1001 Danbury Ct - Electrical Permits27^?^?? ? O E US ONLY This requesf vaid 18 momhs from voLdaTOn dote pnme ?? S/
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PLEASE PRINT OR TYPE
Request Q?fe 9 / Roagh-in in:pernon reqwred2 Vas
n x ? (you must mll the inapedor when ready) Inapedion Other Thon Roogh.lm 0 Ready No I Call
Dak Reody
I, ? h<ensed mntracto owner hereby requesf mspechon of ih e above eledrical work at
Job Pddress (Slreeq ete No ) Cik Zip Cade
Sedion No. Township ame or No Range N. Frte N. Counh
Occvpan?
h ? Phone No
se?
os
Power $upplier Address
Eletlnml a dor(CompanyNamej CoMmcwr limnse N. Masror L?c N. (Glvnf Elen Only?
n
adri°V WYl
Motlin9 dres: ommcior or O.mer Pedormina Inslallanon)
AuThanzed5igno n?clorar wn<ry?rformi stallmion)
? PhaneNa
(?83-1lSo
EB?0000IA-1 95 STATEBOAROCOPV- EEINSTftl1CTION50NBACKOFYELLOWCOPY _
II ?II I II IIII REQUEST FOR ELECTHICAL INSPECTION
Minnesofa SWte Board of Eledricity
* 1821
?- ga ?.??i, MN esioa `?- 0-0
Univer # 7 3 2 7 6* Phone (612)s642ity m/
M1IM
Home Dup ea Apt. Bldg. Jt New ddn
Commercial Indusirial Farm ?Sf?l vl? S Remod Re air
Air Cond. Hfg. Equip. Water Hfr. Load Mgmf Ofher:
D er Range Elec. Heot Tem . Service
"X" above fhe work covered by this request Enter remarks in lhis space ond on the ?bg<k of the whife copy only.
?e,e?CCeS exF)ir?c( ge.rwn? } ? ? 0'aL'? 90
Colculote Inspechon Fee - 7his Inspechon Requesf will not be occepfed wifhovt the mrmct fee:
Other Fee aR $ervice Enhanoe $rze Fee # Grcvils/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireef Lfg./Troffic 5ig. Above 200 Amps Amps
Trans{ormer/Generaior INSPECTOH'SUSEONLV T?
Sign/Outline L}g. Xfmr.
Alarm/Remote Confrol
Swimming Pool i hercb am maf iin: . t e eletln[alinslallafion Le5 hercin on Me doNt [blttl
Irrigafion Boom koogh-in ??+
S
i
ll
d
nspe
ion
pec
a
Invesfigative Fee
Fina --
10
?° /
THIS INSTALLATION MAY BE ORDEHED D SCON ECTED IF NOT OMPLETED WITHIN 18 ONTHS.
,
A ?0/&0
C
3 4?i
RaOUesi Date ? Fire No Rough-I saCion Beqmratl
(VOU m e II Inepec? r en ready? 'n ?ioo OtM1er TM1an Rough-In
R¢ady Now ? Will Notify Inspaclor
Yes No Da e Reatly
I hcensed contractor ] owner hereby request inspection of above eledrical work at:
ab Actlress (Stree: Box or Poule No I
wa 1 ,?? ?-t
c--ii Ciry
CtA `,154 k)
Secuon No Township Name ai No Range No. Counly (
?
OccoOam (PRINT?
?0 c ??/?- S e,• Phone No
8'3- I I 5?
C?
Powar Supplier Atltlress ^
V
.4 k o ,a F
Electncal Gomrecror ICompeny Name1 Contrector5 Lme se N.
'?i oav?
e
-
Maihng Aeoress IGonVector or Owner Makmg Ins[ailationl
3-.'3U , 3 9LL
Au?M1Ori reiCOnlractOwne? Maki eIns?alla0onl
?
' Phone Number
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h I
MINNESOTA STATE BO ECTRICITV THIS INSPEGTION FEQUEST WILL NOT
BY THE STATE BOARD
E
Griggs-MlCwey Bldg - Poom 5-173
G? BE ACCEPT
D
UNLE55 PROPER INSPECTION FEE I$
1921 Unrvenlly Ave.. 51 Peul. MN 55106
Phone (612) 642-0900 ENCLOSED
/ REQUEST FOR ELECTRICAL INSPECTION
t?. ip See m9mctions ior compleung ihis form on back ot yellow copy ee-ooom-oe
S y?_
M 3 74 "X" 8elow Work Covered by ThIs Request
Yew Ado' Rep Typeofeudding ApphancesWired EqmpmeniWired
Home Range Temporery Service
Dupiex Water Heater Eleclnc Heating
Apt. Bwlding Dryer Load Management
Comm.llndustnai Fumace Othe? (Specify)
Farm Air Conditloner
?IM1Bt ?SpBCilyl Ci0Oh9Gi0(?5 R?dM6
Campute Inspecnon Fee Below Y
p O?her
Swimming Pool Fee k =:fT
0 Circuits/Feeders
0 to 100 Amps Fee
Transformers A .m
ps
Above100-P
Slgns InspetlorS Use Only nnn
??1
TQTj.?? j?
