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2864 Eagandale Blvd - Electrical Permits a 72018 ? 4 Repvest Date ? ? Fire No. ROUgh= specllon q pi ? Raetly Now SNili Notiry Inspedor When Reatly4 es ? No Irl.ljcensed contrector O owner hereby request inspection of above electrical work aC JoD Atltlress (SVeeG Box or Fame No.) CitY Zg?q aWp rz-f6-4? $action No. Townshlp Name or No. Range No. Coun(y • o ?, r Occupant (PRINT) -1 ?ko-/q it'4 Phone No. Co 9 3 -`T12-8 Power 5upplier Atltlress Elecincal ConVactor (Company Name) 41L c Ie- 4LC-Af-C7-rtl C (!?-? ?' • Comracmr's Liwnu No. D cC? ?F ?? Mailing AOtlress (COnVactor or Owner Making Installation) 1q5--3 stH4 (IJ )Q,l?dilt ""'COXI-4b A i n9 5?naWre IC on ner a? Insla?lation) ri1? 1 e NumDer Ph on / / ? ? / L S7- a sQ ?. . T MINNESOTA STATE BOAHD OF ELECTPIpT THIS INSPECTION REOUEST WILL NOT Griggs-WEwey Bltlg. - qoom S-173 BE ACCEPTED BVTHE STATE BOARD 1821 UnlversNy Ave., SL Psul, MN 55104 UNLESS PPOPER INSPECTION FEE IS Plqm (615) 602-0800 ENClOSED. This rnquest voirl e? 533 5 O?? !? y 18 w nnths Irom T 9 7 j 3 7 L(4 Rvnurst Date, Fire No. H?G h-in InsVer.lion Rb ulretl7 eady Nuw El Wili No:lfy. Inspac- /[j ?Yes ?No lur When ReaAy -ffLi ,trued Electricnl Con[nctor i hareby request fnsnectton oi above ? Owner electrical work installed at SVeet Aeldres s, Bux nr Route No. C'rtv / dok , /' - ectron o. nshi Nema or No. Range No. Caunty Occunant(PRINT) « T l Phuna No . Ati e ru? a o? ?e Powpr sunPlier AAdress Elac[ - al Convactm (Comoah N) Cnnvector"s Licen se No . ` ry ry ^ . Mai ine dJres on cmr oi Owner Makinp Instaila[ionl ? / ';'5P Auffiorized Signa[vre fCOn a or/Owner Making inst Ilationl Phone Ni er r ,e-i , dt:;- AAINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILI NOT Griggs•Mldway Bldg. - Hoom N•191 BE ACCEPTED BV THE STATE BOAND - - ? 1821 University Ave., SL Paul, MN 55104 'l1NLE55 PPOPEP INSPECTION FEE IS . ?, Phona (612) 29741111 ENCLOSED. q `)J3 5 REQUEST FOR ELECTRICAL INSPECTION q? .. N ????U ' Sau insfructions tor conlpleting L.is form on bnck of Yellow cupy. g! L, 6? ? X'".Se1ow }york Covered by This Request N¢yr qtlA Rep. Typ¢ oi Builtling Appliancns WireA Equipmen[ Wtred Home Range Temporary Seroice . Duplex Water Heater Lighting f-ixtures ApL Building Dryer Electric Heatin Commercial Bldy. Furnace Silo Untuader Industrial Bldg. Air Conditioner Bidk Milk Tank Farm oint,. peciW, 01nc1 lSUllcltyi [hor Succilv Other 011her Compute lnspection Fee Below N Pee ServiceEntrance5ize k Fee Fenders/SunFeaders N Fa Circuies ?? to 100 qm s 0 to 30 Am s to 30 Am s 107 to 200 Amps 31 to 100 qmps 31 to 100 qm 5 A6ove 200_qmps Above 10 Am s Abuve 100_Ain s "p ^ Vransrormers Remote Control Circ. Partial.'Ot r-F2 ? Si9ns Special Inspection ,// -T Remarks OTAL EL(6? , ?"uh-in Datc . , the Elechical ? nspector, hareby certity that the ahove. - nspeccion has heen ? meda. This requeat void ? 18 rnomhs hon. vn tLeI;IRII;qL IIVSPECTION ee•oowi-na , See instruetiens for completing this form on beck of yollow eop, evo ?? / Q ""N" Below Work Coveied 6y Thrs Request 'o A oi Builtling Applientae Wired Equipment Wir¢d Range Temporary Service x Water Heater Liyhting Fixtures ? uilding Dryer Electric HeaLn rciai Bldy. Furnace Silo Unloader rial 81dy. Air Conditioner Buik Milk Tank Other . Deci Y Othur ISpcr.ily) Suocily Othi.r F B l ee e ow # Fee ServiceEnhanceSixa g Fae Feeders/SubineAers p Fnn Cirruits . U t0 20u QfOf]S n.., on n _ _ i11 ? .. __ t0 on m ema.ks ' ? OTAL FEE ? 7 ? / noopn-?? Date? I, the ElectiiCnt'/ Inspecto h b Final ? q 9,o y cerlify that the above in i spect on has been metle. requestvoia ?No ,Wk? G Sa o-?o ?-0hm514 ~ L 4, B S . nequesc uaie rire rvo. nwq oveen-id n ?insoecuon Re DReatly Nuw ill Notify, Insoec- or When Ready ? ?Ves ?Nu " ?icensed ElecVical ConUactor I hereby request inspaction of above ? OwnPr electrical work installetl at: S[reet AAdress, Boa Roate No. ? City? ecUOn o. Towns Name or No. Range n. County I Ocw ynt (PFINT) 1 Phone No. Pawer $upplier Address Ele i cal Convxctor IC mpan Nam e) ConVnctor's Licenso No. . „ Mai ing Address Co Iractor or OwnaoMakinp Instai [ionl ' 5536 ? y, , Authorized Sianaturo (Co h vlodOwner Makin Imtallstion) hone Nvrnbor MINNESOTq STATE BOAND OF ELECTNICITY THIS INSPECTION NEQUEST WILL NOT Griggs•Mitlwey Bltlg. - Room N-191 BE ACCEPTED eY THE STATE BOAHD 1821 University Ave.. St. Peul, MN 55104 UNLESS PXOPER INSPECTION FEE IS Phona (612) 297.2711 ENLLOSED. minnesota state tsoard ot tiectncity "- 12:kUniversity Ave., St. Paul. Minn. 55104-Phone 645-7703 REIdUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / o/aS' P 86676 Type ofBukding New