2919 Eagandale Blvd - Electrical Permits/ D REQUEST FOR ELECTRICAL INSPECTION
p ? See insVUCfions tor completing tnis lorm on back of yellow copY.
L, 1 "X" Below Work_Cove,Zd by This Request
??4151, 3a -DC°°a ?-
?'??? .
?
ew A ep. Type of Building AppliancesWired EquipmentWiretl
Home Ranga Temporary Service -
Duplez Water Heater Electric Heating
Apt. Buildinq Dryer Othec{Specify)
CommJlndustrial fumace
Farm Air Conditioner
Olher(specilyl ConVactor's Ramarks:
Compute Inspecfion Fee Selow.'
# Other Fee B ServiceEntrenceSize Fee # Circuks/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SIgf15 Inspector5 Use Only'. ? T TAL
Irri9ation Booms
? _
Special Inspection e ,f (pQ?SO,
AlarmiCommunication *gIN THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NJWHS.
I, the Electrical Inspector, here6y aouqn-m oa?ep ? Jp ,
/
certify4hat the above inspection has
matle. F;nai
f aie
USE ONLY • . /J?.[ ?J ?
'.
,
185t Witl 1B T0111115 flOIII
2 7 7-58O rn
, , u OFFl E USE NyY Thiz requesi vaid IB months Lom validanon date pnnkd in fhis b??
,?a?l?r? .
' ? ?
PLEASE PRINT OR TYPE ? •
Request DoM Rough-in impeclion required8 ? Ves [? a Inspeelon Olher Than Raogh.lre 0 Raady Naw 0 W81 Call
(You mmt mll 1he inxpectar when readyj [)aie keady:
I,)M licensed contractor ? owner hereby requesf inspedion of the obave eledriml work at:
lob Addmss (Streel, Bov, or Roub No.) CIM Zip Code
2919 Egaxidale Blvd. Egan
Se iion No. Township Name or No. Range No. Fv< No. Coonry
Eyan Dakota
Owvpant Phone No.
American Red Cmss
Power Supplier Addmsz
Elednml Contmao, (Campony Name) Cammciar tianse No. Moster lic No. (Planl Elen. Only)
Mailirg Address (Convodor or Owner PeAorming Insm latianT
400 48th Ave. No. Mpls, NSd
I lwihonxed Sjqqtui,w?C=nhacror?wner PeOrming Insbl ali ? --
«'
/ /rw.-••cv 11 PFwro Na.
612-537-8818
EB-OOOOlA10 6/95 STATEBOARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
III I I II II 9EQUEST FOR ELECTRICAL INSPECTION
Minnesote State Board of ElecVicity ?
1821 Univ,QrsityAve., Rm. S-128, St. Pau) M?N 55704
:t 2 7 7 S L 0 7* Phona (612) 642-0e00 # 3997
Home Duplex Apt.8ldg. Olher: New Addn
Commerciol Indusfrial Farm Remod Re air
Air Cond. H}g. Equip. Woter Hfr. Load Mgmt. Other:
D er Ran e Elec. Heof Tem .$ervice
"X" obove ihe work covered 6y this reqoest Enter remarks in ihis space and on the back of the white copy only.
1- 7.00 = 7.00
12- 5.00 = 60.00
Calculate Inspection Fee - This Inspection Request will nof be accepted without the corred (ee:
ONher Fee ;f` Service Enhance $ae Fee # Circvi?/Feeders Fee
Mobile Home Park Stall 0 to 200 Ampz 0 to 100 Amps
Sfreet Lig./TroHic Sig. Above 200 Amps 0 Amps
Transformer/Genero}or INSPECTOR'SUSEONIY TOTAL
Sign/Oulline Ltg. XSmr. 67.50
Alarm/Remofe Conirol +rJ ?
Swimming Pool I hereb mtll Ihol l ins eaed ?h
in,
dab::laled
Irrigofion Boom Rough-In ^ /?I p
S
ecial Ins
eclion
p
p
Investigative Fee Final D?k ^r
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
""llill"I"'i"i"REQUEST FOR ELECTRICAL INSPECTION ea-ooom-o
? Sae instmcnans tor campleiing ihis lo:m dn back oi yeliow copy. c?
