1301 Corporate Center Dr - Electrical Permitsv
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Request Oate
? ? Fir o., Fouqh-in Inspectio
Require09
G Ready Naw ?11 Nolily Inspector
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ISensed contractor ? owner hereby request inspection of above electrical work at:
Job Aedress ISveet 6ax Pome NaJ
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3 Clty
a
Y U
Section No. Township Name r No. Range No. Counry ??
nt(P NT?
iu
S Phone No.
?
- 5¢
Power
SupWier Adtlress
?Elecvical Cantrnctor IGOmpany Neme Contrdctor5 Uoense No.
Out,
Mai in Ao ee ICOnVeoror or Owner Making InstailaM1on)
?,? 1 D5
VAWhc re?Conlracto??Ow r Making Inslalleoont Phone Number MINNESOTA STATE BOAP O LECTqICITY THIS INSPECTION FEQUEST WILL NOT
Griggs?Mitlway Bldg. - Po S 173 BE ACCEPTED BY THE STATE 80ARD
iBYi Universily Ave., SL Peul. 55104 - UNLESS PROPER INSPEGTION FEE IS
Fhone(612) 66b0800 ENCLOSED.
REQUES7 FOR ELECTRICAL INSPEC710N
? Se nstmtlions br completing this lorm on back oi yellow copy h`ru?'y? Ee-ooom-oe
1?? F?-di /j? O}
???a7-=s T
? 0 0 6 3 8 X' Below Work Covered by This Request
ew Atltl Rep. TypeolBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Indusnial Furnace
Farm Air Conditioner
Olher ?specity? ConnactorS Ramaresj"jTi} /?? / f-' ..?' ^L aM. ?I
rr?'V 1-r n•?.??.
Campute Inspection Fee Below: S? Xi'
# Other Fee # Service Enirance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ,Q
Transformers Above200_Amps Above100 Amps
Signs Inepecloh use Only. TOTAL
Irrigation Booms 16, 66
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elearical Inspector, hereby
cthat ertif
ab
i
ti
h Roog°-'" oaie
y
ove
nspec
on
as
been matle F;oai
OFFICE USE ONLY ? lvr
This reqvest vaitl t8 monIDS imm
9/?w
C 01757Z/ A3 ?
Repuest Date Fue Rough-ln Inpsectio
(YOU m sl call in uiretl
when read
) Inspedion Other T?RougM1-In
ill N
iF
I
t
2-7-94
1
1 y
? 0 Reatly Naw j
nspec
or
W
ot
Ves N. Oate Ready
IX licensed contractor ] owner hereby request inspection of above electrical work at:
Job Atltlress iSVeet Box ar Route No.l Clry
1301 Cor orate Center Drive Ea an
Setlion No. TownsNp Nama or No. Range No. Counry
Daknta
Occupan;IPRINT) Phone No.
Telstar
Power Suppiier Adtlress
Eiecincal Contracto, fCOmpany Name) ConVfldor's Uoense No.
City View Electric CA00384
Mailing Aatlress iGOnvacbr or Owner Making Installalioni
1932 St Clair Ave St Paul, P1N 55105
nutnonretl Slg ure IGomra mr wner Makin lo nsta?la?on? Phona Number
C?t yX ,asi?i?i'? 699-483
MINNESOTA STATE BOAR6 qi EIECTRICRY THIS INSPECTION FEQl1E5T W ILL NOT
Gtlgge-Midwey Bltlg. - Ra?ati 5-173 BE ACCEPTEO BV THE STATE BOARD
1831 University Ave., 51. VauL MN 55106 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 692-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION '7,ea-ooom oa
/? ?
"p/q' C ?7 ? See InstmctiOpg 1or COm01¢ting ihi5 tOrm On back of yellav copy n
p? O17J/ X" Below Work Covered by This Request ?
ew Adtl Re"p. TypeoiBUilding pliancesWired EquipmentWiretl
Home Temporary Service
Duplex ter EleClric Heating
Apt euilding Load Management
Comm./Industrial F Other (Specity)
Farm ioner
°:"e"=°e",Y, a'"s ?/f1 1277 Reloca e Fixt's exit sign,
?
'
l
Compute lnspecfion Fee Below: eater,F&I new
ixt s,W&
sp sw
s,
e e o enin s
re5ems,te
# Other Fye # ServiceEntrance5ize Fee # /Feetlers
Ci Fee
Swimming Pool D to 200 Amps 10 ps
Above 20D Amps O
mps
Signs Inspacmr5 use only TOTAL
Irrigation Booms C
?5-
L C 50.50
Special Inspec[lon
Alarm/COmmunication THIS INSTALLATION M E ORD R DISCONNECTED IF NOT
Other Fee COMPLETED WITHI NT
I, the Electrical Inspector, hereby RO°qn"n ^• oa?e
Certif that the above ins eCtiOn has
y P
been made.
Final ?
Date
OFFICE USE ONLY d? ??-" ?This request voitl 18 months irom
?s
? ?.78 ?
O
Request Dale Flre No. Ro h-0n InEbection Required Ins ecli n Olher Than RougNln
5-17 - 9 5 0'ou musl call Inspecror when reetly) qeatly Now W Will NoNy Inspector
Yes ? No Date Reatly
IN licensed contractor ? owner hereby request inspection of a6ove electrical work aC
Job Atltlress (Sheet, 8ox or Raute No.) Clty
1301 Cor orate Center Dri e
Sec?ion No. Township Name or No. Pange No. Covnty
Dakota
OooupeN (PRINT) Phone No.
Farris Incentives
Power Supplier Atltlress
Eleotdcal Conhactar (Campany Name) Contractor's Llcense No.
City View Electric CA00384
Mailing Atldress (Gonlraotor or Ownar Making Inatalla0on)
1145 Snelling Ave No St. Paul MN 55108
Autnorizetl Slgna re (Canhaotor/0 ner Making Installetion) Phona Number
659-9496
MINNESOTA STATE BOAFlD CTRICITV
L
II THIS INSPECTION REQUEST WILL NOT
Grl9gs-Mltlwey Bltlg. - Roam -28 II II I( I I ( I I I) I I I I II 3E ACCEPTED BV THE STATE 30AR0
1811 University qva.. St. Peul, MN 55104 ?? UNLESS PROPER INSPECTION FEE IS
Phone f81P1642-0800 U ENCLOSED.
, -? REQUE5T FOR ELECTRICAL INSPECTION ?"`" ??n- es-oooai-os
C?f '?' • ? o, See Instrv,otwns lor compleling [hie brm on back or yaliow eopy. ?' j /???
9 „
507.3 5 X" 8elow bYork Covered by This Requesf Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
I Comm./Industrial Furnace Other (Specit )
Farm Air Conditioner
OIM1er(specify) Conlraclor's Femarks:
P0#13034-Relocate Fixtures,W&I single
ComputelnspectionFeeBelow: P012 switches,duplex receps
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
SwimmingPool 0 to 200 Amps 0 to 100 Amps l iu
Transformers A6ove 200 Amps Above 100 -Amps
$I fIS Insoeclor's Use Onry. TOTAL
Irrigation Booms 40.50
Special Ins ection
V( 6
Alarm/Communication THIS INSTALLATION MAY BE O E JSCONNECTED IF NOT
Other Fee CDMPLETED WITHIN 18 MRnS. t
I, the Electriael Inspeator, hereby ROUg"-'"
certiiy that the above inspection has
been made. Finai ?.?
0
FFICE USE ONLY ??a ? Thls reqaest vaitl 18 monihs trom .
0,2
?
18
9 582LI& (() _ ? 9?/) C?'
m
ReQUest Oe?e ire qough.ln Inpsecti Quiretl Inspection Olher Than FougM1-In
4- 6- 94 0'ou mrtunst call in lor when reaCy) ? qeady Now E] Will Nolity Inspeclor
Ipl Ves ? No Date Ready
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress ?Street 6ox or Rome No.? Giry
1301 Corporate Center Drive Ea an
Section No. Townshlp Name or No. Range No. County
Henne in
Occupant (PRMT) Phone No.
Crabtree Com anies
PowerSuppher Adtlress
Eledncal ConVectoriCOmpany Nama) ' Conhactoe5 License No.
City View Electric CA00384
Maling ntlaress lCOmractor or Owner Making InStallaUOn)
193 St Clair Ave ST Paul Mn 55105
Aulnonzea Sia Wre IConteetton0 ner Making In ta?la?ion? Phana Number
699-4835
MINNESOTA STATE BOARDU EIECTPICITY THIS INSPEGTION REQUEST WILL NOT GriggaMlaway 61dg. - Room 5413 6E ACCEPTEO BY THE STATE BOAFD
1821 University Ave. SL Paul. MN 551pC UNLESS PROPEF INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ??'ee-00001-0e Is/
? I Sea InsVUOtloos for oompleling thls lorm on baG ol yellow copy. ?? ?p Ci? Oa
? 9589
"X" Below INICink Covered by This Request
ew Adtl FeH. Type of Building ApplianCesWired EquipmentWired
Home Range Temporary Service
ouplex Water Heater Electric Heating
Apt. Building Dryer Loatl Management
X CommJlndustrial Furnace Other (Specify)
Farm Alr Conditloner
Otner(sUecfy; Convaaor'sRemarkTO11r4Q-InSt311 F 1Xt 1 S , SW ' S?
??
