4555 Erin Dr - Electrical PermitsTh,s,acmest vo,d L ? ?
78 months #rom
C?7 . :? 0 619 a ^
3 s$s1
??, ob
Penuest Date
J
p?
? Fre No. Rough-in Insper,uon
fleqmr ?
?Reatly Now ?,N4TfNotity, Inspec-
ror Wh
F
u? (
J as ?No en
eatly
&ucensed ElecVical Contractor I h¢reby request insPection at abova
? Owner `F,r...? A hV°W, elWncal work iV.8-1 led eC
Slreet Adtlress, Box or uta No. C"` ( ?? 1V
? s`s° G?? ? /1-6•?-/?
ecbon o. Township Name or No. Ranp ou y
-n'? I P'? .?( /,.?4
Occu IPflINTI
%L- ? rI1/l ?/ld S
? f!N t G- Phonc No.
Power SupDlier Address
Electnc C qac[m (Company Name) .
?' f
?
? Contracrot's Lmense No,
?
•
E , r c 4
c
? o
Mai m0 Address (COn[r ctor or Owner MakLng Inst8?11at/i°?^/1/
AuYF i 5 a re (CO vaclo Owner Maktr3d In aliauon) Phone NumOer
? rz
MIN EN O A STATE BOAflO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•M?dwey Bitlg. - Room N•197 BE ACCEPTED eV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLE55 PHOPEP INSPECTION FEE IS
ENCLOSED.
1'?1 REQUEST FOR EIECTRICAL WSPECTION Ee-ooooi_oa
`y 4 O ^y? Y 1 9 ? See instructions Por comoiqubie t??is form on back ot yellow copy.
Work Covered by This Request
ew Add flep. Type of Bueltlinp Applmnces Wrtntl Equipment Wirea
Hane Ranye Tempoiary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electnc Heatin
Commercial Bldg. fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FaYIn Other pe6 y Other (SVecity)
ther SVaci y Other Other
Compute lnspection Fee Below ? - - ??- - - ?
p Fee ServmaEntrenceSize k Fea Feeders/SUbieatlers N Fee Circuits
0 to 100 qm s 0 to 30A m s SO?C 0 to 30 Am
701 to 200 qmps 31 to 700 Amps 31 to 700 qn s
Above 200 qmps Atwve 100_Am s Above 700_Amps
Transiormers Remote Control Cva c$ Partial/Other Fee
Signs Speciallnspection
?
T
Nem?rks
?i-A , ... ,. ,. .. ?.. ?. _'_. _ _ {
? Al, PEE `
h 7 rY'\
v
Tnspactor, I"ereby I
certity ihet the ebova
InspecLOn has been
s reques[ voitl 1 (J(??/? {/?1(1?`,y'?/{!t ±/j
nronuhs troin?,?.?P'0?414$ tS ?E,(` kFl'l OlY t•t?I ( -
Thisrxquestvoid /7c rES Zx? 'IO0l -gs
78 rtqn[hs from t (0(0. sC)
W089938 ?z 99
Nequest 0 e Fve No. uPh-in Insoecuon
eQw?ed>
Rvadv Nuw• Wiil Notify InsPac-
?
/?
3 ?Yas ?NO tor When qeady
LICP.nSEd Elec[IIC21 COntl.lct0! 1 helebylequ98t inep8ction o18bOVB
Owner eleclrical work matalled et
Street Atltlress, Boz or Route No. Crty
v\
-
ecuon n. 7ownsh Namo or No. Range No. Count
Occupant(PfllNT)
ef? Phane No.
Fawer Su li Address
/ f
Electncal ConVact ICOmpan a el ConVacmr's L,censa N
o.
`
Ma
ilin0 tor or wner Mnkmy InstailauoN
.dJress ICOnt c
A
/
?
/ G(
Auth nzad SiBnawre (ConvactodOw er Making Installation)
Phona Number
?l/ ?.?d , J` ?.2 0
THIS INSPECTION REQUEST WILL NOT
MINNESOTq STpTE BOAND OF ELECT0.ICITV
Griggs•Midwey Bldg. - Room N-191 BE ACCEPTEO BY THE STqTE BOAHD
UNLESS PNOPEN INSPECTION FEE IS
1821 University Ava., St. Paul, MN 56104 ENCIOSED.
REQUEST FOR ELECTRh;AL IN3`PECTION .r;, ee-ooooi_na
u:
' See inetrucdons for compleUn9 this 1dm on back of Veliow copy.
0899g X" Be/aw Work red by This Reyuest
Atld Reo. Type of Building Apoli++nces Wired EquiVman[ Wired
Home Range Temporary Service
Duplez Water Heater Lighuny Fixtures
Apt. BwlAing Dryer Electric Heaun
Commercial Bldg. Furnace Silo Unloader
Industri2l BIAg. Air Conditioner Bulk Milk Tenk
Fdfm Othri paci v Other ISper,ifyl
twr ISpec?fy ther Other
COOIUL/LB IIlSO?C110/i FP.P BBIOW
N Fee ServiceEnheneaSize # Fea fexders/SUbteeders t! Fea i urts
0 to 200 Am s 0 ro 30 s ,s 0 to 0 m
Above 200 qmpy: h 31 t 100 m 5 31 to 7U0 Am s
Swimming Pool p Above 1 a'R m s Above 100_Amps
Transtormers Irrigation offis J' Partial,'Other Fee
Signs Speual Inspection 5
TOT FE
???
floueh-in ( o:? C? I, t
Elec
p
?naactoq hereby
c
Li
th
t th
b
Final ?
Date er
y
a
e a
ove
insoecqon has been
matle.
miareouest voiatBmamnsprom - ?-
L
This request vmd Zb
1A pqnChS?from ?p-
T 40622
L.T"censen uectncai i,onvactnr I hereby request inspecLOn ot ebova
? Owner electncxl work instelled at
SVeet AAdress. Box or Route No.--
c5 .5.?? 'r-741U Crty,
ectmn o. Township Name or No. ReoBP ?• Co ? p
cc}ypant (PqINT)
O,w
?
Phone No.
:/?•5-r?) 5 ? - f/ t<< ?uo - S ?
Ca? -?i2
Aaaress
Elec fca CyoLf lractor /?9? any Na/mel Contrecto,r"'s Lmense No.
Mailing AdJress (Conva tor or Owner Making Insiaila ' nl
P.sL e% r'L
Aut ignatur ICo racror Ow r kine Installatwnl Phone Number
-;
MINNE90TA STATE 90APD Of ELECTflICITY ` TMIS INSPECTION HEQUEST WILL NOT
GrieOS-Mitlwey Bldg. - Room N-797 BE ACCEPTED BV THE STATE BOAXD
1821 UnivarsitYAve.. St. Paul, MN 65704 UNLESS PNOPEP INSPECTION FEE IS
ENCLOSED.
e11o111 vov o'll
AerLs -a '1d 3(oS5 Co
,n/ REQUEST FOR ELECTRICAL INSPEC710N ,?;, EB- 00001-03
CnV 4 Q?2 2 / See msimcLOns•ior comolehng Nis iorm on back of yellow copy.
"X",delow Work Cnvered by 7his Requesi 3(p55 (p
e ftep. 7vPe of 6wlding Apoliances Wrted Equipment Wired
Hortw Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bmiding Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industriai Bidg. Av Condinoner 8ulk Milk iank
FBrm Other peci v Othar (SVecity)
I P.? SUC(:I(y O1M1Qf O1hC'f
Camputelnspecuon Fee Below
k Fee SarvicaEntrenceSize # Fee Feeders/SUbfeeders W Fee Circuits
0 to100Ams 0 to30qms Uto 30Am
101 to 200 Amps 31 to 100 qmps 31 to 700 Am s
Above 200 qmps Above 100-Am s A6ove 100_Amps
Transrormers Remote Control Circ. g Parval%Other Fee
Signs SpeciallnspecLOn
2ss d
S
Aamerks m TAL FE?
h
' .r Inspector, heraby
Pinal te cerhty thelihe above
7/ G spection has baen
? yy ( mede.
Thiw re ncr ?nie
18 jnonth, frnm
This re:QUest,void gl 1 ?
vemo?55Q0
L3? 4crFS a"? 3 ! y3 s-
? c3i?i??? to?oo -I- /s ilon
RNqvest Date
f?q
Fire No.
qouph-in InsU?:?=Unn
R
e,yu reA?
I4?.?.,..r.,b
E)RCatly Now
?..•?? ...?fy In?nec-
^ ? s -Q
L es ?NO Ior When ReaAy
Ld?'[rensed Elecincai ConGactor I hereby request msoecLOn of above
? Owner elechmal work mstallad aL
SVeel AAdress, Bou or Rovte No.
ervon o.
1
1 Townshup Nane or No.
Hanpe No.
Couuitv ?j?
vler'/`?i' A4
OiWupantlPfllNTI
-A(e lletlez7i 06fu Biii Phone No.
Pow¢r Supplier f •
kL
`
I
k
b Atldress ?
?
(
-'
d
FG.
1 i==G Q,CL?V? bNE '?B'1U
Eiectr cairontrar.tor (Com any N;irtie)
' ?= L
L
./
(
c Comractor's L?censa No.
'1`
?
c
c
! r
1
. 0
Mailing/Atltlress ICOn `acior or Owno`r
Mnkinp In ailaLOnl /? d
?
_
? ?/?' lP Q A/
Aut v Sign [ure Con[ractor Ow lar Mabny Instal Ialionl Phonte Number
c ?r`uf.
MINNESOTq STqTE'lOAPO OF EIECTRICITY TNIS INSPECTION HEOUEST WILL NOT Gripps•Midwav QItlB• - poom N-791 BE ACCEPTED BY THE STATE BOAMO
7827 UniversitY Ava., St. Paul, NN 55104 UNLESS PROPEN INSPECTION FEE IS
-___ 1e11, em e?11 ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION
7 -F 55 0 a See instructions for complating this furm on back nf yellow copy.
'C*-v i?'ork Covered by This Request
EB-00001-03
?Y
sr?f3?
New Add 1,,..p. ot Buildmg AppLances Wired Eqwpmant Wvetl
Range Temporary Seivice
x Water Heater LighUn F'xture
s
lding
u Dryer Electnc Heatin
j
erci al Bldy. Fumace Silo Unluader
rial Bldy. Air Condrtioner Bulk Milk Tank
Other pecriv ther ISpvc,Nl
SpecifYi Ot nr Othi•.r
Compute Inspec[ion Fee Below
N Fee ServweEntmneeSae d Fne Penders/5ubfeetlers N Fee Circuits
0 to 700 qm s 0 to 30 qm s 0-0 0 m 30 Amos
101 to 200 Amps 31 to 100 qmps 31 to 100 Am s
Above 200 Amps Above 700-Am s Above 700_Amps
Trenstormers HemoteControl Circ. Partial'Other Fee
Signs Speaal hispec[ion
Re?narks TAI?EEQ
! J - O
flough-?n ,r . . Dace
he Elecv?cal
oq hereby
Final D hat th e above
4c,,
nf.,?t
n h
b
.____. ,
o
ys
nen
a.
fhia reque,st void ?fC%? L
18 monUhs hom
This request void 18 months fromr7?
??/{/?
?J[l.L]/?/'A!i"?-I^l?I1???
R • Y,
Date ?of t?hi equest ? 6 3 8 V
I, as L5'Licensed Electrical Contractor OOwnei, do hereby request inspection of the above eleciri-
cal wiring installed at:
Street Address or Route No.
Section
Which is occupied by
Range County?
!s a roughin inspection required on this job? No ? Yes t--Ready Now ? Will Call Lq--
Power Supplier 1/ Ot.??j aa., r--Qs.c__ Address : ?t&?
Electrical Contractor Q pJ _ Contractor's Licens?e 1Vo Y y?
I!`?mrunv Nama\
Mailing Address
Authorized
4 ?
. ?
Phone No. '!/SZ - /1-6 J
?? ????? ???? This inspection request will not be accepted by ffie
(?+??
? State Board unless propaz inspection fee is enclosed.
mmnesoca atate esoara ot tiectncny
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 Yg i
AEQUEST FOR ELECTRICAC INSPECTION ?? P63968
CHECK REUOW WOAK COVERED BY TH15 REOUEST
Type C.-Building New Add. Rep. Check Appliances W'ved For Check Equipment W'ved For
Home ? ? ? Range ? Tempotaxy Witing ?
Duplex 0 ? 0 Water Heater ? Lighting Fnctures ?
Apt. Bldg. ?/??--7? ? Dcyer ? Electnc Heating ?
