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1305 Corporate Center Dr - Electrical PermitsThis repuesl void 18 months fmm C 19194 /--3,,) Requy?est Dated J Gz O 7 Llcensed Eleclrical ConVactur ? Owner 7: 3, c 0 & :-? iphe??InspecT?6n ?Ready Now Q Will Notity. InsPec- [or When Ready ]Yes No I hereby request las0ection ol above elechical work ins(af lad at: / d1S L- ' eox o ,•???'.!? `?1 rc•-- •--f/ ? oY• _r'.. ? . ?i K VL ? r J` it lecbon o. Townshi0 Name or No. Ranqe No. Co 1 -" P ane No. OccuGan (PRINT) rij ? ,??/ Power Supplier Atldre C?????raclo?'s Gcense No. ElecnI Con acmr ICo? any Nemel -- _., 2:, Mailin0 Address ICOnVactor or Ow r Making In a' tnl "r, ? /? ?T• 4w e Makiny Ilati I Autho zed Signatur, IComr ior n r ?? ?be? o,n f [v TH IS INSPECTION NEQUEST WIIL NOT MINNESOTA STATE D OF ELECTflICITV m N-191 '?1 H gE ACCEPTED BV THE STATE BOAAD UNLESS PPOPEN INSPECTION FEE IS oo Griggs•Midwav Bld . 1821 UniversitV A .. St. Peul, MN 55104 ENClOSED. Phone (612) 297-2111 51 -?VT7 REQUEST FOfl ELECTRICAL INSPECTION ee-ouooi.oa 1 ll ow copv. ve ? Ill, See instructions tor completing Yhis farm on back o ()1 0 A "Y" Relnw Work Covered by 7h is Request ' ?l .LJ 1 J? O??ancea W?reC A - EquipmeN WireA AAd Pap. TVpe ot BuilAing O i S ? Home Fange ce erv Temporary Ouplex Water Heater Liqhtiny Fixtures Apt Building Dryer Electrie Heatm Commercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm Otnrr oeci y O?nar t5nectfvl t er SVecify ther Oth?r u nC.' _ Compute lnspec[ion ree uero -- Ko ? - _ k Fee Service EntranceSize R i e Faxders/5ubfeaders # Fee Circulns U to 200 Am s 0 to 30 Am s 0 tn 30 Am. s Above 200 Amps 31 to 100 AmPs 31 to 100 A s c ...:......:.... o,,..i Ahnoe 100-Amps Above 100_AmP+ S Final fltla reyuest vold 18monthe I the ElacTloal InsGectar, nereby certify that the abova inspection has baen made. '+Z. REQUEST FOR ELECTRICAL INSPECTION EB-00001-04 f ? ip See inatructiona lar compiatmg ihis torm on beck of yellow eopy. ? 9.2718 X"" Below WQrk Cavered by This Request > t1°vv ? v Add Rep. TYOe ot 8uildinp Aooliances WirsA EquiDment Wired Home F1a,, ge Temporary Service ? Duplex Water Heater Lightiny Fixtures - Apt. Building er ?ry Electric Heatin Commercia{ Bldg. Fornace Sito Unloader ? Industrial Bldg. Air Conditioner 8Wk Milk Tenk Farm otner oeci v ??ner tSUOCIrv) t er uecify Other ? ompuie fnspectron fee Below - M Fee Service EntrancaSize q fee• Feedars?Subleeders # Fee Gircuite U to 200 Am s 0 to 30 qm s 0 tn 30 Am s Above 20 mps 31 to 100 Amps 31 to 10Q A Swimmin Poo Above 100-Am s Above 700_Amps Traasformers krigat+on flooms ?>o Partial.'Other Fee Signs Specia?lnspection S ? v ` TOTA E em?rks t? ?? {- . o U Nough-in " ( t ?5 ??,?.? 1, tne eu1ce1 Inapeetor, e y certiry that the above Final { f? ? ? D^ e-?? insOeclion has heen de. tl)QmonNSirom re¢uest vai Tpie L ?,3)`?i 4?i2- I "DPL-?'{- REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa ???Sea instructions for comolatin9 this torm on back of yellow copy. u f?a?61 ?7 n p nq97 TA '"R'" Below Work Covered by This Request /? ti' ?? C ? qdd Rep. Type ol BuilCine APPlianCBB Wired Equipment Wir¢d Home Range Temporary Service Duplex Water Heater Lighting Fixtures Api. Buildinq Dryer Hectric HeBhn Commerclal Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tdnlc Farm otner peci v other ISper,ltvl tMr Suecify t er O p Fea ServiceEntranceSize K Fea feeders?SUbfeeders il Fea Circuits 0 to 200 Am 5 0 to 30 Am s 0 to 30 Am s A6ove 200U mps. 31 to 100 Amps 31 to 700 qm Swimminy Poo AboVe 100-Amps Above 100_Amps Transiormers Irrigation Booms _io BartiaL'Other Fee Signs SUecial Inspection ? $ 1 ? - ? TOTA E HernTrks ni 7 - CV r' w 1"gJI r . C? 40826,?i/ ReQUast Dare ?