1316 Deercliff Lane - Electrical Permits.h" 1e4.FS,your!
y??C-?G
,e mor.nz r,am ? ?)
o ? ? 0 4 6 6 ? 1v )i?,, jc.trQ? ? " _ ??
Pequest []a?e Fre. No. FouP?l-in Insuer.?ion
Re?uiretll
?Featly Nnw ? Wlll Noufy_ InsOer
? - ?.. ?.., -(??J Qy?s [ur When Ready
? Licensed Elecblcal ConVactor I hereby request inspection of above
? Owner elechical work installed eL
SveetAtlMress, Bax nr Roure No. . Ci[y
ecLOn o. Townshio Name ar No. F?nye No. Cnunty
fCh.S
Occune?^n?? (PRtNT)
+--y '_ E Phone Na.
Fowe.r Suuuller Adtlress S-3'0 __(
Electni?al Con[rac[or (Company Nnn?el
?, i e?-. C CunVactor's Linse N.
Malline Adtlrass (COntracmr or Owner Makinp InstailanoN
r-y
Aut orize iPn ure (ConiractnJO?wncr M.ki ng InsLllation) Phone NumDar
^
MINNESOTA STqTE BOAHD OF EIECTqICITY
Griggs-Midway Bldg. - Poom Nd91
1821 UnivarsitY Ave., SL Paul. MN 55104
` Phone (612) 297-2171
THIS INSPECTION qEQl1EST WILL NOT
BE ACCEPTED 8V THE STqTE BOARO
UNLESS PFOVER INSPECTION FEE IS
ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION ,??, ea.ooooi.onC
instruct{ons tor rompletin9 this torm nn back ot ?? ?J
VellowcoPV. /
p? "X" Below Work Covered by 7his Request
i rQP. Typ¢ Df 8u11tling ApOliaAC95 WilBd Equipni LvII2d
PK F- Home Range Temporary Scrvice
Duplex Wator Heater Liqhtiny pixtures
Apt Building Dryar Elec[nc Heatin
Commercial Bldq. Fumace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Miik 7ank
Farm Other Spe:eify h Other (SUOCify)
t 9! ($UE`cl(y : ?[?l('.? Sa [l(hL'?
oruyu(C "13pecuun ree 6QfOW '
# Fee Service EnhanceSize R Fee Feaders/5uhteeders- 4 Fe,e Cr u't
1 0 tn 200 Amntn t,. Ill 4? ??n. . .......
Ll. I-0ove <uu qmns!1 I I 31 to 1 UU Amps 1 l I 41_ WI 31 tn 100 A... I
mmina Pool
U Par[iai,
s3.?S0 roTaL
FouBh-in Dzte
?y
?`
- I the E1e
?,( 4
a inspector, hereby
Final
?
? certlty thax tne above
i
.,
e
& inspection has been
mad
9 e.
unerequesivom iomomns?ron, (-/L.?F w/ v?y ?
/ r
This ,eUuPSt n??:A .o
e m0d 8 0 4 6 5 /f
Request DatB FNo. pec
ti
an
PR?aqh?i? ns K Wa'Reetly Now ? Will Natlfy, Inspec-
?
'? ??p ?
N
u
??es !or When Re?dY
?Llcensed Electrical ConVactor 1 herxby request inspeciion ot above
Owncr electrical work installed at
J
SVeei Address, Box or oute No.
? ?
"
? itv
4
?
w .-?+vl?
/ l!
L/ b^Q.i'?Qs ?.i FN
ection o. Townshlp Narne or No. Fanp?? No. County
7 J?
f V 1,ZL'
OccunOanl (PqINT)
L Tr P??????e No.
Power Siuppl'rer ?r
E L' c?TY a< 4VS Address
Cp U ??D?.
- a1.S o?ST Lo rm ?k
Eloctncal Contrac mr (Cornpany Name)
' Convxcmr's Llcense N
PM/I cit
a.:.? ?le_ ;L
Mallin Address ICOnvacmr or Owner Ma
kinu I ns
ilation)
t
a
? • q
I II?.CrC .