Commeccial Bldg IG LJ ? Fumace ? Silo Unloader ?
Industrial Bldg. ?? ? Av Conditioner ? Bu1k Milk'Iank ?
Farm ? ? List ) List
Other
? ?
? p }
Hehelsl p
Hehe13?
COMPUTE INSPECTION FEE BELOW
SecviceEntcance Size: 'u Fce Feedecs&.Subfeeders: # Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ies oVD rQp
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res .e-o
ove 200 mp
Ab s.
1,.
Above 100 Amps.
, (p
Above lO?Amps.
Transfofinecs RemoteControlC'vc. Parnalorotherfce S'O
Signs Special Ins ection Minimum fee $5.00
Rematks TOTAL FEE J(
1, the ktWtol c h bY certifY tha Pbov, s fibn ha been ?""" ?De u-/Q
This iequest void 18 months from
?-
G?'
1,i.>
-713?
..?
? ?-
.
This request void 18 months from L 3 41/
7,? ?
DaEc 2of t us Request P 63569
I, as L?F'Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. !YSSS ?2t i'li ?2i U-( ?ity
Section
Which is occupied by C /I
Range County;?A
s9-C h Z 0 e
Is a roughin inspection required on this job? NofY?Yes ? Ready Now ? Will CallIB-
Power Supplier ?/ /i4/Lr1 f--!/? Address M-4;
Electrical Contractor Contractor's Licensae No 'S
(COmpaqy Name)
Mailing Address
Authorized
o.
Phone NoA.lb'L-/j-61'
(6lecN{Cal contractbr or Owner Making Thls Installatlon)
????? ????? ???? This ir?spection request will not 6e accepted by the
State Board unless proper inapectian fee is endosed.
Minnesota State 6oard of tlectricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ??
?tdUEST FOR ELECTRICAL INSPECTION ,? 3 P 63569
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of 8uilding New Add. Rep. Check Appliances W'ued For Check Equipment W'ved For
Home
Duplex ?
? ?
? ?
? Range ? •
Water Heater 0 - Tempolary W'ving
Lighting Fixtures ?
?
Apt. Bidg. ? ? ? Dryer
o ElecVic Heating ?
Commemial Bldg. ? ? ? Furnace ? ' o Unloder ?
Industrial Bidg. ? ? ? n
Av Conditi lk Mil k Tank ?
Faim ? [] ? List st )
Othet
?
?
?
Heiets( }
eiels>
COMPUTE INSPECTION FEE BELOW
Selvice Entrance Size: # Fce Fcede:sgSubfeedm: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres p-0
101 [0 200 Am s.
31 to 100 Am res
31 ro 100 Am eres
Above 200_Amps. 1 1
Above 100 Amps.
Above 300 Amps.
Transfoimers 1 1 RemoteControl Circ. Pazti other Cee -U
Signs 1 1 Special lnspection ee 55,00
Remaxks /. ' •
/ EM/Ja2,4Q-y C?v?„c??P,,, fe? ut?- e %
TOTAL FEE
?
I, the Electrical Inspector, hereby certify t4t the a4ovf inspection has been made. (?? Sp
,
(Rough-in) < nN Date
(Final) ' Date
This request void 18 months from
1011B150
C? 4S999,?..? y `1/5 S
Re esl Oate
-]?-QD Fne N , Rough-in Inspaction
Reqw?ed?
?
No
? Reatly Now M1??ill Natlty Inspectw
/tV?'hen Ready?
IJ$]icensed contracror ? owner hereby request inspechon ot above electrical work at
Jab dOress (Slrael, Box or ute NP ? \
r 1?Q CM1y
Sec?mn No
p
Township Name or No
Fange No.
+
Occ ant(PFj,INTv
I
? Phone No
P rSu pler ?
?a AdOress
EI ical Contract
c? ?,i mpany N \
mej
i c
Cantractor5 License N.
M hn9 Adtlress (Conl or or Owner eking IRStall ion?
? 1
A
li o
Futn ea Signalure fGOntractorlOwner M Insmllanon) Pho umber
?
MINNESOTA STATE BOAPU OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT
Grigga-MlEwey Bltlg. - Boom 5473 BE ACCEPTED BV THE STATE 90AFD
1821 Unrversity Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwrie (61I) 642-08OU ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °'"!;;?41 ee-ooCo01-07
? See inslmctions lor completing fiis Iqrm on bacx oi yellow cooY 7??? 9??? ?
6
Cjs 4 999 • "?" Below Work Covered by Thrs Request ??`•??
ew Adtl Rep. TypeoiBuOdmg AppliancesWired EqwpmentWrted
Home Range Temporary Service
Duplex Water Heater Electric Heanng
Apt. Butldmg Dryer Other (Specity)
Com ilndustrial
m Furnace
Farm
m Air Conditioner
Other(specty) Convedor§ Femarks'
Campufe Inspection Fee 8elaw
N Other Fee # ServiceEniranceSrze Fee # Circwts/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 ro 100 Amps
Transformeis Above 200 _ Amps Abo 0_ Amps
Sig05 Inspector5 Usa Only.
M TOTAL
Irrigation Booms O.
?
Special Inspection
Alarm/Communicahon THIS INSTALLATION MAY ORD E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH .
I, the Electrical Inspector, hereby
n
th
h
b
i Rough-in ? Date ._'7? ?j
O" 4
ce
iry
at t
ove
e a
nspectwn has
been made. F,,,ai oate
OFFICE USE ONLY
Ths request voitl 18 monihs Iram
This request voitl
18 rtwnlhs irom
C
6!% 7 / --=;[' y
X?r? C>o
Hequest Date fire No. Rough-in InsVection
Re
uved7
EFeaay Nuwg]WT11 Nnu(y Inspec-
]. S?] ?
?
Yes No tor When qeady
(ILmensetl Elecincal Contractor 1 hareby reQUest insOacUOn oi ebove
? Owner elecvicel work mstalled et
SVeet Address, Boz or floure No. Cfty
Dr. Eagan
ecuon o. Townshio Name or No. ange o. County
Occupant IPRINT) Phone No.
Park Dental
Powar SuOPlier Atldress
Dakota Electric Farmington
Electncal Convactor ICOmpany Nemal Comractor's Lmense No.
Hilite Electric 040445
Mailmp AdJress (Comractor or Owner Mabnp Insteilavon)
3600 Kennebec Dr. Eagan
Authoyied SiBnatw (Contractor Owner Makine tristallation) Phone Number
I ?
Tim Philli s
452-1565
MINNESOTA STATE BOARD OF ELECTIiICITV THIS INSPECTION PEQUEST WILI NOT
Gripps-Midwey Bldg. - Room N•191 BE ACCEPTED 9Y THE STqTE BOAND
1821 Univeraitv Avs.. St. Peul, MN 65104 UNLESS PROPEP INSPECTION FEE IS
Phenef6141662OA00 ENCLOSED.
11719-7 REQUEST FOR ELECTRICAL INSPECTION *Vk ee-ooooi-os
? See insnuctwns. for eomoiabnp this lorm on Daek of yellow copy. 6lq7"1}9
C4??'?(' 1 ? "x" ee/ow Work Covered by Ihrs Request
New1AAtl Ren. Tvoe ol Bwltlma Aoolmn[ee Wirod Enuipmenl Wiretl 1
urnace
EI
k Mi
a Fea semo,eEn:mn.esi:a n ca, re«de.sisueieaaers u Fee ci.cuits
0 ,to 200 Am s 0 to 30 qm s 6 48.00 0 to 30 Am s
A6ove 200 qmp5 37 to 100 Amps 31 to 100 A
Swinwnin Paol 1 001 Above 100_Am s A6ove 100-Am s
Transiormers Inigation Booms P&rtial"Other Fee
I I J Signs ' I ISpecial Inspectw
Nartwrks n 53.50 I ?
16706 TOTAL E
w?
fnis reouest void
78 rtqnths from
c 71110 S/
/r 57 // o
?7? c c
Request Date
-' ' Fire No. Rouph-Pn Insoection
Reqwretl7
[]Heady Nuw (SWiII Noufy InsOeo-
12-12-8( }[]Yes ?NO tor When fleady
Lmensetl Electncal Convactor 1 heroby request inaoeceon of above
Owner eloctricel work instelled et:
Streei Address, Box or Noute No.
4555 Erin Dr. Suite 108 Crtv
Ea a
ection o. Township Name or o. ange o. Counry
Dakota
OcCUpant IPRINTI Phone NO.
Power Suppller Atltlress
Elecmcal Contrec[or ICOmpany Namel
Hilite Electric Connacmr's Lmense No.
040445
MaihnB .4tldress IComractor or Owner MaWnO Instailationl
Aut rizetl S B?aWre ICOntraCtor Owner Making Installaiionl
? James Harve Phone Number
452-1565
MINNq STATE BOAND BF ELECTpIGTY THIS INSPECTION REQUEST WILL NOT
Gri iEway BItl9• - poom N-191 BE ACCEPTE? BY TNE STATE BOARO
1821 niversitr Ave.. St. Peui, MN 66704 UNLE55 PROPER INSPECTION FEE IS
on- Iw111 waI.Mnn ENCLOSED.
flEQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
See iastrucliona,tor compleling this lorm on 6eck ot yellow copy.
C 71110 X" Below Work Covered by This Request _
Azid Reo.h' Tvoe o fguoldina Aoolianees Wired Epuipment Wiretl
N Foe ServlcBEnbaneeSize p Fee Feedars/5ubteeders # Fea ' Cvcurta
O,to 200 qm s 0 to 30 Am s 20 0.00 0 to 30 Am s
A6ove 200 qmps 1 LQ . Q 37 to 100 Amps 31 to 100 Amps
Swinvning Paol Above 100-Am s Above 700_Am 5
Transrormers Irngation Booms , 0 Partial-bthar Fee
? ? 'Signs I I iSUecial lnspection ?$ Remarks ??16 72,5Q TOTAL FE ??,
/a.? nspac?or, harOEy , •
F?nal ? - - 1e certrty that the above
I y?. 'nspaction hes Oean
0"?/ meAe.
Thb reyueet vald 19
,? y 0
ao
l'-
?
?7Q
p
GLd ??
or
Fequest Date
S_ F e No Fough-in InSpectron
Re wretl, ?(
D ReMY N" /? Noti(y
h
n
?
? Yes = N. e
I -'icensed contractor U owner here6y request inspection of above electrical work at:
Job Atltlress IStreet Box ar paule N.
?
,?i.V -h.C Su A''" D
Ciry
"G 4.nJ
Seclion No Townsnip Name or No Range No Counly 1?,?
: ?
??
O upant(PPINTi ,
C
? ec
sT
? OFFicE' PM1One N.
?
-
n
Powar5upp5er Atltlress
Elecincal Conttacmr?G pany Namei F
F?rl ? ?LEc ' GO-G qJ Conhaclo.r'zs ?lmense No
?J`l?
Matlmg Aatlr ss iConVactor w p vner Making Ins;jllanon)
?7100 ED140'V4F, ti?E. ?- /? l• -?'5?1?
Ibonze 5? naWre ICOnlracloriOwne/M Inslallali. n Phonb
MIN OTA STATE 80AR0 OF ELECTHIdTV ' THIS INSPECTION REOUEST WILL NOT
Gr? -MiOway Bltlg - qoom 5-113 8E ACCEPTED BV THE STATE BOARO
1 Universuly Rve, 51 Paul. MN 55100 UNLESS PROPEfi INSPECTION FEE IS
P one(613) 602-0800 ENCLOSEO
REQUEST FOR ELECTRICAL lNSPECTION ee
? -aoom-oa
See msVVCOOns !or comyleling 0?5 lo?m on back oi yallow copy L
x?l+ ,'? ?
.? '.k
La58V - "X" Below Work Covered by This Request
ew 'AAtl Rtp. TyPeoi6wlding AppliancesWiretl EqwpmeniWired
Home Range Temporary Serwce
Duplex Water Heater Elechic Healing
Apt Building Dryer Other (Specity)
Comm./Industnal Fumace
j j ? Farm Au Condrtwner
omer (syecity) Convacmrs Remarks J 0B0 l3 0 99
Compute Inspection Fee Below /PElh O46' L 04?,Ocli
x Other Pee k Service Enlrance 5rze Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps O to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror§ Use Only TOTAL
Irrigahon Booms
p
Q
Speaal Inspection F
Alarm/COmmunication THIS INSTALLATION MAY BE ORD NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecincal Inspector, hereby RO°5b'" p tlaie ,'??
ceriify that ihe above inspection has
been made. F,?ai 7
?/ ?! . ????