Compute Inspection Fee 8elow: Y'2C2P 'S,-W.1?T2+ HVAC uni t heater, exh fan
# Other Fee r? t?n rahcb §za Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps $ 0 to 100 Amps 90.0(
Transformers Above 200 Amps Above 100 _ Amps
Signs Inspedor's Use Only. /?. TOTAL
Irrigation eooms .C--; ; (30. SQ
? Speclal Inspection
Alarm/COmmunication THIS INSTALLATION MAV BE ORD@R -UISOONNECTED IF NOT
Other Fee ONT r
COMPLETED WITHIN
I, the Electrical Inspectoc hereby
if
h ;
Rou9n-m /
. oa?e.
y t
cert
at the above inspection has
been matle.
Final ??
Di
OFFICE USE ONLY
Thls request voitl t8 monIDS irom -
1
0 5 4 ir3
aequest Dale
//-? .? 7(]?
IJ F?e No.
?? Fough-in ?ection
e mretl
?
? _/
Inspector
G Ready Now L]yJill Notify
?J?en ReatlY7
yes .
; rvo
I;licensed coniractor D owner hereby request inspection of ahove electrical work at
Job Atlcress ?Si e? Box or Rome N.i
l3a ?t
" ISd
C?
?? City r
?a
l Y .z
•
Secnon No. Town Ip Name or No. Range No. Counly? ? J
\
J
Occup?I,[iINT?i
1 X-Y1? Phane No.
PowerSUOpher Atldress
EI Ical ConVaclor. (C
mpany Name7
i I I Co acto s Llcenee No
0 3 8"4
? 1?-?-? G
Maili?g Adtlres ontreclor or Own r Makiny InslalleUOn) ?
9
Au oizeC n \ e (Comrecm-Qwner eking Installanonj Phone Numper
MINNESOTA STATE eOAFD OF LE PIpTY THIS INSPECTIDN REOUEST WILL NOT
Griggs-Mitlway 61tlg. - Room S. BE ACGEPTED BY THE STATE BOARD
1821 University Ave.. SL VauL MN 55104 UNLESS PROPER INSPECTION FEE iS
Phone(61R) 642-0800 ENCLOSEO.
REOl1E5T FOR ELECTRICAL INSPECTION es-ooom- s
ll, See in;VUCtwns ior completing IDis form on back o( yellow oopy??°
"X" 8elow Work Covered by This Request
? 00454 ?
ew Adtl Rep. TypeofBUilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Contlitioner
Other (syecity) Conlractor§ Femarkp e I 5 y\S? ? ? ?`?.p ? S?
Campufe lnspecfion Fee Below:
# Other Fee # ServiwEnlranceSize Fee # CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps -6
Transtormers Ahove 2D0 Amps Ahove 100 _ Amps
Signs Inspector5 Use Onry- ? TOTAL
Irrigatlon 8ooms ? ?`? 3? •J(J
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS -
I, the Electrical Inspector, hereby Rou9 oaie Q
certify that the above inspection has
been made. F??ai • oa?e -
OFFICE USE ONLV
Ths raqvest vaid 18 montha iram
?OyL/9/ /oZ// *7
' p 0 0 462/ / 3 4/o??la ° o
aeque ? ?ata
,
v
?'??
.° 're Rougn-in pectigv \\\?//Wl Notity Nspector
retl9 G Reatly Naw
Whil
}{Ves = No en Reetly9
I licensed co actor ? owner hereby request inspedion of above electrical work at:
Steet,"Si o (JO.' I/
??I • ' Clry?
Secnon No. Townshlp me or No. Range No. Gowt ??^ -_
l G?/
Occ ntIPR T) ? ? Pnone No.
P er Soppller Atltlress
Ele ncsl onvacto: ,COmpany Name) '
Elec?'c,? Gon.rectors Lmeose No.
??f??r?
Maili/ng ?Ao s ?ConVacmr or Ownee Making In6leuatioo)
AuyN *sd SignaWre I onVactor;Ownee Making In51aIId1i0n, Phon Nu
4Y
'! ?2?? 5??3 MINNESOTA $TATE BOIIflD OF ELECTRICITY O THIS WSPECI?ON REOUEST W ILL NOT
Griggs-MiCway BIEg. - Poom S-173 8E ACCEPTED BV THE STATE BOARD
1821 Ilniversiry Ave_ SL Paul. MN 55106 UNLE55 PROPER INSPEQION FEE IS
Phone(6t2)6¢]-D900 ENCLOSED.
9/?? j91 REQUEST FOR ELECTRICAL INSPECTION ? ee-ooom-oa r
? See mstmceons tor comp?eting inis lorm on bade of yellow wpy.
? ri 462 "X" Below Work Covered by This Request
ew AtlA Rep. TypeoBulldmg - ApoilancesWlred EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Building Dryer Other (Specify)
Comm.ilndusirial Fumace
Farm Air Conditioner ?
OtM1er ?suecilyl Con[recror's Remarks.
?
Compute Inspection Fee Below:
# Other Fee # I Service EntrenceSlze I Fee # CircWt6/Feeders ? Fee
? Swimming Pool 10 to 200 Amps 0 to 100 Amps
I Transformers Above 20? Amps ? A ove 100 Zdl P.mps I
I Si9n5 Inspector's use Only. TOTAL p
?
I Irrigation Booms ? .O ?1 lJ l
ol
I Special Inspection
IAlarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
? Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby AouGn-m ( Dat
r
certifythattheaboveinspedionhas
been made. F,,?ai oatP,/
?
OFFICE USE ONLY ?
This reqaest voia 18 nonms Imm ?
0 1 4
Fequesl Dale Fire No. ugh-In Inspedion Requi
ou must cell inspecmr en reatly) Ins edion OtherThan Rough-In
Reedy Now ? Will NotHy Inspecior
12-8-94 ?Yes No Reacly
I CYqicensad conhactor ? owner hereby raquest inspection of a6ove electncal work at
Job Atltlress (Street, Bax or Route No.) Ciy
1301 Cor orate Center Dr #117
Seciion No. Township Name or No. 0 . County
7 Dakota
Ocwpant (PRINT) Pnone No.
Medi . PRN
Power Supplier Atldress
Eleclrical Conlractor (COmpany Name) ConUactor's License No.
CA00384
Cit View Electr'
Mailing Atltlress (COnlrector orOwner Making Installation)
1145 Snelling Ave No St Paul, Mn 55108
Aulhorixetl SignaW?e ( niracb00wne 1 king installa?lon) Phone Number
659-9496
MINNESOTA STATE BOARD OF E FICITY
Origga-Mltlwey Bltlg. - Foom S-128
1821 Univarsity Fva., 51. Paul, MN 55104
Phone (612) 862-0800
Ia iA C/./??9 REQUEST FOR ELECTRICAL INSPECTION
05? See inslmciions for completing this lorm on back oF yallow capy.
O? 1 J 4?
"X" 9elow Work Cuvered by This Aequest
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PPOPER INSPECTION FEE IS
ENCLOSED.
EB-00001-09
N ;
? ?+•
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
plex Water Heater Electric Heatin
tBuilding Dryer Load Management
I mm./Industrial Furnace Other S eci )
Farm Air Conditioner
er r (specity) Contreclar's Remarks:
Oth
0#12424 - Remodel
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Am s 0 to 700 Am s
Transformers Above 200-Am s Above 100 -Am s
Signs inapecmrs use omy: - ? TOTAL
Irrigation eooms ?j? • <</ 80. 50
S ecial Inspection L ?
AIarMCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS. ! r
I, the Electrical Inspector, herehy Roul oeiar ? 4
certity that the above inspection has
been made. Finai •
. " !i%7,'i?st.?.'J°• oa?a
- .??
OFFICE USE ONLV
This requesl void 18 months tram
3? 4° 7 6 6 0 OFF7CE USE ONLV Thie request wid 18 months 4rom volida?ion dale printed in this bm.
YoLe
z,? 0, 63
_ ,
?? po
91?
PLEASE PRINT OR TYPE
Reqoesi Dak Roogh-in inzpenion reqoired2 Yes ? No Inspecnan Other Than Rough-lie Q Ready Now Will Coll
(Yo? mustcollthe inzpecror ready) Dak Ready:
I, licensed contracior Q owner hereby request inspedion of the above eledriml work at:
Job Addrms (5? , BoR, or Raale No.) Ciry ?n Zip Code
$ecfion No. Town Ap Nome or No. Ronge No. Fire No.
` Phone Na.
/.d
z
oGe
Pa" Supplier Address
Ele I Conl.aaor (Co yNo
e) • Cm n r lic
ense No. MasKr Lic No. IPlom Eletl. Only)
?j
L ?/ q
?
G ?C/ /
U/ J
ing drmc(CammdororOwnerPeAorminglnsmllolion) ?
?
AuManzed Signowra(Co mnoror erPerfo ing Immllation? Phone No. l?^
EB-OOOOIh10 6/95 /STA?EBOAflD COPY•SEEINSTiiIICTION30NBACKOFYELLOWCOPY
REOUEST FOR ELECTRICAL INSPECTION e+??^
III ? III II I I I? III I IIIII I I I II II I I?I II Mirnesota
Ave., r Rm S4 81c
821 Une s 5t. Paul, MN 55104
* 0 3 4 4 7 6 6 1* Phone (672) 842-0800 4-c? ??-
. Home Duplex Ap}. Bldg. Othec ' / New
41 Addn
Commercial Industrial Form 91 Remod
X Re ir
Air Cond. Htg. Equip. Woter Hh. Load Mgmt. Ofher.
D er Ron e Elec Heat Temp. $ervice
"X" above the work covered by fhis reqvesf. Enfer remarks in fhis spoce an pn the back ol the white copy only.
?a?
?
?./r?o
alcula}e Inspection Fee - his Inspection Request will nof be o<cepted wifhouf the corced {ee:
Other Fee # Service Fntrance Size Fee # Circvils/Feeders Fee
Mobile Home Pork $toll 0 to 200 Amps 0 fo 100 Amps ?