G
Irrigation Booms C ?
?
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspecior, hereby Rougn-in
( Date
cerufy that the above inspechon has
been made F1f1ei ?
OFFICE USE ONLY
This request voitl 18 months Irom
i .
"//F
N 0 4 0 ? S
^'d 5-3 11, /
?
Repuest pale F re No Roughdn Inp i0n Fequ eE Inspecnon Other Tnen Rough.ln
?Vau mus? ine0edor whBn reaEy) ? Reatly Now ? WJI Notly InsOetlor
? Yes ? No Dete ReaCy
1 71 licensed contrector p4wner hereby request inspechon of above electrical work at:
Job A
dtlr
ess ?Stre x or 9ouje No ) q?,
n
?
w/ / ti
Sedion N. Townsnip Name or Range No Counry
OcwOant PRINTi Phone No. \
ose h se
Gower Supplier Atltlress
E
al Convactor ICOmpany Namel Goni licenu No
B
0 MC QW tl QY
Maihnss lCOmretlo, or Ownae Making I
0 nstailaliom
()E
0
N
Autnonzetl Sgn onlracton0 ner M Inslallat Pno e Nu ler ^
?
'
MINNE5091(STATE BOAi(D OF ELECTPIqTV U TNIS WSPECTION REOUEST WILL NOT
Grlggs-?I?weY Bldg. - Poom 5473 BE ACCEPTED BY TME STATE BOARD
1831 Umvenity Ave., St Paul. MN 55100 UNLESS PROPER INSPEQION FEE I$
Vhone(61P)6E2-0B00 ENGLOSED
REOUEST FOR ELECTRICAL INSPECTION 1, ? M4?'Tq, EB-00001-08
See insoectians lor completing tNS torn on back oi yellow copY g?? ,?S3
n
?\9 O G 4 J O "X" Belaw Work Covered by Thrs Aequest ?.,?".+ '
ew Add Rep TypeofBUdding ApphancesWired EqmpmentWved
Home Range Temporary Service
ouplex Water Heater Electric Heeting
Apt Bwlding Dry
er Load Menagement
Commllndustrial n
Furace Other(Specify)
Farm Au Conditioner
Omer?syec?ty? GonVaclor'sRemarks.
J
Compute /nspecbon Fee Below.
# Other Fee # ServiceEntrenceSrze Fee ? Circmts/Peetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
SIglIS Inspector5 Use Only TQ PQ
Irriqahon Booms
S
l
pecia
Inspection
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electncal Inspector, hereby
certify that the above inspechon has
been made. Ao°9n-'"
F,,,ai oare
i
oe?e ?
?IOfiICE USE ONp
dhis requesl vob 18 months Irom
9858'9
°?7
? 0 4 5 91,? i? 3 , 7? ?"n' ieques' Da?e •Fire No Roug ?nepecdon p 0.eady Now ill s?ctor
? Wnen Headype
Ves ? No
IkaNCensed contractor ? owner hereby requesl inspection of above electrical work at:
JoOAtlOress(Slreet. Box or Route No.) / .Cry
1? ?N?/e?C G / /
S.ction No Township Narne or No Range No ? ),
?
No
ar Owner Makng
L-j THIS INSPECrION REOUEST WILL NOT
11q O OF ELEC7RICRY BE ACCEPTED BV THE STATE BOARO
Culggo-Midway Bltlg. - Hoom S1TJ l1NLESS PROPER INSPECTION FEE IS
_ 1821 Unlvxsity Ave., SL Paul, MN 5510G ENCLOSED
I
¢J'? REQUEST FOR ELECTRICAL INSPECTION E8-00001-07
p. See inslrudons br camplebeg this foim on oack N Yellow copY_
2?, q C O 1 `X" Below Work Covered by This Request
Home
Compute Inspection Fee Below:
q Other Fee
I O[herFee I
I, the Electncal Inspedor, hereby
certify that Ihe above inspection has
been made.
]FFICE USE ONLY
fhis repuest witl 18 momhs from
ServiceEntranceSrze Fee
0 to 00 Amps
Above 200 _ Amps
cior5 use Oniy
to 100
? ?(J? ?? /' ate
Date/ /I
i /r .;