1280 Deercliff Lane - Electrical PermitsThis reQUest void
18 nron[hs from L /, Ci I t? 3) it) tA d Cres-- ( 5?'
O
A I ra nn
39?Sy _
'-17 ?Sa
Request
I I Firp No. pouHn-in InsOection
fteq irud?
Readv Nuw?Will Notitv InsOec-
?
. a/ Ves ? No [or When NeadV
Fl licensed ElecUical ConVncmr I hereby raquest iaspection ol aEOve
? Owner eleetncel work installed ac
Street AAAress, Boz or Route Na. City
/la 6?11 Ae e-r Ln .
ecuon o. Township Name or Na. Rnnga No. Cou
nty
^
IJ C-K(-3tCi_..
Occupant (PRINT) Phone Nn.
Power Suuolier Adtlress
Electrical Contractnr ICompanY Namel Comrar.tor's License No.
e . ? ?+l
MailinA A ress IConvactor or Owner king Instailationl
-?-5 S ? sI - Lz ?
Authorized Signa[ure IContractar/Owner Making Installationl ne Numher
g ; 3
ZDA .
MINNESOTq STqTE BOAflD OF ELECTflICITY THIS INSPEGTION REQUEST WILL NOT
Griges-Midwav Bldg. - Noom N•191 BE ACCEPTED BY TME STATE 80ARO
1821 Univarsicy Ave., St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phona (612) 297-2117 ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa
' See 'nshuctie.s for comoleting this fiwm on bac4 of Yellow cooV.
"X" Below Work Covered by This Request
Nw4 Addj Rep. Type ot 6uiltlinB AvOlinncee Wired Equipmenl Wired
Home Ranye Temporary Service
Duplex Water Heater Liyh[iny Fixtures
Apt. Building Dryer Electric Heatin
Commercial BIJy. ' Fumace Silo Unluader
Indusvial dldg. Air Conditioner Bulk Milk Tenk
Farm 0 y Cl t he.(SUnciFV)
thnr Su??i y ? O Ot he r
Incnartinn }oa Ha/mu
N Fea ServiceEntrance5ize k Fee Feeders/Subieeders b Fee Circuitx
.t:C) 0 to 200 qm s 0 to 30 qm s 0 to 30 Am
Above 200 qmps 31 to 100 Amps ( 31 to 100 qm
Swimming Pool Above 100_Amps A6ove 100_Amps
Transiormers frrigation Boortns Par[ial-'Other Fee
Signs Speciallnspection S
TAL F E E
marks
Me ?
, -7 f
Rough.in ^ ! Date .
/ , [ha
?iq nspector, heraby
? Cqet ,v tna m above
Final D?'?? [- inspection has been
? ? _ . /1\ ? ?!^J mada.
Thia repuest voitl 18 monthe irom
This requ8sl void t ? -? L10, 63 W?•r?dcr?s? ?Sr
18 months fwm 1
34rosy - - -
q7•SL?
Repwr.t Uate .. Fire No. Rouqh-in insVection
fleGmred?
?Reatly Now Q Will Notify Inspec-
?Ves ?NO «ur When Reatly
? Licanse.A Elecvical Contmctor I hereby requast inspection ol above
? Owner electrical wark installed at
SVeet Addre
s, Boz orWOUle Nn.
s City
Q
?
y
1A (1 La
ecuon o. Township Name or No. Ra , No. Counly
OccupanllPRINT) Phone No.
n.Lc_,, ? ,_,'i og?
Pawer SupPlier Address
ElecVical Con[rector (Comueny Name) Contractor s License No.
1? w«,. b?-?Lac33---
MailinB '???ess IConv"a?c[or o?r ^Owner kin0 Installationl
-! ? ?71 - ?j W ^L?
Authorize.d Sipna[ure IContractor/Owner Makiny Installatinnl hone Number
<
MINNESOTp STATE BOAFO OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Griggs-Midway BIdB• - poom N-191 BE ACCEPTED 9Y THE STqTE BOARO
1821 Universlty Ave., St. Paul, MN 55104 UNLESS PflOPEF INSPECTION FEE IS
Phona (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-oa
y..
' Sae instructions tor completing this lorm on back of yellow cooY.
"X" Below Work Covered by 7his Request -31`16 S Cl
New Adtl Pep. Tvpe ol Builtling APpliancea Wired EUUipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt Building Dryer Elearic Heatin
Commercial Bldg. Fumace Silo Unloade.r
InduStrial 81dg. Air Conditioner Butk Milk Tenk
FPrm p ON+er ISUOnity)
t er Succity O r Oth,r
CO/IIUUIP 1/7SOBCIIOI] F?P f1PlOW
M Fee Service EntraneaSize # Fee Featler s/Subfeeders # Fee Circuits
(J 0 to 200 qm s 0 to 30 Am ps 0 m 30 Am s
A6ove 200 qmps 31 to 100 Amps ??'p 31 to 100 qm s
Swimming Pool Above 100_Amps Above 100_AmUS
Transformers Irri,yatinn Boortis Partial% r Fee
$igns Speciallnspection
TAL FEE
Nemerks
'. ' ??,L i /'7 . ^f4
Noueh-in Da1r./?(? 1. ? cal
I r? ! % ? InsPector. hereby
rUfy h t [h abova
Final Dn)5 (. inspection has been
A mnde.
fhie reauest voitl 18 monllt5 irom
Thisrepuestvoitl Il`.1 Lj1 ?53 ???ndcr?.s?- fs' 34 ?sy
18 months from 1 iW •t'? ' ? Q
{? rr?9 ` ? ."Dce..a
Feaue3i Date . Fve No. Reyuhmd7 nspection ?q,adY Niw 16L h.(Will Noli1Y InsPee-
f Y s ?No tor When Reatly -
c.r
? Licensed ElecVlcal CunVaclur 1 heraby request inspection oi above
elwnvir.al work inslalled aC
ress, Bon or Houte No.
