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994 Danbury Ct - Electrical PermitsThis request void (7/,-) 18 months from O/Of E 4526P 1r2A2 9cV`2 I hereby request inspection of above ? OwnPr electrical work installed at: St t 64d ress Box or o te No. • CiIy??? \ ection o. Township Name or o. n No. County Occu ant (PRINT) o es Phone No. Power ier Address Electnca on?ractor {Company Name) C.tractyr's License No. Maili s r o f Instailationl Authoriz? ja l?igna u r k .?P? ,?A? ?PdL'lationl t ? v ? Phone Number MINNESOTA STATE BOARD OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-791 BE ACCEPTED BY THE STATE BOARD 1821 Univarsitv Ave.. St. Pau1, MN 55104 UNLESS PROPEN INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. O&Igg REQUEST FOR ELECTRICAL INSPECTION . Es-ooooi -os ? See instructions for completing this fwm on back ot vellow copy. E 45262 "X" Below Work Covered by This Request M Fee ServiceEntranceSize M Fee Faeders/Subfeeders a Fee Circuits 0 to200Am s 0 to30Am s Oto 30Am s Above 200 Amps 31 to 100 Ailips 31 to 100 Am Swimming Pool Above 100^Am s Above 100_Amps Transformers Irrigaticn Booms Pariial-er e 5igns Special Inspection g/ ' TOLjT'6J/ Rema ks r .