Sfreef Lfg./Traffic Sig. Above 200 Amps Above 100 Amps
Tronsformer/Generator INSPECTON'SUSEONL TOTAL
$ign/Ouiline Lig. Xfmr. r?y
Alorm/Remote Control
Swimming Pool I hereb «M the elMnco) insrolla?ian desnibed herein on fhe dabs srokd
Irrigtltion Boom Roogh-In Dok
Speclal Inspedion
Investigotive Fee Fmo1
?
THIS INSTALLATION MAY BE ORDERED DISC NNECTED IF NOT COMPLETED WITHIN 18 ONTHS.
OFFIGE USE ONLV This request void 18 monfhs Imm volido/lio.?n d/a?re /pn?nted In Cihis 6oa.
I III II II 11111111111111111111111111111111111 I II ,11,11a311?
7B 0 4 3 9 3 2 6 0* pLEA E PRINT OR TYPE
Request Daia
? RwgAin impunon requir d2 ? Ves ? No Inzpection Olher Than RougMm ? Reody Now fu Will Call
`?j IYov m,st mll ?he inspecror when ?eady) Dmie Ready:
I, Jg licensed wnhacfar ? owner hereby request inspxtion of fhe obove elxirical work nt
Jo6 Address (Sheel, Boz, or RoWe No.l Cly ZiP ?e
ss??l
?,-
Se3ion No. Township Nom or No. Range No. Fire No. ]
?
f
/ rc
L? L'l.
Occup/anl? / /
?
?
? o.
Ph?m
rr7C
tc/?/
/,?VllL ll
l
Power Suppliar Address
Eleclncul Conkaclai ?Compony Nomal Conlmclor License No.
;?
C
1 Masrer Lic No. (Plont Elen. Onh11
vr?
c11
1
Mailing Addmss (Conrcanw or Ownar P rfarmi g Insbllotion? C.
y
ANhorized Sgnwbre (Convoctor or Owner Pedorming InsMllafon) Phone No
?2,? - "J ;2-
EB00001 Ad I 8/96 STATE BOABD COPY - SEE MSTi1UCilONS ON eACK OF YELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION
4 3 9- 2 6 V MN 55104
P
l
e
I
ar
1
e
t
L18!''-7 St.
au
,
28,
Rm. S
Unive
iry Ae
8
21
Phone (612) 642-0800
/01
(0
i: me Duplex Apt. Bldg. Other: New Addn
Commerciol Indushial Form Remod Re ir
Air Cond. Ht . Equip. Water Hh. Laad Mgmt. Othec
Dryer Range Elec. Heot Tem $ervice
"X" obove the work covered by this requesl. Enfer remarks in fhis spoce and on the back of the white copy only.
Calculate Inspeclion Fee - This Inspeclion Request will nof be accepfed wifhout the correcf fee:
Other Pee # Service Enhance Size Fee # Circuits/Feeders F
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheet Lfg./Tmffic $ig. Above 200-Am s / Above P.mps
Transformer/Generafor INSPECTOR'S USE ONLY .! / l TOTAL
Sign/Oudine ltg. Xfmr.
Alarm/Remate Control
Swimming Pool
I hac6 ce ' that I ins insbllaiion described herein on the doles sMed
Irrigotion Boom Rou9hA„ ^ oma
i
l I
i
S
pec
a
nspecf
on
Investigafive Fee FinaI
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 8 NYONTHS.
? 7//0/5;0 9?619?
? 00259 d co
Reques? Oate No. Rough-in I ction
Requiretl? C] Ready Now EkWill Notity Inspeclor
ki Vea ? No W hen Reetly?
ILldicensed contractor O owner hereby request inspection of above electrical work at:
Job ACtlress (SVBBI, Box or Foute No.? Ciry
1301 CORPORATE CENTER DRIVE EAGAN
Section No. TownsM1ip Name ot No. Range No. Counry
EAGAN DAKOTA
Occupanl(PRINT) PM1One No.
TWIN CITY TESTING
Powe,scPpre, aaaress
Elecvicsl Convaclor ICOmp9ny Name) ConVac[ar5 License No.
OLYMPIC ELECTRIC COi-1PANY, INC 0396-32-9
Mailing Atltlress (COnlractor or Owner Making Installation)
7103 AMUNDSON AVENUE SOUTH, EDINA, MINNESOTA 55439
Amhorizetl Si a ure ( 0 2n wner Making Inst tion) Pnone Number
MINNES TA STATE BOAR(D OF ECTqICITY THIS INSPECTION REQUEST WILL NOT
Grigge-MlAvey Bltlg. - qoom S173 BE ACCEPTED BV THE STATE BOARD
1821 UnWerslty Ave., St Paul, MN 55100 UNLESS PROPEF INSPECTION FEE IS
Vhane(814)6G2-0B00 ENCLOSED.
9015F0 REQUEST FOR ELECTqICAL INSPEC710N ?.a"?'•y„ ? EB-00001-09
li, See ins[mctions (or completinq tM1is lorm on beck ol yellow copy. ? Xpp?i+
? ! F.:
M00259 "X„ Below Work Covered by This Request ??.;
ew Add Re(?- TypeofBUiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt. Builtling Dryer Other (Specity)
Comm./Indusirial 'FUrnace
Farm Air Conditioner
Olher ?specily) Contrector5 Remarks:
0-30 (10) at $4.°2
Compute Inspection Fee 8elow: 31-100 (1) at $ 7. °-°
# Other Fee # ServiceEnirance Size Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ro 700 mps
Transformers Above 200 _ Amps 1 Above 100 ? Amps (. o 0
SiynS Inspemors Use Only TOTAL
Irrigation Booms
J v,?
53
50
Special Inspection .
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
O?her Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby
certify ihat the above ins
ection ha R°u9"-'n oa'e ,
p
s
been made. Fnai oaie
OFFICE OSE ONLY
This request witl 16 months hom
J
F
/?:?/89
C? ? 89 4 3_ ^.? ? 'Z&
Request Oate
AUGUST 21
I98J Fire N. Rough-in Inspectio
Requiretl?
? Featly Now ??
,
so?r
, P Yes ? No hen
ead
y'
II?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Bax ar Raute No.) Ciy
1301 CDRPORATE CENTER DRIVE SUITE 117 EAGAN
Seclion No. Township Name or No. Range No. ?untY
EAGAN DAKOTA
Occupent(PRINT) Phane No.
AUTOTEC
Power Supplier Address
Eledrical Contraclor (COmpany Name) Contrador5 License No.
OLYMPIC ELECTRIC COMPANY, I NC. 039632-9
Mailing Address (ConVador or Qwner Making Installation)
7103 AMUNDSON EN(TE SOU , E?INA MINNESOTA 55435
ANhorized Sign ure onV ne ng Installetion) Phone Number
(612) 944-7400
MINNESOTA STATE BOAFlD OF ECTRICITY THIS MSPEGTION REQUEST WILL NOT
Griggs-Midway 81tlg. - Raom ^r173 8E ACCEPTED BYTHE STATE BOARO
1821 UniversHy Ave., SL Paul, MN 55104 IINLE55 PFOPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
;E e QUES TPOR QEP ECmRICA ? LbNSPECTION
N 88941 'X" Below Work Covered by This Request
New Add Fep. TypeofBUilding AppliancesWired EquipmentWired
Home Flange Temporary Service
Dupiex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Commllndus[rial Fumace
Farm Air Conditioner
Other(specify) ConVactor's Remarks:
Compute Inspection Fee 8elow:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 100 Amps •--
Transformers Above 200 _ Amps ? -1' Above 100 - Amps 6.--
SigrlS Inspector§ Use Only: f/ p?
5 " TOTAL$45
50
Irrigation eooms `T. .
Special lnspection . SOq SUAC TNCL
Alarm/Communication ? .
?
O[her Fee t
I, the Electrical Inspector, hereby Rough-in
+7
certify that the above inspection has
been made. Final ?,?.,_
4 ?' _
OFFICE USE ONLY
This requesl voitl 18 months irom
?53 5 6 6/? ? ,?
Request Date F Na Fough-in Insp . on
equireG4 ?
R
? Ready Now N Will Notily Inapector
0'z-Q?j-90 v
C+JYes QNO WhenReady?
I L? licensed contractor ? owner here6y request inspection of above electrical work at:
JoE Atltlress (Streeq Bm or RoNe Na.) Ciry
1301 CORPORATE CENTER DRIVE EAGAN
SeANo. Township Name or No. Range No. CouMy
Occupant (PRINT) Phane No.
ISAKOTA INC.
Power Supplier Add.u
Electricai Contrdcror (Company Name) Conhactar's Licanse No.
0396-32-9
IOLYhIPIC ELECTRIC COMPANY, INC.
Mailing Atltlress (Contracfor or DwnEr Making Instaltation)
7103 ANNNDSON AVENUE SOUTH, EDINA, MN 55435
wn akirg Instalia[ion)
AWlwr¢etl Signat PMne Number
, -
??
:.,..
612 944-7400
MINNESOTA STATE 80AFD OF ELECTRICITY v THIS INSPECTION REQUEST WILL NOT
GriggsGiAway BIOg. - Hoam S173 BE ACCEPTED BV THE STATE BOARD
1821 Unlvercity Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phmie (612) 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? Ee-ooom-m
v
Oo See inshucGOns br completing ihis brm on back of yellow copy.