OFFICE USE ONLY
This request voiC 18 manths trom
?
22C-OO67
1 OFFICE USE ONLY This
' reqvaet void 18 momhs fram wlidoM1On dore pnmed in ihis box.
p / O
S?
/
'
?.
, _ I/o?/1!
CB • ?
PLEASE PRINT OR 7YPE
Reqoest Dare
a
q ' Rau9hin mspemon requi . 0 Yes tt".
d Impedian Other Than Rougbin ? Ready Now Will Coll
k R
d
D
(
?.? -
S ?Yau must cvll tha mspecror whe n rea
y) a
eo
y.
I, licensed coMrador ? owner here6y request inspecfion o( the a6ove electriml work at a'1 31' j
Jo M ross fSVeei, Boe, or Rouh No.)
`FSSS a r, i. r Gry
?-- OL- °-`"
sS(a--3
SMion No Township Name ar N. Ranga No. F,n N.
?
LC..un*
0
Oavponl
;?
? Phone N.
qqqrrr
???
wer5upp?
Addr s
Elecl' Canlmaor (Compoiry Nome CoMntlor bcense No Mashr Lc. No. (Vlvm Elen Only)
?
Moil' Ad nss Co tlororOwnerPeAorminglnsMllonon)
l "
U-
U . - a
PuMonzed ig re( ?ingl IlaM1On) Phone o
O` ^
EB- 10 6/95? STAiE9?V-SEEINSTRLCTIONSONBACKOFYELLOWCOPY
? ii
I IIIIIII
0
11
m
eE7QUEvertryOnve., REm. S-?1 ?ASt.'PauPi, MNT5O5104
? 9(0
1* Phone (612) 642-0e00
m
Home Duplex Apt.8ldg. Olher: New Addn
Commerciol Indusfrial Form Remod Re air
Air Cond. Htg. Equip. Wo}er Htr. Load Mgmf. Other:
D er Ran e Elec Heat Tem . Service
"X" above the work wvered by this request. Enter remarks in this space and on fhe back of the whife ropy anly. X5-?-''o-F
?'i?6XCWL4?e-11T ZEJQ 7/Z ?
?
Calculafe Inspechon Fee - ihis Ir?pection Requesf will not be accepfed wiffiout the corced iee:
Olher Fee # Service Entrunce $iu Fee # Circvits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef Lfg./Traffic $ig. Above 200 Amps Above 100 Amps
TranSfortner/Generator INSPECTOR'S USE ONLY TOTAL
$ign/Ouiline Ltg. Xfma J
?
Gc 1.5 0
Alarm/Remote Control QO(
?
$Wimming Pool Jhere cend *a11 ins dthe <IMnml t no saibed herein on Ihe dates smued
Irrigafion 8oom aooeh-In Dore
-
?
$peaal Inspedion ?` ?
Invesiigative fee
Final ?j
Dok[/- -?o
' G
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
??
0O1 O8 J
c5e&, 9 1
Repuest Date Fire N. Rough-In InpsMron Repwretl
(YOU muet call ins0aclor when reatly) Inspec4on Other Than Rough-in
? Reatly Now ? Will No1M lnspector
(y ? Ves No Date Read
IXhcensed contractor ? owner hereby request inspectwn ot above electrical work at.
Job Adtlress (Street Box or Route No 7 Qry
?ll/i ?
Secuon No Townsbi0 Name m No Range No Gounty
Occupanl(PRINT)
lff= e4-r-F ?LGGC'!ES`TJ9??'?"Ls ?+,?KT- POOne No
" _0(0/0
Powe: Suppeer qadress
Elecmcal Comractor (COmpany Name) Contremors l¢ense No
ii)o E G4 co IC{D
Mading nooress iGOnvacror or p?wner Mae?ing instanaeon)
/ [ y??,e ?y ?y?
1i7? 1 G?- ??1 1 ? 71 V.?S D rJ?
Avmonzetl Signature ICo cwnOwne, anriq Installaoon, -JI
Pnone Number
MINNESOTA STATE BOAPD OF EIECTRIG7Y THIS INSPECTION REOUEST WILL NOT
GriggpMitlway Bltlg - Boom 5493 BE NCCEPTED BV THE STAtE BOARD
1811 Universiry Ave. 51 Paol. MN 55104 UNLESS PROPEF INSPECTION FEE IS
P1wne161])6d]-0800 ENCLOSED
REQUEST FOR ELECTHICAL INSPECTION (? ?? j?0°-"-'?Esaooo, oe
?, L r ? See mstu:no-:s toPS'6mpleting thig torm on back ol yellow co O? `
001089 'X' Below Work Covered by Thisquest
ew Add Rep. TypeofBwltling ApplianceSWVed EqwpmentWired
- Home Range Temporery Service
Ouplex Water Heater Elechic HeaNng
Apt Bwitling Dryer Loatl ManagemeM
CommJlndustrial Fwnace Other (Specily)
Farm Air Conddioner
Othe:(specdy) ContractorsFemarks F44 6
r14
Compute Inspechon Fee Below:
# Olher fee # ServiceEntranceSae Fee # Circmts/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Si9ns . Inspecmr's use Onty TOTAL ,i?_
Irngahon Booms CG r
, ?.
SpectallnspecM1On i
Alarm/Communication THIS INSTALLATION MAY BE O CONNECTED IF NOT
"
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
rtif
th
h
b
i Rouyn-m oeta
ce
y
at t
e a
ove
nspection has
been made. F,,,ai 1 ,1,e
OFRGE USE ONLV
This request vmtl 18 monms Irom
? a 3 ? Jos:# 1137 ???
Reque t Date ire No ough-In Inspechon Repulretl Ina ectlon Other The
Rough-ln
n
4-28-95 (VOU musl call Inspactor when ready)
? ?
c
? Reatly Now Xp?'ill Notity Inspector
? ves
No oata Raed
Ia licensed contractor ?owner hereby request inspection of above'electrical work at:
doe nderass (so-eat sox ar aome No.) cny
4555 Erin Drive - Suite 240 Eagan
Sxtion No Townshlp Neme or Na. Renge No Counry
Dakota
Oxupanl (PRINT) Phone No.
Cliff Pla
Power Suppller Atltlress
Dakota Electric Farminyton, Minnesota
ElecMcal Coniracror (COmpany Name) Contrector's Ucense No
Mailing Atltlress (Coniractor or Owner eking Instailalion)
1953 wnee Road Eagan, Mumesota 55122
Authonzatl g Wre (COMrac / ner ng Inst on) P?one Number
' ? 452-8886
MIIINESOTA STAfE BOARO OF ELECFRfCITV ? THIS INSPECTION REOUEST WILL NOT
GrlgBa-Mitlway Bltlg. - qoom 5-128 BE ACCEPTED BV THE STATE BOARD
11121 UnlvenHy qve., SL Peul, MN 551 W UNLESS PROPEF INSPECTION FEE IS
Phona (814) 602-08110 ENCLOSEO.
REDUEST FOR ELECTRICAL INSPECTION ea-oooo?-
O 4 0 1 7? See InsVUClions tor completmg thh form on beck of yellow copy, i?? ??Q ?
S? 9Jr X" Below kYork Gaiered by This Request ?+,sm.+,?
e Add Rep. Type of Bullding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Oryer Load Manegement
Comm./Industrial Fumace Other (Specify)
Farm Air Conddioner
omer (ePea(y) Contrecbls Remarks:
Additional circuits for tenant
Compute Inspection Fee Below:
# Other Fee # Service Entrence Size Fee # Clrcuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Am s 50.0
Tiansformers Above 200_Am s A6 e 100 _Am a
Si ns mmec+ors use oniy. TOTAL .5
Irrigation Booms $50.5
S ecial Ins action ?t
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONT ?
I, the Electrical Inspector, hereby
certify that the above inspection has
heen made. Rough-in
Finel ? oate
oa?
?f
OFFICE USE ONIV
TMs request voitl 18 montns fmm
[n?it o'
018
A 0
-
? r
, -
Raq est Dat Fue No, ugh-1K.ispection Requlretl
Z In ecnon Other Than Rough-ln
?
4/28/95 .ell inspector ?en ready)
(VOU musi
? Reatly Now ? Will NoUry Inspector
? vas (
No DatB ReaO
1a Ilcensed contractor ?owner hereby request Inspection of above electrical work at:
Jab Atltlress (SVeel, Box or Route No ) by
4555 Erin Drive Eagan
Secimn N. Township Name or No Renge N. Covnry
Dakota
OccupantPRINT) Phone No.
Cliff Place
Power Supplier Atltlress
Dakota Electric Farmin on,Minnesota
Elecmcal Contrector (Company Name) Contractofs License No.
Hilite Electric, Inc.. 040445
MatUng Atldress (GOntrector or Owner Making Installation)
19 hawnee Road Fa anMinnesota 55122
Authorizetl Sign m(COnirectodOw ek ?tallahon Phone Number
452-8886
MImrESOTA $TATE BOARO OF ELECTRIl.O' ? THIS INSPECTION REpUEST WILL NOT
GrlgBe-Mitlway Bitlg. - Room S128 BE nCCEPTED BY THE STATE BOARD
1821 Unlveralry Ave., St. Paul, MN 56104 UNLESS PROPEfl INSPEGTION FEE IS
Phone(61R) 842•0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION £s.ooooi-ge
O 8 O 1 8 ? SeB insWCtlons for complating this lorm on back oi yellow cop
SQS 'X" Below Work Covered by This Aequest
e Add Rep. Type of Building p nces Wved Equipment Wired
Home Range Temporery Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other Specify
Farm Air Conditioner
ONer (specity) Conuactor's RemarksWire for new hallway
Compute Inspectlon Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 1 4 0 to 100 Amps
Transformers Above200_Amps ove 00-Amps
Si ns in:pacmrs use oniy: 7p7pL 5
Irrigation Booms $20.5
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been mada. Rougn-in
Rnei Dere
D a? ?
OFFICE USE ONLV
TMS request voitl 18 monihs /rom JoB: #1183
?
7
0 04 011
' Jab #
?
o,e
?
Re uest Da Fra o Rou - InspecLOn RBqwraE Inspadion Other Than Rough-In
3-28-95 (V.?. rrust caSmspMOr hen reatly)
? ? Reatly Now ? WIII Notlty Inspector
p ras
l No oeie Raa
I Q(icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlrass (S[ree6 Bax or iioute No.) Ciry
4555 Erin Drive Eagan
Section No
Townahip Name or No
Range No
Counry
1 Dakota
Occupani(PRINn Phone No
Hillcrest Health Clinic
PowerSupp6er Atltlress
Dakota Farmi.ngton
Elec(rical ConVector (COmpany Name) ConVacmr's License No
Hilite Electric, Inc. 040445
Mailing AaCress (COnrcacmr or Owner Mabng Installanon)
1953 wnee Road Eagan, Minnesota 55122
Authonzetl S' n re (Contractod ner i Inslell ) Phone NumOer
452-8886
MIN4'ESOTA STATE BOARD OF ELECCRY ? THIS INSPECTION REQUEST WILL NOT
Otlg9e-Midway Bltlg, - qoom &128 BE ACCEPTED BY THE S7ATE BOARD
1821 UNVerslty Ava., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 6i2-0800 ENCLOSED
?
7
0 04 011
' Jab #
?
o,e
?
Re uest Da Fra o Rou - InspecLOn RBqwraE Inspadion Other Than Rough-In
3-28-95 (V.?. rrust caSmspMOr hen reatly)
? ? Reatly Now ? WIII Notlty Inspector
p ras
l No oeie Raa
I Q(icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlrass (S[ree6 Bax or iioute No.) Ciry
4555 Erin Drive Eagan
Section No
Townahip Name or No
Range No
Counry
1 Dakota
Occupani(PRINn Phone No
Hillcrest Health Clinic
PowerSupp6er Atltlress
Dakota Farmi.ngton
Elec(rical ConVector (COmpany Name) ConVacmr's License No
Hilite Electric, Inc. 040445
Mailing AaCress (COnrcacmr or Owner Mabng Installanon)
1953 wnee Road Eagan, Minnesota 55122
Authonzetl S' n re (Contractod ner i Inslell ) Phone NumOer
452-8886
MIN4'ESOTA STATE BOARD OF ELECCRY ? THIS INSPECTION REQUEST WILL NOT
Otlg9e-Midway Bltlg, - qoom &128 BE ACCEPTED BY THE S7ATE BOARD
1821 UNVerslty Ava., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 6i2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
O ,n1 T 011? Sea inatmdlons for wmpleting tMS brm on Cack of yellow mpy.
