1319 Deercliff Lane - Electrical PermitsThis requeet void
18 months irom
54294
Requeat Dete
7 ire No. Rough-in Inapection
equired7
'
?ReadY Nuw?Will NotifY IngPec-
(D No tor When qeady
?qu?enaea eieccricei c;ontrnctor I heraby requsst inapoction of above
? Owner slsctricel work installsd at:
Street Address, Box or Noute No. City
eet on o. owna ip ame or o. enpe o. Counry
?_fVL_
Occupnnt IPRINTI
2
c Phone No.
-
Z
Power Supplier Address
3
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a-d - ,
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Electrical Contrector (Company Name)
` E Cantractor's License No.
U
ellinp Address (Contrector or Owner M akinp Instatlation)
Auth ' ed ipnat e IContractor wn Makinp Insialletion) Phone Number
MINNE80TA gTATE BOARD OF ELECTRICITY
Oriqqs-Midway Bldq. - qoom N.191
1821 University qve., gt. Paul, MN 66101
Phono (612) 642-0800
THIS INSPEC710N REQUEST WILL NOT
BE qCCEPTEp 8Y TFiE STATE BDAAO
UNLES3 PROPER INSPECTION FEE IS
ENCLOSED.
? REQUEST FOR ELECTRICAL fNSPECTION es-00001•06
/ See instruCtlons for completirp this form on beck of VaIlow copy.
O
294 '"X" Be/ow Work Covered by This Request
to
$j.3, SD
thet the ahoti
;ion has heen
ihis rnauest void
1B rrpnths from
(r F; A_? 93 i ?c4 IL --"7??
FnQueat Uate ' Fire No. Rough•in InsVection
e iretlt
Reatly Nuw ?Will Notifv Inspec-
?-? '??es ?Nu tar When Ready
censetl Electricel CanVnctor 1 hereEy, requeai inepection ol e0ova
Ownor elatlrlcal work inatelled aL
Svaet Atldress, Boa or Naule Na. City
?
? 9 l c_ r cU 'r_t' Iwria-
ucttan o. ownehip ame or o. AnBe o. CoW?1Y
J Z4.o
OccuOent IPqINTI
? P?one No.
?
?
Power Suppliar P.ddress
t 1,13 a'd 'cS Lb% rr?
Electrical Conuactor Campeny Namel Cnnerector's Li cense No.
\ rawai C?Ec?'v?i?
Mallinp Address ICon ractar or Owner Mekinp Ineteilatianl
+ ssJ c/
newre (Contrector Oer Making Installationl
Auih
orized SiO Phone Number
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^ ?} p
MINNESOTA STATE BOARO OF ELECTRICITY
Griqps-MiCwey Bltlp. - Room N•181
1821 Univereltv Avs.. St. Psul. MN 86104
Phoea (811) 842-0800
THIS INSPECTION FEQUEST WILI NOT
BE ACCEPTED BY TME STATE BOARD
UNLESS PflOiEfl INSPECTION FEE 18
ENCLOSED.
RE(n1EST FOR ELECTRICAL INSPECTION ee-ooooi-o,.e,/
? 8ee Instruetlona tor eomeletinp thls loim on beek ol yallow eouv. 7?0 ?S 1J
"X" eelow Work Covered by 7his Request
AAd Rep. Type of Builtllntl ADOliemceG Wired Equiument WireA
Home Range Temporary Service
Duplez Water HeOter - Li hting Fixtures
Apt. BuilAing Dryer Electric Hoetsn
Gommercial 81dg. Fumace Silo Unloeder
Industrial Bld . Air Conditioner Bulk Milk Tenk
Farm +n»r aec? v ?/i Pr isne?iWi
1 9r kt,POLITY) t¢r 'f^ O1hUr
_. • ..?:..? f?? O?/.....
i
p iNu
Fea
Servfce Entrence8lze
tt
Fee
Feadern/3ubfeede.s
k
Fne
Ciicuite
Q. UD U to 200 qm s
Above 2_Am»i 0 0 to 30 Am 5
31 to 100 qmps 2 li• 4O
S^ oa 0 to 34 Am
31 to 1U0 qm s
$wimmin Pool A6ove 100-Am s AAave 100_Am 5
Transformers rn ation Booms Pertiab'Oth
TOTqC yE?
ercnrks (
i
I, tha FF?clsic4l
Inspec?o?, hwaby
cartily thet Ihe nbove
? Inapeetlon hee been
meAe.