Add. Rep. Check Appliances Wved For Check Fquipmenl Wired Foi Home ? ? ? Range ? Temporary Wi[ing ? Duplex ? ?? Water Heater El Lighting Fixtures ? Apt Bldg. ? ? ?? ? Dry i Electric Heating ? Commercial Bldg. , ? Furd9?cd Silo Unloader ? Sndustrial Bidg. ? YY ? Av 6nditi ¢ec? ? Bulk Milk Tank ? Fatm ? ? ? Lis[ List Other 0 E) O Othets? Here 7 Others? . Here f COMPUTE INSPECTION FEE BELOW Service Envance Size: x Fce 1 1 FeedersBSubfeeders: # Fee Cirwits: # Fee 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 ta 200 Amps. 1 131 to ] 00 Am res 31 to 100 Am eres Above 200 Amps. Above 100 Amps. ',? Above 100 Amps. Transformexs Remote Control Cvc. Partial or other fee Signs 5 cial Inspection Minimum fee Remazks TOTAL FE I, the Electrical lnspector, hereby certify that the abQve inspection has been ma3e.` (Rough-in)_ Date (Final) / Date " 7 z_Z This request void 18 months from This request void 18 months from ?o ° ? _;' `???..?? e'°`s7°s Date of this Request ? ??'- ? ? . ?? I, as qLicensed Electrical Contractor 0 Owner, do heieby request inspection' oP the aboveelectri- cal wmng installed at: Streef Address or Route No. V b City /9M Jl7 Section Townslup Range County Qi9 'ko 7;?7- Which is occupied by A?Y/-e-,Pwes11 F- (Nam of Occupant) - / Is a roughin inspection required on this job? No? Yes ? Ready Now lei' Will Call ? P9wer Supplier /tlap Address ?/ ElectricalContractor (-6////?? Contractor'sLicenseNo._ (COmpany Name) Mailing Address 1„?d 9 4168 n fW E f"LJQ LS s,$-f (Eltttrical Contractor or Owner Ma ng Thls Inrtaliation) Authorized Signaturq??? a&da C-*-= Phone No. .J '2 - (??[? ?? ?Q/? /? ?? ???? - This inspection request will not 6e accepted by ffie ,? ?,? p{/ ? State Board unless proper inspeetion fee is enclosed. Minnesota SWte Board of Electricity 19'•"si University Ave., St. Paul, Minn. 55104-Phone 645-7703 %REQUEST FOR ELECTRICAL INSPECTION CHECY4??9,W WORK COVERED BY THIS REQUEST /6Y 33 S ?92?.n Type of BuAding New Add. Rep. Chect Appliances Wired For Check Equipment Wired For Homg ? ? ? Range ? Temporazy Wiring ? Dupkx ? ' ? ? WaterHeatei ? LightingFixtures ? Apt. Bldg. ? ? ? Dryex ? Electric Hea[ing ? Commercial Bldg. ? X ? Fumace ? Silo Unloadex ? Industrial Bldg. 11 ? ? A'u Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List ) L ist O[h r_ . ? ? ? p } Hehels) "'= p Herels? f COMPUTE INSPECTION Service Entrance Size: # Fee Feeder ' Fce C'vcuits: # Fee 0 to 100 Am s :iir30 3101A%iperii 0[a 30 Am eres 101 to 200 Amps. Above 20 mps. 1Amperes have Amps. O 00 31 to 100 Am eres Above lOQ_Amps. 7ransfoxmecs RemoteConuolCirc. Partialorothertee Si ns Special Ins ection Minimum fee $5.00 Remazks AeQ , 'TO TOTAL FEE I, the ElectricaTInspe'ctorhere!MfyCtk(a{! pection has been ma e. ?? od (Rough•in) Date o7 (Final) Date - ? This request void 18 months from This re4€si*id 18 months from 33 Dat of his Request ?/ 7g S 2 9 2 2 6 I, as Licensed Electrical Contractor 0 Owner, do hereby request inspeAction,co?f the above electri- cal i?ing installed at: S? _Q I"3 5 ? Street Elddress or Route Section Townsl Whict doccupied by Is a roughin inspection required on this job? NoX Yes ? Ready Now ? Will Call ? Power Supplier Address iC?l.7 ??-PK Electrical Contractor,ZC ?-?? Contractor's LicensefOg? Mailing Address Authorized Owner Maklpry Thls In5t311ation?)J Phone No " (EleCtflCal Controttof Or OWneI Making TMS Insta atloN This impection request wil4 not be accepted by ffie c?? lr,l L 0(1?1 ? xj State Board unless proper inspection fae is enelosed. - -- -- - -- - - _ i ? Minnesota State Board of Electricity 11954 Uqiversity Ave., St. Paul, Minn. 55104-Phone 645-7703 - ' AtQUEST FOR ELECTRICAL INSPECTION LHlABELOW WORK COVERED BY THIS REQUEST e) y??7? p 29151 Type of Building New Add. Rep. Check Appiisncea Wired For Check Equipment W'uM For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Wate Heatec ? Lighting Futures ? Apt. Bldg. ? ? ? Dryer Elec[ric Heating ? Commercial Bldg. ? ? ? Furn Silo Unloader ? IndusVial Bldg. ? Q ? A'v C ditio Bulk Milk 7'ank El Fazm List h rs Li5[ h rsi Other ? ? ? e 11e e Re COMPUTE INSPECTION FEE BELOW Service Enttance Size: # Fce Feeders&Subfeedas: # Fee CrccuiU: # Fce 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres 101 ta 200 Amps. 31 to 100 Am res 31 to 100 Am res Above 200 Amps. Above 100 Amps. ;71, r7Q Above 100 Am s. Transformers RemoteControlCirc. Pactialorothecfee Signs 1 1 Special Ins ection Minimum fee S Remarks TOTAL FE 3 f, CC/ ?, j p I, the Electrical Inspector, hereby c that oye inspection has 6een[?'ade. (Rough-in) Date r'' (Final) r Date This request void 18 months from i p ?This re est void 18 months from '? ? U/p 0700 T/ ??G? ?J?c?J?'I??Q l P 29151 DateFof this Request V- 2%7 X I, asKLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cad .wikng installed at: Street Address or Route No. 2Q4py??