31--ZQ F$ "X" Below Work Covered by This Request
?e?? EB- 000`1-I09
?77
4% F(ep. r Type of Building Applia`nces Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other Specify)
Farm Air Cond'Rioner
OCier (speclty) Contrectols RemaMSCompute lnspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee ff Circwts/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 ta 100 Am s
Transformers Above 200_Amps A6ove 100 -Amps
Si ns ihsPenors usa onry ? TOTAL .5C
Irrigation Booms 20.5
S ecial Ins ection
Alartn/COmmunication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i
h
h
b
i Ra91,in oate
cert
ty t
at t
a a
ove
nspection has
been made.
F?°ai
oai , 3/-- (
OFFICE USE ONLY
This request voi0 18 months irom
0m1'5=768
ReQUesl e?e Fire No. Rou h-In Insp ' n-Requiretl
(YOU m st cell Inspador when reatly) Ins eclion Other Than R gn-In
Now Niil Nolity Inspectoe
? Reatl
? Z ?` .
? 7 J ? Yes No y
Date Reatl
I C?licensed contractor ? owner hareby request inspection of above electrical work at:
Job ?Atltlress (Stree6 Box or Route No J
((s-55 CYLf 1'1J 4?Fd/Oc Qry
6 A (T!4-l'?J
SecOon N. Township Name ot No Range No Counly
0 .4 /c o ?T
Occupanl(PPINT) - UWWL?-1'2 Phone No.
Htwc/Z6ST vEV?zopw,?T 37
Powar Suppller AOtlrass
Eleclncai Contraclor (COmpany Neme)
?o} GleJr?v'i ?L. Contraclors Lsense No
C14C271?CD
Malling Atldress (COnlractor or Owner Making Installetion)
Authonzetl StgnflWre (Co clonOwner Makmg Inslalianon)
A Phone NumGer `
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL N07
1821 UnlvenlTy Ave, St. Paul. MN 55104 ?? l1NLE55 PROPEF INSPECfION FEE IS
Phione (812) 642 0800 Room 5128 I II II I I I I I I 1111111111111111111111111 BE ACCEPTED BY THE STATE BONRD
u ENCLOSED.
? FREQUEST FOR ELECTRICAL INSPECTION
, See inatrudlons br crompleUng Ihis form on beck of yellow copy.
"X" Be/ow Work Covered by This Request
0 EB-00007-09
3 ?Dk/
R
Ne Add Rep. Type of 8uilding Appliances Wired Equipmenf Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other Specif )
Farm Air Conditioner
J/
Olher(speaty) Conlrector'sRemarks ny?JV?i 7 OL(J -)"7+++6 CLGG?
AN?J (wST.q-c.? / NG?e.{l LC.u?lG Gv/rJf-
Compute Inspection Fee Below: u'Z- °/ ?-E Ril
# Other Fee # Serwce Entrence Size Fee # CvcuitslFaedars Fee
Swimmin Pool 0 to 200 Am s $ 0 to 100 Amps SW,
Transformers Above 200 Amps Abov 100 _Am s
S ns ' inspocror's use onry. TOTAL S?
Irrigation Booms , `/S•?? yU ?
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONIMS: p f •'
I, the Electrical Inspecior, hereby
th
h
b
i ?
Rou9h-in
cehity t
at
e a
ove
nspechon has
been made. ,
Finai
oaie ? p J
!
OFFICE USE ONLY ?
Thrs request void 16 months tmm
0
3 0 8 ? ?v? s??
CIO
? y
l
y ? o
c?
Re e?q e ??// ?
?/. Fre No Rcryqh-In Inspe on Reqmred
t celiinspeclowhen rea0y)
(VOU m Inspeclion Olhet Then ugh-In
? fleatly Noyi/ I fy lnspec[ai
? v? ?
Ves ? No pate Reatl 1J
IKlicensed contractor ? owner hereby requast inspection of above electrical work at:
Job A tlress (S[reet Bx or Roj#jW I
? //yjL
i 7? Qry
.
J
Sectmn No. Township Name or No Range N.
Cou q
Occ n PRI T) , l Phone No
Q l/L? ?
Power Supplie Atltlress
?
7
Elecm ntractor (COmpany Name)
L ' f
Ji 4 Con/tmm?or s icense No
Ilin adress (COntracror or ner akin
C'? installaiion)
? '?l0
/l/ 3- Yo
AuUon
gna? ?IOriOwn ng Installa0on) Phone Num?ar
v
MKINESOTp STgiE BOARD OF ELECTFICITY THIS INSPECTION REOUEST WILI NOl
Griggs•Midway BIOg. - Noom 5-128 BE ACCEPTED BY THE STATE BOARO
1821 University Ave., SL Paul, MN 55104 I II II I I I I II I II I II UNLESS PROPER MSPECTION FEE IS
Phone (612) 692-0800 ENCLOSED
G,..S13 -J -?a,9 REQUEST FOR ELECTRICAL INSPECTION Q
ee-
'o/poa -as
./ ? See insWCtions for cumpleting this brm on back ot yeilow copy. }d?`y? ?F??`q5 "X" Below Work Covered by This Requesf ?,ffi? ?
Ne Adtl Rep. Type of 8uilding Appliances Wired Equipment Wired
Home Range Temporary Service '
Duplex Water Heater Electric Heating
ApL Bmlding Dryer Load Management
Comm./Industrial Furnace Other (Specdy)
Farm Air Contlitioner
ONer (specify) Conlractor's Remarks?
Compute Inspechon Fee Below: ??BT?- ULr-`? ??.`l'. /<T?a`Y?u•+mff?
# Other Fee Service Entrance Size Fae # Cirduits/Feeders ee
Swimming Pool 0 to 200 Amps I 1/ 0 to 100 Am s
Transformers Above 200 Amps 0-Amps
$I n5 tnspecior's Usa Only/ T
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLA710N MAY ORDERED DIS
Other Fee COMPLETED WITHIN 18 MO
I, the Electncal Inspector, here6y
if
h
h
b
i
i Rou9n.m , oete
y t
cert
at i
a a
ove
nspect
on has
been made.
OFFICE USE ONLY
This reQUesl aoid 18 montbs irom
0- ?9
s52 ?
9
Req st Data Rre N. Ro gh-In Inspec on Requve
[ar wF
Y
st
ll i
)
i read InspeMion OtherThan R gh-ln
w ? Wdl Nohf
? R
N
Ins
ector
tl
o 9S
3/ ?q
(
p
y
OU u
w
? y
p
ea
y
o
1 vas [
J No Date Read
I Q<censed contractor ? owner hereby request inspection of above elactrical work at:
Job Atltlress (Street, Box or Route No ) City
Zli r, - Dr "(Aaoo i A).J
Seclmn N. Toi Neme or No, Range No Couny
AX0
Occupant(PRiNT) Phone No
E, n/, S,
Power SupPlier ACdress
Elecmcal Conlracior (COmpany Name) ConVeclors Ucanse No
E/c?{>-'c «w,' 2'n?• C?oo.?3
Matling Atltlress (COn actor or Owner Mekmg InstallaUOn) ??
V97-1
Autnonzetl Signature (Cantratlo Owner king Installation) Phane Number
y4s'0 - 03 S o1
MINN OTA STATE BOAFD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GHggs-Mitlway Bltlg. - Room 5428
II
I)
I
I I
I
I
I I
I BE ACCEPTED BV THE STNTE BOARD
1821 Unlverelry Ave„ SL Paul, MN 5510G I UNLESS PROPER INSPECTION FEE IS
Ppone(612)6C2-0800 ENCLOSED
C3/o??1?5 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-o
Sea insimclions for completing ihis lorm on back ot yellow copy p s?s
G??3 "X" Below Work Covered by This Request
?Ia
Ne Add Rep Type of Bwlding Appliances Wired Equipment Wved
Home Range 4 Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Furnace Other Specify
Farm Air Conditioner
aner (sPecny) comramors aemarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Srze Fee # Cvcuits/Feeders Fee
Swimming Pooi 0 to 200 Amps 5 0 to 100 Amps OD
Transformers Above 200_Amps 0-Am s
SI ns Inspector's Usa Only TOTAL
Irrigation Booms
Special Ins ection
Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
1, the Elecirical Inspector, hereby
if Rouyn-in Date
cert
y that the above inspection has
6een matle. Ruai oaia
OFFICE USE ONLY
This request voitl 18 months Irom
1ssio
?
'
7 7 7 2 M?e,
?'
;
V °
°
a
?, p
C:
Request DatB Flre Ny. Rouqh-in Inspaclion NOTICE: Vou Must Call Eledncal Inspeclor
10 - 2 9- 9 3 mretl' If A Rough-In Inspeqion
w/C
Ves fJNO IsReqmretl
In licensed contractor ? owner hereby request inspection ot above electrical work at:
JaD Adtlress (Streeq Bw ar Raula No ) Giy
4555 Erin Dr Ea an
Seclion No Township Name or No Range N. Counry
Dakota
Occupant (PRINT) Phone N.
Dr. Selchow
PowerSUppher qtlOress
Elec1ncal Conlrador (Campany Name) ConVactor5 License No
City View Electric CA00384
Mailing Address (COntraclor or Owner Making Installation)
1932 St Clair Ave St Paul, Mn 55105
Authonzetl aN?e onvactorlOwner aking Inslalislon) Phone Number
? 699-4835
MINNESOTA STATE 60AFD OWCTAICITY THIS MSPECTION REQUEST WILL NOT
Griggs-Mltlway Bltlq. - floom U17111104 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., S[. Paul. UNLE55 PROPER INSPECTION FEE I$
Phone(612)602-0800 ENCLOSED
K693 3
Request Oate
^ fire Rouqh-in Inepemion
Reqmretl?
fxReetly Now `J Notity
? 1 ?
`j ?Ves N.
I)Q licensed contractor ? owner hereby request inspection of above electrical work aC
Job Atltlress (Slmet Bov or qoute No I Ciry
4555 £lin v) v, vi CuF,r- 'Pt-1?cE '?a av.
Section No Township Name or N. Range No. County
7 akol'a
O[cupant(PPINTI Phone Na
$v ?T@ 140
PowerSUppLer Mdress
EIMncal Conlractor ILOmpany Name) ConVflctorS L,cense No
G0t,l.t s S G?F 00405
Matlmg qtlaress IConiractor or Owne, Makmg Installetwn)
6t9zy.woo9 ve._ kkz
Authorae g[ure iCOmractonOwner Maxin nsl ni Phone NumOer
? ?y-3sso
MINN OTA 90 D OF ELEC CRY ' THI$ INSPECTION FEDUEST WILL NOT
Grigg MIOwe el g Raom 5-173 BE ACCEPTED BY THE STATE BOARD
1821 nlvenHy e., l Paul. NN 55104 UNLESS PFOPEF INSPECTION FEE IS
VM (612)662 00 ENCLOSED.
K 693L3
REQUEST FOR ELECTRICAL INSPECTION
? Se: instructrons tor compienng thi5 form on back of yellow wpY
J(" Below Work Covered by Thrs Request
g 0000 ew Ad$" Rep ? TypeoBUdding AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplez Water Heater X Elechic Heating Do EailCV
Apt Building Dryer Other-(Specrfy)
Comm./Induslrial Furnace
Farm Air Conditioner y qy ?
Otherfsyenry) Contractor§Remark5 qCpv.p Faa !? FVOYn?U?C'M1G ? ODM`? Ow?
Na11WayTa iv.'?-190, iNGc%LIN,9. GouNQeT To I4
ComputelnspechonFeeBelow: 14KW 3S 9108V aJLtHtgw 1 ~ReW'QM1oU1Q°cm
# Other Fee # Service EnnanceSrze Fee # Cvcuns/Feetlets Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps ?
Transformers Above 200 _ AmpS Above 100 _ Amps
Sigf15 Inspectors Use Only TOTAL
Irrigation Booms 5 O
Special Inspection ?
Alarm/Communicanon THIS INSTALLATION MAY BE OR R SCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n,n r oa?e
Ceftlfy that the above inspection ha5
been made. F,nai ate
OFFICE USE ONLY
TM1is request roi0 18 monlhs imm
3 0 4- 715 ? ?? US QNLY This reqoesf.oid 16 months (mm validabon dare pnnied In tl?iz box
PLEASE PRMT OR TYPE
Ro.gh.in mspecNOn raqwred2 Yes C] N. Inspecnon Oiher ihan Raugh-In[3 Reody Now 0 Will Coll
(YOU musl call Ilie mzpetlor wh ready{* DoM Ready.