/tl (/ ? 0 No. tttM RougRi spection Require ? , ? Raatly Now CI Will NoNy InsOeotor ? ? / ? Ves No When Featly I?(licensed contractor ? owner hereby request inspection of above electrical work at Job Atltlress (SFreet Box ar Roule No.) ? -0 City ? .2vo TFAf' ?e0, E??'" SecOOn No. Townsnip Name or No. Range No. County 04il O[CUpant(PRINTj (dn/?5Y G°o?P Phone N0. Powar Suppiier Address ElecvicalCONracmr ?COmpany Neme) ivT ?-2ICC1X?? ??2p Gonlractrns License No. o 3? s zz -a Mailing Adtlress IConttatlor or Owner Makinq Installation) 2 W ???/? ? ?• 1 4W?/?! ///? ???T Awffionz iynawra rattodOwn ?g Ins:allation) Phone Number loSYo - ?9?/ MINNESOTA STATE B 0 OF ECTRICITY TMS INSPECTION REQUEST WILL NOT Gtlggo-Mitlway Bltlg. oom 1]3 BE ACCEPTEO 9V TNE STATE BOARD ' 1821 Unlverslty pve., SL Paul. MN 55106 UNLESS PROPEF INSPECTION FEE IS Phone(61])662-08p0 ENCLOSED. ?/?a /S0 REQUEST FOR ELECTRICAL INSPECTION j?f'?' ( ? Sea insvuctn, ns (or completing Ihis form on back oi yellow copy ,,? ?"' C?js ?. "X" Below Work Covered by 7his Request ??rro?? e Add Rep. TypeolBUilding AppliancesWired Equipment Home Range Temporary Service Duplex Water Heater Electric Healing Apt. Building Dryer Other (Specity) Comm.Andusirial Furnace Farm Air Condilioner Omar (specifyi Camrador5 Remarks' ( Campute Inspection Fee Below: 26 70l X?Z =300 ^ 'V7f # Other Fee # ServiceEntranceSize Fee # CirCUits/Feedsrs Fee Swimminq Pool 0 to 200 Amps O to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps S'gns InspecrorsUSeOnry: TOTAL SU Irrigation Booms C!?? 3(? .? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR6ERED DISCONNECTED IF NOT Other Fee yp COMPLETED WITHIN 18 MO. 5. I, ihq Electrical Inspector, hereby certi ih t th b i i RovBh-in oate ty a e a ove nspect on has been made. Date - TJ6 OPFICE USE ONLV inis reauest voie 18 months trom ? ? m 64970 RepuasY?ale ? Fire N0. Rough?iiflnspeclion RequirAC? ? Reatly NOw ? Will Natify Inspedw Wh R tl ? ?2 ?Yes No an ea y I li d cense contractor ? owner hereby request inspection of above electrical work at: Job ?? (Sireet. Ba?; ? te No 4l Ciry Section No. Township e or No. Range No. Cou 4 Occupanl?(PflI Phone No. PowerSUpplier AGtlress Elaclrical onlractor (Compeny Na ) Contractw5 License No. -?- Maling Atltlress (COntrocbr or Owmr Making Installation) ? / J? 7 / / ? J J J /?`C?? . T^ Y'?'[.G7. USI/ QLL Auth rize SignaNre (C., actor w ctileking Installatb Phone Number O MINNESOTA STATE ARD OF ELECTRICITY THIS INSPECTION REQIIEST WILL NOT dtlgga-Mitlway Bld Haam S1]3 BE ACCEP7ED BYTHE STATE BOARD - 1831 WiversHy Ave., SI. Vaul, MN 55104 `9 UNLESS PFOPER INSPECTION FEE IS PhOne(6/2)602-0800 ? ENCLOSED. /riICAL INSPECTION esooom.m ? KCUUEST FOP ????9 this form on back of yellow copp ? saa,,elow Work Covered by This Request ? - :U 4 .7 ( AppliancesWired EquipmaniWired ew AtlU qep. :F Range Temporary Service Duplex Water Hea[er