2815 Eagandale Blvd - Electrical PermitsREQUEST FOR ELECTRICAL INSrr?.._
11I I 1161 I I I Minnesota State Board of Electricity ???
1821 Universiry Ave., Rm. 5,128, .Paul, MN 55704
7?/?
*' 0 2'6 70 1 5 *11
(612) 642-0e00
Home Dup ez Apt. Bldg. Other: New Addn
ommercial Indusfrial Farm mad Re air
Air Cond. Htg. Equip. Wakr Hfr. load Mgmt Other.
D`er Ron e Elec. Heat Tem . Service
"X" obovwork covered 6y this request Enter remarks in ffiis space and on ihe ack of the white copy only.
Calculote Inspection Fee - This Inspection Request will nof 6e accepted wifhoul the correct lee:
Olfrer Fee # Servire Enhance Sae Fee # Cirai6/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 fo 100 Amps
Sheet L}g./Traffic Sig. Above 200 Amps _ tAbQye 100 Amps
TransformedGenemtor INSPECTOR'SUSEONLY TOT S?
$ign/Oudine Ltg. Xfmr. ` O•
Alarm/Remofe Confrol J
$wimmin9 Pool I here ?nt fiot 111 ?he leclncal inmllWlon desc' ed hercin an Me dokz sfokd
Irrigation Boom go,gh-in ome
S
eciol Ins
edion
p
p
Inves}igative fee Finol
Do
THIS INSTALLATION MAY BE ORDERED SCONNECT OT OMPLETED WITHIN 1 M NTHS.
261- i ?
PLEASE PRINT OR TYPE OFFlC? USE NLY This reqoest wid 78 monihs from validolion dole pn^ted i^ Mis boz.
/ ,?LIX . 'IeiK• ?I
•
R??s1 b
` es ? No
Noagh-in Impection requimd
(You m?st call the inspec5ar when ready) Inspeclion O?herThan Raoghln: 0 Ready Now Will Call
DoM Rwdy:
I, licensed confrador Q owner hereby requesf inspedion oi ihe above electricai work ai:
Job AAdrpas (Sheel?, lBo., or Rouk.)
V? h? Ciry
? Zp Code
SMion No. Taxnahip Name or No Range Na. Firc No. Co
p¢?oa^1
?V Phone No.
?
Power Sapplier lddress
Elednml Conlmcror (Company Name)
RIES ELECTRIC COMPANY Canvatlor Limnu Na.
CA01539 Maehr Lic. No. ?Plant EIM. Only)
Moiling onnocrorar
777 No nc e o
, So S Paul, N 55075
lwthonxed Si9naNm IC Vacror Pedorming Insroll ' nl PMne No.
451-2238
EB- /95 ? STfRf?BOM0f6W- SEE IN5fPUCTIONSONBACKOFYELLOWCOPY
This rr.quest void //p.,/y?Q r? I (7Op (f!
18 w
nth0i(1.!M d?'v O/ f O/ af
D 10093
Fenuest Date Fire N.
ion
o u
h-ii Insu cf
q iretl?
Readv Nuw?'ill Nolify_
Inspec-
?
f_
lv Q V
es ?No mr When N¢ady
Licensed Eleclrical Contnctor I hareby request ins0ection oi ebova
Owner elechical work installed et:
Sveet Atldress, Box or Poute No. CitY
2 ??'S? K.Q6 /-,-' dGF %?4?A . ,E-s-G,?,r/
ecuon o. Townshi0 Namo or No. Ranqe No. Counry
aTi4
Occupam IPNINTI ?
g; Phone No.
'4
? 46- G G-
Power SupDlier
//
/
- Atltlress
.
/_
. '5
.
Electrical Contractor ICompany Namel Convactne's License No.
/
?ScJooi-..i?Ci7vt1 ?LLf?G'T?iG G'O.