I, Q licensed conimcror ? owner hereby request inspedion of ffie above elecirical work at:
b Mdrus (SveN, Box, ar Rouh No.)
- ??? C.ty Z? Code
?Zz_
5<dion No Township Name or No Rarga N. fire N. C unry
T
O<''?/ °?? ?? ? ?
?
0? Phorie N.
?
?
?/?IV ?
y iFf
Pawe $upplier
.C.'?? G.cUlCIC.. Address
Elednml a kaclor (C m y Name Gonhvcror Ltcense N.
1?U - ") ' Master Lic Nn (Planf EIM Only?
Maiing P?rev (Conwcror or Owner Performing InsMllanon)
r
°1
Awhon nalure (G tntlor or Omer P roallonon) Phone N.
L S'?
EB- 5 STATEBO OVY-SEEINSTPUCTONSONBACKOFYELLOWCOPY
II I II I111?fill ?? I III II I II IIIIIII REDUEST FOR ELECTRICAL INSPECTION ,-
Minhesota State Board of Electricity
1821 University Ave., flm. 1 St. Paul, MN 55104 0 3 0 4 7 1 5 6 * Phone (612) 642-0800
Home Duplev Apt. Bldy. 'Other: ew Addn
Commercial Indusirial Fartn mod Re air
ir Cond H}g. Equip. Water Htr. Lood Mgmt. Other.
D er Ran e Elec Heat Tem _ Service
"k2' above the work covered by fhis request Enfer remarks in ibis space and on fhe back of the whife copy only.
DC-VYI.O? ? ?de-Ii?Z>J
L? L-kvi? ? ? ?3?Z
Calculafe Inspectian Fee - 7his Inspechon Requesf will noi 6e accepted wrthoui the corcecf fee:
Olher Fee S $ervice Enh'ance 5'¢e Fee # Cirails/Feeders Fce
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ug./rraffi< Sig. Above 200 Amps Above 100 Amps
Transformer/Genera}or INSVECTOH'SUSEONLY T
$ign/Ou}line L}g. XSmr. ?) ??
Alorm/Remoh Conhol / //
Swimmmg Paol ?"??'
I hereb um Mm 1 i eckd t s lanan dascnbed herein on the doks alakd
Irrigohon Boom Rough-In Dob
Speciol Inspedion
Invesfigafive Fee F????
THIS INSTALLATION MAY BE ORDER DIS ONNE IP NOT COMPLETED WITHIN 18 MONTHS.
.2//4?9?i ?- ?`??Olo G?
0 0 71 3 0 fr 5fg
Requast Date V (,
. jn?
/ Fi N. Rougtr ection Reqwretl
(VOU t cali inspecror when reatly)
Yes [] N. Inspec0on ONer Than pougn-In
? Featly N. 'RI Wtll Notify Inspector
Date Ready
I)(licensatl contractor ?owner hereby request inspection of above electrical work at
Job tldiess Street Box or Roo?e )
? ,-; Clly
Sedion N. Townsnip Name or No Range No County
Occupen NT) /
?L l Phone No
Power Su r Adtlress
Elecfncal tractor (Company ame) Conir?ro' uc s0?, ?
J /+r/
Maih A tlres Contrecto Ownyy M g Installat
IfeL
Authon 5 at act Installatron) Phop9 umber-
J
KARD-OF 1CITY I T
21 llNVers?y A tl?. - ROPm S MN B 5104 I? MI'I ?'u IIm N? n? N? u? ?M pp UNESS PROPER NSPECTION BOEflO
G8
C
Phone (612) 642-0800 II U Nm X IA NII
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooros
? 5 e i?stmctians for completing 4?is fomi on back ol yellow copy S?O&?
0 071 306 Be/ow Work Covered by This Request
Ne Add Rep Type of Building pplianc:es Wired Eqwpment Wired
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (Spec'rfy)
Farm Air Conditioner
Other (specdy) Con[raatore Femarks
GH4O ? ? ??`?
Compute lnspechon Fee Below,
# Other Fee # Serwce Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 700 -Amps
SI ns Inspector's Use Oniy. OTAL
Irrigation Booms / fU' G?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED NNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MON ?
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. Aou9n-in
F,nai oace
OFFICE USE ONLY
This request voitl 18 monNS from
?
?
3? ?J - 566
OFFIC USE ON This request void IB monMs (rom wlidaM1On dole pnnkd in Ihis bay
!!??lF
?P r
r
PLEASE PRINT OR TYPE
Reqossl Da po?h-in mspen?on reqmr ? Yes ? N. Impernan Oiher Than Raugh.ln: 0 Ready Now ? Will Call
I
Z
?You mvst mll the mspecbr when rendr)
Dab Ready
I, k( licensed contracior ? owner here6y request inspedion of fhe a6ove eledrical work af:
Job dress (Street, Box, Raut4Na.) /? •
i? Gry Zip Code
2'Z
Secrion N. To»nship om<or N. Ronge No. Fne No Coun
O Phona No
r?^ A
Power Supplier Pddrese
ElMnwl Comrodz Com eny(dame? ?
It- Commcmr Omnse N. Maskn c? N. (Plant Eled. Only)
dross Can cror,,,OvmerPerforminglnsli
C?-
AulFionzed5i ole ont OwmrPedommn9lnxmllohan) PFw?
EB-OOOOIA-10 6/95 STATEBOARDCOW-SEEINSTRUCTIONSONBACKOFYELLOWL'9E.7L /
IIIII III IIII I III III I IIII I II II II II I Illtt 821QUn' e sity Ave., Rm SFl-1'Bc?IPauIP, MNT55O104
* 0 3 4 5 5 6 6 4* Phone (612) 842-0800 «???? (
Home Duplex Apt. Bldg. Other: ? New Addn
Commeraal Indusfrial Farm Remod Re air
Air Cand. Hfg. Equip. Water Htr Lood Mgmt ONier:
D er Ran e Elec. Heat Tem . Service
"X" obove the work covered by fhis request. Enter remarks in this space and on the batk of the white copy only.
4La4o Ca4pl, aid Sp`.r,ls
Calculafe Inspxfian Fee - This Inspection Requesf will not be accepted wiihout fhe mnect fee:
Olfier Fee # $ervice Entrance Size Fee # Circvih/Feeders Fce
Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps
Sfreet Lfg./Traffic Sig. Above 200 Amps Above 100 Amp
Transformer/Generator INSPECTOR'S USE ONLY TOTA
Sign/Outline Lig. Xfmr.
Alarm/Remote Conhol
Swimming Pool i he«b am mon ,n: e ?ha alecmdemnbed herein on the daMe sbkd
Irrigafion Baom Raugh-in
?h
$p
ecial Inspeclion
D
te
Investigotive Fee a
THI5 INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 M NTHS.
Th,s,acmest vo,d L ? ?
78 months #rom
C?7 . :? 0 619 a ^
3 s$s1
??, ob
Penuest Date
J
p?
? Fre No. Rough-in Insper,uon
fleqmr ?
?Reatly Now ?,N4TfNotity, Inspec-
ror Wh
F
u? (
J as ?No en
eatly
&ucensed ElecVical Contractor I h¢reby request insPection at abova
? Owner `F,r...? A hV°W, elWncal work iV.8-1 led eC
Slreet Adtlress, Box or uta No. C"` ( ?? 1V
? s`s° G?? ? /1-6•?-/?
ecbon o. Township Name or No. Ranp ou y
-n'? I P'? .?( /,.?4
Occu IPflINTI
%L- ? rI1/l ?/ld S
? f!N t G- Phonc No.
Power SupDlier Address
Electnc C qac[m (Company Name) .
?' f
?
? Contracrot's Lmense No,
?
•
E , r c 4
c
? o
Mai m0 Address (COn[r ctor or Owner MakLng Inst8?11at/i°?^/1/
AuYF i 5 a re (CO vaclo Owner Maktr3d In aliauon) Phone NumOer
? rz
MIN EN O A STATE BOAflO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•M?dwey Bitlg. - Room N•197 BE ACCEPTED eV THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLE55 PHOPEP INSPECTION FEE IS
ENCLOSED.
1'?1 REQUEST FOR EIECTRICAL WSPECTION Ee-ooooi_oa
`y 4 O ^y? Y 1 9 ? See instructions Por comoiqubie t??is form on back ot yellow copy.
Work Covered by This Request
ew Add flep. Type of Bueltlinp Applmnces Wrtntl Equipment Wirea
Hane Ranye Tempoiary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electnc Heatin
Commercial Bldg. fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FaYIn Other pe6 y Other (SVecity)
ther SVaci y Other Other
Compute lnspection Fee Below ? - - ??- - - ?
p Fee ServmaEntrenceSize k Fea Feeders/SUbieatlers N Fee Circuits
0 to 100 qm s 0 to 30A m s SO?C 0 to 30 Am
701 to 200 qmps 31 to 700 Amps 31 to 700 qn s
Above 200 qmps Atwve 100_Am s Above 700_Amps
Transiormers Remote Control Cva c$ Partial/Other Fee
Signs Speciallnspection
?
T
Nem?rks
?i-A , ... ,. ,. .. ?.. ?. _'_. _ _ {
? Al, PEE `
h 7 rY'\
v
Tnspactor, I"ereby I
certity ihet the ebova
InspecLOn has been
s reques[ voitl 1 (J(??/? {/?1(1?`,y'?/{!t ±/j
nronuhs troin?,?.?P'0?414$ tS ?E,(` kFl'l OlY t•t?I ( -
Thisrxquestvoid /7c rES Zx? 'IO0l -gs
78 rtqn[hs from t (0(0. sC)
W089938 ?z 99
Nequest 0 e Fve No. uPh-in Insoecuon
eQw?ed>
Rvadv Nuw• Wiil Notify InsPac-
?
/?
3 ?Yas ?NO tor When qeady
LICP.nSEd Elec[IIC21 COntl.lct0! 1 helebylequ98t inep8ction o18bOVB
Owner eleclrical work matalled et
Street Atltlress, Boz or Route No. Crty
v\
-
ecuon n. 7ownsh Namo or No. Range No. Count
Occupant(PfllNT)
ef? Phane No.
Fawer Su li Address
/ f
Electncal ConVact ICOmpan a el ConVacmr's L,censa N
o.
`
Ma
ilin0 tor or wner Mnkmy InstailauoN
.dJress ICOnt c
A
/
?
/ G(
Auth nzad SiBnawre (ConvactodOw er Making Installation)
Phona Number
?l/ ?.?d , J` ?.2 0
THIS INSPECTION REQUEST WILL NOT
MINNESOTq STpTE BOAND OF ELECT0.ICITV
Griggs•Midwey Bldg. - Room N-191 BE ACCEPTEO BY THE STqTE BOAHD
UNLESS PNOPEN INSPECTION FEE IS
1821 University Ava., St. Paul, MN 56104 ENCIOSED.
REQUEST FOR ELECTRh;AL IN3`PECTION .r;, ee-ooooi_na
u:
' See inetrucdons for compleUn9 this 1dm on back of Veliow copy.
0899g X" Be/aw Work red by This Reyuest
Atld Reo. Type of Building Apoli++nces Wired EquiVman[ Wired
Home Range Temporary Service
Duplez Water Heater Lighuny Fixtures
Apt. BwlAing Dryer Electric Heaun
Commercial Bldg. Furnace Silo Unloader
Industri2l BIAg. Air Conditioner Bulk Milk Tenk
Fdfm Othri paci v Other ISper,ifyl
twr ISpec?fy ther Other
COOIUL/LB IIlSO?C110/i FP.P BBIOW
N Fee ServiceEnheneaSize # Fea fexders/SUbteeders t! Fea i urts
0 to 200 Am s 0 ro 30 s ,s 0 to 0 m
Above 200 qmpy: h 31 t 100 m 5 31 to 7U0 Am s
Swimming Pool p Above 1 a'R m s Above 100_Amps
Transtormers Irrigation offis J' Partial,'Other Fee
Signs Speual Inspection 5
TOT FE
???
floueh-in ( o:? C? I, t
Elec
p
?naactoq hereby
c
Li
th
t th
b
Final ?
Date er
y
a
e a
ove
insoecqon has been
matle.
miareouest voiatBmamnsprom - ?-
L
This request vmd Zb
1A pqnChS?from ?p-
T 40622
L.T"censen uectncai i,onvactnr I hereby request inspecLOn ot ebova
? Owner electncxl work instelled at
SVeet AAdress. Box or Route No.--
c5 .5.?? 'r-741U Crty,
ectmn o. Township Name or No. ReoBP ?• Co ? p
cc}ypant (PqINT)
O,w
?