/1N?f1C? B?-V? City E/3, Section Township Range County D/3 kG 7)4 Which is occupied by 19mgt '/e "91U F.Pv i i 3P1e0 DUC r- (N me } Occupant) Is a roughin inspection required on this job? No Yes O Ready Now ? Will Call ? Power Supplier /V 5 l' Address 6v?I1 A 335? / 7 N? ! fiL'C77 ' Electrical Contractor C ? es Contractor s License No. _ / ' /(COmDany Name) ? MailingAddress 1?49 l, h F-,t7LtJOo.D (EI ctrical Controctor or Owner mak g This Installatlon) ? 7? Authorized Signature Phone No., (Elactrica ??A`?E BOA ntractor or ner Mak{n9 T?IS Installetlon) C Y /f h .: c4 ?d -Go(zl 18"''75 T920. L Z- y t ? S7 E1ti-? ?? 32-S Q3 Ya 1 So Fequnst Oz?: ' ? ? Firc No. NouHh-in InsVec[ion Rn?puircA7 , ReradyNuwOWill -NOIity,InsGec- h (?? ?Yes ?NO «or W en ReaAy -?g Licensed Elec(rical Contrnctor ? Owner I hereby request inspection of nbove elechical work installed at: Street Ad iress, Box or Rou[e Na. / Za Cq G[V - - ecbon o. s Townsh - Nami: or No. Fangc Nu. County 1 A ! Ocr6pan[(PRINT) /'?C,cic 76 4,; ; ,t 75o4,-- c Phone No. Power SupDiier Adtlress .Etocvical Contrecior i Comuany Name) ,.,( C."rtrvctor's Licenae No. Maili/g AtlJress (COn var.tor or Owner Making Instailati n? . rized SiBnatur oMractor/Owner Makiny Ins[al [ion) Phone Number 3 2 S-G 5 -z MIryNE50Tq STATE BOAPD OF ELECTNICITY THIS INSPECTION HEQUEST WILI NOT Griges•Midway Bide. - poom N•191 gE ACCEPTED BYTHE STATE BOARD .1821 University Ave., 51. Paul. MN 55104 UNLESS PROVER INSPECTION FEE IS Phone 1612) 297-2111 ENCLOSED. ???i '?•? REQUEST FOR ELECTRICAL INSPECTION . es-ooooi-oa ?: ' Sae instructions for comple<in9 this form on back of Vellow copy. s /?p (?(?^ ' XJV BeloR ?okL'BDe?ed by 7his Request ?: Nov, A`AA flep. Tyoe ot 6uiltling Appliances Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Lightinp Fixtures ' Apt. Building Dryer Electric He2tin Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Buik Milk Tank Farm OHnxr oea v -thar fSDOCitv1 i,r Su?ei v? Ot er 01hei Compuie lnspec[ion Fee Below k fee ServiceEntranceSize fi Fee Fandars/5ubfaeders b Fee Circuits Uto200'Am s 0 to30Am s 0 tn30Am s Above 200 qrnps 31 to 700 Amps 31 to 100 A s Swimming Pool Above 700_Anips Above 100_Am s Transiormers Irrigation Booms Partial.'Other Fee Signs Special Inspection S? . Remarks O ? ^FwE? v . E? . floueh-in WT Inspaclor, lieroby .. . , f rr4^ ?-D ! . certi?y thet the above Final R " ( inspac[ion has baen d_ .? 5f inede. ThIS reauest valU 18 monlhs Irom REQUEST FOR ELECTRICAL INSPECTION EB- O0001-03 ee instructiuns ior completing this tnrm pn bnck of y611ow copy. ? `? ' q75''2O? S ,.: ` ZS3 X?" Below Work$overed by Thrs Reqcrest 3 w A eu. Type ot BuilAing Appliancas Wiretl Equipment Wired Home Range Temporary Service Dunlex Water Heater Lightiny Fixtures Apt. Buildinc? Dryer Electric Hea[in Cominercial Bldg. Fumace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tank F2nt1 (Sl necify r ihei ISUecitvl t er ISUecily Other Oiher Compute Inspection Fee Below d Fee ServiceEntrance$ize d Poo Feeders/Subiexders M Fee Circuits 0 to 100 Am s 0 to 30 Am s U ta 30 Am s 101 to 200 Arnps 37 to 100 qmps 31 to 100 Am s Above 200 Amps Above 100_Amps Above 100_AinPs jc/? Trana(ormers RemoteControl Circ. Partial% I Signs Special Inspection s ? cc T Rmark? .? ? ' I _I rr- ? ?y ? Q`Y ?. S "?( f ??eElecVical 0 Inspector. hereby li( th h Final cer et t e nbove V tion has been mntle. - This request voiJ 18 monlhs hoin Th+isre4ues[void 6?Y-7 aby.bp_y?ob? 18 monUs from V -fl &4 0 21. tA, Nequest Dato Fire No. Fouph-ii nsVection ? /'? ?- ji? R. uirr: ? ? ?ReaAy Nuw ill Nntify Inspec- ?? es N. tor When Ready' Licensetl ElecVical Convactor I hereby repuest inspection ol ebove ? Owner - elactricai work instelled at S[reec ddress, Bax or Route No. A City ' ^ [ GC Ltsa. ? i ecuan m Township me or No. HanBe No. Counry / Occopant (PqINT) Ph ne No. i Ci Power Supplier AAtlrvss Ele tricai ConVactor ICompan Namel Cunlracmr's License No. Nqil-ng AAJre (Contractor or Owner Mekinp Instaila[iorJ horizotl Sienat. re (COnVa tor Owner Making Insmllation) / Phone Number c MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION qEQUEST WILL NOT Griggs.Midwey Bldg. - Poom N-191 gE ACCEPTED BY THE STATE BOARD 1821 Universicy Ava., St Paul, MN 56100 UNLESS PPOPER INSPECTION FEE IS e.___ 1.111 1e, o... ENCLOSED. minnesoca axate eoaro oi neccnmcy Griggs Midway Bldg. - Room N197 ?. .1941 University Ave.. St. Paul. Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECT94DN CHECK BELO-VJ WOBK COVERED BY THIS REOUEST EB-00001-02 2? s-s I T ??RR9 Ty'pe of uilding New Add. Rep. Check Appliances W'ved For Check Fquipment Wired Fm Home 0 ? ? Range ? Temporary Wuing ? Duplex ? ? ? Water Heater ? Lighting F'ixmces ? Apt. Bidg. ? ? ? Dryei ? Electric Heating ? Commetciai Bldg. ? ? F] Fumace ? Silo Unloadec ? Industrial Bldg. ? ? ? Au Conditioner ? 8u]k Milk 7'ank ? Farm ? ? ? List Lis[ Othe[ ? ? ? Others? Here 1 Others? Here COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fce Feede:sdSub[eedecs: 7k Fee Circuits: # Fee 0 ro IDO Am s. 0 to 30 Am res 0 to 30 Am eres 101 to 200 Amps. 31 to 100A mperes 31 to 100 Am eies Above 200_Amps. Above 100• Amps. Above ]0Q_Amps. Transformets Remo[eControlCirc. Partialoro[herfee ?ST> Si ns Speciai Ins ection Minimum f S.0 Remarks OVEiI- 2-1b xi TOTAL F ? ?• Ig?? I, the Electdcal Inspector, hereby certify that the above inspection has been made. (Rough-in) ( Date (Final) _ ? -- Date Q'? oZ r' - ?' This request void 18 months from 9/l8 L.:,t r3S ?c?. ?.ix?k. This te4uest void ? / ? 18 months &om " 01 Data of fhis Request LCL3-J Fire No. T 29889 I, as 2 Licensed Electrical Contractor Owner, do hereby request inspection o£ the above electri- cal wiring installed at: Street Address or Route No. °?a ? . 1/4 Citv " ` Section Township Range County Li? Which is occupied by He?i?CG.n l`v; i V- /`e d aCe- (Name of OtcuDant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call49 Power Supplier Address °y°9$i It Electrical Contractor a- Contractor's License No. _ ? (COmpany Name) Mailing Address J? ' /7n V. /v (E tri ont?acto/r ?r Owne Makin9 T?is Installation) Authorized Sig tu ` a?E?i?? Phone No. .37-- OS26 (Electrlcal Contrattor or Owner Making This Installation) (C? 1[l ?1 ?ll ?I QL ?(h'!J1?(D?4?S? (i°O?? This inspection request will not he accepted 6y the J ?? State Baard unless proper inspection fee is enclosed. K 3 9 6 4 ? /aeii.xI ? ? 9a--o? s ?s ?0 equest Dale ' No. Fough-in Inspection Requiretl? Z C7.Reatly Now 0 Will Nolity Inspeclor When Re9Cy? - ? Ves No IN icensed contractor p owner hereby request inspection of above electrical work at: Job AOtlress ISireeL Box or Route No.) City z (a Cr r>4cff. 3 1.? a E .4 6-A 61 Section No. TownsM1ip Name or No. Range No. Co u ny . i j ? ?^ V ?T ? l Oceupanl(PqlNT) tCK,?rGT ?`{??K-lCrf-x? Phone No. PawerSuppner Atloress Elecvical Gomrador (Company Neme) Conhxlor§ License No. <(_ I Tft Fz(- t c Z?[ c a `fa , r %,( .5- Mailing Aadreu tConhactor or Owner Making Instailalion) 115-3 /1-0. fL.kG-.F l? l. 'tp Autnor ignaWre ICo c now Maki Installatiqnl r Phone Numoer !? b?? -(?UO T MINNESOTA STATE BOAflD OF ELECTHICITY U THIS INSPECTION REOUEST WILL NOT Grigga-MiEway Bltlg. - Room S173 BE ACCEPTED BY TXE STATE BOAqO 1821 Univeralty Ave.. St. Peul. MN 55104 IINLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENUOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e ? Sae instmRions for com?l@ing ihis form an back ol yellow copy O y ?, 33,964 "X" Be/ow Work Covered by This Request e Adtl Rep. TypeoBUilding . AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other-(Specity) Comm./Induslrial Furnace Farm Air Conditioner Other (syecrty) ConVaclorg RgmaBS' Compute Inspection Fee Below: # Olher Fee # Service Enirance Size Fee # Circuds/Feedars Fee SvAimminq Pool 0 to 200 Amps ? 0 m 100 Amps O,Ofl Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspecmr§ use Only: ? TDTAL Irrigation Booms ?Q ?Z ? ? • ,? ? Special Inspection AlarmlCOmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT S. I, the Electrical Inspector, here6y i h h Rough-in Date cert ty t at t e above inspection has been made. oare OFFICE USE ONLY TM1is request voitl 18 months Irom ?REQUEST FOR ELECTRICAL INSPECTION ? See inslmc0ons lor mmpleling ihis form an back of yellow copy Q?j 1j ?j 1 "X" Bel(rw Work Covered by This Request 4 EB-00001.08 . . e AtlC TypeoiBuilding AppliancesWired EquipmenlWiretl F Home Ran9e Temporary Service Duplex Water Heater Elec[nc Heating Apt. 8uilding Diyer Other(Specify) Comm./Industrial Furnace Farm Air Conditioner Olberispenly) Compute Inspecfian Fee 8elow: Cor.Vacmr's RemarRS' A? ( 10ilil Xr ?)Prl nM e1"!S # Other Fee # Service Entrance Size Fee S Circuits/Feeders Fee Swirrjming Pool 0 to 200 Amps 0 ro 100 Amps itanstormers Above 200 _ Amps ADOVe 700 _ Amps Signs lnspecmr's use Only: TO A lrrigation Booms , Special Inspection / ? ? Alarm/COmmunication THIS INSTALLATION MAY ORDERED D NECTEO IF NOT Other Fee COMPLETED WITHIN 18 MO I, the Electrical Inspector, hereby i ' oor oate certify ihat ihe above inspection has been made. T,,ai oa OFFICE USE ONLV This requesr voio 18 months Imm p 5 5 51,C,?