X" Be/aw Work Covered by This Request
I? 53566
ew Add Rep. Typeaf6uilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommJlndustrial Furnace
Farm ir Conditioner
Olher (specity) Conhactor§ Remarks:
ComputelnspectionFeeBelow. ?EMOLITION AND REMO?EL
# Other Fee # Service En[rance5ize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps is
Trensformers Above 200 _ Amps Above 100 _ Amps o
SigflS Inspector5 Use Dnly. TOTAL
Irrigation Booms y?./JU
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in oaie ?J
' ?
certity thatthe above inspection has
been made. F??ai oae
OFFICE USE ONLV
This request mid 18 months fmm
7/ri/8v
C? 889 34 /,i ? . 0. ?
Aequest Date Fre N. Rough-in lospeclitAn
7?
Y 1$
1989 P @F9uiretl? ?
1 rJReaEyNOw ?fJiIINOHfylnspecta
Wh
R
.
.
, ?Yas ?No en
eatly.
4licensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street, Box or Ro?te No.) City
Section No. Township Name or No. Range No. Coumy
DAKOTA
OcwPant (PRINT) Plwne No.
CALIFORNIA CLOSET
Power Supplier Atltlress
EleUrical CqnVflctor (COmpeny Name) Conitac[or5 Licerrse No.
OLYMPIC ELECTRIC COMPANY, INC. 039632-9
Malirg Atltlress (Conhaqor or Owner Makirg Instellation)
7103 AMUNDSON AVENUE SOUTH, EDINA, MN 55435
AuUOnzetl Sgna ctorl aking Inslallatwn) '
(C
er phone Number
i„
7 (612) 944-7400
MINNESOTA STATE BOqRO OFrELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggsMlOway Bltlg. - Room S173 BE ACCEPTED BY THE STATE BOAND
1821 Universtly Ave., St. Poul, MN 55106 UNLESS PROPER INSPECTION iEE IS
Phone (612) 6624)800 ENCLOSED.
918?4? REQUEST FOR ELECTRICAL INSPECTION . ee.00001-07 I
' ? See inslvctions kl mmpleting Ihis torm on back oi yellow wpy.
pp 7 d1
? O O934 X" BBIOW WOrk Cnvere(l hv Thic aa.,,,e?+
e Adtl Rep. TypeofBuilding AppliancesWired V EquipmentWired
Home Range Temporary Service
Duplex Water Heater
Electric Heating
Apt. Building Dryer Other (Specify)
X Comm./Industrial Furnace
Farm Air Conditioner
OIOer (spacify) Conlraaor's FiemaBS:
Compute Inspection Fee Below:
#
' Other
Swimming Pool Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
TransFOrmers 0 to 200 Amps 0 to 100 Amps ({ o
Si
nS Above 200 _ Amps A6ove 100 qmps
_
g Inspe ctor5 Use Only: TO
Irrigation Booms
`?Y TAL
Special lnspection 1 48 . 50
Alarm/Communication
O[her Fee (
I, the Electrical Inspector, hereby Ro°9n-'" oat
?
certif
th
t ih
,
`
y
a
e above inspection has
Final
been made. ? a?_aa ?
OFFICE USE ONLY
ThiS request voiE 18 manihs irom
^rni5 ,rauest vuia
16 rom nths (mm
70095
/? ?
Request Uate Fre No,? pouuh-in'Insuer.tmn
A`n re<Y?
E]Reatly Now ill Ni?tify Insoec-
?-y
2 ??? ? / ?es ? Nu ?or When Ready
?-y? ?
g{
lice,,sed Elec[rical Contracior I hereby request insDactlon of above
D Owner eledrical work inslalled BY
Street Address. Boz ar Rautc No. CilY
j73d/ Co /a trf,E ?,..?z z, -/,e e?b6,4-7?
ecuon o. Townshio Nome or No. Ranpe. No. Cnvnly
Ocwpant IPqINTI Phone Nn.
Power SuDDlier Address
/?,/ s./
Electncal Contrar.tor (COrtryonv Name) Contrucmr's Liccnse No.
?3??a.•,,?cs,o? ??Ge?srz-,c C'a. -lioo47-7
Mailing AAdress ICOntrector or Owner Makinu Insiallationl
97 z( f?. <vt 3s J L w- ?i/?E. S /L S. iry /-v/ -- -?- '50 3?
uthor' S?g?alure ' tor/Owner ?mu"siallo ionl
I Phonn Number
Q,PP-79OJ
,
iXTNESOTA STAT OqNO OF ELECTNICITY
Griggs-Midway Blde- - poom N491
1821 Universitv Ave.. St. Peul. MN 55100
Phone(672)642-OBOo
TNIS INSPECTION FEQUEST WIIL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PNOPEfl INSPEGTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-000
C0i?-ios
Ilr See instmc[ions lar completin9 this lorm an back ol yellow caDV. ~ l?7IV J
lb 7 0Q 9 5 ""X" Below Work Covered by 7his Requesl
FAd Feo. Tvpe oi euildlne Aovlioncea wiree Equiument wirea
Home Range Temporary Service
Duplex Water Heater Lightiny Flxtures
Apt BuilAinc7 []ryer Eler.tric Heatin
Commercial Bidg. Fumace $ilo Unloader
Industrial Bldg. Air Conditioner 8ulk Milk Tank
farm o???t:r oeoly Oiher (SUnr.ityl
1 ,r SVCCify tM1O, 01hcr
M Fee Service EnVancaSize Y. Fee Fnxtlers/Suhi¢eders R Fee Ciicuits
/ 2.0(2? U to 200 qm s 0 to 30 qm s /Z) 30.0 0 tn 30 An )s
Above 2D0 Amps. 31 to 100 Amps 31 tu 100 A s
Swimming Pool Above 100_Am s Ahove 100_Amps
Transiormers Irrigation &OoFris .SO Partial-'Other Fee
Signs Special Inspec[ion 5 ?p
Nema.ks ? TOTAL F?
Noogh-in
Date T.
1, the Elechiwl
Inspec[oq hereby
Final
^
D 1e certily that the above
, .
mspactmn has Eaen
made.
ThlereQUeslvoidi8monthsfrom ,;?. , i
C? 12151
Request Date
G ire No Rouglb?in Inspection /
R uired?
`^
? Reatly Now j?jNill Notiry Inapec[or
?• When Read
?
Z, as ?, No y
I ?licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlOress (SYreet. Boz or Raute No) cnY
30 / C",c"r-x"r 16.4,6 ,c /-1
Section No. Township Name or No. Range No. Couny
Occupant (PPINTS Phone No.
/-? . L d- •¢-.t /L.G-7ir/G OIG.G/LiL
Power Supplier Atldress
Electrical Contractor (COlnpany Name) ConirectorS License No.
3r.oo»,,,/ (5-ro,,/ ?<Gcrc; ? C°? . ?to 047- ?
Mvliig AtMreas (ConVactor or Owner Making Installation) .
97 Z/ f4 ,.,js.,- ,or ,4.,E S. /„'
A orizetl SignaWre (Cqntraclm reng InspllaGO ? Phone Nry bre/r r G
d d J - 7 /
?OTA ATE BOA EfiffBF LECiFICRY THIS INSPECTION REQUEST WILL NOT
GeiggsMidway Bldg. - floom S173 BE ACCEPTED BV THE ST.OTE BOAFD
1827 UnWersiy Ave., M. Paul, MN 55104 UNLESS PROPEFt INSPECTION FEE IS
Pho. (612) 662-0800 ENCLOSED.
ON
;EQUESTFOR oEPECTRI ? CAL ?INSP?C W TI?
i
? 41 CO 1,rj 1 "X° Below Work Covered by This Request
e Add Rep. Typeoi6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
DLt
lex Waler Heater Eledric Heating
p
ApBuilding Dryer Other (Specity)
j H Comm./Industrial
d Furnace
Farm Nir Condltioner
Other(specity) ConVaclor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps /S,O O to 100 Amps
Transformers Above 200 _ P.mps Above 100 ? P.mps
SigpS Inspector§ Use Only: ?L
IrrigationBOOms rI S/S?
Special Inspection
Alarm/Communication .. .,..
Other Fee , SO
i, the Electrical Inspector, hereby
.?J x y?
Rough-in 11
oa? 2?,Q{
, t
certify that the above inspection has
been made. F;,,ai oace
OFFICE OSE ONLY
This request wid 18 monihs from
--ihis reques[ void
18 months Irom
10 ??yn4 -3.
Request Da Fire ao. ? RouP -?n Insne,r,[ ?
?- eq iGetl? -/ Peady Now II Notity, Inspec-
I ? ° es ?Na r When Re?tly
Licensetl Electrical Comractur I hereby request ins0ection ot above
n Owner electrical wark ?nstalled at
Sveet Address, Boz or Route No.
3) 0 Gor'--- 6n, A
tt Y
- Citv
ection n. Townshi0 Name or No. Fanpe No. CountY
4
Q
Oc an[ IPflINiI ^/ T
r Phone No.
Power $up01 e ?
dd7,s, ?M•Fd
EIecK ConV/acmr ICOmpany Name)
'?1..? ?.?/I / t ? Cu??«der,tor's G/c?ense No.
l I ? '7 C? ? C.e•
Ma''i7ling Adqress (Convactor or Own¢r Maki
Ca?'7 L VI'll np Insiaiialionl
?
Authori d Signnmre Con actor/Dwner ri?aking h [allatinnl Phone Number
??? -7
MINNESOIA STATE BOAPD,AyELECTHFCITYv
Griggs-Midwey Bltlg. - NobIK N-191
1821 Universitv Ave.. St Vaul, MN 65? 04
Phone 16121 642-0800
THIS INSPECTION flEQUESI Wlll NOT
BE ACCEPTED BY THE STATE BOAftD
UNLESS PROPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi/-?a?e,
? See inshactions tor comDleting this form an back o/ vallow mpy.
