Olher
Mobile Home Pork Stoll fee N Service Enho
? S? F? ? Cin
Street ?1
g./iraffic Sig- ??? 200 Amps
0 to 10
irans{ormer/Generotor Above 200
?AmPs Above 1
Z $ign/OuHine ?ig. xfmf ?NSPECTOR'SUSEONLY
??
Alarm/Remote Confrol c? ¢?/f
• ?
$wimming pool / a'
Irngofion Boom ? hB2 ttmh ?har i,?,,,.,,..?,?_ _, , ?
?re
Inves}igu?ive Fee
THIS INSTALLqTION MAY BE ORDERED DISCONN ? o??
CT D If NOT COMP? RrFn w?......
L' ?. .
.?/i // `rv
H 089284; /?% _
/?/?
? ????
? oe'
Request ate Frte No, qou h-in
g Inspaction
O Requvetl'+
' ?{le9tly Nav f] Will Notiry InspeCtor
? Ves
?p When qeatly?
I2!;.licensed contractor p owner heieby request mspection of above electrical work at:
JoblWtlress (Slreel, Box or Rome No Cm
33'21) o Cce.` o,,,. '?)-. - Cw
IF
Section No Townshrp Name or N.
Range No _
a.
Cq\y\ nty \
OccuOanI(PRINT),
r'?? •l. ? O
VC.? i ?? Phone No
Fawer SuOPlier mdm.
Elecinc[y.?\pnlractor {\Co?m08nY Na?m/e)?
\ c C `'?-t 5 f 1 LI.C
...JlFLS - ? Conhaclor's fL?cense No
?,S .' {
Mailin Adtlress (ConVactor or (Nner Making I .
nstallaLOn) ?
? SS'1OS
Aut?or¢ ignaWre(GonbactorrOw Meki In allatio P oneNumber
_
.so
? 9g-l?
rninnesuTn STATE BOAqD OF ELECTBIqTY THIS INSPECTION REQUEST WIIL NOT
Gtlggs-MlEway BIGg. - pppm 5-173 BE ACCEPTED BV THE STATE BOARp
1821 Univerolty Ave., S[. Paul, MN 55100
PMne (612) 1412-0800 UNLE55 PFOPER INSPECTION FEE IS
ENCLOSED,
REOUESTF6. __cCTRICAL-INSPECTION r"'?N? EBOOODt-OB
M ll? See instmc0ons lor com0leMg Uis brm on back of ye110w copy 4?y?? ?.?x ??ji/ ?
W 08928 "X" Be/aw Work Covered bv This Reauest r
ew Htld Rep Typeo(Bwltling AppliancesWVed EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Bmltlmg Dryer ther (Specdy)
Comm./Indusinal 'Furnace
Farm Air CondiLoner
pther (speaTy) CIo1ntra-ctor's emarks
K?%?N"' C.J?V`Q? i 41?T - V?b??? r, •?.?Q?
Compute Inspection Fee Below
# Other Fee # Service Enirance Size Pee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Am
Transtormers
519n5 Above 200 _ qmps o 700 Amps
Inspector5 Use Only ? d OTAL
Irnganon Booms
Specialinspeclion ?v
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCON
Other Fee NECTED IF NOT
COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspector, hereby
cerhfy that the above inspection has
been made Rouqn,n
?
final , oale
ff ? ?!1
OFFICE USE UNLV
Thrs request witl 18 months frpm
J
io-r/s ? y
P °3 10
? 9a5'/W
9 "II/5
Fequeat Data Fire No Roughin Inspecipn
Requve0'+ ? Ready Now ? Will Notdy Inspectw
? Ves ? Na WM1en ReedY?
I 0 licensed contractor ? owner hereby request inspechon of above electrical work at:
Job AAEipss (Sireet, Box w RoWe No J cih,
33 R p
Secbon N. Township Name w No. qanye Np_ ??nv
OccupentlPRIPIn r
C
J C' Phme W
. --(-/3(a3
Pawer5upp6er AGtlress
Eleclncal ConUeclor (Comppny Neme)
-4 Contrector5 Ucense No
v
c yas ?
Mailing AAAress (COntractor or Onner Mekirg Ins[a on
SPI ? ?D ytt?., ?e
AulFariz 'gnaWre (COnirector/Ownar aklnq Inshallafion) , + ?