/
?
• Y l (?l ?/ ?.J ? / &
Au rize Slg re (COntra Dw ? Making Installatlonl Phone Number
_ ?? '7 -.?, 7 /72
MINNESOTA STATE BOAPO OF ELECTRICITV
Griggs-Midwey Bldg. - Room N-191
1821 UniversilY Ave-. St Paul, MN 55104
Phone 16121 297d111
THIS INSPECTION pEQUEST WILL NOT
8E ACCEPTED BY TME STATE BpqFlD.
UNLESS PROPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOH ELECTRICAL INSVECTION ee?-oooot-nn
n n rSee instmctioms for completing ihis form on back of vellow copy. 0 In5 n ?1 n?, '1 "X" Below Work Covered by This Request
e ACd Rep. v Type of Builtling Appliances WireG Equipmen: Wired
Home Range Temporary Service
Duplex Wator Heater Llylitiny Fintures
Apt. Building Drya_r Electiric Heabn
Cominerdal Bidg. Fumace SI!o Unloader
Industrial Bldg. Air Conditinner 6ulk Milk Tanl<
FdYm O[hHr Specily. ? Olhor?Sponlfy)
Lher Spoclfy O!her ?r Other
k Fee ServiceEntranceSiza N Fee Fnaders?5uhfeeAers N Fee Cirr,ults
? CTCS 0 to Am s 0 w 30 Am s / . Ga.O 0 to 30 Am>s
Above 200 q?iipy 31 to 100 Amps , U{? 31 to 100 Am s
Swimining Pool A6ove 100_Ainps Above 100-A'r?5
Transrormer5 Irrigation Booms +S? Partial-'Other F e
Signs Special Inspection TOTA EH
Femarks ? ??
( .?
? J
Hough-in ????" I ihe EI lric
?sae?w., ne.e?v
ertily that the abovo
Final
`/. /'ri?y D j'_?e
Y inspection has baen
ee.
This request voltl 1 B monihs imm
T S l 'd
mc„ths (tom
'° 080468 L ,?, IJ,;?,
Roquest pata Fre No. ftough-inI nsveclion
flequ red7
?ReaAy Now ? WiII Nuiitv, Insper
^
? l.7. [0 ?Yes ?NO ror When Rcatly
? Lice.nsed ElecVical Cnntrac[or I hereby request inspection of above
? Owner elec[rical work installed -at
Street AtlJress, Box or Route No. City
eaion o. Township Name or No. Range No. County (??
D
Q.M
OccuurntlPRINTI ?
S- E Phone No.
Power Su111her
?1? Address
? 41, dz?
S
'
`?
a.
?;? sh, ?? -• ?
T. w r
,
aa
ectrlcal Contracmr lCompany Namel
? Contmr,tor's Llrense No.
?`J ? d / a G
Mailinp qdJress (COnVactor or 0 ne, Maki ip I staila[ion)
1
1
2 ? S 3 < (v
c.,
zed SiBnam,e ?GonvacmdOw er Making Installatlonl
4 Phone Numbcr
4
'J? _ ? ? ? •- z ?
h51NNE$OTA STqTE BOAHD OF ELECTFICITY
Griggs-Mitlway Bldg. - Hoom N-197
1821 Univarsity Ave., St. Paul, MN 55104
Phone (612) 297-2111
THIS INSPECTION FEQUEST WIIL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS pROVER INSPECTION FEE IS
ENCLOSED.