IUl .-? 99104 "X' Belaw Woik Covered by This Request
FAa Aeo. Type ot BuilAinq- ApPllancea Wired Equipmen[ Wired
Home ftange Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electri? Hea[in
Commerclal Bldg. Fumace Silo Unloader
Industrial Bldq. Air Conditioner Bulk Milk Tank
Farm omr, aearv oino,
t er Suocify Other Oth,r
c.ompure inspectron ree ttelow
p Fee ServiceEntrance5iza H Fee Faeders/Subte>tlers b Fnz Cir ults
U to 200 Amps 0 to 30 Am s .?- 0 fo 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 100 A rnps
Swimining Pool Above 100_Arnps Above 100_Amps
Transformers Irrigation Booms PartiaL"Olher Fee
Signs Speciallnspection 5 Q
TO FEE
Aemarks ra ?!? -0
qaueh-in Da[e
I, th rea?
Inspectur, lre,eby
that fhe above
ceriil
Final t LZale Q y
inspeetion has been
maea.
TliiarequestYOltll9montrertom ? - - -? - ? -??
This repuest void
18 months,from
C 34181 l_ r,c33,
Request Op1e Fire No. Roupllin InsVeciinn
?o R qu etl? I HeaGy Nuw ill Nolily bispec-
/O/?? ?- s Ory?? ? wr When Readv
l?censed ElecVical Contractor Tl?
I heraby request inspection oi ebove
? wner electrical work insialled et:
Sheet Address, Boz or Roure No. C{iy
P Uon o. Township Name or No. qanNe No. County
Occuuant IPPINTI Phone Nn.
?on ,cyn/Acor
Power $upDlier AAdress
I
Electncal ontractor (Companv Ndme) C,,nlrac,or's License No.
L?I?G?S ?L.?C?yCiC_ o,o -tr?
Matlinq AdJiess ICOnva Aor or O?wner Makiilp InSLilla[i '
. ! ?
Au,Anrizetl Signa ore IC tract /Owner Making nslallation) Phone Nwnher
Z:Z-7-7"7)
MINNESOTA STATE eOAPD O??CECTqICITY°
Griggs•MidwaY Bldp. - Room N-191
1821 Univarsitv Ava.. SI. Pnul. MN 55104
Phone (612) 642-0800
I HIS INSPECTION XEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOAflD
IINIESS PflOVEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
, See insbucGOns lor completing Ihig }am on bxck ot Yellow copy. ? p4//cy p
E 34181 O P ci
"X" Be/ow Work Covered bv 7his Reouest
Wrw4 Add
` ReO. Tvoe ui 8ullding
Home Appllancaa Wired
Range Eqoipment WireA
Temporary Service
M,plr.n
Apt. Buildmg Water Heater
Dryer Liyh[iny Fixtures
Hectrie Heatin
Commercial Bldy. Fumace Silo Unlonder
Indus[rial BIAg. qir Conditioner Bulk Milk Tank
Farm ONx? ,per.ifv iho? ISprcrtVl
.
??;,m
/ .... t.r Veci Y
............ r__ o_i_.. Other ntho,i
N Fee ServiceEntmnceSize n Fea Fexde,s/SuDteeders p Fex Circai[s
0 w 200 Am>s 0 to 30 Am s 1 to 30 Am s
Above 200 Amps 31 to 100 Amps o 31 ta 100 qr s
Swimming Pool Above 100._Amps Above 100_Amps
Transrormers Irrigation E3oons S PurtiaLbt e
Signs Speciallnspection
?
flemarks /? SSSS TOT PE?'6
\ ) ?
RouBh-in ? r p.ppp Q
y? v
1. the Electrical
InsDactor, hereby
Final cerlily that the above
r ?? inspecfion has bean
natae.
tAierequestvoitllBmontMfmm
1215 3/
/
Qj,
-
,
Request Date
CJ ? FireNti,
`? Rough-in Insp on
Requ ?
? RBady Now ? Will NoNfy Inspec[Or
? S ? Na When RaedY?
10 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (SVeel, Bpz or Route No.)
3 L CAr? ,-2z Pk1,'
Sectbn No. Tamship Name w No. Range No.
/ ?
?IW' I
Occupant (PRINn Phwne No.
r?-? :zc.r"o a tJ
Powar Suppier qddress
/iid/" 5 .?.
Eleclncal Convaclor (COmpany Neme) Contredor5 License No.
' 3c.oc?,,.iG-1e? ?L,Et?rz;c. 4-?.` -47-7
Mailing AOdress (Comrac
ro
r or Owrer Makirg Instaliatian)
,
/
i/ /h JS A
!4 1-1
onzetl S' nelure (ConVactor ar Making InsUllatbn Phone Numb¢r
.? b•rg k -79eJ°
SOTA S ATE BOAN OF ELE NICITY
Grlype-Mitlway Bldg. - m 5173
1821 Universky Ave., SL Peul, NN 55104
Pliona (612) 664-0800
G?. 1?,15 3
THI$ INSPECTION FEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLE$$ PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
No See inatrucUOns for completing Ihis fortn on back o( yeAOw copy.
JC" Below Work Covered by This Request
EB-0D001-0]
L 95/0 -7-;?
e Add Rep. Typeof8uilding AppliancesWired EquipmemWired
Home flange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Fartn Air Conditioner
Olher (specify) CoMrector$ RemaBS:
Compute lnspecfion Fee Selow:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
SIgfIS Inspector§ Use Oniy: -S PTAL S-O
Irrigation Booms
Special Inspec[ion
Alarm/Communication
O[her Fee ?
I, the Electrical Inspector, hereby Rough-in
certifythatthea6oveinspectionhas
been made. F;,,ai oa
OFFICE USE ONLV
This request wid 18 monihs imm
9 OFFICE USE ONLY This requast void 18 months hom validarion date prinfed in ihis box.
I,/ "/40
?
I
III??
? IIII? I
II ?II IIIII? II? II 7
?
D
PLEASE IN
0
3
6
Reques? Dafe //?? Roogh in impectlon requked4 ? Yes ? N. Inspection O?er Than Ro?gh In:
d
D
ro R ? R?dy Naw °11
?
?/3 ?7 ?Vou musl call "he inspecror when reody) y:
a
eo 42
? owner hereb ra uest ins ection of the ical k aP
I, ? licensed contmcfor y q p
Jo6 Addmss jSrteet, Box, w RoWC No l 4
?? l.?NeY vr, c'N
-
Sxrion Na. iownshtp Na or No. 6ange No. Fira No_ Comry
0
orx?.'ni
Co?? ?%Q Phone No.
Pawer Supplie. Address
Elachiwl Conhacror (Compony N/ame?(?
G C ?/" ??,'G
k
C'
G Connatlor license N/o.
GAO ZJ ? Masrer Lic No. (Plani Elxt Only)
n?
r? T
HS OMa
M.ir.s nda,a„ (Cen„a,b, d'sS
eo
Aolhorized Sig?wmre ?Cmnacwr ai Owrie? Performing InsMllati ? Phone No.
%1G?•G•v K. Gr?
E600001 A1 8796 Up7E BOARD COPY - SEE INSTRUCiIONS ON BRCK OF YELIOW COPV
43J°3LH 161
74 -7
REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board ot Electricity
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
v I , ,
l
D
Other:
Bld
t
P New Addn
Home ex
up .
g.
.p d i
R
Commercial Indusfriol Farm Remo r
e
Air Cond. Ht . Equip. Waler Hh. Lood Mgmt Other.
Dryer Range Elec. Heat Temp. $ervice
°X" above the work covered by Ihis request. Enfer remarks in this spoce and on ?he back of fhe whife cop)only.
• ??.? .? ??.'j ? ? ' ? e'?
Cokulale Inspxtion Fee - ihis Inspection Requesf will not be accepted wilhout Ihe corrxt fee:
Other Pee 71 Service EnUance Size Fee # Circuits/Peeders F"
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Lfg./Traffic $ig. Above 200_Am s Above 10 mps
L
U
Tmnsformer/Genemror INSPECTOfl'S USE ONLV / TO A
f
mr.
Sign/Oudine Ltg. X
Alarm/Remote Conhol ?
$wimming Pool i hereb ani ?hm1 In: ened Ihe el de d here on ?+e dote:
Irrigation Boom RwgMn D. -G
Special Inspection F;,,al DO r3
Investigafive Fee
e? n o cn 'cr IF NOT COMPLETED WITHIN 8 MONTHS.
? TnIa uNai ..L?... o... e.n..? .,........?..?
This request voitl A-7
Ie nwnths (mm ? 6 7
0 70091 01n'se>
Aen??est Date
.?/ Sl S/ Fire No. Rounh- iInspe tinn
q?eq?w>?etl? ?/?
?Heatly Non? I.LWiII No?ify Inscer-
Y?
p(J'?'n' ?N Wh R A
censed Her.vical Comra<tor
I hereby reQuast inspection of above
UW?1ef
elechical work insta llatl a[:
S?reet AdAress, Boz or Route No. City
/'30/ C'J?ZPJ Z.?YC, CCrr-T?:L ??Z.i?it (t.4-G-s'n./
ecbon o. TownsniP Name or No. RTnge No. ,
Cnvnl
V
??/Y.t%u'T•4
OccoVan(IPqINT) Prone N,
?OW?? SyST?.,s ?GX?G4LGi1
Power SupV?ier p AAdress
EI¢ctrical Cnn[racmr ICOmwllv Name) Conhactnr's License No.
?J.-..,.?.y-a?,? /f?.cc-r. C C'a 400 -07-?
Mailine .4tldress ?Con[ractor or Owner MakinFl ?nstallationl
97zi f??^.3cc?or 4iC S-. rare s ?,+.? SS 43 /
uthori>ed SiBnafure Convactur/Ow a' ? Insta lation) Phonr.