This re0uest wld
18 months from /j
C 54 292 zyo
Rnquest Date 'F- %`/-Fr7
a,(icensed Elecirical Convactor
] Owner
itreet Adtlrese, Box or Route No,
13 .( / /-)P n -
IPPINTI -
Clier
nY
7 6'- 25F
re NO. Rouph.in Inspection `L
Aeq retl? ?qeatly Nu?v'4?IWill Noiify, Inapeo
Yes ?No ? 'T tor When qaodY
1 hereby raquest inepeetion ol e0ova
eleefricel work instatlad et:
co
O
Ss o a- y
? ?' ? ^ •umoer
'?9? a q71?
MINNE80Tq g7ATE BOApD OF ELECTqICITY THIS INSFECTIpN qEQUEST WILL NOT
Oriqpe-Mitlwey Bldp, - qaom N•791 BE qCCEPTED BY TME STqTE Bpppp
1821 Univsrsity qyv„ gi, peul, MN 86104
Phons (8 12) 802-0800 UNLESS PpOPEF INSPECTION FEE IS
ENCLD9ED,
REQUEST FOR ELEC7RICAL INSPEC710N ? EB•00001.06
0 sse inalruelione lor comolalinp ihle form on 6eck oi vsllow capy,
Q? C3 p Below Work Covered by 7his Request ,C 7S?
r
This rupuest void
16 mpnihs trom
? 54295?.-?8 ?
neque9l UBt.
_ y a Fire No.
1
&ouph-in Insuection
eqyrtoA? nN
?y ?
eadv Now Q WiIINNnotifv InsPer
Litensed Electrical Cantrecmr
?
?
Owner I hereby requeat inspection of above
electrical work inate lled at:
Sireat AAdress, Boz or Route No. City
ecbon o. ownship ame o. No, ange o., Coumy
!
A
,
G
Ocwpnnt (PpINT) -
t-k
E Phone No.
Power upPligr
b 4, -ar-ti„- L
l+ 1E ?
T
' Address
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-
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Elecl
cal Co
nvacto
r
ICOm
peny Name) 7
PC - J' w. Y
0 J
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(
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1
c
Ct\1 ia' Gt
c?
i Contraclor
s License No,
6 y
) x u
r
?????8 AdJress IConiractor or Ownar Mekinu installationl (
Au oriz tl Sipn ure I ontractor Owner Making Installation) p
hone umber
?
' 7 -A ?i 7 (o
rvneaV IA STATE BOARD OF ELECTRICITV THIS INSPECTtON XEQUEST WILL NOT
Qlippe-MlEwey Bldp. - qoam N-181 BE ACCEPTED BY THE STATE 60ARO
1827 Univsrsitv Avs.. St. Peul. MN 56104 UNLESS PROPER INSPECTION FEE 15
Phona(812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION (e?s-ooooi-p/5
1 bee iastrucliene br complBtinp Ihia lorm on baCk of yellow copv.
?5;4-'Z C3 l5 "X" Be/ow Work Covered by 7his Request
m a.iiei
CB
Wired
inqus[riai tlitl . Air Conditioner
Bilk Milk Ta k
Farm ''w O?nur IsPeurvl ?? ?, I LIMFr ISpecrivl
k fee 5iza N Fee
lF
ead e. Fee Ci«its
to 3Am s
444
3`
t
'?
gve2
m)y E
7 to 100 Amps to ?0
A
bove 100_Am s Am s
Above 100
rrigation Boorr?s _
Partial."Oth
r F
e
ee
..ro.,ia? ? inNecuon ?? I
e'rerks ? 5