PYa Number
MINNESOTA STATE gppRD OF ELEC7pICiTy THIS INSPECTION HEOUEST WILL NOT
Grigga•MiAway 61Ay. - qpom 5.173 BE ACCEPTED BV THE STATE BOARD
1821 Unlverelry Avp., St. Geul, MN 55100 UNLESS PROPEH INSPEGTION FEE IS
Pho. (612) 6490BOp ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es41oom4)7
O ? See insVU tlons for complehrg inis torm on beck ot yellow copy
7?/ r
Below Work Covered by This Request
e 'Rdd ReG. TypeoBUilding AppliancasWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm /industrial Furnace
Farm Air Conditioner
Olherfspecify) ConVac019 Remarks
Compute Inspection Fee Be/ow:
# O[her Fee # ServiceEntrance Siza Fee # CircuiGS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspedor's Use anly: 7O7pL
Inigation Booms
- Speciallnspection
nlarm/COmmunication
Other Fee ?
I; ihe Electrical Inspector, hereby
certify that the above inspecthon has
been made. Rough-In
Finsi
OFFlCE USE ONLY ?
?
Th. reques[ voW 18 months fiom
?
- This reqaes? void ?s ?
18 months from ?/?1/O K
? ?359 42 131 Request Da,e ` fire No. Rouph- in Inspecunn
'?' ? G{y Reqmrv 1> eatly Nuw C:1 WtII Nutrty Inspec-
? ? ??es o 11), When ReatlY
JZ?JL-cep..d Elecincal ConVBCtor
Owner I , hereby request mspeclion oi abova
? ___,
_. ___._ _._
Sheet Address, Bon or Route No. "...._....
City
m o ? ?
ectwn o. TownshiP N
No. Ranpe No. Cnu
Occup?n t IPpINT)
Ppone No. ,
Power SupPI'er AAAress
c-n mVanY Namel
' Contmrlnr's Lmense No.
?
? n
4
tor or Ownr Mak
?`'
hac Owne. Making InstallaUOn? Phon J i??p¢r /
? 6_oS
? e?qnu u? GL[GIqICITY JnlJ IrvSPECTION flEGUEST WILL NOT
Gr?9 -M?tlwey Bldg. - Room N.191 9E ACCEPTED BY THE STqTE BOAFD
1821 Universf v Ava.. SL Paul, MN 65104 UNI.E55 PROPEF INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
HEQUEST FOR ELECTRICAL INSPECTION kf% EB-00001-06
,
Ili See insGUChons for compleUnp this larm on beck ol vellow coCV. ?
nD 9 5 0 4 2 "X eeloW Work Covered by IhIs Request
Fdd `Heo. 7YOe of Bmltlme Apolionees Wned Equ.ument Wverl
Home Ranqe Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt Bwlding Dryei Electnc Heatin
Commercial Bldg Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm lnrr pecitv inFr Isnecivl
ucc.itv otna. Omcr -
60IpUUi@ !/ISOEfllO/1 hPP Hn/nw ' U
N Fea Serv?ce EntraneaSiza p Fee Fanders?Subfee.ders N Fee Cucwrs
U to 200 qm>s 0 to 30 Am s 0 tn 30 Am s
A6ove 200 qmps 31 to 700 Amps 31 to 100 Am s
Swimming Pool A[wve 100_Am?s Above 100_amps
Transiormers Irrigation Boorns Partial. Other Fee
$igns Speciallnspecbon
S
erryrks (Q, yo TO A` ?EE
J/1 . ?
? `?.'V -?NI lJ\G1f' ? ,]uF- V
RouBh.in Dace
?
Iik. . ? r.cel
? spector, ?e?eby
er?dy [het the ebove
Final
e? ?S inspec[ion hes b6en
?ea.
misreQueslvolOlBmontluhom l/
AuivEi'fit-tS1CN 70 EulSrtni 20 A, SIGo
9A ?Z/,o 9 7
P 3 9 816 • i .,3 ,. ? ,5 °°
Request pgie
y/? ?7 Flre No Pough-in Inspectwn
Heqwretl? .
? Ready Now Will Nobty Inspector
R
Wh
d
>
L ? yys o en
ea
y
IVicensed contractor ? owner hereby request inspection oF above electrical work at:
Job Atltlresc (Sheet, Box or Ra/u}?J No-)
? , l.Z//? ?/?I/
? Gq
Secnon No
Township Na
??,
z
Occupa0t NTJ Phone No
- 5z
Porver Supplier ,.?/
?V`-? Ad?dres?s
Ele Contracmr,(Company Name)
? Coritredor5 License Na
(
.