Nu
mper
fi
?j
7 r'/ 05-
rl- NESO A ST E BOApD OF ELECTRICITY
Grie9s•Midway BIdB. - Noom N491
1921 Univerzitv Ave.. St. Paul. MN 55104
Phone (612) 642-0800
THIS INSPEGTION HEQl/E5T WILL NpT
BE qCCEPTEO BY THE STATE BOARD
UNLESS PROPEN INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
1 See instrucHms for cumoleting Ihis lorm on back ol vellow copy. /?q _,A '.???
D-70091 "X"' Below Work Covered by This Request R c/ 17 y.-
l+Atl Fep. Type of 6uilaing Appliantea WireO Equiument WireA
Home Range Temporary Service
61 'P
Apt. Buildin? Water Heater
Dryer Liyhtiny Fixhues
Electrie Heatin
Commercial Bldg Fumace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
FdIRI O?M1ei Per,i Y Oihor ISner,ityl
mm
??n
a TM.r ueci(V
c,._ o..i__. Other Other
k Fea ServiceEnLenceSize b Fee Faxders/SUhfeetlecs A F9e ircmis
U to 200 qm ) 0 to 30 qm 5 An ?s
Above 200 qmps 31 to 100 qmps UO qm
W
Swimming Pool Above 100__Amps hqve
100_Amps
Transrormers Irrigation Boon?s
• O Partia6Other Fee
Signs Special Inspection ? . ?- .
Rem3rks S/
^ '? TOTA ?F?E
LU
Cj rOLI
Rough-in On?e
th
?
i
, /
L?
L
? .
e
v
C
Inspectoq bereby
Final ?,i"? certity , hat the above
? nspection hes bee.
TI /'10 matle.
erapueatvoi0
TAis'iequesf wid 150,L`) 5 6
78 n pan
???I1???, 1_l A --3 ?-)Lr
Re,uesf Date Pirc No. ?,u -,I -'ecuon ??aW Now ? Will NoG(y Inscec-
?Yes o [or When WeaOY
?censetl Eleclrical Contgaclof I hereby reqvesl inspection of ahove
O..nnr elec[ricel work untalled at
SVeeI AAdres/s?, Bos ar Boju?te No.
E , d!4,Iei /ats.Si+w{ 3 a?<?';?'? City ?
I fr 4 4
wn o.
l wnsNamc or Ny?
? Range No.
` CauMy
/E3O vr?oar? , C?
rr ri
vc.?
Ocwpant WT) Phom No.
Power Sup er Atldress
Elect i 1 Cont ctor IC av N.-VJ Co?trx.tor's license No.
1
4 w
-
Mailine Address IGOmracto Owrer Making ins[a? ioN
V QU -Q? ? (t[c- S /
AuMOr ed Sipnaw onva t«/ r Makin s latio PM1One N r J
MIMNESOTA STATE B(?/[ OF ELECIRICITY /J THIS IPL4PECTION NEQUEST OILL NUT STATE Grigps-Yitl?weY BId9g? ibom N-791 NLESS OPER INSIECiI M Ff?E 6
1827 UnivarsityAva..51. Paul. YN 55100 y ENCIOSEU.
Phone (8121 297-2111
REQUEST FOR ELECTRICAL INSPECTION IE°j00?j
??0?q ' See imtru:tions far rompleting thi? fmm on baek of w?lwr cavY• ?? ??
0 3 J O 1, 4 XBe/av Work Covered by This Request ???/
Ada 11eo. Type of Builaine Applianeea NireA Epuiqrent Mi?ed
Home Range iert?porary Service
- Duplex Water Heater LUghtiny Pfxtures
Apt. Buildiny Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
Indstrial BIAg. Air Corditioner Bulk Milk Tank
Farm Otne. veuN e?M. Isoec?ry)
K Fee ServiceE?pnceSizs b Fee Feaders/Subieedels b Fee Cfrcmta
0 to 200 Nnos 0 to 30 qmus 0 to 30 Amns
I I-*Above 200 Amw 37 to 100 qmps 37 to 100 pmES _
mg?s apecia? msyecuon
S?OQ ? TOTRL.FEE-?'?
.c1/Rr-1/ u/2.. ;" ?")n
"
NoWh-in _ _- _
ate ?r
_tM1Cb?`Viwl/
'
insoenrw.. i.
e.ner
mrtih «< <b ahove
Final q? nsaeefim bs eea.
made
n\ .
TMIWY@9lvmYl811qn1161NT Y - . . . _ . ...?
Thfs re,auest void ? e/
,8,?,h= 2501 oL i 6 . -from 60iy9/ ?.
Request ate
?/ Fir¢ No. 9h -in InsUectie
red?
?ACady Now Will NoLify Inspec-
%/??
?? ?
1'es N. [or When Headv
Licensed Electrical ConVactor I hereby requestinsoaction of above
? Cwner electncal wark instelled et:
$treet AAtlress, Box ?or R-oyuie No.
? Clty ?--
/
Of ??r . ?? 4.,._.
ectmn o. Townshlp N me or No, flange Na. Co?yy ??
Ll[
Occupa IPpINTI ? Phone No.
. rv p
Power S pi . Address
Electri al
COn ractor oynpan Namel Coactor's License No.
` r
i in0 Address ICOn[ractor or Owne r akinB staila
aao ? - .
,
horiz d Signature ICo ractor/ w Making Inst at
) PhonJr Num
b}?
[
-)
MINNESOTA STATE BOAN9?OFELECTpICITY THIS INSPECTION NEOUEST WIIL NOT
Griggs-Midwav BIdB• - B6om N•t91 BE ACCEPTED BY THE STATE 90AND
1821 UniversitY Ave., St. Paul, MN 55104 UNLESS VNOPEH INSPECTION FEE IS
Phone 16121 297-2111 ENC?OSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ouooi.oa
0 See instroctians br comDleting this form on back af vellow copy. //?/
rv
(? 7r(? 7 "X'' 8elow Work Covered by 7his Requ? _r?y?
FAtl 4
BBP. J V 1.
TypB Of guiltlin6 -
APVlionces WireC ? " -
ant Wired
Home Range Service
Dupiex Water Heater ixWres
Apt. 8uilding Dryer eatin
RElectric
ommercial Bldg. Pumace der.
dustrial BIAg. A ir Conditioner Tank
Farm tne, oer v .ifyr
t er .VecifV Other v.,,y..... . ..,? ........... . .... ..... „..
p Fee ServiroEnhence5ize H Fee FeeAers/Subleaders p Fee Circuits
0 to200qm s 0 to30Am s Ota30Am s
? Above 200 qmps 31 to 100 Arnps ?s 31 to 100 Am ?
Swinmiing Paol -? Above 100.-Am s Above 100-Aml?
?
Transformers Irngation Boort?s Partia6
0th
Sig,s Special Inspection ?
$,?s TOTAL ??
A ?
?
Rerturks
HouBh-in p
. I the Ele ' al
? nspector, ?ereDv
certify thei the abave
Final insoeaion nes eeen
maea.
Thie requeal Mid 18 monlhs Irom
rnm .aaUeSt w'a
18 F74th= ua
.? °??63 ?-? -
- </- y r
v
1 ElecVbcal Convac"or
f
or Novte
a,
YINNESOTA STAft BOARD UF ELECTRO"' II
?1?
Griggs-YidweY Bldg. - ROom N-191
1827 UniversitV Ave.. St. Paul.
Ptpne 10 212972111
cj(4 ? ? q
0 47963
K--
lbht&5
Will Nnuh Insoec-
Mr Mlhen Ite,idr
1 Me4, requesl in.peetion of above
ebctrical Mark ii¢ftlled sY
?L--
- 1?6n '?,, ZZ1
- I Z2'7 _I 11 f
71i15 INSPEGTION REQUEST *ILL NOT
BE ACCEPfEU B9 T11E SrA7E 90ARD
UNIESS PMOPEB INSPECTION FEE LS
ENCLOSED.
.OU00?'01
I?PECT?O? EB
REQUEST FOR ELECTRICAL I
?
' Se¢ instructions tor complatinq this tum m 4xkWYsllpv cooy" 10
""%'" Below Work Caveied bV this Requesl
This rsQUest wid
78 mont s
? . , - -
Request te Fire No. IOOwh?,l. ction ??atlY Now ??I NoGfy.lnspec-
i
es ? N.
?r When 1leady
lice?sed Eleclncal Ganlraclo? 1 herebY rpues[ inapection et a4ov¢
alec4ieal wak in¢talled ai:
Sheet Address. 8ox or Route No. C???
-0 I £? P c
ecLOn o. Tovmship Name « No. Ran9e Ru- Cwnty
OccaVam (MINTI
ln?
q
Pl
(-
- Phone No.
Fl?.,o
DlV
jqry)
9 C-0tJNT(. C
PAIWT
Power SuPUlier A?«ss
N? p
e)
[tractoyr ?ICa'npaM? Namy
Elecu'(i?cal Con
J Contracio??s 6(c?ense No.
?
?
,
L l..a Gl?°?l ? L IG
{` L?Y - V u
a
?aU
Mafl ine AdJress IConvactar or Owner Makinp 1?
`
=
?/?Z'J7 e Fl (.L ??-Oh...E .J?7 V ,?'U . • V"^
AuMorized Sig turelQomract r Yakinpnsbltati 1 Phnne N?niber
-
OP, ;? •z-L-?7 -
7 -7
MINNESOTA STATE eOARI) OF ELECT*CITY
Grigge-1Aidwer BIO9. - p. N-191
7821 UnivarsicY Ave.. SL Peul, YN 56104
Phona 10 21297,2111
BE ACCEPiED•BY iHE STATE BOARU
UNLESS PIIOPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECfRICAL INSPECTION Ee'°°°°l '°4
, Seo i..sVUetia.s Tor wnpleti.q Mis tarm m hack ot vallar cwv.
