1284 Corporate Center Dr - Electrical Permits181rv+ hs Iram,d J` T b?
A 082775 ? a Bi ?.eIz.*"7 ?? s? AI 6_0.
reque t Oate
? f}
/Y L? Pire No. Roup?99??1MM??t,,,cection
? ?
?fh:ady Now?il? Natety
?nspec-
_
?
r a/
.?. -
?es ?No _
?ar WA¢n R¢?y
p ???enxw c?ecmw? conVada 1 hereb
? Y"uast io,peetion of abovs
Owner
elecirieel Mork i.tgllad aL
Shpet Address, Boa or RoWe No.
:?. S' 64 - 7--:i5f Ciiv
-"?N
ecUOn Townspip an¢ or No. ILVgg No. Cwmv
Occuo.m (PRINT)
AAK ' Phone No.
Power Suppli¢r AdCress
Elecn? al Con[,rMactw lCaryam Nm.cd / Cantrxtor s Li?.¢? No.
Mallinq qddress (Co,ttractor or Ow.ner?Qking lMbila[ioN
? /ll SD?u
Au oriz Si0 [ re (C
t r Yakieg Iretallati
onj?
Phore N
gZ2
?0
•sINNESpTA%'FpTE eloiro bF eLIEcmIcIn \ 1 THIS INSPECTION NEQUEST pILL MOT
Grigpa-Nidwey Bldg. Aoom N-797 ? BE ACGEPlED B?7HE STAIE Bppgp
1821 University Ava.. Sc Peul, YM 55104 UNLE55 VROGEp IIyS{fCTON FEE 6
Phoew 161212974711 ENClOSED.
REQUEST WR ELECTIpCAL INSPECTION
, S. i"slnctims for campMti'p I?is form m beek ot Ysllav copY-
p Vl
9?i (?'? 7 r] 7,i '"x ' Below Work Covered by This Fequest
Adtl
Rep- i
TYPe ot 6ui Wiog
ApOliances Miretl
Equipment wirwl
'
Home Range Tenqiorary Service
Duplex Water Heater Lighti FixMes
Apt.Building Oryer ElecVicHeati
Co;nrnercial Bldg. Fumnace Silo Unloader
Industrial Bldg. Air CoMitioner Bulk Milk Tank
Fam ther peci v tM1er ISOCCihI
t r Succ?tY Osher Other
i n
vn
k ,p?.? .....
Fea p.,......... "_'"
ServiceEMranea5ize
R
Fae
Feeders/Su4feaders
b
ke
Gircuiis
0 m200
Abo Amps
. 0to30A
31 m 100 Amps E7 0 t, 30 Anws
31 to 100 Anws
Z. DD Swimmi?g Pool
Transfarmers Above 100_ Amps
Irtigation Boorts
O Above 100,
_
Partial`Other Fee
Special Inspection g ? TOT? FEE
Aer
rerks
r; .. 6 ?
- -
RouBh-m D . Ne Eleeviol
1osoxtw. here6w
vrtih. tht ihe ahrne
Final Daten ( '??t?y?? b.,? ap?ee.
iJ /'1,,
Thb n9ueslvaM 18mm1ronun y??
?
This repuest void g?
18 months (rom
? 2.09.3.2 Atr ?!? #2
-2l! 1/-zl
I ne9??PS1 Da`e / '
±
v ?D Fire No.
? RouAh-rn Insper.
bon
R qu tl?
? ? - `
Ready Now Will Nnufy Inspec-
/ s ?
N tor Wh R tly
LicenseA Eleclncal ConVmctor
? I hereby request inspectwn ot above
wner
electrical work instellad at.
Sveet AOAress, Box or Poute No. QtY
c,C. on,
ecuon o. Towoship Name or No. Range No. Covnny
Occu ant IPqINT)
? Ph No.
? /
n
Power S V?V^l/?er
J
? AAdress ?/J,{
?
?
P n/t/
fl /a°/l/X
`
EINrn I Contraclor ICOmpany Nemel
LrbPl'p-.s Con racmr's Leense No.