Street A
d
d City
/
/
?
`J
??
o
?
? ?
ect
il Na
or Nm
Township RAnP? No. County
Ocwpan[ (PflINT)
f? ,:? Phunc Nn.
Power Suppiier Addrnss
EI vical CoMrac or (COmpanY. Nama)
t2. l.t?
C? . C?inlrncmr's Llcense No.
? l 4't13 -
aking I
MailinA Atldre ICOnvacmr or Owner nstailationl .
1 \
t}? ' J?.1 ?
AuthorizeA Signamre ICOnvactodOwner Maki 0 Inst,llntion) Phone Number
e?..?? nr
MINNESOTA STATE BOAND OF ELECTNICITY BE ACCEPTED BV THE STqTE BOARD
Gripgs•Midway 81dg. - Boom N-187 I??jg I UNLESS PNOPEB INSPECTION FEE IS
1821 UnivarsitV Aye., St. Paul, MN 55106 ENCLOSED.
Phone 18121 29].2111
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04
' See instruc[ions tor completin9 this form on back of Vallow copy. 0
l„Q 'I i j "X" Below Work Covered by This Requesl .39 (O`_j,14
New Adtl Nep. Type ol Builtling APnliancea Wired EqaiVment Wired
Home
Range
porary Service
Tem
Duplex Water Heater Liyhtiny Fiztures
Apt. Building Dryer Electric Heabn
Commercial Bldg. Furnace Silo Unlorider
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm P y 1h« lsucnifyl
t ?er Sueclty ly- t Other
# ? Fee rService EnnenceSize d Fee Feaders/Suhfeeders Fe Circuits
(7, ? 0 to 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 200 qrnps 31 to 700 Amps E 31 to 100 Am s
imming Pool Above 100-Am s Ahove 100Amps
Transformers Irrigation 8oorc's Pdrtial,'Other Fee
Si ns
9 Specialinspection
5?
$?C7O
TAL FEE
Rema.ks . i'f ?
Roueh-in ?ar r' I, eha al
r?/?-/ Inapecbr, herohy
cartiiv lhet Ne above
Final insOection has been
???C_ ?,: •??<" , _'`s.`1 /?/ ?y mede.
•me reeuest voiU 18 montna Irom
TM1iS lEqUES[ VOIQ I1 _1 1 I 3( (Aq `nC?? \ /5± ,3? l??
16 mpnths trom 1,4 l [? ? v• ?? ?T
i I "C?q7'SO
•
RequestDate - ^? y
Fire No.
Rough-in Inspection
ReqaireA?
Neadv Nuw Wi ?I Nolify Inspec-
?
Os3J_ ? ?Yes ?Nn 1or When R¢:idv
? Licensed Electncal ConVactor I hereby raquxs[ insoeclion of above
Owner electncel viork installatl at
dd, Box or Route No.
SVe
et A 'iiY
h
/?
/ d G?C? ?l.:?i fr? /
?./) ?? GFC--/
ecuon o.
Township Name or No.
Ringe No.
Coumy
I baKeWw
)/?
Occup ni (PqINT)
r Pnone No. ?/
4-
0
?Q-S '
?Q.Q(.f,il /TQ ??.?.J D
Power Suoolier Address
Elec[rical ConVactor (COmDany Name) Cnrura(tor's License No.
Lj
U ?
[ractor or Owner akin
MailineA
ss (
C
On p Instailation)
2
,
'
,57 ? ?`t `' ' ?
Au[horized SiAnature IConvacfodOwner Makiny Installavonl Phone Number
MINNESOTA STATE 90AND OF ELECTRICITY THIS INSPECTION REQUEST WILL N01
Gri09s-Midwey Bldg. - Room N•191 • 8E ACCEPTED BV THE STA7E BOAflp
1821 Univarsity Ave.. St Pau1, MN 56104 UNLESS PftOPEH INSPECTION FEE IS
PFOne 1612) 29]2t11 ENC?OSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See inslructions tor complatinB this rorm on baek of yellow coOV.
"X" Relow Work Coveied by lhis Request
N&W Ftld Nep. Type olBUilAing Appliancas Wired Equipment Wirad
Home Range Tempa2ry Service
Duplex Wa[er Heater Ligh[iny Fixtures
Apt. Building Dryer Elecvic Heatin
Commercial Bldg. Fumace Silo Unloader
Indus[rial BIAg. Air Conditioner Bulk Milk Tank
Fsrm :? v tnei ?Sner,ifvl
t er Su???i(y Ot Othe,
!'mmnuta lncna?tinn hoa Nalnw - "
k Fee ServiceEntrenee5ize IX Fae Fenders/5ubfeeJers b Frze Circvits
1100 0 to 200 qm ps 0 to 30 qm 5 0 m 30 Am os
Above Z00 Amps 31 to 100 Amps W 31 to 700 A s
Swimminy Pool Abave 100-Amps Above 100_AfnPs
Tranytormers Irrigation Booms ? Parta
Signs Special Inspection 5. OTAL FEEEE
Nem? rks 7? "6
?
Rough'in C""' K
[/?? 1, the Electricxl
Inspectoq herehy
certily lhat the above
Final r U?te ?dacxion has been
ThlerequeetvaidlBmaNhsfmm V C--r wOwya.-oj,/