Electric Heating Apt.6uilding Dryer O[her Specity) CommJlndusirial Fumace Farm Air Conditioner Dther(specify) Conhaclor5 Femarks: Compute Inspection Fee Below: V # Other Fee # ServiceEniranceSize Fee # Circuits/F de ee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transfortners Above 2W _ Amps 100 _ Amps Signs Inspeqor5 Use Only: TOTAL Irrigation Booms ??. ? ] Special Inspection d Alarm/Communication Other Fee ??'p I, ihe Electrical Inspector, hereby certify that the above inspedion has been made. Rough-in Final a1,/p oa?a o oe?e ? JU • jOFFlCE USE ONW ' This request witl 18 monros hom 6,? . ?5b ? M6467 / / ReQuesi D ?` ? 9 Fire Roughln Inpsenion Require0 (YOU musl cell inspetl r en reatly) Mspection Other Tha ougn-In ? qegeY Now 'ill NatiN Inspeciar ( ? Ves No DateAeaay I 71 licensed contractor D owner hereby request inspectioaof above electrical work ak Jao Atlaress tslreet. eox or Rome No.? ?JoOO CiH Section No. TownsM1ip Name o. Range No. Goonry Occ upa 11 nt(PRINT) Phona No. H rr, PowerSUpplier Atltlrese Eiecvicai Gomra or IGomoany N a?i ? ? ? Convacbr5 LicenSe No. 06043aln ?r• ? cr? Mailing AOtlness IComracbk or Ow `r M.kng Installalion .5uth. i,p gnalure ICOnrtaclcr er +¢n. g InstallaLOn, n a.r, f I'-c-1l ey'( A J Phone Numbeqr L 6- 1 -? MINNESOTA STiTE BOARD OF ELECTRICITV TMIS INSPEGTION REOUEST WILL NOT Griggs-MiUway BIEg. - Raom 5-193 BE AGCEPTED BY THE STATE BO/+RD 1821 UnlversHy Ave.. SI. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS Vhone (612) 642A800 ENClOSEO. ? ee-ooooi-oe (1+?? REQUEST FOR ELECTRICAL INSPECTION See instmotions lar completing this lorm on beck oi yellow copy ?9 / I?G 6 4 3 7 "X" Be/ow Work Covered by rhis Request ?i m`•?? o? ew . Adtl Rep. TypeofBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplea Water Heater Electric Heating Apt Building Dryer Load Management Comm./Industrial Furnace Other (SpeCiiy) Farm Air Conditioner Olher(suecityl ConVac[or's Remarks. 1 nS ` ? Compute Inspection Fee 8elow: x Other Fee , oQe l.? # Service EnvanceSize Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above-100-= Amps Signs Inspector's Use Only. 00 TOT/?L.,O m/ Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Eledrical Inspector, hereby dte Ro°9n"° certify that the above inspection has been made. Final //oG a+a .{ -/ ? OFFICE USE JNLY ThiS Rquest voi0 18 montM1S IrOm Grigpe'MlCwey eldg. - tBPt Univernity Ave., 51. Pho. (612) 663-0600 H U4 Duplex THIS INSPEGTION REOUEST WILI NOT BE AGCEPTED BV TME STATE BOARO UNLESS PROPER INSPECTION FEE IS ENCLOSEO. I E6-0000 S. REQUEST FOR ELECTRICAL INSPECTION 3 Is. See inslmciions lor compleling this lorm on back of yellow mq. S?qk ? ."X" 8eiow Work Covered by This Request I I lomer csoec?rvi Campute Inspection Fee Below.' g Other Fee ISwimmina PODI eooms I, the Electrical Inspector, hereby certity that the above inspection has been made. JFFlCE USE ONLV fhis request vaid 18 manths from Air Heater Remarks' 2S?j/l?O?oZ = ?'3G?? r ? y , 3o + rvice Entrance Size Fee Circuits/Feeders Fee 200 Amps 0 to 700 Amps re 200 _ AmPs qy Amps Use onty: 7 300, AL .