MaJine AdJress (CaMractnr or Owner Making In iailauonl
Authonzetl ignature IC ntracto Owner M»king Installabnn)
? Phone Number
72-7
mrnn[SOTA STqTE BOARD OF LefCTRICITY ? THIS INSPECTIDN REQUEST WILL NOT
Griggy_Midwey Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAqD
1621 Umversitv Ave.. SL Paul, MN 55104 UNLESS PqOPEN INSVECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
q p REQUEST FOR ELECTRICAL INSPECTION Ea-oooofos
'P/ I, See instructions for comvleting this lorm an back of vellow rooV.
n qn 7'z,) "'K" Below Work Covered by 7his Request
Fdd NBD.` VTVpB of BwltlinB APObnnces Wirea Equipmeet Wved
Home Range Temporary Service
Duplex Water Heater Liqhbny Fixtures
Apt BwlAing Dryer Electnc Heatui
Commercial Bldy. Furnace Silo Unlonder
InAustnal BIAg. Air Condrtioner Bulk Milk Tank
F3ffi1 OthNr Speci y ISpw ily)
[ ?.r Su???fY ther Othrr
p Fee ServiceEn<rence5ize xders/Subleeders Fee Grcuits
Ota20Dqm s 30Am s ? ?m30Am s
Above 200 qmps to 700 Amps 31 t s
Swimming Pool n AbovelOO-Aiiips Above 100_AmPs
Transiormers gs Parval. Other Fee
cial Inspection $ Pj' T07
06
E
emA.ks ,
?
D
Rough-m ? ,?-.,''??? I, [ha ecvicnl
p Insoector, ne.abv
certuty that tpe above
Fnal ? o, /'?e [ inspection has bean
l?JnI?l? made.
Tniareaueatvoitlt8montletmm i
This reauest vold
lA mbnthp (mm ?
Do 74132
Reoues? ^ ? . . FveWo
nn E] HeaAy Nuw ? Will Nnutv InsDec-
tor When Reodv
l?censedElec[ncal ConVncmr I hereby request msPection oi above
n wncr electrical work installed at
a or Route No.
Sbeet AAdress, H
o C'lY
/
?
4. LO /i'-. f?I??"?C+
ecum) o. Townshin Name or Nn. Rinpe No. Countv
OccuGAn[ IPflINT) Phonc No.
Powar SuppLer
NSP ?+dtlress
Elprb I Cont?actor (C mpdny Name)
?e?i7-l??? COnVactor's License No.
2Z
Mailinq AdJress (Cunvactor or Owner MakinH Insiaileuonl
Z ? vr //-
Authoneetl S? ?ure onhac ?Owner ?king InsY iat n) Phune Numher
?? Z2'7 77/
MINNESOTA STATE BOAND OF ELECTflI&fW-
Gr.99s•Midwey Bltlg. - Aoom N•191
1821 Universitv Ave.. St. Paul. MN 55104
Phone1612)642-0800
inia irvar?i,I wrv nca!Ucal mu IIU
BE ACGEPTED BY THE STATE BOAHD
UNLESS PROPER INSPEGTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION JM. es(-?o/o?oai-os
Il, See instrvctij,ns ior completing this brm on Ceck ol Vellow copv.
? ?? 1 ?') "x" ee/ow Work Covered by 7his Request
HAd POO. TYPe ot 9wltlin9 ApOliances WveA Equipmanl WveA
T
S
Home Fange em{rorary
ervice
Duplex Water Heater Lighuny Fixtu?es
Apt. Bwldinq ?ryei Electnc HeaLn
Commercial Bldy. Fumace Silu Unlonder
Industnal Bldg.
Parm Air ConAiuoner
Uf•? oni,I fv Bulk Milk Tnnk
o?ner Isi>r?.?fvl
t c Sncurv otner otnir
. v.
p uFitnc .?
Fae yc?..rv... w ...,,....
SarviceEnvanceSae
dars?Subinedars
N
Fee
Cv uits
U tp 200 Amps 30 Am s tn 30 An ps
F?bove 200 Amps o 100 Amps 31 to 100 Am s
Swimmmy Pool W 1UIY?Amps
Abl,e Above 100_Amn
"
rasrormers ation Boon?s Other Fee
Partial-
S aal InSpecLOn ?