0 1935 " X"" 8e/awWwk Covered by 7his Request ' b
p Fee SarviceEMreMeSiza b Fee Feeders/SUbFeeders 0 Fee Circufls
U to 200 Amps 0 ip 30 p oto 30 Am
A6ove 200 Am
` 31 io 100 Amps 31 to IOC? A
Swimmirg Pool Ahove l0U_Amps Above 100-A?+
Tf3n51oRllflS IrtlydtiWl HOOYf6 So Partial•0ihCr?ECE
- Signs Special InspecGon S? 5a / b
Remarks ? TOTAL PEE
flouph-in Dale y ' ?, the Elec p
trii
? c I?ppcior.l?erebv
?ti?h thn[ tM above
I Final iesaecxion has been
,. noao.
tlis ievues[.aa 18 mmms Ban
-;A u ?,? , c-,
MINNESOTA STATE BCtARD Ur c?c?-?^•?+•
Griggs-Midwav BId9. - mtom N-191 04
1821 Universitv Ave.. St Vaul, MN 551
Phorva 1021297-2175
1110 5
?)rn 5,rD
TMIS INSPEGTION REQUEST WILI NOT
BE ACCEPTEO BY THE STqTE BOARO
UNLESS PROPEp INSPECTION FEE IS
ENCLOSED.
EB-OOOOIA9
REQUEST FOR ELECTRICAL INSPECTION
ns tor comobliall lh!s Iam on back of
ti
vellow covY-
a
Sea iroaruc
R est
equ
1? 1??(? "X"" Below Work Cavereii Sy This
enl WireA
i
u
. s Wired
pdd p¢p_ Type ol Builtling APO Vm
E9u
Temporary Service
n?
Ra
Home
Lightiny Fixtures
Duplex Water Heater
Electric He2tin
Oryer
Apt. BuilAing Silo Unloader
Commercial Bldg. Furrwce
Bufk Milk Tnnk
InAt.sirial BIAg. Air Conditioner ine, lsundtvl
Othe? Dt'?'?V
rm
Fa
O1he,
, Sua. ifv pt ef
nmpu[e Inspection fee Below
Feeders?SUbteeders p pep c«uits
rvice Enha?ceSiza tl Fea
p p ? 0 io 30
11'1)S
A-
O 10 30 Am 5
0 tD 2W
31 to 100 Amps
i?
I 131 t0 1 V A
TOTAL FESi, Gu
1. the ElecVical
Inspector, I+eroby
certity.tret ihe abova
:i_,g?-,tion has been
I heraby Iequast msDeclion of abave
elechical wwk iristailed et _
This reQUesl voitl ?? C'
manths from ? { J
C /r
R O4
Requec: Date Fire No. J Ibugh-in InsuccIian ?
? Rea ?reA? Reatlr NmvlIglWill NotitV.
Inspec-
-/ -? .? .s ?N? or
J When ReatlY
Ig, Licensed Electrical Contnctm I heraby request insoection of above
? Owngr electrical work inatnlleA ei:
Sveet Atldress, eo: or Fmte No. - Ciiy
il 602P, (.c-tl DruuE Fj9C /IN
el o. Townshl0 Name or No. Rnne(' No. County
GJ4 Kc:JTiC?
Occupnnt (PpINT) ` /
SP
? Phane No.
Z VhJ/v/JG u0, r=
'
lo o
Pow¢r Sapplier
I Atldress
. s , ll . 3et?o
M?3x rvc-z(-
EI¢ctrj?l CoMractor ICompany Namel
C.=s CLc-C7-rz.c ? . Conhactor"s License No.
-¢o?zZ
Mailing Adtlress IContractor or Owner Making Ir?]g.
Lation
= i
Z-7
?c
oieL JT- hF?C? ?n(.
S?B?ture
IConh
a
Auffiorizetl ctor Making Installa[ionl Phone Namber
? ? 0 2 27
7-
7 11
-
MINNESpTq STATE BOARD OF ELECTII?d,TV THIS INSPECTION REUUEST AILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACGEPIED BY THE STqTE gpppp
1621 Univarsity Ave.. St Paul, MN 5510a UNLESS PqpPER INSPECTION fEE 6
Phorre (612) 2974711 ENCl0.SED.
4rk
l(? C] 7 c?/? REQUEST FOR ELECTRICAL INSPECTION
? l l^ Sea instructions for wmpletinp this form m back of W?low eopY-
?.I.
? 1.951 "X" Be/ow Work Covered by lhls Request
N -iea ServiceEntranca5iie p Fee Feeders/Subfeeders Y Fee Grcuits
0 to 200 qm s 0 io 30 qm s LIA 0 0 to 30 Am s
Above 200 qm ns 37 to 100 A. 31 to 100 q
Swinmting Pool "OU Above 100_M Above 100_/a
Transiormers Irrigation Boorns ,p Partiab'ONer Fee
O'??5 apeaal InspecLOn /
perrmrks S ?i.5 T07A4FEE„ .
Nouph-in
? pa)))e
I
Ihe El
tri
l?
. ? ? C' .
ac
ca
?nsaec?«. ?o.eer
inal
F
Date CBrtlfr IhBt i
11@ dbOV
!
in5V0?ii01? hls 4
n
? !@
V
i ?l
.mw rW l .
This request void 5r? ?? ? 1 d-"'V5
.O mon[hs from
M3L ( /3 5 ?/? I 15.
Requesi te Fire N Fpuq?-in I?pcc?ion
nN^ ?ReadtlNUw iRlNutitry.inspec-
Q or Yihen FleadV
?Licr.nsetl Eleclrical Gontractor ? I henayy Feyne,R[ imspection ol above
n- elec4ipl wrck installed aU
Sireet Adtlress. Boa or floute N.
3c? Cvl'., 6-pre-r.
. r2t uv- Ciry
.,I,^/
ecuon o. TownshiD Name or No. RanGle No. Cwfn?W /?
(//? / it::?o' ? f7
Occupanl (PflINT) Phoce Na.
Aower s.oolie. AAdress
`?Je?eq1 f?.Gxwgr? cc.
Electncal ConIIactor (COmpany Namel
C'`oPLCl Can ractor's License No.
Mailin0 AdJress (COntracror or Owner Making Iresbilationi
' S'r
?`I
? 7 G Crl? DYiL . C, p
atur onv t r Owne,
AuMa ized 'g irg 1 llatiml PM1OM Neraber
n 2Z7--7 7
MIMNESOTp $TpTE80ARD OF ElECY11CITY THIS INSPEGf1Un MGtlutil WILL nUR
Grigps-Midway Bldg. - Room Nd91 0E ACCEPfED BY lHE STATE BOARD
7821 UniversitY Ave., St Paul, MN K1 W UNLESS PROPER INSfECT10N FEE I$
PAone Ib'121 2W-2111 ENCLOSEU.
REQUEST FOR ELECTIUCAL INSPECTION E(?O00°'?'
' See i?truetions im co?leting ihis 1am m back o/ Yallor RaVY. U( `G yI 'y?
? 7- ") n "Y" Wnrk Cnvered bY 7his Request ?? r}? ?
L? V
Add
R.P. •
TvOe of Bui W in9
Apol`.. -nW
E9.io..t Yliral
Home Ra?ge Temporary Service
i
Duplex Water Heaier z4uees
Lightin,y F
Apt. BuilAfng Dryer Electric Ftleatin
Commercial Bidg. Furrvice Sifo Unloader
Indus[rial BIAg. Air Conditioncr Bulk Milk Tenk
Farm ornr. sce??H O+he. tlswuuv"
4an
?Mr soccifv ot e? tic
p Fee ServiceEn[mnceSiza k Fee FeeAe?s?SuMttders tt Fee Circults
0 to 200 Am s 0 ro 30 A 3L? Aoi
Above 200 Amµs 37 [0 100 Artyrs o 10(? A
;
Swinminq Pool Ahove 100?eOGA41?: 1 M -A?'
AbOv,e
'O
h
F
i
l
Tranrtners t
er
ee
a
.
Si
s Speciat Inspection g
?a ?
? i TOTAL F?E
Nnn urk< ? l Il ) r /
RouBh-in
U ?`?,1e !
(.? !?Y? 1, Me Elacvical
rsoectar. MraM'
?n:f„ «..,e, ab.a
Fi?ul
` O:?ie ?'
7-1- i?apection bs been
maae.
rne reoue" voia ,e momms 0-
This request void L ij ?-? Y v
78 rnhnths from (
A ' ^
1 ,,.:, n ? Ll ? B 3
ReQUes[ Oate Fire No.
Owner
Electrical Convactor
bso
a#l n /1-A.t? ?!'7 •S a
isoection
E]Re.iAy Nuw rII NoGfy, Insoeo
EINo [or When Reatlv
I herehV reqvast inspection of ahove
electricel work installed at:
Sveet AtlAress, 8ox or floute No. Ciiy
30l OR o C 7'e i?-e
eclion o. Township Nome nr o. Range o. Counry 4OF
Ocw?pyanl (PRINT)
'Q Phone Ne.
/ f
,
Power Supplier
? P Address
I -
Elecvicai Contractor ICompany Name) Convacmr's License No.
t??
? e _ ,c?ec r? - Q3g?3a -9
Mailing
Address Contractor or Owner Makinu Instailationl
Nd So,u ? v? Ed f?v,? :?13??