-? a? Request Date ? Fire No. Rough-in nspe lon ReQUiretl. Reatly NCN ? Wiil Notliy Inspedor / Yes ? No hen Reatly9 iiiiii ?xlicensed contractor D owner hereby request.inspection of above electrical work at Job Adtlress?treet Box or ypyQ No.l p, • ? IJ[ GT/l, Ciry C.? Sec1ion Na. Townshi0 Na , Na. Range Na ? Cauna INT) . Phane No. 4i r Adtlress ?V Eiedncoi Conva or ICompCany,Namel 7?,(? r? GonVaci0r5 L cense No. ??0 ')_3 a Mal ing Atld Goniracror rp Owner Ma g s Ilati Aulh na ie IGontraclo^ ner Making Inslallaoon) ?or ???? -- - -- Phone Numbar Rr-_9% 06-5 MINNESOTA STRTE BOAgD OF ELECTFICITV ' THIS INSPWTION REQUEST WILL NOT Gnggs-Mitlway Bldg. - d om &173 BE ACCEPTED BY THE STATE 90AFD 1821 University Ave.. SL Paul. MN 55104 ' UNLESS PROPEF INSPECTION FEE IS Vpone (612) 6a2A800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See insimctians iw completing ihis form on back oi yellow copy Ej 9989 - '7C"Be/ow Work Covered by This Request IV--21^i? E&00001.08 e Rtld Rep.` TypeolBuiltling AppliancesWired EquipmentWiretl Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity ) Comm./lndustrial Furnace Farm Air CAnditioner Other(specify) CoMractar5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee Swfmming Pool 2 0 to 200 Amps 36. ° 21 to 100 Amps 40.0 TrenSformer5 Above200?$.?QAmps 9Q.° lyl Above100_Amps 46.0 SignS InapectorB Use Ony: TAL Irrigalion Booms / ?/ z Special Inspection < < <? alarmlCommunication THIS INSTqLLAT10N MAY BE ORUER NNECTED IF NOT Olher Fee COMPLETED WRHIN 1 ?HS. /` I, ihe Electrical Inspector, hereby ceAifythattheaboveinspectionhas been made. p04n-m pinai ?. 11 We '7 oWa r OFFICE USE ONLY ,. L-° --%-' Tnis reQUest voitl 18 monihs Imm '/?/! 9/ /00Z/llv I? 9 9 8 9,::V- ,B? o • Requesl Date ire . oug?-in Inspecl'an Requiretl? . ? ReaOY Now EI Wdl NatlN Inspeclor ]'0$-9], '?IYas ?NO WnenRBedY? Ig licensed contractor O owner hereby request inspection of above electrical work at: Jo0 AGtlress (StreeL Bov or Route No.) CM 2864 EAGANDALE BLVD. EAGAN Section No. Township Name or No. Ra?ge No. Couny ? DAKOTA Occvpant (PRINT) Plione No. R 4FT Power Supvlier Atleress SP ST. PAUL Eleclrical Conbactor (ComOany Name) ConVadorS License No. LYMPZC ELECTRIC COMPANY, INC. 0396-32-9 Mailing Atltlress (COnVactor or Owner M kimg Installatbn) 7103 DSON AV E SOUTH, EDINA, MN 55439 ANhariietl ig t atlOrl r Making Inslallation) Plhone Number 1 612 944-7400 MINNESOTA STATE YOAFD OF E EI?CTRICRY THIS INSPECTIDN REOUEST WILL NOT Grlpga-MltlwBy Bltlg. - Hoom 5173 BE ACCEPTED BY THE STATE BOARD 1821 Unlverslty Ave., St. Vaul, MN 55100 l1NLES5 PFOPER INSPECTION FEE IS vMne (812) 8a]-01100 ENCLOSED . REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 J 13269 •$ee insimctlons for completing this form on back oi yellow cnpy X" Be/ow Work Covered by This Request ?"?? ?e Atltl Rep. TypeofBuilding AppliancesWired EquipmenlWiretl Home Range Temporary Service Duplex Water Heater Electric Heating - Apt. Building Dryer Other (Specify) Comm./industrial Furnace X Farm g AirConditioner Outlet et . ane, (s„eory) contractorSRemarvcs: R2IDOd211ii1$ existing office Compute7nspectionFeeBelow: and warehouse and completing the dock. # . Other Fee # ServiceEntranceSize Fee # CircuitslFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps TraRSformers j. Above 200 _ Amps Above 100 _ Amps 8. ? Signs Inspamor§ Use Onry: TOTAL Irrigation Booms ?Q 804 50 Special Inspection . AlarmlCommunication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IP NOT 61her Fee COMPLETED WITHIN 1 NTH ? I, the Electrical Inspector, hereby tif h Rough-in . oa?e cer y t at ihe a6ove inspection has been made. Finai r oate ' OFFICE USE ONLY / This request witl 18 months Irom c/ 1_i_? - iases-?z? J 13 2 6 9 ? 14k C'? /_ ReQUest oale Fire-N . Rougn-in Inspeclion flepuired? ? Featly Now gWill NotiTy Inspector 2-2 rj-9 2 $Ves ? No When Reatly? 112 licensed contractor ? owner hereby request inspection of above electrical work at: Jo0 Atldress (Street. 6ox or Foute Na.) CiTy 2864 Eagandale Soulevard Eagan Seqion No. Township Nama or No. Range No. County Eagan Dakota OccuOant(PFINT) Phone No. Kraft Foodservice Power Suqplier Atldress NSP St. Paul Electrical Conrcactor (Cwnpany Name) Contrac?or's Li?ense No. OI ic Electric Co., Inc. 0396-32-9 Mailing Atltlress (COnlrector or Owner Makmg Installefron) 7103 Amundson e South Au[no/zed Slgnamre IConVac?on wn Ma g Phone Number (612) 944-7400 MINNESOTA STAT?OARU D LECTRICITY ? THIS INSPECTION RWUEST WILL NOT Griggs-MlEway Bitlg. - Room 73 BE ACCEPTED BV THE STATE 80Afi0 1811 Universi[y 0.ve., SI. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS FFwne (812) 602-0800 ENGLOSED . REQUEST FOR ELECTRICAL INSPECTION M ? See insimctionb lor complaMg ihis form on beck of yellow topy InI T1994 , `X" Below Work Covered by This Flequest ,° ,°`?,?, Eaoooo1-oe ?4?'G 1222,1 «?ao e Add Aep. Type of Building AppliancesWired EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace - Farm Air Conditioner Omer(spacity) ConVeclor'sFemaM1S: -r-IFh fJOAQF'?'<<`/ts/ .? Campute Inspection Fee Below: p? ??Drj_:f G C"' # Other Fee # ServiceEntrance Size Fee # Cirouits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps g'8110a Transformers Above 200 _ Amps ve 0_ Amps Z SignS 6 Inspecior5 Use Only: y?'7 ? TOTAL . ? Irriqation Booms //? • ? ?j c T ? ? b .J L1 , Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee . D COMPLETED WITHIN 18 MO 5. I, the Electrical Inspector, hereby R°uqn-in oa?e/? 30 ? / certify that the above inspection has been made. F;,,ai oe?e OFFICE USE ONLY This requesl voi0 18 monlhs fmm / .? Y?. ? Csv??v7au 7 994 ? a. Repuest CSIe /> re No. ugh-in Inspection equiretlP ? Reatly N. W II NINity Inspeclor ? L l0 -? ? Ves No When ReaGy7 I O licen;etl contractor O owner hereby request inspection of above electrical work at: Job Atltlress (Sheel. Box ar FoNe No.) Z ` City . (o 4 EAG.4 Y-JArlvL BLv 6?4G4Y.r Sedwn No. TownsM1ip Neme ar No. Range No. Caun(y ' CoTri Occupant(PRINT) K?FT f{d?c?.2.rcfi- ? Phone No. y5'f-CpSB Power Supplier Atltlress ElecVwal Contracyor (GOmpany Name) ConVaCtor's License No. lLI l F Ec.?C f`2l? /SU C, QqOi Mailing rltldress (Conhactor or Owner Making Installalion) l9s3 s"W" AEIf 2o?{a ? ? tv AulM;"naWre (Cont TDVO r?M 'ng Instalktion) ' Phone Number qSZ -S?CP MINNESOTA STATE BOARD OF ELECTqICITY / THIS INSPECTION REQUEST WILL NOT Grlpgs-MIOweY BIEg. - Raam S178 BE ACCEPTED BY THE STAiE BOAFD 1021 UMVersity pve., 51. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phom (612) 602-080) ENCLOSED. IIIIIIII IIII I II? II I(IIII IIII III II II I II REQUEST FOR ELECTRICAL INSPECTION !d MinnasoW Stat4 Board of Electricity ' °' 1827 Un'rversity..?ve., Rm. S-1z8, Sy?? MN 55104 ? ? s 0 3 4 2 2 8 2 1 s Phone (812) 642-0800 ??/9IHome Duplez Apt.8ldg. Other: New Addn Commercial Indusirial Farm Remod Re air Air Cond. Hfg. Equip. Water Hh. Load Mgmt. Other. D er Ran e Elec. Heat Tem . Servi<e 'X" a6ove the work covered by this requesi. Enter remahs in ihis space and on the back of the whife ropy only. 51- ooo SQ?A K_z Foa c ?+aDCrca,Lj, l..u v-3G'E1 2?ht Ci? 6 FFr GZS Calculote Inspection Fee - This Inspection Request will not be ac<epled withouf the mrrect /ee: 01her Fee # Service Enhance Size Fee # Circuils/Feeders Fee Mobile Home Park Stall 0 b 200 Amps O 0 to 100 Amps ,OQ 5}reel Lig./Trolfic $ig. Above 200 Amps Above 100'ZOQAmps CQ Tfansfolmer/(?ienemtor INSPECTOP'SUSEONLY TOTAS f? ^ $ign/OWline Lig. Xfmc O ? ?O 'J ?+ Alarm/Remote Conirol Swimming Pool I hare6 cefi ihof I ins echd the elecfiml inemllofon dee<nbed hercin on the daks akred Ircigofion Boom pough-In Dole Special Inspedion Investigofive Fee Fin Dob?O THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS., 34 /? -/? [? /? ? c ? a c OFFI E U?E O LY This request void 18 monMs fmm volidofian dofe pnmed i7b .5K oD PLEASE PRINT OR TYPE Request Dob Raughin inspection req i 2 es ? N. InspMim OIherThon Rou9h-In: ? Reody Na i I Call ? Z?' p'oa m?st mll ?he Inapeclor xMen reo ) Dare Reody: icensed coMrador [] owner hereby request inspedion of ihe obove elecirical work af: lob Pddrcss (Sbeet, Bax, or RouM Na.) 2 sOY aAcrz t3 c.?? Ciry E,Q G? Zip Coda ssr zf Secfion No. Township Name or No. Range No. Fire No. Coonp Dr+« . , Oav am Phone No. Power S?pq`ier lddreas Eiednml Conlmctor (Compony Name) Conrvocmr licen. Maakr lic Na. (Plant Elad. Only) lD- nzit? Ec.2 ? a 113 oilirg PAdrcss (Conha r or Owner Pedortning InsMllorvon) ?o v.v ,??-.? ???? Au n ignaturc ( o e P rm? Insbllorian) ? Phana No. q, 5-7-EB-OOOOlA-106/95 STATEe6wnDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY REQUEST FOR ELECTRICAL INSPECTION ax`? ?'?a ea.ooooi oe ? See instmctions lor mmpleting this brm on back ot yellow copy ? 33488 "X" Below Work Covered by This Request 4 ?? e 'M7 e¢. ?TypeotBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater leciric Heating Apt. Building Dryer Other (Sp cify) i Comm./Induslrial ' Wmace Yi ?'1 ?itr- ? y? ? ?( Farm Air Conditioner Other (speciy) Comradork RemaMS: Compute 1rYSpecfion Fee 8elow: # Olher Fee # ServiceEntranceSize Fee # Circuils/Feeders Fee Swimminq Pool 0 to 200 AmpS 0 to 700 Amps TranS(ormers Above 200 _ Amps A ve 100 _ Amps Signs Inscectar5 Use only: ? TOTAL /? Irrigation Booms Iv _ ? 