TpTA EE
aa, ..n, v J . -- - ? 1„ _ I//?
(/ 7-0 fl61 YL
Rough-in ? . ?he Ele al
?
0 • Inspactor, ?ere0
y
4 certify ihel the abova
Finai C_ t
,
}?/a tl ??sVec<wo hes been
p l
l
TblarBVuBSlvoiaiommn--.., i/v. - - r - ew
k 1 5
I
R quest Date
? ire Rough-in Inspenwn
Reqwredl ? Reatly NOw (lA^/ill Notity Inspector
_?Ves No hen Reatly?
1?7 licensed contractor ? owner
7' hereby request inspection of above electrical work at:
Ja? Atltlress IStreet Box or qoule No ? ptY)
Seclion No Town5M1i0 Name No Range No Gounly
Occu0anlIPRINTI Phone No
Power Supvlier ' aress
EIecV?cal Contreclor ?COmpany Name)
L?
L
? ConVactor's L¢ense No
?
,
Maihng Atleress ICOnhaclor or Owner Makinq In stallation,
- o n ? --? G
, r 35`?76
Nulhonz tl Si naime iCOnV tor/ wner Makinq Inslallationl PM1Ona Number
L_ (?G
? T / ?
MINNESOTq STATE BORRD OF ELECTNICITY
Grlqqs-Mitlwey Bldg. - qoom 5-11
1821 Univernity pve., Sl Gaul. MN 55106
Phpne (612) 6I2-0800
THIS INSPECTION REQIIEST WILL NOT
BE ACCEPTED BV THE STATE BOAflO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 07`%
ee-ooam-oe
f? 1?/??! ? See inslrse.ons lor completing Nis torm on ?ack ol yellow copy ??
I L
W "X" Be/ow Work Covered by This Request ,ell?- 1
e 'Add Rep TypeofBwlding ApphancesWVetl EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electnc Hea6ng
Apt 8uilding Dryer Othec(Speafy)
Comm /Intlustrial Furnace
Farm An Condinoner
Omer ispei Comracror§ Remarks
Compute fnspectron Fee Bei
# Other Fee # SerwceEniranceSrze Pee # Qrcwts/Feeders Pee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers
51 n5 Above 200 _ Amps Above 100 _ Amps
InsOector§ Use Only TOTAL
Irriqaaon Booms
Speciallnspedion
Alarm/Communication THIS INSTALLATION MAY BE ORD DISC
Other Fee ONNECTED IP NOT
COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oare
j certify ihat the above inspection has Fmai
been made. oare
OFFICE USE 3NLV
TNS request voitl 18 montbs Irom
2 91 ° 87 4 %IOFFICJE G„?eaue.k roia 1e manmr r?m.araonam aon vmme ???%? ?
8??9
6,
#
2
PLEASE PRINT OR TYPE o
kequ'e. Oak Rough-in inspeclion req r 2 Yes [] Na Inspenion Other Tha n Roughln 0 Reody N. Wd1 Call
1u-21-96 (You must coil the mapeeor when ready) Dole R. y
I, [2 Lcensed conhacfor Q awner hereby requesf mspedion of }he a6o eleciriml ah ?
Job Pddress (SVxt, Box, or Raate Na ) ?'M
1284 Cor orate Center Drive Ea an
Sedion No Township Name ar No Ronge No Fne N. C. M
Dako
Ocapant
United Occupational Health/Spec Phane N.
Povror Svpplmr
NSP-Builder One CAll Pddmss
3115 Centre Pointe Dr
Roseville 55113
EIMrimlConnaclor(CampanYName) CommOOrLimnseNO
CA00384 MostnLcNojPlomEletl.Only)
AM01729
City View Electric
Mailing Pddme (Conkacbr or O+mer Pedoiming Insbllonan)
1145 Snel ing Ave No St Paul, MN 55108
Aolhonxed Signowe nvotlor ar Ow Pedormrng Imbll?ononr
' n,1? ...,i ?,A7+- Phone N.