&
Maihig A dress (Comrac[or o r Owrer/? -g- stall on)
2-
ANhrni Sigia e( nt rer Making InsWl ion) PhoOe NumOar
MINNESOTA STATE 60ARU OF ELEC7pICRY THIS INSPECTION REQUEST WILL NOT
GrlggsMidway Bitlg. - floom 8.173 BE ACCEPTEO BY THE STFTE BOARD
1821 UpiversM1y Ave, S[. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION - ee-ooom-m
y 0/ 1? See mshucbons for compleUng t" form on back ot Yellaw copy.
fs Z Q S2 ? F X" Below Work Covered by This Request
u
? ew ?j
Add .J si
Ft;?' iv
° TypeotBUildmg
ApphancesWired
EqmpmeniWred
Home Flange Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildmg Dryer Olher (Specify)
Comm./Indusirial Furnace
Farm Air Gonditioner
Otfier(speciry) CoMr?aclorSRemark?s5,? ,{ ?.?//'? ? y Cra??,q/I 1..?
f
I?
I? LG/
C?'Yt
c
C
rv,
/
7
'/-
?
?
Compute Inspection Fee Belaw:
# Other Fee # SernceEntranceSiae Fee # Qrcuits/Feetlers Fae
Swimmmg Poal 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
Signs mspecmrg Use omy TOT)AL ?
`
Irrigation Booms ?
Special lnspecfion
Alartn/Communication
Other Fee
I, the Electrical Inspecior, hereby Rou9h-in
? Date
certify that the above inspection has ? oai
been made.
OFFICE USE ONLY _
This request mitl 18 moMls Imm
?
j
O??/8'l
9S?SG>S
2
pp (?
ll' 3 7 O O O 41 4Fl
Requesf Date
J Fire No
?? Rough-m Inspedion
Requred^.
Readq Now Will Nobiy lnspecror
( ? Ves No When Reatly?
I licensed contractor ? owner here6y request inspection of above electrical work at:
,bb Atltlress (Street, Box w Route No.)
'
? Ciry y
O
D
.:3
ehnla?
Seclion No. Townshup Nazne or No Range No Co Mk
irlaupant (PRINT)
E
f Phone W.
fC S
PowerSupplier tlress
Eleclrical Conlrector (COmpany Name) Corruractor9 License No
?c-+ ?a
Maibrg Atltlresa (COnNactor or Owner Makng Insta
(
0 b D V?
-t r\
d
f
d
_
?
o
,
Autho rz iqnawre (COniracror/Pmer Making lirstallaam) Phone Number
-
MINNESOTA STATE BOApD OF ELECTRICITY
Gngga-Mitlway BNig. - popm S1]S
1821 Universliy Ave., SI. Paul, MN 55109
PhoM (812) 612A800
I `ol, 9/dl REQUEST FOR ELECTRICAL INSPECTION
? ll? See inshuctions br complebng this fortn on back of yellow rqpy
P 3 7 0 8 S •X° Below Work Covered by This Request
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED 8Y THE STATE BONRD
UNLESS PROPERINSPECTION FEEIS
ENCLOSEO
• Ee-oaooi-07
w 99'?5'& 5'
ew `Add Fep. Typeof6wlding AppliarxzsWired EquipmentWired
Home Range Temporary Serwce
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Oiher (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specdy) CoMractor5 Remarks
Compute lnspection Fee Belaw:
ff Olher Fee # ServiceEntrance Srze Fee # ircuits/Feetlers Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers AbOVe 200 - Amps A6ove 100 _ Amps
SignS Inspecior§ Use Onry TOTAL
r
Irrigation 8ooms /?J•DO /?
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby R°°9n-,n ? oare
certify that the above inspection has
been made. Final ce
&w
OFFICE USE ONLY
This request void 18 monihs irom
?8 9 3 7 5 r I 13)? <-?-
Pequesl Date fire No
3 ?jt Q Raugh-in Inspectmn
ReqWretl?
ow Will Notiy Inspec?ar
r, • ? Y hen RI
es
i censed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SVeet, Bar or Raute No) Ciry
3aq0 Ea
Sechon No Township Name or No Rang¢ No. Coumy
OccupaM ???
' Phone No
YO
16
Pow
er Supplier ? 7/?