$? ..i THIS INSTALLATION MAY BE ORD?FIEB?9?NNECTE? IF NOT r.nnnvLETED WI7HIN 18 MONTHS. _ ? %? ? ? f? 6 89 ", 1 I, I c..?e, . .W Request Date Fir o. Rough-in In ion Fequired? NOTICE: Vou Must Call ElocVical Inspector If A Rough-In Inspeclion L71'es Is Re9uiretl. icensed contractor ? owner hereby request inspection of above electrical work at: Job AtlCress (SVeet, Bax or Routa No.) .?) '?00 PI IJ'I-' "uIJ RuGJ C'M ? Y1 Section No. Township Name or No. Range No. Cou ?y i..!`- Occup?1yanIt (PRINfnA/ l PhoneiJo. (IJ lV'? ?fl Ppwer Supplier Address Elechical Coniracror (COmpany Name) Convactor's License No. C`f-uo Mailing Adtlreas (GOnha r or Owrier Making Inslallation? // P & e s+ S --- ,I 7 '. , ?. i _ c,L, Authorizetl Si nal (COnir cror/O er Making Inslallalion) Phone GNumber G ^? ?6 ? ?6 ? / MINNESOTA STATE BOARD OF ELEC ICITV X(?/?/J THIS INSPECTION REpUEST WILL NOT GdggsMitlway Bltlg. - Poom 5473 UNL SSEPROPER NSPEC ION OEE IDS 1821 Universl[y Ave.. SL Paul, MN 55104 Phone(612)602-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION .? Ee-0aool ns ? M ?8 , See insimctians far completing ihis farm an back of yellow copy ? 1 "X" Below Work Covered by This Request q e Adtl Flep. TypeofBUilding AppliancesWired EquipmeniWired Home Range Temparary Service Duplex Water Heater Electric Meating Apt. 8uilding Dryet' Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner Other (specify) ConVactors Pamarks' wk +e 4"'?z?r Compufe Mspection Fee Below: # Other Fee ff Service Entrance Size Fee M Circui4s/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transtormers Above 200 _ Amps Above 100 - Amps SIgf15 InspaclorsUSeOnty: -11 TOTAL ? Irrigation Booms ? ? Special Inspection J L i AlarmlCOmmunication THIS INSTALLATION MAY BE OFiDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Electrical Inspector, hereby Aouynm /,. ( oace certify that the above inspection has been made. ? ace ? ,J --/ OFFlCE USE ONLY This request void 18 months from 9//y? '??la7s? ? C? 64692 FeOUest te ~ ? „[; Fire No. Rougn-ln Inpsaciion Hea E (YOU must call inspector when ready) Ins ection Other Tnan Roughin ? Reatly Now Will NOYiy InSpBC[ar „' ? ? l a Yes No Dale ReaCy IPR licensed contractor ? owner hereby request inspeCtion of above electrical work at . Jo0 Atltlress (Sheet Box or Roule No.l City 0 SecFOn No. Township Name or No. Fange No. Counry OccupantlPRiNTI Phone No. In PowerSuppber Atltlress Electncal Gomractor ICOmpany Name) ConVacrorS Llcense No. DSTi¢r r??T.P/C T?fi MaJing Atlorese Comracror or Owner Meking Installalion? ? " A'F<s2 ?G m/l/ S Autho(n?e/tl,%gnawre COnnaycronOwner MaBmg Insiallauon) PM1One Number N gU -3?0 _g?? . MINNESOTp TATE `BOARD OFELEC? CTHICITY GriggaMiEway BIEg. - Room 5-173 1821 Univenily Ave., St. Peul. MN 55100 Ghone(617) 602-0800 THIS INSPECTION REpUEST WILL NOT BE ACCEPTED BY THE STATE BOAFD UNLESS PROPEF INSPECTION FEE IS ENCLOSEO. q??g? REQUEST FOR ELECTRICAL INSPECTION °°"'? M 6 4 6 9 2 lll? See this too back `f Yelrow:cOP.._ _ ?? O/ ? -' .. --..... ..-, . ....-cv vy , nin ney utlJ! w+ly:sc:,` ew Add Rep. Typ¢of8uilding AppliancesWired Equipment Wired Home Range Temporary ServiCe Duplez Water Heater Electric Heating Apt. Building Dryer Load ManegemeM Comm.Antlushial Fumace Other (SpeCity) Farm Air Contlitionei OIM1er(specity) Coni Remarks: Compute lnspection Fee Belaw.+? Other Fee # ?C tr (?J Fee # CircuRsiFeetlars Fee Swimming Paol Transformers 0 to 200 Amps c? O to 100 Amps Si ns 9 Above 200 _ Amps qpo?