6559-9496
EB-OOOO11 -10 6195 BOAPOCOVY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY `
_`
IIiIIIIIIiIIIIIIII,iIIIIIII??Illlll??llllt?l M2??E??? BoardRm S BASIPauPI,MNT500w(0
* 0 2 9 1 8? 4 6 * Pnone (siz) 642-oeoo a3 ?'? y
l
D Bld
A
t Other: New Addn
Home ex
up g
p
. d R
Commercial Indusfrial Farm Remo e air
Av' ond. Hig. Eqmp. Water Htr. Load Mgmt. Ofh
D e! Ran e Elec. Heat Tem .$ervite
oce and on the back of fhe whife copy only.
rks m this s
E
f
p
er remo
n
"k abo,•e the work mvered by this requesf
PO#14319 - Remodel Wiring
Colculate Inspechon Fee - ihis Inspechon Request will mf be a<cepted withouf the corred fee:
Qth¢r Fee S Service EMrarwe 5iu Fee # Circvils/Feeders F"
Mobile Home Park Stall 1 0 fo 200 Amps 20.00 [} 0 to 100 Amps
Sireet Lig./TmNic Sig. Above 200_Amps Amps
Transfortner/Generator INSPECTOWSUSEONLY TOTAL
230.50
Sign/Outline Ltg. Wmr ?
r
Alarm/Remote Control
Swimming Pool i nereb oi ri" im.oo de:<ribed herem oo 'h: doro::
lrci9afion Boom Ro -In D°e°Jt S
Special Inspechon F ol . porc
Investigahve Fee
TALLATION MA Y BE na nFReo oiSCONNECTED IF NO7 COMPLETED WITHIN 78 MONTHS.
THIS INS
?f 95A?-
5 ? 9 5 9
`
0
a
"
?
?o
o
?
Request Dtie
0 /?
/ ?? Fire No Rouq nspeclion flepuiretl InspecLOn Other Than Roughdn
(YOU must call inspect w en reetly) 0 Reatly Now WWill Nohly Inspector
/ s ? Yes No Oate Reatl
IKlicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (5lreet Box or Route No ) Qty
/ (r 84 DIZ11iei FMHQN
Secuon No Township Name or No Range No Counly
DA Kc Y A
Occupa'nt /(PFINT) Phone N.
J7 Iz L7 ,F+A.v V11 (vri[g
Power Supplier Atldress
Sp
Elettncal ConVactor (COmpany Name)
7 Conlractors License No
n
0C.,-i SVS
6 J OC74[iS
C+.
Mailing Adtlress (GOnlractor or Owner Making Installetion)
! r'c2 il / G 5 /?I?.? 1-1on? ?y M 5 r 4z G?
Autho SignaWre (Co tod ner g Installatbn) Phone Number
573y -6•cx, 0'
G
9
b
B
?
8
IClrY II II I I II III 111 11111 11 I I DT
III
B2
Un
ersity Ava,
St
Pau?MN
5104
Phone (612) ?2-NW I
1 I
?
OPERIN3PECTONFEE
OLOSED
EN
7As
REQUEST FOR ELECTRICAL INSPECTION
Ills See mslmclmna lar comploting Ihis lorrn on back oi yellow copy
"X" Befow iN. ' --=red by This Request
.? E8-00001-09
7i?
? .::?.
Ne Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Builtling Dryer Load Management
y? CommJlndustrial Furnace Other (Specify)
Farm Air Conditioner
Other(spacdy) Conlractor's Remarks
Compute Inspechon Fee Below:
# Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee
Swimming Poal
Transtormers I 0 to 200 Amps
Above 200_Amps 7U ? 0 to 100 Amps
Amps o"
Si nS inspecmrs Use Only TA/L sa
Irr gation Booms ?Q • ?f/ C ?
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. ?
I, the Electrical Inspector, hereby
Ro09h-in 1 Date f?
6-
certity that the above mspechon has
been made. F??ai oa?e ?
OF'ICE USE ONLY
rhis reauest void 18 montns trom,