/v/'/ Htltlrass
Elec[ncal Comraaor (COmpany Name) Cantrector's Lic¢nse No
?1 ?
MAliN A ss (CanVaIXOr or Owner Making Installaiwn)
/
Aulhonz netlire (COOtlacforiOwrre Mabng 1 Ilatronj one Num
l ?
MINNESOTA STATE BOApp OF ELECTflICITY THIS INSPECTION REpUEST WILL NOT
Griggs-Mldway Bldg. - Room 5-173 BE 0.CCEPTED BV THE SiATE BOARD
1821 Universky Ave., SL Paul, MN 55106 tINLE55 PROPEP INSPECTION FEE IS
Phone (612) fq2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION 20M eaaoom-m
ll? See insimcbops for compleLny this torm on back of yelbw mpy ?
89375 'X" Below Work Covered bv This Reauest
ew Add Rep.
. TypeofBUiltling AppliancesWiretl EqwpmenlWired
Home Range 7emporary Service
Duplex Water Heater Electric Hea[ing
F Apt. Builtling Dryer Oiher (Specify)
Comm /Industrial Furnace
Farm ' Air Conditioner
Olher (spectly) C?" tr?ctor's Rem s
K/??? SI?N 11..+ ??D
Compute lnspection Fee Below: 2? ?-
c
# O[her Fee # SernceEntr ce 5ize Fee # Circwts/Feeders Fee
Swimmmg Pool 0 to 200 Amps D to 100 Amps
Transtormers Above 200 _ qmps Above 1D0__ Amps
Signs ? in?or? U. o?y: raL
Irrigation Booms /? ? J6
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspechon has
been made. Ro°9n-'" (
F??y 12 Date
OFFICE USE ONLV
This request wb 16 monihs Imm
MINNESOTp STATE BOAqD OF ELECTp
Grlggn-MlOwey Bltlg. - qpem S173
1821 Ilnlveralty qve., St. Paul, MN 55106
Ghone (61]) 5p3-0B00
?11038
REQUEST FOR ELECTRICAL INSPECTION
?'Scr mstr?COOns br cnmpleung ihis lorm on back oi yellow copy
"X" Below Work Covered bv Thia Ran,taqf
ic?"y'A'• EB-00001.07
ew Adtl Rep ' TypeofBmlding AppliancesWVed EqmpmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Butlding Dryer Other (Specify)
Comm./Industnal Fumace
Farm Air Condihoner
Other (speuly) Conrcactor's Pamerks ?
/
? \
aCl-'?"
Cam
ute M
6
p
spec
on Fee Below, -
# Othar Fee # ServiceEmranceSze Fee # Qrcwls/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
TranSbrmers Above 200 _ Amps 1 1- 00 _ Amps
Signs Inspector's Use Only. TOTAL
Irrigation Booms ?? ? / ?
S
i
l I
pec
a
nspechon
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED D
Oth ISCONNECTED IF NOT
er Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°9n-'" oete
cerhfy that the above inspection has
been made. D?71 4?
x
OFFICE USE ONLY
This request voitl 18 montps Imm
0
J nib irvJf'ECTION qEOUEST WILL NOT
BE /CCEPTED BV THE STATE BOqRD
UNLE55 PROPEq INSPECTION PEE IS
ENCLOSED
This re4uest void ? ??
,nnuh=,?n?q ,??? `?;
Requast Date ?ee No. q qphad?lnspecUOn e.?dy N.W [] yyill NoUfv InsOac'
- ?
I ElYes o Inr When Feady
Licensed Elec[ncal Convactor I hereby raquest mspec<ion ot above
Owner electncal work installed aY
Sveet Atldress. eoa or floute No.
eoccchmcw 2c1, Cay
?a ah
ection o. Township Name or No. Range No. c tV ?
Occ antIPRINTI? Phone Nc.
mark?t ?3?- 3so?
r ? ?
Power Suppher Address
Elec[ncal Contractnr ICOmpany amel
7-
' ?` Contracmrs Ucense No.
.o , ?
n ?-
5 i ?t h P-r?