?I 31328 ?'X" $e/ow Wark Covered by This Request
ew Adtl Rep. TypeolBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
ouplex water Heater Electric Heating
npt. euiltling Dryer Load Management
Comm./Industrial Fumace Other (SpeciTy)
Farm Air Conditioner
Olher(syecity) Conhactors Femarks:
Compute lnspection Fee Below:
# Other Pee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps /Z FO
? Transformers ,) cy,SG ?$ 0
bove 200 LO Amps p°
A7
Above 100 _ Amps
Q7 °
-1
? 6i§q56ENe44T0k p? InspecmrS Use Only: TO
Typ U.Y .•
Irrigation Booms / ? !_ , /,. J'Z) .
Special Inspection i ?J T
7 ,90
Alarm/Communication ? 1
THIS INSTALLATION MAY ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. '
I, ihe Electrical Inspector, hereby Ro,nm ? ?j?? ?_ n?
? ?LVV??OLI Date A!i/
{
certify that the above inspection has
been made.
?
L
OFFICE USE JNLY I
TM1is request voi0 18 montns Irom
?
N
3??28
.o
Requestpafe FireNa.
1 Rough-I npsectionReOUired
(Vau must call inspector when reaCy) InspectionOtM1er injtough-In
? qeady Now Q? Wiil No?ity Inspe[tar
19 Yes ? N. pale Peatly
IXlicensed contractor ? owner hereby request inspection of above electrical work aC
Job Atltlrass (SVeet. Box or Route No.l
(71 E?tGAArbALE r LV p Clly
N1 N 5 S?z/
Section No. TownShiO Ndm2 Or N0. R9ngB N0. C n
o? b
T
r4
AKo
Omupanl IPR WT, T?
C Phone No.
? o5S
n?N ?CED
P naaress
MPcs 1'1?
tor ?Com oany Nama
i?2 ?t-ECT2?CPtC. ?oR(? Conttactor§ Llcensa No
?A'C?l?fS'?j
COnirector or Owner Making Installation)
¢Z
?
?t
-
?
v? errn
re ?C nna ri0w Maki Installation,
T Phone Number
NNESOTA STATE BOARD OF ELECTRICITVV THIS WSPECTION FEQUEST WILL NOT
iggseMidway Bldg. - Poam 5473 BE AGGEPiED BY THE STATE BOAPO
1821 Univerelty Ave., 51. Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6<2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION
- ? See instmcimns for completinq IM1is lorm Jn pack ot yellow copy. fl??)?I
R 31329 `X" Below Work Covered by This Request ?* _A 373 ?
ew Add Re?: Typeof8uilding ApplianCesWired EquipmeMWiretl
Home Fange Temporary Service
Duplez Water Heater EleClriC Heeting
Apt. 8uiltling Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olderlspei Conhactor's Remarks: Compute Inspection Fee Below: --r[ln pi
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 24 - 0 to 100 Amps
Transformers Above 200 _ Amps ve 100 _ Amps
Signs . Insoei use Onty: ' TOTAL , SO
Irrigation Booms /?/' , ?
Special Inspeaion ? ??
AlarmlCommunication 7HIS INSTALLATION MAY BE ED DISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
tit
h
h R°°9"-'" oaie
y t
Cer
at t
e above inspection has
been made. Fi„ai ? ce?
oa
OFFICE USE ONLY • This request voitl 18 months Irom
41??/57 a -PWoi
? 31 2 9?,?
•
Fepuest Dete Fire No.
ROUgh-ln ection FequireJ
1 (vou mustcaliinspecmrwnenreetly) Inspecfion Other T?augh-In
0 qeatly Now WiIlNatiyinspector
? V¢s ? No Date Ready
I licensed contrador ? owner hereby request inspection of above electrical work at
JaE Atlaress ISheeL Box or Route Not
NDALE Cily
[AGAA/
ect
T Townshlp Name or No. Range No. Couruy
+
?AKo?/
Occu t(PRINT)
?
--a Phane No.
ME2ZC9N
-6 UcoSS
Pawersuppber
N5P qatlress
/j?P(- S
ElecVical nvaclor ICompany Namel
6
2P
E
2
- Conlmclor's License No.
+
C
o
iEC,T2zG'+L
/
m_rE.2
c '
O l S
MaJing Atltlress ICOnVacror or Owner Makmg Installation)
400 8-",4ve Ni 144 5Y427
Au: rixe Slq. ature((/y??1?'pW1 m iOw exin Installation) ?/'
P.on/e NumOer /?'
