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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 ?/ ?-"?