Mailin dJress lCon[ractor or Owner M infl Insta'Jatmnl
' 'f
q ra Own ?stallatwnl Phone N ber
MINNE50 ATE BOARD OF ELECTRICITV
Gnges-Mid Bldg. - poam N-191
1821 Universitv Ave.. SL Peul, MN 55'104
Phone (672) 642-0800
TMIS INSPEGTION PEQUEST WILL NOf
BE ACCEPTED 8Y THE STATE BOApO
UNLFSS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON
, See Inslrvctions br completmg this torm on back ot yellow coCY ea-aoooi-os
G'Sl nai Q "X" Below Work Covered by Thrs Request
the ? ? ....„„
Ltiil(i?ng
APClmncen Wved -
Eqwume?? ?Vved
Range Tempora ry Service
Water Heater Liyhtiny Fixtures
lAing
Apt Dryei
R Bldg Fumace Sil o Unloader
al BIAg.
rm Air Condit?oner
omrr pea y Bulk Milk Tank
ntner fspei.ilv7
cufy OMcr r n?he'
l.Om
# pure ?ns
Fee pe?u??n ?ee uc??..
Sarvice EnhanceSize H
Fee
F..d.11/Subt..dara
d -
C?rcu?ts
tn 30 F.m s
o
W g to 100 Am s
3
Sw?mmig Pool bove 100_Amps
rm rtial Other Fee
ai9ns I I I.,"- ...,r,..,...... ?S/n_> '
Foueh-in I, tna c+ri
Inspecto, , herehy
cerulv ?hai the ahove
?pgpeetwn has be0n
Final / .y
!/ A?J•? 7 me6e.
TMS request witl 18 monihs Irom
. . ?.
?/S/5;7
REQUEST FOR ELECTRICAL INSPECTION .Eyey-ooo,o/i-os
/
See mstrucliens lor completin9 this lorm on beck oi yellow copv- ~ // D'X-U
'- "R" Below Work Covered by 7his Request
h's re9uesl void
1 months (rom
? 71798 -
° r 06?
'-nuest Date u?'?
???syyy Fre Na. Rpuph-in Insp¢cuon
Req.iretl> ?qeatly N?w W?II Novf In
l ?Yes ?No tor When fleadyaec-
Licensed Electncal Conlractor
dwner I here6y requast inspection af ebove
eleclrical work installad at
Occupant(PRINT)
$x00 44g-S
Power Supplier
r
°.c.V'q STATE BOARD OF?ECTNICITY
??'BOS•Mitlwey Bldy. - Room N•191
18Y1 Unive.sitr Ave., gt. Peu1, MN 65104
Phone (612) 642-0800
No.
THIS INSPECTION PEQUEST WILL NOT
9E ACCEPTED BY THE STqTE gppqp
EUNNCLESSLOSEOPNOPER INSPECTION FEE IS
.
Ti113 lbQO151 vOltl
18 npnths from lG/a o?/'r ?7
Q 97.661 VeR?.e ? tw ?
sed lectncal ConVactor
1t
7-
?j:'??
u -in Insnetlwn
?red> []Reatly Now Will Noufy Inspec-
yes ?No tor When Neady
1 hereby repueet inaDecnon of abova
electrieal wmk i.twll.n ntsty4a` qtleWss citv
ectio^ aTownship ame or No, anee No. Cmnl
O anl TI Phon¢ No,
Power Su001i Atltlress
Electrical Co tr.,a?ctor (Com?pany N.ama)
1LL ?? '? ?3 r% l i?i G?C?
?Jnl Contractor's License No.
C f'.? ??
Mail n0 dra?s vac ? or Owner Mak n
?-? B lnstaila?ioN
Authori ignature Contracior Owner Ma q Ins Ilauonl one NumOar
???IGBOTq STATE eOARD OF ELECTPICITY ? ?? TMIS INSPECTION qEnVEST WIIL NOT
?'Bga-Midway Bldg. - Room N-181 BE ACGEPTED BY THE STATE BOANO
1821 Universitv Ave.. Sf. Peul, YN 55104 UNLESS PNOPEN INSPECTION FEE IS
PhonB(6t2) 64&OBUO ENCLOSEU.
REQUEST FOR ELECTRICAL INSPECTION pea-ooooni-/o?e
1 See inahuc4pns for compielin9 this form on heck o/ yellow copv.
? q 7F._4; 1, "R" Be/ow Work Covered by ThIs Request
TYOe of Bui
Eqmument
?..y uryer Electne Heatin
Commercial Bldy. Fumace Silo U I- i
Industrial BIAq. Av CorxiitinnPr auik nn.ik r.._k
M Fea Sixe H Fee Feaders/SUEfeaders M fae Circorte
0 to 30 Am s '3?