4C?O 7"7
1
MailinB AdJress
IC
ontractor or Owner Making Instailationl
/
'
97Z/ ?rcarsoc.or Q?? ?. /tir?G S. '41?-? 5-5-43/
Au[horized SiPnamre Contrac1or/0 r Makinu Ins[allatio 1 hone Number
?. R?rdc? -7?OJ
NESOTA 5T E 90AND OF EIECTNIGITV THIS INSPEGTION HEQUEST WIIL NOT
Griges-Mitlwey BIdB. - poom N-191 0E ACCEPTED BY THE STpTE eOAND
1821 Universitv Ave.. SL Pnul, MN 55104 UNLE55 PROPEF INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
nIli See instructiuns lor complatine thls form on bnck of veliow copv. ?Gej5
D -7 O O J 3 "x"' Below Woik Covered by This Request
Nen Fdd Rea. Tvoe oi aiumioe acoiiancea wtree EquiV.,ent Wired
Home Rwnge Temporary Service
Duplex Water Heater Liqhtiny Fixtures
Apt. Buildinc7 Dryer Electrie HeaUn
Commercial Bldy. Furnace Silo Unloade,
Industrial BIAg. Air Conditioner BLdk Milk Tenk
Parm Othri oer,i y 71ne:r ISnnnilyl
? er uccify lhnr Oihur
Comnute /nsnectron Fee Below
p Fea ServiceEmranceSize tt Fee Fexders/5u1hianAers b F>e Circwts
0 to 200 Am s 0 to 30 qm s 0 to 30 An u
Above 200 Amps 31 m 100 Amps 31 to 100'Am s
Swimming Pool Above 100_Amps Above 100-AmPs
Transformers Irngation FSoorc?s ,,SO Pdrtial.'Other F
Signs Special Inspection S ? O
-
' ?
TOTAL FE P
nemri.ks
U ?
j
/
AOieh-'"
the Elact.ical
Inpectoq M1ereby
s
certify Net the »bo?e
Final 'nspeclion has bean
maAe.
?
flrb repuest voitl 18 monlha Irom
This reques? void ??/?
?8 "?5?4?? 57
? ?I
?ccQ???? ?(
0
.25? c??
a ? R S'?
.Reques[ Uate ..
. . Firt:.NO: ReQphed.ln,v'pection ? ?qently Now ?Witl Notily InSp?c-
/? ,. ?Yes? QNo ? . Inr Whcn FeadY
?Licensed ElecVi?al Contrector ._. .,_ ?{ hereby rsquest inspection oi ebove ? '
? Owner . ? . . ? eleclrical ?work ins?alled al: ? ?
Sveei AtlAress, eox or Roure Nu.
??g/S ?AG A/D?tr' B?vD City .
C-A? ,l/
ecLOn o.
. Township'.Namo or No. ? Range No. ? ? County - '
D ,Co Tl?-
Occuprnt (PRINT) , ? ? Phone No..
K '?,v rto2S
Power SupDlier .
S ? Atltlress '
Eler.hical ConVactor?ICompany?Namel . ?. ' ?
??.r?.,oic ?t?eT2?e. C?o C vdcior"s Licnnse No. ' '
?Z ??s?.
? Mai6inB-AdJress (ConVactor or?Owner?MakinU?lns- ila?ionl ? ' - - ?- ?/(?? ?
? is
•'
?r? o S , ? , /
,
?.AUffiorized S?B?ature.lCOntracmr wner aking,lns[alla?ionl - ._Phune Numb??r? ? - .
7 D?
. ? ;MINNESOTq.S -TE-80APD ELECTRICJTY; _ ? ' , 7HIS IIVSPECTION'PEQUEST WILLNOL _?
- Griggs-Mitlway.Bldg. - H? N-797 ?' ? . ?..BE ACCEPTED ?Y-THE STATE e?OARD '
- .? UNLESS?PflOPEN INSPECTtQN' FEE d5 ?
.?.1821.UniversityAVe.;'S Peul. MN 551.04 ?' ' ' ? . '
.'.o?,.:..e?eia?a4?c?i?? . - . - . .. . .. 'ENGLOSED:. ?- '
REQUEST FOR ELECTRICAL INSPECTION w„ ee-ouooi-oa
?p W
a 5 4.35 7? See instruc[ions fur comUleling this form on beck of yellow copy, i
'`X'%,BelUw Work Covered by 7his Request ;2 -Jq
Ne Add ReO. Tyoe ol Buildinp APpliances Wired Equipment Wired
Home Ranye Temporary Service
DuPlex Water Heater Lightiny FixturGs
l1pt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industr.ial Bldg. Air Conditioner Bulk Milk Tank
Falin Other Sper,i y Other (Sneclfy)
thp, ($GCCIfY ONcr Oth.r
Compute-lnspection Fee Belaw - Y Fee ServicaEntmnce5iza q Fae Feeders/SUbleetlers 41 Fe Circuits
0 to700qms Oto30qms 0 to30Ams
101 to 200 qrnps i 31 ta 100 qmps 1 to 100 Am
Above 200 qi.. I's Above 100_Am s Above 100 n s
Transformcrs Remote Control Circ. G iSD Vzrtial%OU -F
Signs Speciallnspection S •
Homarks r+ "/
I'i Vl a/
flou9h-in ' Date T
! ?