- ?O.s?a?Amps i Irrigafion Booms nspecmrs usa only: ? ?TAL ( ? ?v Special Inspection Alarm/C \ ? ommunication Other Fee THIS INSTALLATIDN MAY BE ORDE EB-pISL`ONNECTED IF NOT COMPLETED WITHIN 18 MONTHS ' I, ihe Electrical Inspector, hereby certify that the above inspection has RO°9n"n ete ? been made. Final f?,, o oem Q?? ? = OFFICE USE ONLY Tpis reduest voitl 18 months Irom !Y ?y ?V l ?lJ? ? ao Request ate ? ? Fire Nu. ouy11ni peclion Requin;tl (YOU all inspector when reatly) Inspetion Other Than Rough-In ? Reatly Now ? Will Nutity Inspector f 5 es ? N. Date Read I licensed contractor ? owner hereby request inspection of above elecirical work at: Job Atltlress (Sifeel, Box or oule No.) Gily Seclion No. Township Name or No. Fange No. G 1.4hG/ A OccupaN (PPINT) Phone No. / ?? - ' Pawer Supplier Atltlress Elacl : Contracme (GOmpany Name) Gon[roclor's Llcense No. t I ?? ? S 1 0 , ailin9 Adtlress (COntroctor or Owner Making lnslallation) 217 E. ,cc_Ato,zc_ Sr. lAac IfA, Au orived^ iqnature (COnlradorlOwnerMaking Inylallation) Poone Number v.. ? -2- MINNESOTA STATE BOARO OF El HICIiY Gtlggs-Mitlway Bldg. - Room S12 I II I I ?I I I I I I I II I I II THIS INSPECTION REOUEST WIIL NOT 8E ACCEPTED 8Y THE STATE BOARD 1821 Universily l ve.. SI. Paul, MN 55104 on,...e tei,h ae,.nvnn UNLESS PROPEB INSPECTION FEE IS ENCLOSED. 6,J/ 7,y- ? 7& REQUEST FOR ELECTRICAL INSPECTION 100 See Inslmctions tor compleiiny this lorm on back oi yeilow copy. "X" Below Wcrk. C? vPred by This Request ?EB-00001-0 ?? ? Ne Add Rep. Type of Building -Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Api. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Oiher (speclly) Conlrecror's Remarks S-rN`u c q sg {criz.c/ir?.? r Compute lnspection Fee Belaw: # Other Fee # Service Envance Size Fee # Circuits/Feeders Fee Swimming Pool Transformers 0 to 200 Amps A6ove 200-Amps ? 0 to 700 Amps bove 100 -Amps p. Signs Inspector's Use Only: /-" TOTAL Irrigation Booms ?'? ?? ? j / z ? C7, sfi Special Inspection Alarm(Communication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT Other Fee '?Q? ?' a COMPLETED WITHIN 18 MON I, the Electrical Inspecbr, hereby Rouyh in . Da[e ?.2 cedity that the above inspection has 6een made. oaie OFFICE USE ONLY l his myuest vnid 18 mnnlhs imm s7 o- 7 - J ? Reques Osle Fve o. Rough-In pectio equiretl Inspection O.her Than Rou9h-In (Y?J iN?SI aall InSp C?0! wM1en lea(1y) ? Reatly NOw ? WIII NO?iiy IOSpecro! ?.? ? Ves ? No Date Reztly I licensed contractor ? owner hereby request inspection of above electrical work at Job Atltlress (SVeel, Box or Route No) Gily Sectlon No. Tonnship Name or Nn. R2nge No. Gou/ Occupant(PRINT) PM1One No. Povrer Svppliei . ? ? illill Aatlress (COmpany Name) Eledr , Gonhr Conlractors Li[ense No -)/V/ z ailing Atldrass (ConUaclor or Owner Meking InsffiIlallon) 277 6-. ST Ar1C !ll 5S/o. Authorizatl SignaWre (ConhacrorlOwner Making Installalion) Phone NumDer 'L 21 / 7W -2 MINNESOTA STA E BOPRO O LEC PICITY Griggs-Mitlway Bltlg. - Raom S- 28 II I I I ? II I I II II I I II THIS MSPECTION REOUEST WILI. NOT BE ACCEPTED 8Y THE STATE 80ARD 1821 Univenity lve., SI. Paul, MN 55104 ..1- .,. e,.. I UNLESS PROPER INSPECTION FEE IS ENCLOSED. ?? ? REQUEST FOR ELECTRICAL INSPECTION ??gg es-ooooi-os 7?