Phone No.
:/?•5-r?) 5 ? - f/ t<< ?uo - S ?
Ca? -?i2
Aaaress
Elec fca CyoLf lractor /?9? any Na/mel Contrecto,r"'s Lmense No.
Mailing AdJress (Conva tor or Owner Making Insiaila ' nl
P.sL e% r'L
Aut ignatur ICo racror Ow r kine Installatwnl Phone Number
-;
MINNE90TA STATE 90APD Of ELECTflICITY ` TMIS INSPECTION HEQUEST WILL NOT
GrieOS-Mitlwey Bldg. - Room N-797 BE ACCEPTED BV THE STATE BOAXD
1821 UnivarsitYAve.. St. Paul, MN 65704 UNLESS PNOPEP INSPECTION FEE IS
ENCLOSED.
e11o111 vov o'll
AerLs -a '1d 3(oS5 Co
,n/ REQUEST FOR ELECTRICAL INSPEC710N ,?;, EB- 00001-03
CnV 4 Q?2 2 / See msimcLOns•ior comolehng Nis iorm on back of yellow copy.
"X",delow Work Cnvered by 7his Requesi 3(p55 (p
e ftep. 7vPe of 6wlding Apoliances Wrted Equipment Wired
Hortw Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bmiding Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Industriai Bidg. Av Condinoner 8ulk Milk iank
FBrm Other peci v Othar (SVecity)
I P.? SUC(:I(y O1M1Qf O1hC'f
Camputelnspecuon Fee Below
k Fee SarvicaEntrenceSize # Fee Feeders/SUbfeeders W Fee Circuits
0 to100Ams 0 to30qms Uto 30Am
101 to 200 Amps 31 to 100 qmps 31 to 700 Am s
Above 200 qmps Above 100-Am s A6ove 100_Amps
Transrormers Remote Control Circ. g Parval%Other Fee
Signs SpeciallnspecLOn
2ss d
S
Aamerks m TAL FE?
h
' .r Inspector, heraby
Pinal te cerhty thelihe above
7/ G spection has baen
? yy ( mede.
Thiw re ncr ?nie
18 jnonth, frnm
This re:QUest,void gl 1 ?
vemo?55Q0
L3? 4crFS a"? 3 ! y3 s-
? c3i?i??? to?oo -I- /s ilon
RNqvest Date
f?q
Fire No.
qouph-in InsU?:?=Unn
R
e,yu reA?
I4?.?.,..r.,b
E)RCatly Now
?..•?? ...?fy In?nec-
^ ? s -Q
L es ?NO Ior When ReaAy
Ld?'[rensed Elecincai ConGactor I hereby request msoecLOn of above
? Owner elechmal work mstallad aL
SVeel AAdress, Bou or Rovte No.
ervon o.
1
1 Townshup Nane or No.
Hanpe No.
Couuitv ?j?
vler'/`?i' A4
OiWupantlPfllNTI
-A(e lletlez7i 06fu Biii Phone No.
Pow¢r Supplier f •
kL
`
I
k
b Atldress ?
?
(
-'
d
FG.
1 i==G Q,CL?V? bNE '?B'1U
Eiectr cairontrar.tor (Com any N;irtie)
' ?= L
L
./
(
c Comractor's L?censa No.
'1`
?
c
c
! r
1
. 0
Mailing/Atltlress ICOn `acior or Owno`r
Mnkinp In ailaLOnl /? d
?
_
? ?/?' lP Q A/
Aut v Sign [ure Con[ractor Ow lar Mabny Instal Ialionl Phonte Number
c ?r`uf.
MINNESOTq STqTE'lOAPO OF EIECTRICITY TNIS INSPECTION HEOUEST WILL NOT Gripps•Midwav QItlB• - poom N-791 BE ACCEPTED BY THE STATE BOAMO
7827 UniversitY Ava., St. Paul, NN 55104 UNLESS PROPEN INSPECTION FEE IS
-___ 1e11, em e?11 ENCLOSED.
REQUEST fOR ELECTRICAL INSPECTION
7 -F 55 0 a See instructions for complating this furm on back nf yellow copy.
'C*-v i?'ork Covered by This Request
EB-00001-03
?Y
sr?f3?
New Add 1,,..p. ot Buildmg AppLances Wired Eqwpmant Wvetl
Range Temporary Seivice
x Water Heater LighUn F'xture
s
lding
u Dryer Electnc Heatin
j
erci al Bldy. Fumace Silo Unluader
rial Bldy. Air Condrtioner Bulk Milk Tank
Other pecriv ther ISpvc,Nl
SpecifYi Ot nr Othi•.r
Compute Inspec[ion Fee Below
N Fee ServweEntmneeSae d Fne Penders/5ubfeetlers N Fee Circuits
0 to 700 qm s 0 to 30 qm s 0-0 0 m 30 Amos
101 to 200 Amps 31 to 100 qmps 31 to 100 Am s
Above 200 Amps Above 700-Am s Above 700_Amps
Trenstormers HemoteControl Circ. Partial'Other Fee
Signs Speaal hispec[ion
Re?narks TAI?EEQ
! J - O
flough-?n ,r . . Dace
he Elecv?cal
oq hereby
Final D hat th e above
4c,,
nf.,?t
n h
b
.____. ,
o
ys
nen
a.
fhia reque,st void ?fC%? L
18 monUhs hom
This request void 18 months fromr7?
??/{/?
?J[l.L]/?/'A!i"?-I^l?I1???
R • Y,
Date ?of t?hi equest ? 6 3 8 V
I, as L5'Licensed Electrical Contractor OOwnei, do hereby request inspection of the above eleciri-
cal wiring installed at:
Street Address or Route No.
Section
Which is occupied by
Range County?
!s a roughin inspection required on this job? No ? Yes t--Ready Now ? Will Call Lq--
Power Supplier 1/ Ot.??j aa., r--Qs.c__ Address : ?t&?
Electrical Contractor Q pJ _ Contractor's Licens?e 1Vo Y y?
I!`?mrunv Nama\
Mailing Address
Authorized
4 ?
. ?
Phone No. '!/SZ - /1-6 J
?? ????? ???? This inspection request will not be accepted by ffie
(?+??
? State Board unless propaz inspection fee is enclosed.
mmnesoca atate esoara ot tiectncny
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 Yg i
AEQUEST FOR ELECTRICAC INSPECTION ?? P63968
CHECK REUOW WOAK COVERED BY TH15 REOUEST
Type C.-Building New Add. Rep. Check Appliances W'ved For Check Equipment W'ved For
Home ? ? ? Range ? Tempotaxy Witing ?
Duplex 0 ? 0 Water Heater ? Lighting Fnctures ?
Apt. Bldg. ?/??--7? ? Dcyer ? Electnc Heating ?
Commeccial Bldg IG LJ ? Fumace ? Silo Unloader ?
Industrial Bldg. ?? ? Av Conditioner ? Bu1k Milk'Iank ?
Farm ? ? List ) List
Other
? ?
? p }
Hehelsl p
Hehe13?
COMPUTE INSPECTION FEE BELOW
SecviceEntcance Size: 'u Fce Feedecs&.Subfeeders: # Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ies oVD rQp
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res .e-o
ove 200 mp
Ab s.
1,.
Above 100 Amps.
, (p
Above lO?Amps.
Transfofinecs RemoteControlC'vc. Parnalorotherfce S'O
Signs Special Ins ection Minimum fee $5.00
Rematks TOTAL FEE J(
1, the ktWtol c h bY certifY tha Pbov, s fibn ha been ?""" ?De u-/Q
This iequest void 18 months from
This request void 18 months from L 3 41/
7,? ?
DaEc 2of t us Request P 63569
I, as L?F'Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. !YSSS ?2t i'li ?2i U-( ?ity
Section
Which is occupied by C /I
Range County;?A
s9-C h Z 0 e
Is a roughin inspection required on this job? NofY?Yes ? Ready Now ? Will CallIB-
Power Supplier ?/ /i4/Lr1 f--!/? Address M-4;
Electrical Contractor Contractor's Licensae No 'S
(COmpaqy Name)
Mailing Address
Authorized
o.
Phone NoA.lb'L-/j-61'
(6lecN{Cal contractbr or Owner Making Thls Installatlon)
????? ????? ???? This ir?spection request will not 6e accepted by the
State Board unless proper inapectian fee is endosed.
Minnesota State 6oard of tlectricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ??
?tdUEST FOR ELECTRICAL INSPECTION ,? 3 P 63569
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of 8uilding New Add. Rep. Check Appliances W'ued For Check Equipment W'ved For
Home
Duplex ?
? ?
? ?
? Range ? •
Water Heater 0 - Tempolary W'ving
Lighting Fixtures ?
?
Apt. Bidg. ? ? ? Dryer
o ElecVic Heating ?
Commemial Bldg. ? ? ? Furnace ? ' o Unloder ?
Industrial Bidg. ? ? ? n
Av Conditi lk Mil k Tank ?
Faim ? [] ? List st )
Othet
?
?
?
Heiets( }
eiels>
COMPUTE INSPECTION FEE BELOW
Selvice Entrance Size: # Fce Fcede:sgSubfeedm: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres p-0
101 [0 200 Am s.
31 to 100 Am res
31 ro 100 Am eres
Above 200_Amps. 1 1
Above 100 Amps.
Above 300 Amps.
Transfoimers 1 1 RemoteControl Circ. Pazti other Cee -U
Signs 1 1 Special lnspection ee 55,00
Remaxks /. ' •
/ EM/Ja2,4Q-y C?v?„c??P,,, fe? ut?- e %
TOTAL FEE
?
I, the Electrical Inspector, hereby certify t4t the a4ovf inspection has been made. (?? Sp
,
(Rough-in) < nN Date
(Final) ' Date
This request void 18 months from
1011B150
C? 4S999,?..? y `1/5 S
Re esl Oate
-]?-QD Fne N , Rough-in Inspaction
Reqw?ed?
?
No
? Reatly Now M1??ill Natlty Inspectw
/tV?'hen Ready?
IJ$]icensed contracror ? owner hereby request inspechon ot above electrical work at
Jab dOress (Slrael, Box or ute NP ? \
r 1?Q CM1y
Sec?mn No
p
Township Name or No
Fange No.
+
Occ ant(PFj,INTv
I
? Phone No
P rSu pler ?
?a AdOress
EI ical Contract
c? ?,i mpany N \
mej
i c
Cantractor5 License N.
M hn9 Adtlress (Conl or or Owner eking IRStall ion?
? 1
A
li o
Futn ea Signalure fGOntractorlOwner M Insmllanon) Pho umber
?
MINNESOTA STATE BOAPU OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT
Grigga-MlEwey Bltlg. - Boom 5473 BE ACCEPTED BV THE STATE 90AFD
1821 Unrversity Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Plwrie (61I) 642-08OU ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °'"!;;?41 ee-ooCo01-07
? See inslmctions lor completing fiis Iqrm on bacx oi yellow cooY 7??? 9??? ?
6
Cjs 4 999 • "?" Below Work Covered by Thrs Request ??`•??
ew Adtl Rep. TypeoiBuOdmg AppliancesWired EqwpmentWrted
Home Range Temporary Service
Duplex Water Heater Electric Heanng
Apt. Butldmg Dryer Other (Specity)
Com ilndustrial
m Furnace
Farm
m Air Conditioner
Other(specty) Convedor§ Femarks'
Campufe Inspection Fee 8elaw
N Other Fee # ServiceEniranceSrze Fee # Circwts/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 ro 100 Amps
Transformeis Above 200 _ Amps Abo 0_ Amps
Sig05 Inspector5 Usa Only.
M TOTAL
Irrigation Booms O.
?
Special Inspection
Alarm/Communicahon THIS INSTALLATION MAY ORD E DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH .
I, the Electrical Inspector, hereby
n
th
h
b
i Rough-in ? Date ._'7? ?j
O" 4
ce
iry
at t
ove
e a
nspectwn has
been made. F,,,ai oate
OFFICE USE ONLY
Ths request voitl 18 monihs Iram
This request voitl
18 rtwnlhs irom
C
6!% 7 / --=;[' y
X?r? C>o
Hequest Date fire No. Rough-in InsVection
Re
uved7
EFeaay Nuwg]WT11 Nnu(y Inspec-
]. S?] ?
?