/? Ij? InsPacEOrcthereby
cerlify thaf the nbova
Final ???e inspection has been
I ,ae.
This request void
18 nionths hum
? minnesoca bwca aoara or eiecvicicy
Griggs Midway 61dg. - Room N797 p? EH-uo.._
i821 lliiversity Ave.. SL Paul, Minn. 55104 - plrona 297-2117 ?C?Ci 0
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REQUEST 71436
Type of Building New Add. Rep. Check Appliances Wued For Check Equipment Wved Por
Home El ? ? Range ? Tempotary W'ving ?
Dupkx ? 0 0 Water Heatec ? Lighting F'ixtures .19
Apt. 81dg. ? ? ? Dryex ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Btdg. ? ? ? Aic Conditiocer ? Bulk Milk TanY. ?
Fazm ? ? ? List List I
Othet
?
?
? Oihers?
Here ) Othecs}
Here )
COMPWTF, INSPF,CTION FF.F. RF.I.OWl1 0`,\ \\,"J
- --
Service Entrance Size: ---
x -----
Fee ---
Feede ' f` -
Fee
C'vcuits:
#
Fee
0 to 100 Am s. 0 to 3m e 0 to 30 Am eres
101 l0 200 Amps. 31 to 10 mpexes 31 to 100 Am res
Above 2007QQAmps. bove 100 Amps. Above 100 Amps.
Transtormers RemoteControtCirc. Pa:tialocotherfee
Si ns ' Special inspection Minimum fee $5.00
Remarks
iJ'} ir B' k TOTAL FEE
?
I, the Electrical Inspector, hereb e t Ye in ction has been deSEjp/ e7j
(Rough•in) Date ??- vZ?
(Final) Date
This request void
18 months from
This c8queqvoid p?
18 months ftom ao ?i J
-
Date of this Request •?? /?Q Fire No. S 71436
I, as ? Licensed Electncal 96ntractor OOwner, do hereby request inspection of the above electri-
calwiringinstalledat: / ./G-/Sc
M S
Street Address or Route No. 200/5 City
Section Township
Which is occupied by
Is a roughin inspection required on this job? No ?
Power Supplier _ N ST' Electrical Contractor ??/nuNC.? ?-C.I-G
Mailing Address
Authorized
(Electrltal
?M?
Name)
Range County HEN
0 Ready Now ? Will Call
?
S -
'_"e Contractor's License No?
satl-23
Phone
This inspectian request will not be accepted by the
State Board unless proper inspeetion fee is endosed.
_ ?. . IEQUEST FOR ELECTRICAI INSPECTION EB'°°°°''°°
iB ? Sae :estruetions for rnwlating this t«m on Eeek ot yeliow eopy.
7212 ?o
? ??' (.) ( ""X"" Be/ow IVork-Coverad by This Request
NW nddjlte,. Twn ot Bv:Miw Anolianewx Wir.d Eouiumen? Niretl
2CL I I ?O^?^?cial Bldg. ? 1 F?.,,a?
??. ??rchh?strial Hlda. Air Corxfitioner Bulk Milk Tank
p Fee Sa?viceE?rtraneeSize k Fee Feeders/SuGfeeders H Fee Circuits
Om200 / ' 0 to30qms 0 m30Am
Above 2 mps -A- 31 to 100 Amps 31 to 100 A
Swimming Pool Above 100-Am - Above 100-Amps
?? Transfom?ers aY-v Irtigation Boorr?s Partial-'Other Fee
Signs Speciai Inspection 5 'S? TOTflL E
Remarks ? ? /
Nouph-in D.I.
osoec.«. ne.env
?h Wat the above
Final
i?pecxion has Deen
(P- ?aa.