Y1,; -,fd REQUEST FOR ELECTRICAL INSPECTION Es-ooooi_oa
" 1 See instmecinns in, enmoise?.... r?.:. t.......... ne.. ? / i r;
.
p n
8U468" X'" Belaw Work Covered by lhis Request 'ifsw L"I
Ad<f F¢P. 1Vp¢ of Builtling Appliancea Wired Equipmen! WireA
Home Range Ternporary Service
Duplex Water Heater ' Llghting Fi#uros
Apt. Building ?ryer - Electric Heatin
Commer,Cial Bldq. Furnace Sllo Unloader
Industrial eldg. Air Conditioner Bulk Millc TaN<
Farm otn,u spenfv -.'4 olner ISpocifvl
t er Spcaily ther Othi
ou,puie riispecrron ree neiow +
N a.
N Fee Service EnhenceSize # Fee Feetlers/SUhfeeders Y, Fa? ( ci,
U to ZUU qm s 0 to 30 Am s 3(?° 0 tn 30 Am s
A6ove 200 qmps 31 to 100 Amps [ 31 to 100 Amps
_ Swimming Pool I I I Above 100_Amns An.,?,P tnn Amns
bpecial Inspection
aigns TpTAL
flem?rks
F? •"C,
Rough-i n 99 0 a [e
cha E vi
°f soac?o,, ne.eey
Final nT ce.eltv Nac xne enuvo
e
?
nspec[ion hds baen
made.
This renuest ;-oid
18 mi-Rhs from
0 0 8 0 4 6 7 gS- 3 -
RequeSt Oate
/, Flre No. pough-In Insuaction
Reqoretl?
ReadyNOw QWiIlNOtifylnsper-
?
_??Y??
? ??cs ?No tor When Ready
? Licensed Elec[rical Contractor I hereby requast inspec[ion of above
?Ownsr elechical work installed ai:
SGeetAddress, Box or RouYe No.
?
3
z
4 / Glty?
?OC
.
'
f? e's- '
-R.h4? B,y?
ecLOn o. Township Name or No. Range No. CnuntY
Ocr.u nt IPRINTI
- c Phone Nu.
Power Supplier
"-k-0 A?s S ;.I Address ??'?
?zu``3rw. a:?w<,
Electrical Gomracmr (CnmpanY Namel
lt:
C
??
? Gontractor's Llcense No.
? ? ? a.?-.
?
?.?
-? « a? / ?G
Mailine ?+?Jress IConvar,tor or Owner Makinu Installationl
?r . ', `L? , s s'3 -26
Ao ?or
iAzed SIg
mre (ContractodOwner Makine
Installationl m
Phnne Nuber
'
?
??=?f 2 7
MINNESOTA STATE BDAPD OF EIECTFICITY
Griggs-MiAwey Bldg. - Poom N-191
1821 Universiry Ava., St Paul, MN 55104
Phone f6121 297-2111
THIS INSPECTION REQUEST WILL NOT
9E ACCEPTED BY THE STqTE BOAFD
VNLESS PHOPEP INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-o°°°i-°°
See instmctions tor compVetin9 this form on beck ot yellow copY? ?
?M1467 "1(" Be/ow Wark Covered by 7his Request
New kAd flep. TyOe oi 8uileing Appliances Wired Equipment Wired
Home Range Temporary Scrvice
Duplez Water Heater Lightiny Fixhues
Apt. Building Dryer Electric Heann
Commerclal Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tanic
Farm Omei Soeafv O?hcr lS.?odfy)
t er Suecily. M ONe;r Other
Campute Inspection Fee Below V
k Pee Se,,ice Entrance5iza @ Fee Feeders/SubSeaders ? Fee Circuits
0 m 200 Amps 0 to 30 Am)s (I 0 [0 30 Am os
A6ove 200 qmins 31 to 100 Amps ,f 31 to 100 Am s
Swimming Pooi Above 100_Amps Above 100_amUs
Transiormers . Irrigation Boorns PartiaLOther Fee
Signs Speciallnspection ?y}
?
TOTA
Aemarks J AS ,oc)
Rough-in I
tl?n E?ctric
e
,
Inspecto
q erohy
certi?y that the above
Final Date inspection has been
made.
Thisreques[voiaiemoninsrrom
?/ ?-"?