Yes No tor When qeady
(ILmensetl Elecincal Contractor 1 hareby reQUest insOacUOn oi ebove
? Owner elecvicel work mstalled et
SVeet Address, Boz or floure No. Cfty
Dr. Eagan
ecuon o. Townshio Name or No. ange o. County
Occupant IPRINT) Phone No.
Park Dental
Powar SuOPlier Atldress
Dakota Electric Farmington
Electncal Convactor ICOmpany Nemal Comractor's Lmense No.
Hilite Electric 040445
Mailmp AdJress (Comractor or Owner Mabnp Insteilavon)
3600 Kennebec Dr. Eagan
Authoyied SiBnatw (Contractor Owner Makine tristallation) Phone Number
I ?
Tim Philli s
452-1565
MINNESOTA STATE BOARD OF ELECTIiICITV THIS INSPECTION PEQUEST WILI NOT
Gripps-Midwey Bldg. - Room N•191 BE ACCEPTED 9Y THE STqTE BOAND
1821 Univeraitv Avs.. St. Peul, MN 65104 UNLESS PROPEP INSPECTION FEE IS
Phenef6141662OA00 ENCLOSED.
11719-7 REQUEST FOR ELECTRICAL INSPECTION *Vk ee-ooooi-os
? See insnuctwns. for eomoiabnp this lorm on Daek of yellow copy. 6lq7"1}9
C4??'?(' 1 ? "x" ee/ow Work Covered by Ihrs Request
New1AAtl Ren. Tvoe ol Bwltlma Aoolmn[ee Wirod Enuipmenl Wiretl 1
urnace
EI
k Mi
a Fea semo,eEn:mn.esi:a n ca, re«de.sisueieaaers u Fee ci.cuits
0 ,to 200 Am s 0 to 30 qm s 6 48.00 0 to 30 Am s
A6ove 200 qmp5 37 to 100 Amps 31 to 100 A
Swinwnin Paol 1 001 Above 100_Am s A6ove 100-Am s
Transiormers Inigation Booms P&rtial"Other Fee
I I J Signs ' I ISpecial Inspectw
Nartwrks n 53.50 I ?
16706 TOTAL E
w?
fnis reouest void
78 rtqnths from
c 71110 S/
/r 57 // o
?7? c c
Request Date
-' ' Fire No. Rouph-Pn Insoection
Reqwretl7
[]Heady Nuw (SWiII Noufy InsOeo-
12-12-8( }[]Yes ?NO tor When fleady
Lmensetl Electncal Convactor 1 heroby request inaoeceon of above
Owner eloctricel work instelled et:
Streei Address, Box or Noute No.
4555 Erin Dr. Suite 108 Crtv
Ea a
ection o. Township Name or o. ange o. Counry
Dakota
OcCUpant IPRINTI Phone NO.
Power Suppller Atltlress
Elecmcal Contrec[or ICOmpany Namel
Hilite Electric Connacmr's Lmense No.
040445
MaihnB .4tldress IComractor or Owner MaWnO Instailationl
Aut rizetl S B?aWre ICOntraCtor Owner Making Installaiionl
? James Harve Phone Number
452-1565
MINNq STATE BOAND BF ELECTpIGTY THIS INSPECTION REQUEST WILL NOT
Gri iEway BItl9• - poom N-191 BE ACCEPTE? BY TNE STATE BOARO
1821 niversitr Ave.. St. Peui, MN 66704 UNLE55 PROPER INSPECTION FEE IS
on- Iw111 waI.Mnn ENCLOSED.
flEQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
See iastrucliona,tor compleling this lorm on 6eck ot yellow copy.
C 71110 X" Below Work Covered by This Request _
Azid Reo.h' Tvoe o fguoldina Aoolianees Wired Epuipment Wiretl
N Foe ServlcBEnbaneeSize p Fee Feedars/5ubteeders # Fea ' Cvcurta
O,to 200 qm s 0 to 30 Am s 20 0.00 0 to 30 Am s
A6ove 200 qmps 1 LQ . Q 37 to 100 Amps 31 to 100 Amps
Swinvning Paol Above 100-Am s Above 700_Am 5
Transrormers Irngation Booms , 0 Partial-bthar Fee
? ? 'Signs I I iSUecial lnspection ?$ Remarks ??16 72,5Q TOTAL FE ??,
/a.? nspac?or, harOEy , •
F?nal ? - - 1e certrty that the above
I y?. 'nspaction hes Oean
0"?/ meAe.
Thb reyueet vald 19
,? y 0
ao
l'-
?
?7Q
p
GLd ??
or
Fequest Date
S_ F e No Fough-in InSpectron
Re wretl, ?(
D ReMY N" /? Noti(y
h
n
?
? Yes = N. e
I -'icensed contractor U owner here6y request inspection of above electrical work at:
Job Atltlress IStreet Box ar paule N.
?
,?i.V -h.C Su A''" D
Ciry
"G 4.nJ
Seclion No Townsnip Name or No Range No Counly 1?,?
: ?
??
O upant(PPINTi ,
C
? ec
sT
? OFFicE' PM1One N.
?
-
n
Powar5upp5er Atltlress
Elecincal Conttacmr?G pany Namei F
F?rl ? ?LEc ' GO-G qJ Conhaclo.r'zs ?lmense No
?J`l?
Matlmg Aatlr ss iConVactor w p vner Making Ins;jllanon)
?7100 ED140'V4F, ti?E. ?- /? l• -?'5?1?
Ibonze 5? naWre ICOnlracloriOwne/M Inslallali. n Phonb
MIN OTA STATE 80AR0 OF ELECTHIdTV ' THIS INSPECTION REOUEST WILL NOT
Gr? -MiOway Bltlg - qoom 5-113 8E ACCEPTED BV THE STATE BOARO
1 Universuly Rve, 51 Paul. MN 55100 UNLESS PROPEfi INSPECTION FEE IS
P one(613) 602-0800 ENCLOSEO
REQUEST FOR ELECTRICAL lNSPECTION ee
? -aoom-oa
See msVVCOOns !or comyleling 0?5 lo?m on back oi yallow copy L
x?l+ ,'? ?
.? '.k
La58V - "X" Below Work Covered by This Request
ew 'AAtl Rtp. TyPeoi6wlding AppliancesWiretl EqwpmeniWired
Home Range Temporary Serwce
Duplex Water Heater Elechic Healing
Apt Building Dryer Other (Specity)
Comm./Industnal Fumace
j j ? Farm Au Condrtwner
omer (syecity) Convacmrs Remarks J 0B0 l3 0 99
Compute Inspection Fee Below /PElh O46' L 04?,Ocli
x Other Pee k Service Enlrance 5rze Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps O to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror§ Use Only TOTAL
Irrigahon Booms
p
Q
Speaal Inspection F
Alarm/COmmunication THIS INSTALLATION MAY BE ORD NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecincal Inspector, hereby RO°5b'" p tlaie ,'??
ceriify that ihe above inspection has
been made. F,?ai 7
?/ ?! . ????
OFFICE USE ONLY
This request voiC 18 manths trom
?
22C-OO67
1 OFFICE USE ONLY This
' reqvaet void 18 momhs fram wlidoM1On dore pnmed in ihis box.
p / O
S?
/
'
?.
, _ I/o?/1!
CB • ?
PLEASE PRINT OR 7YPE
Reqoest Dare
a
q ' Rau9hin mspemon requi . 0 Yes tt".
d Impedian Other Than Rougbin ? Ready Now Will Coll
k R
d
D
(
?.? -
S ?Yau must cvll tha mspecror whe n rea
y) a
eo
y.
I, licensed coMrador ? owner here6y request inspecfion o( the a6ove electriml work at a'1 31' j
Jo M ross fSVeei, Boe, or Rouh No.)
`FSSS a r, i. r Gry
?-- OL- °-`"
sS(a--3
SMion No Township Name ar N. Ranga No. F,n N.
?
LC..un*
0
Oavponl
;?
? Phone N.
qqqrrr
???
wer5upp?
Addr s
Elecl' Canlmaor (Compoiry Nome CoMntlor bcense No Mashr Lc. No. (Vlvm Elen Only)
?
Moil' Ad nss Co tlororOwnerPeAorminglnsMllonon)
l "
U-
U . - a
PuMonzed ig re( ?ingl IlaM1On) Phone o
O` ^
EB- 10 6/95? STAiE9?V-SEEINSTRLCTIONSONBACKOFYELLOWCOPY
? ii
I IIIIIII
0
11
m
eE7QUEvertryOnve., REm. S-?1 ?ASt.'PauPi, MNT5O5104
? 9(0
1* Phone (612) 642-0e00
m
Home Duplex Apt.8ldg. Olher: New Addn
Commerciol Indusfrial Form Remod Re air
Air Cond. Htg. Equip. Wo}er Htr. Load Mgmf. Other:
D er Ran e Elec Heat Tem . Service
"X" above the work wvered by this request. Enter remarks in this space and on fhe back of the whife ropy anly. X5-?-''o-F
?'i?6XCWL4?e-11T ZEJQ 7/Z ?
?
Calculafe Inspechon Fee - ihis Ir?pection Requesf will not be accepfed wiffiout the corced iee:
Olher Fee # Service Entrunce $iu Fee # Circvits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Streef Lfg./Traffic $ig. Above 200 Amps Above 100 Amps
TranSfortner/Generator INSPECTOR'S USE ONLY TOTAL
$ign/Ouiline Ltg. Xfma J
?
Gc 1.5 0
Alarm/Remote Control QO(
?
$Wimming Pool Jhere cend *a11 ins dthe <IMnml t no saibed herein on Ihe dates smued
Irrigafion 8oom aooeh-In Dore
-
?
$peaal Inspedion ?` ?
Invesiigative fee
Final ?j
Dok[/- -?o
' G
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
??
0O1 O8 J
c5e&, 9 1
Repuest Date Fire N. Rough-In InpsMron Repwretl
(YOU muet call ins0aclor when reatly) Inspec4on Other Than Rough-in
? Reatly Now ? Will No1M lnspector
(y ? Ves No Date Read
IXhcensed contractor ? owner hereby request inspectwn ot above electrical work at.
Job Adtlress (Street Box or Route No 7 Qry
?ll/i ?
Secuon No Townsbi0 Name m No Range No Gounty
Occupanl(PRINT)
lff= e4-r-F ?LGGC'!ES`TJ9??'?"Ls ?+,?KT- POOne No
" _0(0/0
Powe: Suppeer qadress
Elecmcal Comractor (COmpany Name) Contremors l¢ense No
ii)o E G4 co IC{D
Mading nooress iGOnvacror or p?wner Mae?ing instanaeon)
/ [ y??,e ?y ?y?
1i7? 1 G?- ??1 1 ? 71 V.?S D rJ?
Avmonzetl Signature ICo cwnOwne, anriq Installaoon, -JI
Pnone Number
MINNESOTA STATE BOAPD OF EIECTRIG7Y THIS INSPECTION REOUEST WILL NOT
GriggpMitlway Bltlg - Boom 5493 BE NCCEPTED BV THE STAtE BOARD
1811 Universiry Ave. 51 Paol. MN 55104 UNLESS PROPEF INSPECTION FEE IS
P1wne161])6d]-0800 ENCLOSED
REQUEST FOR ELECTHICAL INSPECTION (? ?? j?0°-"-'?Esaooo, oe
?, L r ? See mstu:no-:s toPS'6mpleting thig torm on back ol yellow co O? `
001089 'X' Below Work Covered by Thisquest
ew Add Rep. TypeofBwltling ApplianceSWVed EqwpmentWired
- Home Range Temporery Service
Ouplex Water Heater Elechic HeaNng
Apt Bwitling Dryer Loatl ManagemeM
CommJlndustrial Fwnace Other (Specily)
Farm Air Conddioner
Othe:(specdy) ContractorsFemarks F44 6
r14
Compute Inspechon Fee Below:
# Olher fee # ServiceEntranceSae Fee # Circmts/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 _ Amps
Si9ns . Inspecmr's use Onty TOTAL ,i?_
Irngahon Booms CG r
, ?.
SpectallnspecM1On i
Alarm/Communication THIS INSTALLATION MAY BE O CONNECTED IF NOT
"
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
rtif
th
h
b
i Rouyn-m oeta
ce
y
at t
e a
ove
nspection has
been made. F,,,ai 1 ,1,e
OFRGE USE ONLV
This request vmtl 18 monms Irom
? a 3 ? Jos:# 1137 ???
