1002 Danbury Ct - Electrical Permits1a/.Y9
21236:,/,' e.?jisp?jon
re No.
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7- 6- 8 9 ? Reatly Now pg Wpl NohInspector
o ? ? When Ready?
; icensed contractor ? owner hereby request inspection ot above electrical work at.
40aress (Street, Bax or Rwte No )
1002 Danbury Court c??'
N r hpN N Eagan
Rannc Mn _ .
Key Land Homes
ier Supplie?
AGtlress
Dakota Electric Farmington
t I Comrador (Company Name)
Midland Electric Inc.
inglWdress (COnt2qor or Owner Making Insta11a0on)
14055 Grand Ave So, Suite E, Burn
?Wre (COMradw/Owner M^kmg^nstallabon)
MINNE30TA $7pTE BOAHO OF ELECTp
Griggs-Mitlway Blag. - Rwm 5-113
1821 UnivgreHy Ave., SI. Peul, MN 55104
Phona (612) 692-0800
Dakota
ore No
894-2636
55024
?nVactor§ bwnse N.
SlafiZ 041610
ville, MN 55337
Phone Number
892-6688
THIS INSPECTION REQUEST WILL N07
BE ACCEPTED BYiHE ST.4TE BpqRD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
1 ?pREQUEST FOR ELECTRICAL INSPECTION
., li? Seeinstmdions for cvmplehrg ihis tomn on back oV yellow wpy
P 21 P, 2 n `X°@elow Work Cavered bv This Ranuect
EB-00001-0)
" 9c3?' SL/
ew Add Rep. TypeolBuilding AppliancesWired EquipmenlWved
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building
; Dryer Other (Specity)
Comm./Industrial Fumace
Farm ' A,r Condinoner
Other (speny)
Compute lnspectron Fee Below CpMractor§ Remarks
# Other Fee # ServiceEnlranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ qmps Above 100 _ Amps
Signs Inspector§ Use only TOTAL
Irrigation Booms ?
S
ecial Ins
ecti O
p
p
on
Alarm/Communicatlon
Other Fee
I, the Electncal Inspector, hereby
certify that the above inspection has
been made. Rough-in
Finai
? , Da[a
?
/ ?cp
?
OFFICE USE ONLV
TMS request void 16 months irom '
r%r l.
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•
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6Pifff/90 C f:71179 -
G 33531 ,?' 7r.?. ?5?
Fequesl pate ?
: Fi No tR..h-m spe
f? No ? Reatly Now ,? Will Notify Inspec[or
When Reatly?
I ? licensed contractor ? owner hereby request mspechon of above eledncal work at:
doe naa?ess ?sveec eo. o. aome No.? C ??,
c?ez drWsm c? Ei9G?N
Section No Townshp Name or No Range No Coumy
D9?r,q
Ocwpant (PRINT) Phona No
5?? r- ? n;- ?52
-138
Powei SupO??er Atltlress .
NkeTR ECkCTRlc_
Eieclnwi Convador (COmpany Namei
dA Conhactor's License No
IVIh
MaJing qddress ?GOntraclor or Owner Makmg Instailalion)
ioo2 DANBUR U`:
AWhonzetl-S?e'?ip a/ly[2\ IConlractor/Owner Making Inslallalion)
n Phone Number
J_.."'
V .V?ly-` }c?1
?S?-/SV•C.j
MINNESOTq STATE BOAqp OF ELECTRICITY THIS INSPECTION REpUEST WILL NOT
Gtlgge-Mldwey 81Eg. - poom S173 BE ACCEPTEO BV THE STATE BOAPD
1821 UniverstTy Ave, Sf Paul, MN 551p0 UNLESS PROPER INSPECTION FEE IS
Plwne(612?fid1-0B00 ENCLOSEO
(g/ur l9.+o REQUEST FOR ELECTRICAL INSPECTION EB oam-07
? ?
See inslmclions for completing Ihis lorm on Oack ot yellow copy
?
3'?531 ? "X" 8elow Woik Covered by This Ftequest
ew Add Rep TypeofBwltling qpphancesWrted EqmpmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwldmg Dryer Other (Speciy)
Comm./Industnal Fumace
Farm Av Conditioner
O1her (spealy; Controdo.s Remarks
Compute lnspechon Fee Below
# Olher Fee # Service EniranceSze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
NanStormers AboVe 200 _ Amps Above 100 _ Amps
SIgnS Inspectors Use Only TOTAL
IrngaaonBOOms P5,?'jQ
S
peaallnspechon
Alarm/Communicahon TFiIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
certity that the above mspechon has
been made RougRin
Fnal
4.4 Za
?
Oele
OFFICE USE ONLV ?.?
ITnis repuest vatl 18 montns Imm