" " ?' ? C ..7 ? U a
f /
MINNESOTA STATE BORHD Oi ELEGTqICRY V THI$ INSPECTION REOUEST WILL NOT
Griggs-Midway BIEq. - Room S173 BE AGGEPTED BV THE STATE 80ARp
1021 Univerciry Ave., SL Paul. NN 55104 UNLESS PROPER INSPECTION PEE IS
Phone (611) 642-0800 ENCLOSED.
;o,4? 0 , n, 40 1
Feq s?J? e
`,
J GireNa 'u?h=4rmsp ion
Requiretl?
? Yes '? No
G ReaOy Now ? will Notiy Inspecror
Wben Feady?
IXcensetl contractor '.] owner hereby request inspection of abova el ?or a:
JoD Adtlress lSVeet. Box or iloNe No.) ?vd,
? ?9 t c?n?ale City ? ?
Sectian Na. Township ema ar No. Renga No, Counry
OccupanmePRINT? -
? ic ed m?s Phone No.
s3 $-?380
Power Suppller Atldress
Electn al C Va or I ompany Na e)
'1?a-?c Te S sfe,ms ConVacbr's License o.
cc- pjo a-7-7
M8ailing Aotlres5lCOnlrxlor1 rdr O er Makinq ns allatio ? SS?/z? I
C?0? - , l?. .????k n ?'l! .
Amnorizea re (Comre o i0.vner Making Insl n hone Number '
s-?3 -737a
MINNESOTA 54ATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlCway BICg. - Poom S-173 BE ACCEPTED BV THE STATE BOARO
- 1821 Uniwrslty Ava., S[. Peul. MN 55104 UNLES$ PROPER INSPECTION FEE IS
`Irone (612) 842-0800 ? _ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?°`"`...jjjN; EB-00001-08
/f ? ? See instmctions !or compieting this torm on beck oi yellow copy
?, 7' (? ' "X" Below Work Covered by This Request
ew Atl ep. TypeofBuilding -;?pplianceSWired EquipmeniWired
i Home Range Temporary Service
Duplex Water Healer Electric Heating
ApL Building Dryer Other-(Specify)
Comm.lindusirial Fumace
Farm Air Conditioner
Other (sp I CanVactor's Remarks. /O ? 1 / l'.?F ? ?;?
q eci L O
Compute Inspection Fee Below: Ti
n Other Fee # ServiceEntrance5ize I Fee ? Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 t0 100 Amps
Transformers Ahove 200 _ Amps Above 100 -Amps
Signs inspectars use oniy. TOTAL
irrigation 8ooms 3J ^ ? 33-
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rouqn-in ;
A oate
certity that the above inspection has
been made.
s
Y.L^
I OFFICE I1SE'JNLY
This request voitl 18 months irom
d 27
06???`
``?
9
3
? i ?
,5°U
Request Oatel
rf?JG/OL/ Fire No. Rough-In Insp t n
- aquir???
? Reatly Now ?ill Notiy Inepeclor
Y ? ? = Yes $No When Reatly?
I. icensed contractor .0 owner here6y iequest inspection of above electrical work at:
Job AtlOress (Street. Box or Rome No.) City r„
Sectbn No. Township Name or No. Range No. County
IE?0I107-4
Occupant(PRINT) Phone No.
r17aSs'
Power Supplier Atltlreas
Elecmcsl Convaqor COmpany Neme) Comrecror5 Licertse No,
i1t ii Li'Gii.t TrG. CAoo poG
M ling Atlaress IConUador or Owner Making Inslalla0on7
AWnor etl A alure ICOn4ect nar Making In51911 lon? Pnone Number
G>2 ??p Goj
MINNESOBOAHD OF ELECTRICITY THIS MSPECTION REQUEST W ILL NOT
GrIggs-M tl y Bltlg. - Hoom 5-173 BE ACGEPTED BV THE STATE BOARp
1821 Univprsiry Ave., $L Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (811) 663-0800 ENCLOSED.
RE4UEST FOR ELECTRICAL INSPECTION ?`? ??o3S
/ , Soe inslmclions lor completifg this form on back of yellow copy. £?
?9 (p V "X" Be/ow Work Covered by This Request --07
Ne Add Fep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other (Speci )
Farm Air Conditioner
Olher (specify) Gonlracror's Remarks?