This •eqt1u?e witl^ ? ? ? ? ( 5 ? r V
78
B 04; ?J, ? x _
?95,
nn
Hequest Da Fre N¢.
!/ RouAh-in Inspection
flequiretl?
?Reatly Nuw i11 Notity.lnspec-
?? 3 (/.7 es ? No Mlhen ReadY
?Licen ed Electncal Contractor
? 1 herebv raquest inspection of above
? Owner aleclrical work imtallatl at:
SlreeI AdAress. Box or Route No. ? ?.rj •[¢.??,?,,,??t-E` CitY
ecuon o. Tawnzhip Name or No. , Range No. Coumy '
"
Occupant (PqINT)
?s Cor?P Phane No.
34-
r0wer suooiie.
"s-P AAdress
-"I
A
-4
9
--
• ?c, -
ee-1
AX ,K,-Z?
W1
Elechi.l Comrac[ar ICOnoa'ry Namel
? C?opmrano,'s Lice?e No.
? 2
? a . rf -' zZ
Mailing AtlJress (Contractw or Ovmer king
lnstailai nl
S
Z .
1`t
i c c.itr? o ?
E L /
AuMori Sia [ure ICO?trector r MakinO nstallaiipnl Pho're Number
??lT 1 ??' 7 I
MINFESOTA STATElOARD OF ELECiR1?ITV ? TNIS.INSPECTION REQOEST wILL NOT
Griggs-Midwar Bldy- - R. N-197 ?' BE ACCEPrED B? THE STAIE BOARD
7821 Univerairy Ava.. St Paul, YN 55104 UNLE55 PNOPEB INSfECT10N FEE IS
ENCLOSED.
Wp. (81Z1Zy72?11
This request vaiE
18 months fram
A•,_ 1 2Adfl
/-,R (.- ¢y 119 4 1 os6-/sso
1-11. F3 3, EArGa•JI CTt . i
Request Date'-
ry
L X[ Fire No, Rough-i Insper.tion
Aequ A?
ElNeadv Nuw i}f'Notity, Insuec-
?
?
U Ye:s ?No . _ [or When ReaAY
?Licensed Eleclrical Con[raclo, , I herebV repuest inspection oi above ? Owner electrical work installed at
Slreet hAddress, Box or oute No. CitY
ecuon o. Townshiv ame or No. Fanpe No. Coun[y
Occupnnt (PHIN ? ?
?K Phone Nu.
Pawer Supplier Adtlress
Elechical Contractor (COmpany Name) Contractor's License No.
?
Mailmg qA ress (COnvacior or Owner Making Insmilation)
go
// tiv
c) " ;
i
l
„C
Aut «ized Sienamre IConhac?tor/Owner Making Installationl P/h?one Number
n 7z?vttil?h_r??/ E yy - 7 B
MINNESOTA STqTE 80AND 01 ELECTRICITY THIS INSPECTION PEQUEST WILL NOT
Griggs•Midwey Bltlg. - Foom N•791 BE ACCEPTED 9Y THE STATE BOAND
1821 Univarsity Ave., St. Paul, MN 56104 UNLESS PNOPEIi INSPECTION FEE IS
Phone 16721 2972111 ENCLOSED. - '
S/ NEQUEST FOR ELECTRICAL INSPECTION EB-o°°°i:°^
(?( ',+? Seainstructiens for comoleting this form pn back o1 Yellow copy.
I Y 14 /'?' 1
"x" Belnw Work Cnvered by lhis Request
AAtl ReO. Tyoe of Builtlina Aooliences Wired EqviVment WireA ?
OCtriC
N Fee ServicaEnlrenceSixe k Fee Fexde,s/Subfeedars a Fee Circuits
0 to 200 Amps 0[0 30 qm ps O 0 to 30 Am ps
Above 200 qmps 31 to 100 Amps 31 to 100 qm
Swimming Pool Above 100-Am s Above 100 z
Transiormers Irrigation Boorr?s O Partial%' er Fee
Signs I I ISpeciallnspection J$
tD?? ?ns0ectoq he?aby
certity thet Me above
rFinal inspection has been
I matle. I