Au[hori d i n ture (ConVactm/Owner Making In stallation) Pho Num er
MINNESOTA STATE BOANO OF El&TRICiTV
Grie9s•Midway Blde. - Room N-191
1821 University Ave., St. Pxul, MN 56106
Phone (612) 297.2111
THIS INSPECTION NEQUEST WILL NOT
eE ACCEPTED 9Y THE STATE BOAND
UNLESS PflOPEN INSPECTION FEE IS
ENCLOSED.
y REQUEST FOR ELECTRICAL INSPECTIONll:?-1gL- tlpFt, Es-oooor-oa
See instructions lor completing this form an back of Yelldv Ky. /
,
-'X" Below Work Covered by 7his Request O
Add NeO Type of 8uiltling ApOlinnces Wiretl Equiymen? N'ived
- Home Ranc?e Temporary5e.;?ice
Duplex Water Hcater Lir?htinq Fixtw- es
Apt. Building Dryer Electnc Heabn ?
Commercial Bldg. Fumace Silo Unluader
Indus[rial Bldy. Air Conditioner Bulk Milk Tank
Farm Omer neci v iher isner,ivl
t er Sneci y Ot er oih.r
p Fee Service EntrancaSize H Fan Feeders/5ubteeders # Fue Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmpsj 31 to 700 Amps ,pp 31 to 100 Am s
Swimmin Pool Above 100_Am s Above 100_Amps
Trensrormers Irrigation Booms Partial:'Other Fee
Signs Speciai Inspectian
S
Rema?ks S Q TOT EE
•1
?
flouBh-in p?
? /
'
I. vi A?I
r Inspectoq heroby
Final •
D>ne carlity that the above
1
2 nspection has been
4 &+l?4 meAe.
...... -i-V??- Vo... - -, "{?d " _ YIo/
This r/_questvoid 3-2I ?,9y•Oo - UNO&Mt,
18 monNs from
? t? 3 £A?• ? -??IZo?S?
Requcst Ilate Fire No. qouph-i sPectirril, /? ,. Rzquv d? ? Ae ow?ll No[itv.InsUeo-
ff . ?h N [or Nhen ReadY
Licensed Electn al Con actor /-1 h b reo ec xbova
? Owner ' ? ^' &? -# -??Ie?liCa'rwork Sveret Atldress, eux or Roure No. irv ??[]
/?30 Cc r rzz? c- a, ?
ecumi o. Town: ip Name or No. Range No. County 'j ?
Or,cupantlPRl T)
Irt n s ea,? Phonx No.
Power Supolier Address
Elecvicai ConVactnr ICOmpany Namol ,
D Comractnr's License No.
? -
(m ic >
Maili, B A? ?ess (CUNmctor or Owner Makinp Instailfllion)
// m . dsc,n e S ? ?:S
Au?h nz Sipnature ICOnvaciodOwner Makinq Installatic n) Phone Number A ?T1
MINNESOTA STATE BDAXD OF"ELECTqICITV
Griggs-Midway Bldg. - Room N•797
1821 lJniversity Ave., St. Peul, MN 56104
Phona (612) 297.2111
THIS INSPECTION qEQUEST WILL NOT
BE ACCEPTED BY THE STAiE BOARD
UNLESS PqOPEP INSPECTION FEE IS
ENCLOSEO.
(j REQUEST FOR ELECTRICAL INSPECTION EB-aooo/ii{-
fl??? ? 1 ' See instructians for comoletine this lorm on back ot Yellow copy. T? Qv
"r" aPrnw wnrk Covered by 7his Request ??.(o ?P
G' J ?: p 1 ?.. G.7 `
i
liancea Wired
AOP
E4?ipment WireA
Add Rep. Type ot Buil?
ng R Temporary Service
Home anyc
Duplex Water Heater Lightiny Fixtures
?qpt. BuilAing Dryer Electric Heatm
Commercial Bldy. Furnace $ilo Unluader
Industrial 81dg. Air ConAitioner Buik Milk Tank
??
Farm
Otnei Peci V
?her ISUCr,ifyl
[h?er Sut:?:ify Other n?h??
Lompute inspecuuii ree ae+uw
p i.ae ServiceEMrance5iza
Fee
0 to 200 Amps' i 0 to 30 Amps NtN ') 7,uLt ?°' '? r" :
r?- i n?,?nn om,. at co too a?„ps I NI a4 rn1 31 t too
mm
Signs Special Inspection g TOTAL?
(
............. i i -_?77, ?IJJ?3 ? ?.?
Rough-in M lec roal
?$q ectoq heraby
7r(ilv lhat the above
: ection has Ceen
al 1
fbieraVUestvaatemomimiror" v
?_ /
Th.=.e4uest void z,
18 months trom
A ,iRSRfI
£A`.bf f. ?k,`7,`i? 4 a 0 2'4
fle? edt - Ready iw ill Noti pec-
J IF? U ..?J1es ?N mrWhmn dY
Licensed ElecVical Con[nctor I herabv reques `t,inspection of nbove ?
.Z
? Owner electrical work installed at
Stree[ Atldress. Box or Foute No.
36r or k-- i?,e- City
ection o. Tow ship Name or Ne. Range No. Cw /
"?0 ?
R rr
ri,rn
0ez?? 1W?1 LKKr AQ.: Phone No.
Power Sup0lier '
J
1 Atld ess I 1? 1 w? Q?O ? /J? /1')1
? 0 7 N?
Elecvical Contracmr ICOmoany Namel,
Clvrr,pic, C...rtractor's Llcense No.
6 3 6 , a - 5
Mail'k g Ad ress (COntrector or Owner Mak
ing Instail.ationl
71I l l?rnun?son .??. IS. 3
5
Auth rized Signamre IContractor/Owner Making Ins[a
J llatioN
4? Phone Number
-W60
a, a ti
MINNESOTq STATE 90AN0 OF ECECTRICITV ?at3?f ? THIS INSPECTION ftEQUEST WILL NOT
Griggs-Midway Bldq. - Room N.797 8E ACCEPTED BV THE STqTE 90AFD
7821 University Ave., St. Paui, MN 56104 UNLESS PNOPEN INSPECTION FEE IS
?hono (612) 297.2111 ikv ENCLOSED,
,3..L /. ?l'REQUEST FOR ELECTRICAL INSPECTION klft Ea-ooooi-oa
' Seo ins[ructions for completin9 this torm on back o I{?j?{p 1/ O Sr ?
?A??q ""X"' Below Work Covered by This u:
Ra 1?? ???d Q,
Nana A?tl Bep. Tyoe of Building Apvliances Wired EqaiVme#t Wire¢.
Home Range orary ??rs ic?.
Duplex Water Heater f' iy Fixtur '
Api. Building
Commerciai Bldy.
Industrial Bidg. Dryer
Fumace
Air Conditioner c atin
Ui oer
Bi k Ta ks
Farm o<nei soe, v .,? lsoekN "
t er Sucr.ityl Other pthor
LOO]OUtP IRBOPCtIOn haa Nalnw ?? ...
k Fae ServiceEntrenceSize # Fe¢ Feaders/Suhieeders a Fee Ctrcuits
Uto200qm s 0to30Am s 0t
A6ove 200 qmps 31 io 100 Amps 31
Swinvniny Pool Above 100-Amps Abmps
99%
Transformers Irri iris Pare
Signs ecial > ction
Remarks TOTAL
f
610,,ph-in
a
Final ?
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( D.[e
3?
D't?y
i ?he Electri ?
InsDector, heroby
certify t?xt the nbove
{nspec[ion has baen
made.
?
Tnls reque9t/l6fe0anvmrom ? qAno_ q? `y ? ? ? r • ??y?
In/ y 7 ??v
(?
?l (? `° O1-Z-1 L1?83, C-'e?QQ?/y? ?dal? ?2ago3S$'3q'
;e'R??eqnsf?om
OI S14L yfylyv ?\^r'lCF PAY.I,-' 'A 2Gw?./u5ir Z)
equest Date
- Fire o. RouPh-i
n Insuec[
ion
.
?
?
(] ?
7 ?
••
? Req
d
mre! ?RenAy Now i
ll Nmifq Inspec-
?
? s ? N [or Wf e, R dV
-???y? ••?`••?°`? °°?"?•1101 1 heraby requast inspection ol ebove
? ?// ??
Ownor alecttical work installed at: ?
SU,eet Address, Bux or Houte N. Ciry
T) C
ction o. ownsh p Namc or No, enBe No. (;nvn
Occupx 1 (PRINT?
Y 1 C??
Phone No.
POw¢! Suppli2l,?
/ AtltlIf55 '-
.Elec[ri al Contractor ICompanY Ne e) Contrar,tor's License No.
lee?l
°L Com ?2-
. Mailine ?+ Jress IConlra [or or Owner Making Insteilati nl
tit
Authorizetl SignaWre IConn?ctor?Owner Makinp Instal ation) Ph( .no umbx ?
?
MIMME60Tq STATE BOApD OF ELECTNICITV THIS INSPECTION qEQUEST WILL NOT
Grie9s-Midwey Bldg. - Poom N-191 BE ACCEPTED BV THE STATE BOAND
1821 Univarsity Ave., St. Paul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS
Phane 1612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION y) q ?ry?y?f « EB-00007-04
' Sae inaLOCtions for complatinp this :orOm on beck of ya ?ow?copy. '???
.? ??l 42 4 3?
?"X" Be ow or overed by This Request Z
AAtl Rep. Type ol Builtling li cn WireA
571 Equiyment WireA
Home Range
Tempoiary Service
-
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Eleotric HeaLn
Commercial Bldy. Fumace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tank
Fann omr, ue?, v, nmer isn,,;fvl
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,.,.,.
,. ?.... thar Succity
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Raueh-in - '?
/// th E 06
? , he?e6y
Final cart y hAt the above
?tion has been
d me a.
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