'v Special Inspection AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouyn-in oere certily that the above inspection has been made. F;,,ai o+e OFFICE USE ONLY Tnis repuesl voitl 1B months irom /av61 sx a 3 4 8 8 R"uest [e re o. Rough-in In Requiretl? tion Reatlyj?'p?q ? Will Notity Inspector ? ? Yes ? No n Ready? icensed contractor ? owner hereby request inspection of above eleciriCal work at: ) ddress Box or Rou?e No.) 0b Ciry Sedion No. TownsM1ip or No. Range No. Cou??y ? Occup nt(PqINT r PpoOe o. 4"4164 Pawer $upDliar Add?ess Elecvicai ram r(CO pany Name) ? Conttactor5 License No. ) 5? N Mailing p00res Jontra or O?+'ner Mak' g Ins tion) ?/ (/,/1) /_/f Au mre IConlrectodOwner Making Inslall U0n1 P umber is - 31a 25 MINNESOTA STATE BOAfiD OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOT Glriggs-Mitlway Bldg. - Room S173 6E ACCEPTEO BV THE STATE BOAPO 1821 Univeralty pve., SL Paul, MN SSIOi UNLESS PROPEF INSPECTION FEE IS Vhone(612) 842-0800 ENCLOSED. ?/aX/9r a 69979 REQUEST FOR ELECTRICAL INSPECTION ? See insttudions br completing this torm on Oack o1 yellow copy. "7(" Below Work Covered by This Request E&00001-0B ? ew lAd Rep. " TypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heatlng Apt. Building Dryer Other (Specity) Comm./Indusirial ' FUrnace Farm Air CondiGOner Ottier (specity) ConVacWrS Remarks: ' Compute Inspection Fee Below: TEMPORARY SERVICE FOR SOB TRAILER # Other Fee # ServiceEniranceSize Fee 8 CircuRsiFeeders Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transtormers Above 200 _ Amps 100 Amps SignS inspeaw5 use aniy: / L Irrigation eooms _ ?J 2715.50 Special Inspection Alarm/Communication -THIS INSTALLATION MAY BE OR CONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby Rougn-in oate certify that the above inspection has been matle. F;nai OFFICE USE ONLY Ttus repuest witl 1B montAS Irom 1o1?6 ? a 69979 ' °° % 0 s • . 16 Reques Date F Rough-in Inspec1ron fle9uireC? . ? ReatlY Now 2 ill NMily InsPector 05-21-91 ?ves IBpm enaeady? IWcensed contrador ? owner hereby request inspection ot above electricai work at: Job AOOress (SVeet, Box or Route No.) Ciy 2864 EAGANDALE BLVD. EAGAN Section No. rownsnip rvame or W. Range No. Counry EAGAN ?AKOTA Occupanl(PRINT) Phone No. KRAFT / AMERICAN FOODS Power Suppliar PdEress Elecincal ConVactor (Company Name) Contrdclor5 License No. OLYMPIC ELECTRIC COMPANY, INC. 0396-32-9 Mailing Atltlress (COnhactor or Owner Making Inslallation) 7103 AMUND VE E SOUT EDINA, MN 55439 Aulhorized Signawre Ir or Making n Phona Number 944-7400 MINNESOTA STATE BOARD OF ELECTi11CRV THIS INSPECTION FEOUEST WILL NOT Grippa-MlEway BIOg. - po0m 5173 BE AGCEPTEO BV THE STATE BOARO 1821 Universlty Ave., St. Faul, MN 55100 UNlE55 PPOPER INSPECTION FEE I$ Plane (612) 6,2-0800 ENCLOSED. IIII IIIIIIIII III IIIIIIH I? IIIItIIIII II REQUEST FOR ELECTRICAL INSPECTION cp,;?'y? v - ? Minnesota Slata Boazd of Electricity 7821 Universiry Ave., Rm.??? $tQ Paul, MN 551 4 s 0 3 4 1 6 8 9 8 * Phone (612642-0800 9 Home Duplex Apt. Bldg. Other: New Addn Commerciol Industriol Farm Remod Re air Air Cond. Htg. Equip. Waler Htr. Load Mgmt. Othec D er Ronge Elec. Heaf Tem . Senice "X" above the work covered by fhis request. Enter remarks in this space ond on t6e 6ock of the white copy only. 4)l?G 8)r-z' 4?v*' ox '/ai 4 4i'/,9'v? 064?0' Calculafe Inspecfion Fee - This Inspection Request will nat be occepted wifhout fhe correct fee: Olher Fee # Service Enlrance Sire Fee # Circuils/Feeders Fee Mo6ile Home Park Stall 0 to 200 Amps 0 to 7 00 Amps $treet Lig./?raHic Sig. Above 200 A Ab 100 Amps Tmnsformer/Generafor - INSpECiOn'SUSE LY ? / TOTAL Sign/Outline Ltg. Xfmr. 6.? Alarm/Remote Control ??/ - ao. so Swimming Pool I hemb cani N+at I inspo?d ffie elecMml in:mllanon drscnbed heroin on Me daroa aJonxl Irtiga}ion Baom R.,h_In? Dole $pecial Inspecfion Inves}igotive Fee THIS INSTALLATION MAY BE ORDERED DISCONNECTEDIFNOT COMPLETED WITHIN 18 MONTHS. O O p 3 2 REQUEST FOR ELECTRICAL INSPECTION ,p- See inslmctions br completing this brm on beck ol yellow copy. .`_ "X" Below Work Covered by This Request ee-ooooi- ?.?,,ti? ?S?TS? ye4yg? Ne Add Rep. Type ot Building ApalianCBSbVired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management 4 Comm./Industrial Fumace Other (Speci ) Fartn Air Conditioner Ot har (specity) Contractor's Remark / Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits?Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ? Transformers Above 200_Am s Above 100-Am s SI fIS Inspector's Use Only: ? TOTAL Irrigation Booms ` r 0 S ecial Ins ection Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT RED Other Fee COMPLETED WITHIN 78 MONTHS. I, ihe Electiical Inspector, hereby tif th t h b AO°gn-in oata,/ csE?T ?c cer y a t e a ove inspection has been mede. Finai oare OPFICE USE ONLY This request voM 18 monihs Irom / `sa- 1.? p 00 d18T32 g. .,`l ? Request Dete /? o? Fire No. ough-In Inspaytlon Requiretl ?VOU muT call RIEy¢IXOr w?an raedy) InspQCtion O1?¢rThan Rough-In ??Reatly Now ? Will NoUty Inapecfor ? Yes ? No Da?e Reed IW licensed contractor ? owner hereGy request inspection of above electrical work at: Job Atldprese (S'l/reeL eox or Roule NoJ Ciiy Seqlon Na. Townshi ame ar No. Range No. County " Occupe (PqINT) Phon e No. ? ??? ?? . / 7ST??TlO Power Supplier Atltlresa ElecVical C trector (Company Name) ? Comractois License No. ?a-..? C Mailing Atldrass (COnVador or Owner Makin/g I?nstallefion)?? 0?7?3(o GG«E-- c?J /?/r1 cS57G? Auth etl Signatur (COniractodOwn¢r Makf?l/r nstallation) / ? /i--C?a-?-esz.cJ Phone ?Njum/ber Op?! MINNESOTA STATE BOAFO OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT Grlggs-Mitlwey Bltlg. - Foom 5-148 BE ACCEPTED BY THE STATE BOARD 1821 Univenlty Ave., St. Peul, MN 54106 UNLESS PROPER INSPECTION FEE IS Vhorie (611) 891-0600 ENCLOSEO. 3?+A1-oC Oo9 ? ` lCE USE ONLY This request vaid 18 months From volldalion date primed in Ihis 6or. O (r s.az-o / PLEASE PRINT OR TYPE Reqmst Date Rau9h-in Inzpedlon nquiradY Oto ? Impection Olher Than Roogh-In:.gReady N. ? Will Coll ? (You mosr mll the inspedorwhen reody) Oote Reody: I, icense contractor 0 owner hereby request inspedion of the above eledriml work at: Job Address (Shaep Baa, ar Routa No.) Ciry Zip Code ;2. 6 Secfion No. Township Nom o. Range No. Fire No. Comnry Oaupant • PMne No. . -,74 PowerSupplier Address Elechiml Conlrodor (Company Nome) Controcror Llmnse No. Moskr Lia No. (Plant Elect Only) A Y/ ? MailingPddnss(Comrodor orOwn ormin8lnsmllafion) r c ?S ? Y lwMonzed SI alure nlmco, .r g Insmllaron) Phona No. ? 3G- EBA-iA-10 6/95 5fATEBOAROCOPY-SEEINSfRUCTION50NBACKOFYELLOWCOPY Ll/?/n ?/ 7 7 REQUEST FOR ELECTRICAL INSPECTION E?Je F-??? ? See instruclions for completmg ihis lorm on beck oi yeilow copy 41r..LL?.?; 0 4). jM V -"X" Bd4pw Work C6vemat63+Thls Request aw Add Fep. TypeofBuilding AppliancesWired EquipmentWired Home Fange Temporary Servica Duplex Water Heater Electric Heating I Apt. Buiiding Dryer Load Managemenl Comm.llntlustrial Furnace Other (Specify) arm Air Conditioner O!her (syecity) Contraclor's Remarks:/??e • /-3 ?fi?so ou????s n?/!_ Compute Inspection Fee Below: # Orher Fee # ServiceEniranceSize Fae # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 io 100 Amps Transformers Above 200 _ Amps Above l _ Amps SignS Inspecior5 Use Only: TOTAL Irrigation Booms ?G?CI rf Speciallnspection I > Aiarm/COmmunication > THIS INSTALLATION MAY BE OR ? ED SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby f Roogh-in Date certi y that the above inspection has bCen matle. F;,,ai 7 OFFICE USE ONLY This request witl 18 monlhs imm ' ' ?7r W ? K ?rQ s & • e ?ao Repuest Date o. Rougn?ln Inpsec4on Raquiretl Ins ection Other Tn n gh.ln ' / y + (VOU musl tall ingpe r en reetly) ? qeatly Now WJI Natlly InBpeclor J ? Vee No Dale Reatl I licensed contracror ? owner hereby request inspection of above electrical work at: JoD AOtlress (Street Box or Rome Na.) Ciry Seclion No. Towns WName or No. Range No. C n hil Occupa (PRINT) Phone No. V Power up0?ier Aatlress Eiemr ConVanor iGOmp y JJa I ConVactor's Licensa No. MeiLng AQtlrB55 ICont[gclOfOrOvvner Meking IlISta11d11o0, Aut?oriietl Sic ure IConlraclor/Ow r M Instellatiory . P?one Num?er MINNESOTA STATE BOAHD OF ELE4THICITY THIS INSPECTION REOUEST WILL NOT Grigga-Mltlwey eltlg. - Room S173 BE ACCEPTED BV THE STATE BOPRD 1821 University Ave.. SL Paul, MN 55104 UNLESS PROPEF INSPEQION PEE IS Phone(61Y) 642-0800 ENCLOSED. 7? r f' ? REQUEST FOR ELECTRICAL INSPECTION 1? ? See inslmdions tor complating tnis lorm on back ol yellow <opy 7 2 01$" 'X" Below WCrlrCovered by This Request ?16 w?4Q EB-OOOOt-OB I ew Add Rep. Typeofeuilding AppliancesWiretl EquipmentWirad Home Range Temporary Service Duplex Water Heater Eleclric Heating Apt. Building Dryer Ofher (Specity) ' Comm./Industrial ' Fumace Farm Air Conditioner Other (specily) CaMrector5 Remarks: rp_ r ? ??_ O?q U-1+?rL iA w.?-t? Q t_ . ? Compute Inspection Fee Be/ow: k Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps 116.06 Transformers Above 200 _ Amps _ Amps Signs Inspector5 Use Only: TOTAL Irrigation eooms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16, TNS. I, Ihe Electrical Inspector, hereby certify that the above inspection has 6een made. aouqn-m &G oa+e 7?/?r r q„ai oaia g?/ OFFICE USE ONLY This request voitl 18 monIDS imm