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1006 Danbury Ct - Electrical Permits 6) /8'7 ., .. , 9? 7?7'7 E 933 68 , n , ?^ RequestDate ? / ' Fre No Roug Inspecbon ?? ?ieatly Now ? Will Notity Inspector WM1en ReaOY? 3 ? jJ ? Yes I;Klicensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sheel, Boz or ^RoufAe Na ) ? Vf?N?? ? i CdY ` fM/V, Sechon No Township Name orNO Rarge No- CmmDsrlbT.4 • Occupant (PRIM) Wlt? Xf?itl2 Pnare No. Power Supplier Atltlress - ? A s??? o? Elec?nwl ntractor (COmpany Neme) c ' ` Contrecta5 Leense No. a f Q5u / €rCc7 i r c G? Mailing AGdress (COniractor or trxner Meking Installation) ' sSdi Authonz $ignatu (Cantrflctorl0?p e?r + In J@sfalietion) c.? ylt?/ ?Z Phone NumDer ,56 1- G. SiT- !2. MINNESOTA STATE BOAHO OF ELECTflICITY THIS INSPECTION FEQUEST WILL NOT Grigge-Mltlway 81tlg - Room S-173 BE AGCEPTED BYTHE STPTE BOARD 1821 Unhersity Ave., SC Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS pryone (612) 642-080p ENCLOSED I REQI.IEST FOR ELECTRICAL INSPECTION ee-oooma? w See insimcLOns ior [ompleLng Ihis form on back ot yellow capy R 93168 J(" Below Work Covered by This Request ew Add Rep TypeofBwlding ApphancesWiretl EquipmantWrted Home Fiange Temporary Service Duplez Water Heater Electric Heating Apt Building Dryer O[her (Specify) Comm./Industrial Furnace Farm ' Air Conditioner 01her (specdy) Cornrador§ Remarks 7'triZv'J. 58?Rclc?('r Compute Inspection Fee Be/ow: # Olher Fee # ServiceEniranCeSiza Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps _!)e? Transformers A6ove 200 _ Amps Above i00 _ Amps SignS Inapemor5 Use Onty. TOTAL7 Irrigation 8ooms ? ? q3. orD Special Inspection ! L , ?• a, Alarm/Communication J O[her Fee - "" -`-:}'? *?•?' ? .? I, ihe Electrical Inspector, hereby Rougn,n i- _ oate certify that the above inspection has been made. Fnal r OFFlCE USE ONLY ? This request voitl 18 moMlfe imm P 28956 flequest Date ? _ Fre No: ugRin InspBCtl equire tl'+ ?" ? ReaEy Now ?wAI Nouy Inspecmr ? bJhen Reatly7 ? u es I 1icensed contractor ? owner hereby request inspeclion of above eleclrical work at: Job ress (Slreel, Box or wte No ) ?' b? cA iz cT CiN 4 ,4"V Secaon No 7ownship Name a No Rarge Db Cou^N Pr/G?/ Occupant (PRINT) J 2 IflzA PMne No. y 6 5`3 ? i - o PowerSUppler . A'DTB? EI EC? ? C Addresa .. ?tS .J Elec[n I oiriractor (C-mpOrry Name) e C°^t^se 0. c ?IC_ ci2 ? Mailing Atltlress (Conhacbr or Owner Meki slallation) AuMerrzed Sign /r9 (Conirac[a? ner aki?g ? on) Plwne NumUer ??? MIN ESOTA STATE eOAND OF ELECTRICIN THIS INSPECTION REQUEST WILL NOT Gflgga-Midway Bltlg. - Haom &173 BE ACCEPTED BY THE STATE BOARD 1827 Univer911y Ave., SL Peul, MN 55109 UNLESS PHOPER INSPECTION FEE IS Plrone (612) 642-O800 ENCLOSEO I rf?REQUEST FOR ELECTRICAL INSPECTION ?q e9e-ooom-o7 ji? See mSPjctu',`ns for complefing mis lorm an beck a( yelbw copy L5 $ 9 e bb "X" Below Work Covered by Ihis trequ Builtling AppliancesWi esr EqmpmentWired Range Water Heater Temporary Ser vice Electric Heating g Dryer Other (Specify) stnal Fumace Air Conddioner ? Coniractor5 Remarks Compute Inspection Fee Be/ow: # Othar Fee # ServiceEntranceSize Fee # ircuitslFeeders Fee Swimming Pool Transiormers 0 to 200 Amps Above 200 _ Amps o to ps SIJf15 j? Inspector§USeOnly 0r TO?L V l( Irrigation Booms / / Special Inspection AlarmlGommunication ? Other Fee I, the Electrical Inspector, hereby Rau9Rin certify that the above inspection has been made. Fnal D8 .? OFFICE USE ONLY Thm request voi0 18 momms trom N