Reque t Date ire No ough-In Inspechon Repulretl Ina ectlon Other The
Rough-ln
n
4-28-95 (VOU musl call Inspactor when ready)
? ?
c
? Reatly Now Xp?'ill Notity Inspector
? ves
No oata Raed
Ia licensed contractor ?owner hereby request inspection of above'electrical work at:
doe nderass (so-eat sox ar aome No.) cny
4555 Erin Drive - Suite 240 Eagan
Sxtion No Townshlp Neme or Na. Renge No Counry
Dakota
Oxupanl (PRINT) Phone No.
Cliff Pla
Power Suppller Atltlress
Dakota Electric Farminyton, Minnesota
ElecMcal Coniracror (COmpany Name) Contrector's Ucense No
Mailing Atltlress (Coniractor or Owner eking Instailalion)
1953 wnee Road Eagan, Mumesota 55122
Authonzatl g Wre (COMrac / ner ng Inst on) P?one Number
' ? 452-8886
MIIINESOTA STAfE BOARO OF ELECFRfCITV ? THIS INSPECTION REOUEST WILL NOT
GrlgBa-Mitlway Bltlg. - qoom 5-128 BE ACCEPTED BV THE STATE BOARD
11121 UnlvenHy qve., SL Peul, MN 551 W UNLESS PROPEF INSPECTION FEE IS
Phona (814) 602-08110 ENCLOSEO.
REDUEST FOR ELECTRICAL INSPECTION ea-oooo?-
O 4 0 1 7? See InsVUClions tor completmg thh form on beck of yellow copy, i?? ??Q ?
S? 9Jr X" Below kYork Gaiered by This Request ?+,sm.+,?
e Add Rep. Type of Bullding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Oryer Load Manegement
Comm./Industrial Fumace Other (Specify)
Farm Air Conddioner
omer (ePea(y) Contrecbls Remarks:
Additional circuits for tenant
Compute Inspection Fee Below:
# Other Fee # Service Entrence Size Fee # Clrcuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Am s 50.0
Tiansformers Above 200_Am s A6 e 100 _Am a
Si ns mmec+ors use oniy. TOTAL .5
Irrigation Booms $50.5
S ecial Ins action ?t
Alarm/Communication THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONT ?
I, the Electrical Inspector, hereby
certify that the above inspection has
heen made. Rough-in
Finel ? oate
oa?
?f
OFFICE USE ONIV
TMs request voitl 18 montns fmm
[n?it o'
018
A 0
-
? r
, -
Raq est Dat Fue No, ugh-1K.ispection Requlretl
Z In ecnon Other Than Rough-ln
?
4/28/95 .ell inspector ?en ready)
(VOU musi
? Reatly Now ? Will NoUry Inspector
? vas (
No DatB ReaO
1a Ilcensed contractor ?owner hereby request Inspection of above electrical work at:
Jab Atltlress (SVeel, Box or Route No ) by
4555 Erin Drive Eagan
Secimn N. Township Name or No Renge N. Covnry
Dakota
OccupantPRINT) Phone No.
Cliff Place
Power Supplier Atltlress
Dakota Electric Farmin on,Minnesota
Elecmcal Contrector (Company Name) Contractofs License No.
Hilite Electric, Inc.. 040445
MatUng Atldress (GOntrector or Owner Making Installation)
19 hawnee Road Fa anMinnesota 55122
Authorizetl Sign m(COnirectodOw ek ?tallahon Phone Number
452-8886
MImrESOTA $TATE BOARO OF ELECTRIl.O' ? THIS INSPECTION REpUEST WILL NOT
GrlgBe-Mitlway Bitlg. - Room S128 BE nCCEPTED BY THE STATE BOARD
1821 Unlveralry Ave., St. Paul, MN 56104 UNLESS PROPEfl INSPEGTION FEE IS
Phone(61R) 842•0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION £s.ooooi-ge
O 8 O 1 8 ? SeB insWCtlons for complating this lorm on back oi yellow cop
SQS 'X" Below Work Covered by This Aequest
e Add Rep. Type of Building p nces Wved Equipment Wired
Home Range Temporery Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other Specify
Farm Air Conditioner
ONer (specity) Conuactor's RemarksWire for new hallway
Compute Inspectlon Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 1 4 0 to 100 Amps
Transformers Above200_Amps ove 00-Amps
Si ns in:pacmrs use oniy: 7p7pL 5
Irrigation Booms $20.5
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been mada. Rougn-in
Rnei Dere
D a? ?
OFFICE USE ONLV
TMS request voitl 18 monihs /rom JoB: #1183
CITY OF EAGAN
? 3795 Pibt Knob Road Eagan, MN 55722 N2 6571
PHONE: 450.8100
BUILDING PERMIT APPLICATION Receipt
te 1. u.ae f.. OFFICE-MEDICAIF?e vm.,P 800.000 o?ra 3-27 t s 81
Site Address -
Lot 3 Block
Parcel jk
1 Sec/Sub. M`'1T1 ACY'2S 2rid
z Name Hil-lCreSt D2V21cpTp-rit
? Addressl T 250'MetYOe d!.^Bldg^„
o Name _
r-
Address
? ru..
Name
Ave.
Erect 7E$ Occupancy BZ
Alter ? Zoning Csc
Repair ? Fire Zone 3
Enlarge ? Type of Const. IIIII
Move p # Stories
Demolish ? Front 168 ft.
Grade ? DePth 79 h.
Approvals Fees
AssessdVmt 9-75-81
Water & Sew.
Police
Fire 8 dt 5.
Eng.
Planner
Countll
Bldg. Off.
APC
Permit 717.:3U
Sur .ge 400.00
PIMt,?r k457 .75
4 00? Nnn. dSS2SS2C1
Water Meter NA
Raod Unit 1204.35
?.17 acres at 555
Total 7177 _ 60
I hereby acknowledge thot 1 have reod this applicotion and state that
the informotion is mrrect and agree to camply with all applicoble
Stote of Minnesota Statutes and City of Ea9an Ordirwnces.
Signature of Permittee
A Building Permit is issued to: -
ell work sholl be done in ucmrdance
Building Official x
1111(:LC:iL uevel i c on the e?ress condition that
all appl'. _- _ nnesota Statutes ond Ciry of Eagan Ordinances.
welTEttEnD LAw CITY OF EAGAN
'- " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 18388
PHONE: 454-8100 ? l d?
BUILDING PERMIT Receipt # yv
INTERIOR
To be used for IMPROVEMENT Est. Value !;4, 000 Date SEP 20
Site Address - 4555 ERIN DR
Lot 3 Block 1 SeGSub. MARI ACRES 2ND
Parcel No.
IName HILLCREST DEVELOPMENT
o Address 1111 T}iIRD AVE S
City MPLS Phone _ 371-0123
o Name SAMR I
?Q Address
1- City Phone
r?
gw Name SAME
Address
<W City Phone
1 hereby acknowlege thal I have read ihis application antl state ihat Ihe
mformahon is correct gree to ?omply with ail applicable Slate of
Minnesola Statutes antl ol Eag , Ordin s.
Si9nawre ot Permitee
A Building Permit is issued to: HILLC T DEVELOPMENT
on the express condihon that all work shall ba tlone in accordance with all
applicable State of Minnesota Statutes and Cit o( Eagan Ordinances.
BuildingOtliaal ? iA Olf{ +
OFFICE USE ONIV
Octupancy B=z FEES
Zoning -
(ACtuap Const - eldg Permit 63.00
(Allowable) - Sumharge 2-nn
M oiSlones -
Lenglh _ Pian Review
Dapth - SAQ City
S.F. Total - SAC, MCWCC
S F Footprints -
On Sde Sewage _ Water Conn
On Site Weil - Water Meter
MWCCSystem -
Acci. Deposrt
Ciry Water _
PRV Required - S/W Permit
BaDSter Pump - S/W Sumharge
Trealment PI
APPROVALS Road lJnit
Planner - park Ded
Cauncil
BIdg.Oft _ Copies
Variance - TOTAI 65.00
EACAN VAidEY DII11'AL CEDlIER
. CITY OF EAGAN Np 19076
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100
Receipt #
INTERIOR
To be used for IMPRO ..NT Est. value $9, 600 Date MAY 17 7991
Site Address 4555 ERIN DR STE 180
Lot 3 Block 1 Sec/Sub. MARI ACRES 2ND OFFICE uSE ONLv
Parcel No. occuPancy R?2 FEES
Zomng
w Name HILLCREST DEVELOPMENT (ACtual) Const Bldg
Permrt 117.00
3 Address 1111 THIRD AVE S (Allowable) _
.
_
5
00
° City MINNEAPOLIS PhOne 338-4825 BotStories .
_ Surcharge
Plan Review
length _
o Name SAME Depth SAQ Ciry
-
?
0 AddfBSS S.F.Tolal -
0 SAC,MCWCC
? Gfy PhOne S.P. Footpnnts _
W
C
On Site Sewa9e ater
onn
-
r
F W
N8m8
On Site Well
Address
Mwcc sysiem _ Water Meler
_
45 City Phone Cily Water - Acct. Deposit
PqV Requiretl _ S/W Parmit
1 hereby acknowlege that I have read this applicatwn and state that the Booater Pump - gryy Surcharge
informallon is correct aqree to comply with all applicable State of
Minnesota Statutas a of Ea n OLdin , Treatment PI
Signature ol Permitee APPROVALS Road Unil
A Building Pertnit is issued to. HILLCRE DEVELO MENT Pianner - Park DeO.
on the express condition Ihat all work shall be done in accordance wilh all Council
apphcable Stale of M
iIn?nesota StaWtes and
Ci
ryI of Eagan Ordinances. g? pry, _ Copies
,
h
'
Building Otlicial I 11N11? R Bi?AI y! I I n Variance - TOTAL 1 LL. V V
??-y???? ,,,.? CITY Of EAGAN
- 12956
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0
? PHONE: 454-8100 6Y7j
SUILDING PERMIT Receiptu
7obeuaedlor REMODELING Est.Vaiue $37,500 Date DECEMBER 8 19 86
SiteAddress 4555 ERIN DRIVE Erect ? Occupancy
Lot 3 Block 1 Sec/Sub. MARI ACRES 2.- Remodel ? Zoning
Parcel No Repair ? Type of Const
. Addition ? No. Stories
W Name HILLCREST DEVELOPMENT Move ? Length
1111 3RD AVE SO. D
m
h P
o ,
Address ?
mpr. ? Sq
Ft
Ciry MPLS phone 371-0123 Instau ?
o I Name_ _ P.R. CONSTRUCTION Approw
$? nddress SAME Assessment_
? ciry Pnone 338-4825 WaterBSew.
? W Name S('nTT HF.r.MG
?
?a Address 119 N 4TH ST
iw Ciry MPLS p ,e 75-0286
Iherebyacknowledgeth Ih rea thiq
in(ormation is correct an a 11 t om
Minnesota Statutes antl
Signature of Permittee
t
A Building Permit is issu P?
all work shall be done in
cc d? e th all
Building ONicial
Pohce _
Fire -
Eng. _
Planner
Council
oplicationandstatethatthe gld Off. 12 8/86
with all aDPlicable State oi 9' ?
ON
Var.
Permit c?.vv
Surcharge 19.00
Plan Review114 . 50
SAC
Water Conn.
Water Meter
Road Unit_
Tr. PI.
Copies
Total $362.50
- on the express condition that
of Eagan Ordmancas.
ir
l/
CITY OE' EAGAN Include 2 sets of plans,
1 sitz plan w/elevations &
BUILDING PEEdNIT APPLICATION 1 set of energy calculations.'
i
7b Be Used For z-A7ed,?4L, valuation1"'04, Date
I Site Pddress (litt?, pFFICE USE ONLY
Lot Block / Sec./Sub. n'?,e.• Esect ? OccufancY
Parcel #:
O+mer: -"`7>e?; 11
Address: /yJr {?,e.? .-;5?u.,.n_
City/Zip Code: 57-
Phone #:
-7
Contractor: _71;? .
Pddress: ??s /I ?rr r
City/Zip Code:
Phone?#:
PSCh./gtcJ.: f-n r' E- /d?6 .-c ,
AddTess: ,.5-33 ? : ?f
City/Zip Code: ?ST 6 Z
Phone #: _,7 q / _ sY
Alter Zoning C 5 C.
RPpair Fire Zone 3
Enlan7e _ 'Iype of Const.
Nbve # Stories
Denolish Front ft.
Grade Depth ? 9 ft.
APPROVALS FEES ,
Assess[nents Permit ?
Wdter/Sewer Surcharge 960 °-°
Police Plan Check
,5?
Fire -
SPL ?' SdJ `/oV7J
Eng. Water Conn.
Planner water Meter
Council Road
Bldg. Off.
APC
TOTAL
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