_ ? /?? See insimcliuns tor complating this lorm on back ot yellow copy , "X" Below Work Covered by This Request tIM 7 Ne Ad Type of Building - Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building ?ryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Olher(specity) ConVactorsRemerka: [/H j( /u )"r -r6G. ?og?-?• ? C/ ,J ' CX)o Compute (nspection Fee Below. # Other Fee # Service Enhance Size Fee # CircuitslFee er . Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps I 11;, Transformers Above 200 Amps A6ove 100 -Am s Signs mspeaors use ooy: TOTAL f? ? ???• ?G Irrigation Booms ( Special Inspection AlarmlCOmmunication 7HI5 INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other F ?'/ O ,;,xii COMPLETED WITHIN 18 MONTHS. I, ihe Eleclrical Inspector, hereby Rou9h-in Oate cerlity that the above inspecfion has F.,nai . oate ? - J I been made. OFFlCE USE ONLV TM1is repuest voitl 18 monlhs fmm L 0 ?07 Gtlggs?Mitlwey Bltlg. - Room 5428 1821 Universlty Ave., S1. Paul. MN 551D9 Phone(614) 602-0600 .? THIS WSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE 80AR" UNLESS PROPER INSPECTION FEE IS ENCLOSEO. °m ? EB-00001 -09 REQUEST FOR ELECTRICAL INSPECTION See instmctions lor compleling inis lorm on back oi yellov: mpy?? i?•T // O ?4iAV••i 0075 368 "X" Helow Work Covered by This Request tqu ament Wired ? I ??ILLi Compute Inspection Fee 6elaw: u=eoOY od, Qo se? ,. ; / I Other Fee I I, the Electrical Inspector, hereby certify that the above inspection has been made. OFFICE USE ONLV This request void 16 months Vom THIIS COMPLETED WIT'HINn18 MONTHSO Date IF NOT Q OiFlCE USE ONLY This requesl void 18 manllis from volidafion dob prinied in this 6ox. Gssll / ??,?. 3r" ?/ ?e III IIII I II? ?I I I?I III III I? II?II I I ?, ?i'? , ? lf ' ?I * 0 4 3 0 3 3 5 0?K pLEASE PRINT OR TYPE 77? kei Dok RoogMm Inspmion required"= ? Yes [}No Inxpecfion Olher Than koughln: [$Ready N. 0 W II Call 02/05/97 ?Vou musi mll the Inspenor whe? ?eadyj Dam Rvadp I, 65dicensed conlmctor ? owner hereby request inspection of ikie obove electricol work aY. job ndd,e,. (smoor, eo., a rs4rb No I ry rP cade 1305 Cor orate Center Drive Ea an Seciion No. Township Name or No. Range No. Fire No. Couny Dakota Phone No. Blue Cross Blue Shie d Power Supplje. nddre:. Eletlriwl Connacbr (Compony Namel Conrcanor Licenu Na. ?sMr Lic No. I%ant Eittt. Only) 040445 Mailing Address (Contiacbr or Owner Pe ming Inslallotion) 1953 Shawnee R d Amhori amrc ICmnxbr or Owner Pedorming Innollalion one No. 452-8886 EBOOOOIA-i l 8/96 STATE BW1HD COP;?'?E P75TNU17TIONS ON BACK OF YELLOW CAPY _ ?/D/ ? REQUEST FOR ELECTRICAL INSPECTION 4 l lJ °? 3 5? 1n821eUniversary ABv?e rRm. S-?128,'St. Paul, MN 55104 " Phone (612) 642-0800 .IOS fi9701i.3 6 . New qddn Home Duplex Apt. Bidg. Remad Re ir x Commercial Indushial Farm ;ii Air Cond. Hlg. Equip. Water Hfr. Ofher. Sig71 Dryer Range Elec. Hea} ?6a h?rk of fhe white copy only. „X" above me worK coverea oy nin F-y???,. ?,,.?, -. -- -, Calculate l?spec?ion fee - ihis Inspeciion Request will not be occepfed without the mvect fee: Other Fee # Service EnUance Size Fee # Circuits/Feeders Fce Mo6ile Home Park Sfall 0 b 200 Amps 0 to 100^Amps Af 2?.0? INSPECTOP'S USE ONLV/' /'05? 1 -- - 40.5 O ? Boom ihol I Imesnganve ren THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT COMPLETED WITHI 18 MONTHS.