Compute Inspection Fee Below:
# Other Fee I! Service Entrence Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Am s
Si ns Inspector's Use Only: TOTAL
Irrigation eooms $20.50
S ecial Ins ection ?-p
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MONTHS.
I, the Electrical Inspector, hereby
tif
h
t
h
i Rouyn-in Da[e
cer
y t
a
t
e above
nspection has
been mada. Finai ? oace
OFFICE USE ONLV
This requesl voia 18 months tmm
0
-365
3
F(I
RequesYO e Fire No. Rough-In Inspec[ion Fepuiretl Inspection Other Than Rough-In
3-6-96 (vou musl call inspecror hen reatly) ? Reatly Now [?Wil1 Notily mspecmr
? Ves ? No Da[e Read
100 licensed contractor ? owner hereby request inspection of above electrical work at:
dob AtltlreSS (Street, Boz ar RoNe No.) Cily
2919 Eagandale Blvd. Eagan
Section N4 Township Name or No. Pange No. County
Eagan Dakota
Occupant(PRINT) Phone No.
American Red Cross
Pawer Supplier Adtlress
N/A
ElecMcal ConVaclor (Company Name) Contractofs Llcetlse No.
Premier Electrical Corporation CA01457
Mailing Atldress (COnlractor or Owner Making tnstallation)
3400 48th Avenue fVorth, nlpls. MPV 55429-3927
Authorizetl - neNre (COnirecto00wnar Making Installab n) Phone Number
/ ),? 537-3818
e 'CITM T
rv
B ?I I I I ? I I? I I I R
O
II
182 9Un
ers ly Ave,St P uI?MN
5104 11 III I I I I OP ER INSPECTIO
F
EE S
S
I
Pho?ce (612) 692-0800 9 9 0 .
. .
! E
ENGO
u??s g c?
?p 1?501:
b -
REQUEST FOR ELECTRICAL WSPECTION EB-00001 -09
10. See ins(nmtions for complelin( lhis form on back nf yellow copy.
`"X" Belaw Work Covered by This Request
New Add Re Type of Building Appliances Wired Equipment Wired
. me Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specif )
Farm AirConditioner
CAher(specity) Gonhaclor's Remnrks:
in3L4/Ilr7,j corypu.}r?- ??o?"'-'??K'
Compute Inspection Fee 6elow.
N Other Fee N Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amp \ Above 700 -Am s
Signs InspectorsUSe.Only: TOTAL
Irrigation Booms ??5
Special Inspection
b Alarm nicatio THIS IN5TALLATION M E OR R QISCONNECTED IF NOT
Other Fee Sy,. .$0 COMPLETED WITHIN NT
I, ihe Electrical Inspector, hereby
tif
th
t th
i Rooyn-;n ? Date ?
cer
y
a
e above
nspection has
been made.
OFFICE USE ONLY
This reQUes[ voitl 18 momhs tro.
0
?a? r/
?
O
f?115
01
.?. ??
Roquesl Date Fire No.
'D _ p_?yL
I I Rough-In Inspection Req etl
(YOU mus? ceil inspecmr when rea0y) InsOection Olher Than Pough-In
? Reatly Non E] Will Wify Inspector
? Yes ? N. ,a?e Rea
1 licensed contractor ?owner here6y request inspec[ion of above electrical work at:
Job Adtlress (SVeet. Bo or Route No.)
a??9 ? ??a Cily
c__5?-n
Section No. Township Name or No. Range No. Counly
7cc
Occupan[(PHINn
?a ?r0156 Phone No.
c/ 7a
Power Supplier Atldress
Eleclrical ConVactor (COmpany Name)
5
/
5 C'
? Gonhaqors License No.
z 53g
CCCD
/0?
.
c?mm h (
Mailing Atltlress (Gontmctor or Owner Making Inslaliabon]
o/ c
1
7
. / t
Zj V c.
Aut ed Signalure (COnVac ?king Install tion)
c. Phone Number
MINNESOTA STl1 BO 0 OF ELECTHICf1Y THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bltlg. - R m S-128 BE AGCEPTED BY THE STAI'E BOARD
? 1821 Unlversity Ave., SL Paul, MN 5510C UNLESS PROPER MSPECTION FEE IS
`Phone (612) 642-0800 ENCLOSED.