1010 Danbury Ct - Electrical Permits. ?
Thi's reques? void
,? ,,,hs 8 2 9 4 5
Request Date Rre No. 'ROUph-m?InsDecUOn
Reqwretl? ? ?ReaAV Now)6WWNoUty InsPec-
/? ? tor When fleatlY
Ves ?No
? licensed ElecW:r.ai Conlractor I hereby reQUest insOection of above
n Owner electncel work mstalled eY
Sveet Atldress, Box or Foute No. C,tY
p PA?
ecvon o. Township Name or No Range No Cownly
? Lcr? 6ti,( 3 L XUrN 5
OccuVani IPRINTI Phone No.
ARVI.J (rCu (sE ?Gee?f/25 33'2-3v 3'
Power Suppl,er Address
,* KO ;xi-
Elechical Convactor ICOmpany Namel Convactnr's Lmense No.
/?'?A"`?rTr2 cGE-t,D?loL 7 `'"3
MailinB P.ddress IConVactor or Owner Makinp InstailaUOn1
2 -l G '7 ?' crrrn??f .1?0
Alf
Authonzed Signatu?e ICOntractodOwner Makmy Installauonl Phone Numbrtr
ii? 9c - 5
MINNESOTA STpTE BOAND OF ELEb*AICIiY
Grigee-M,dwav gitlB. - paom N•191
Ptione (612) 642-0800 rll BE ACGEPTED'BYdTHE STATE'BOARD
1827 Umversrtv Ave..51. Peul. MN 55704
l1NLE55 PNOPEN INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? pee-00007-06
? , See inshuctions lar com0leLnp this lorm on back ol Vellow coCR J C? ??7U
Do 8 2 9 4 5 "x BeloW Work Covered by Ihis Request
FAd Xep. Type o1 BmltlmO AVOliancea WveE Equ?V??an? Wved
Home • Ranye Temporary Service
Duule.x Water HeTter LighUny Fixtures
Gommercial Bltly Furnace aiio uniuader
Industrial BIAg Air Conditioner Bulk Milk Tank
c...... Othrr nei.i v -th, lSunnfvl
rira lncnarhnn
N Fee Sarv,ce EntrenceSize b Fae Feeders/5ubleeders b Fee Circurts
- Y? U to 200 qm
s 0 to 30 Am s 0 tn 30 An+?
Above 200
Amps 31 to 100 qinps 31 to 100 qm s
Swinvnin Pool Above 100_Amps Above 100_Amps
Transrormers Irrigation 8oomis L Parbal.'Oth
aigns apeciaiinsUecuon
y
$
TO7A E
Remirks ?
v ?
r
NouBh-in the cvic
C • InsPector. o.ebv
???l Y tM1at the above
Ftnal ^ /?
1 J ?.???,
7d ?^soa?naseaen
uon
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?/ ?da.
TNe request
.s
Th'i5 repue5t void
18 bnihs from
0 801
/J??? S1'/lt/?r
Vl
0
nnques? a?e Fre No. Hooqh-? Insf?er,UOn
? ? ?^- Re4 ??e ? ? ( ?Heady No?n\?Will Nolity InYpec-
(j? ?es N When Read
censetl Elec[rical Contr.ctor 1 heraby re0uasi inspaction ol ebove
? Owner electncal work installed at
5[reet Address, Box or Rovte No.
I. Cny
ecvo o. Townsh[p Name or No. flnnge No, ounty
Occuuant(PRINT) Phone No.
Power Sup lier Adtlress
.S O 3-
Hauln al Co tor ICo ?ny N1 Conhactor s Liconse No.
l??
Mailing AtlJress IContractor or wner Makinp Ins,allnuonl
? -r
A?oneed Sienawre (COnvacror/Owner Makiny InstallaLOnl Phone Nu
ber
/
a
INNESOT/CSTqTE 90APD OF ELECTflIGITY
'i'9es-Mhdwey Bldp. - Room N-191
G ?
1821 Universilv Ava.. St. Peul, MN 55104
Phone (612) 642-0800
THIS INSPECTION PEQUEST WILL NOT
BE qCCEPTED BV THE STATE BOAND
UNLESS PflOPEH INSPECTION FEE I$
ENCLOSED.
REQUEST FOR ELEC7RICAL INSPECTION ee-o/oaoi-os
p G 1 Sea insM1UChons lor compleLrq this torm on back of yellow coCV.
?'p Q V? 6 "R" Below Work Covered by lhis Request
AAd Rep Type ol Bwltling Apphancea WneA Eqwumenc Wired
Home Range Temporary Service
Duplen Water Heater Lighnng Fixtwes
Apt BmlAing Dryei Electnc Heann
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg qir Condinoner Bulk Mi Ik Tank
Fyrm ther oer.ify 00her ISner.fyl
,...
,.....
., i.._ t r Suculv
__'..__ ? .. . Othcr Other
M Fee ServiceEnhenceSize M1 Fae Feaders/Subiexders N Fee Cvcwts
0 to 200 Am s
Above 200 qnII)y. 0 to 30 Am s
31 to 700 Amps 0 to 30 Am s
31 to 100 qm 5
Swimming Pool qbpve 100_Amps Above 100_Amps
Transtormers
S?9^5 Irngation iiooms
Speciallnspection 0 artial-'Other Fee
. $2Q, C-e TOTA EE ?
Rou9In-in
_-• ? t`/ ?+?• j Vb D S /?
/
. tha
?bi
nsceceor, ne.eev
Final ?
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?'O? cerldy thqt the abova
msNecLOn has been
matle.