? 0 to 30 Am
aAbove200
qmps 31 to 100 Amps 31 to 100 q y
qrypve 100Amps Above 100_Am s
c ...... rri ation Booms PartialOther Fee
Pem3rks ..v?...a- - ?aNCI i.vii 5. T 7E
I. th?ncal I
InaOector, hereby
Final ^ ^ rorLfy fl?et the abovB
pQction has been
Thn rpueat
mnggs-M10way Bldg. - qoom S473
1841 Univermty pve., St Paul, MN 55104
Pho- (612) 641-0800
5 5?
J..0709
THIS INSPECTION qE0UE5T WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PqOPER WSPECTION FEE IS
ENCLOS[D
REOUEST FOR ELECTRICAL INSPECTION
? See insimcuons lor completing this brm on'pack oi yellow copy
" X" BEtow WOrk Covered hv Thic Ran?mc?
ea-oo/ooi.oe `
',ld7?P'Do)
e
Atltl
Rep
TypeofBwiding . _ _ _. ...._ .._y
AppliancesWiretl __... _.,m..
EqwpmentWired
Home Range Temporary Sermce
Duplez Water Hearer Electric Heating
Apt. Buddmg Dryer Other (Specdy)
Comm /Industnal Fumace
Farm Air Condihoner
Olher(sUeciry7 CoNractor)s Remarks.
Compufe lnspechon Fee Below. ?
# Other Fee
Swimming Pool # Service iranceSrze Fe e # Qrcurts/Feeders Fee ?
? 0 to 200 A
mps
? S 0 to IDO Amps
Transformers Above 200 _ Amps Above 100 Amps
$ign5 I nspecmrs Use Onry
Irngahon Booms TO7AL
Speaal Inspection
Alarm/COmmunication THIS INSTALLATION MAV
(her F BE ORDERED DISCONNECTED IF NOT
ee SfJ COMPLETED WITHIN 18 M THS.
I, the Electrical Inspector, hereby Rough-m oe+e G?
certify that the ab
ove mspection has
F
been made.
i°81 oaie??
c?
OFFICE USE ONLY
This request voitl 18 monihs Irom
J .
This reqoest void
18 mcptR, F;Sm
f? 57823
P.e.quesf 6'ate Fire No. ReqvvedvlnsVCr,uon eaAy Nuw Q W?II Noufy InsDec-
? Ior Whan FeadY
ElVes
Licereed Electncal Contractor I hereby request msoacvon of above
?OWner eleclricel wark nnslelled a<_
Uty?
Srreet Address, Box or Route No. 14 1
or
Phone No
Ts:
Electi?cal
? TMIS INSPECTION PEQUEST WILL NOT
zofn!
MINNESOTA STATE BOAND OF ELECTNICITY eE AGCEPTED BV THE STATE 60AAD
Griegs-Midway BIdB- - paom N-191 UNLESS PpOPER INSPECTION FEE IS
1821 Universrtv Ava.. SL Paul. MN 55104 ENCLOSED.
Phone (612) 642-0800
REQUEST POR ELECTRICAL INSPECTlON AV% ee-ooooi-os
III See inslrucli0ns 10r CompleLn9 <hi6 form on bxek ot yellow eopv. ef YG'' S
8 L 3 "X'' 8elow Work Covered by This Request
Bwla?ng Aaabencee nvea
Range Tem-po , ra . ry Service
Water Heater Lightiny F#mes
d Dr
ei Electnc Heatm
inq y l
d
?al Bldy.
u
Fumace
er
on
Silo Un
l Bldg Arc CondiLOner Bulk Milk Tank
OtM1e? SPeu y Otr (5°.>Cq-fy)
ccifY
Sp Othor Othcr
I[Q IRSp@CIIU/l ("CC UG/?/rv vcWfS
Fee Service Entranea5ize b Fae Fexde?s?SUbleaders # n3olvat-ilo U to 200 Amps 0 to 3D Am s Anx>e
31 to 1U0 A ps ?0 An
III -Tu,imminnPnol ?Abavelu0_Hm nnove ?i?v-
P'1 I-?._ -
?Speual Inspection S TOTAL FEE (l?
L/QtS?
D"t, o
Nough-in tncal
I, the Ele
Insoector, n y
cerUty that the +bove
.l/
J% mspectmn has been
Fnal // O
( meda.
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