998 Danbury Ct - Electrical Permits? a? ?8s '
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96,17
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Reques! Da[e
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o Roug n Inspeaion
Raq tl? ? Reetly Now ?Wtll Notity InsO?or
Bs ? N. When Reatly?
I'Xlicensed contractor ? owner hereby request inspection of above electrical work at.
Job Actlres, (Sirget Bo. cr%? p 1 6?
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Secuon No Townsnip Name or No qange No Couny
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Oc pen?fPRINTI
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?o•nerSo/c?P??ier
? .?F-rJ /?/J ?' J ,IC/,.,?, //' ??C.! V 1 ?. qtltlress
EIecV cal Comr cror ICompany Na ?
??° ConV clor's Lm? No
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W .nC_ ? V Y le ' i
Matling Ts omrac • or Owner Marcmg Ins?ty lionl
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Authonzetl alora ?Cont wner eng In etion) Phone N-C/bar
MINNESOTA STATE BOA l ELECTRICITY THIS INSPEQION REOUEST WILL NOT
Grlggs-MlEway Bltlg - Poom 5413 \ BE ACCEPTED BY THE STATE 90AR0
1821 Unrversity Ave, St Paul, MN 55106 130 0 UNLESS PROPER INSPECTION FEE IS
Phone (612) 692-0800 ENCLOSE?
2/7?REOUEST FOR ELECTRICAL INSPECTION -frli A EB-OOOO
p ry" / (? ? See insVUCnons for completing ths brm an back of yellow ropy ?` 0 ?I
L? 2 1,Q_J O "X" 8e/ow Work Covered by This Request ?`•i?
ef A du jRep TypeolBUdding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Other (Specity)
Comm./Industnal Fumace
Farm Av Conditioner
Olher IsuecJyi Con,racror§ Remar'as
Compute Inspection Fee Be7ow
? Other Fee # ServiceEntranceSrze Fee #- CircmtslFeeders Fee
Swimmmg Pool /Mi 0 to 200 Amps 0 to 100 Amps % dO
Transformers Above 200 _ Amps Abov 100 _ Amps
Signs I inspectorsUSeOnly i TOTAL
Irrigauon Booms i 7, C?02 s3 sD
Special Inspection
Alarm/Gommunicahon THIS INSTALLATION MAY BE ORDER DE ISCONNECTED IF NOT
Other Fee O COMPLETED WITHIN 18 MONTHS.
I, the Electrical In ector, hereby
ti
th
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b PO°9n"" oatL?
cer
ty
a
t
ea
ovemspectionhas
been made. F,nai oate
OFFICE USE ONLY
;This request voitl 18 months Irom
Th, re0ues[ vonA
18 months from I` v
I;: 1 n n 0 CZ ?j;?
`° 1 T V 4 V •P .e-i . .. ?? i: . - ? • • .
penuesl Date Fir? No. /
/ RoupK-in nsVer,bon
Reqwretl ;
?ReaAy Now f7?Wili Noufy Inspec -
Wh
R
t
?Yes ?No or
en
eady
E] LicenseA Electncal ConVactor I hereby requast insoecLOn otebove
fi electncnl work installed ar
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Street Address. Box or Route No.
CitY
[_'a
rcLOn Nr,? Township a o or No. R%?^Be N? C????
OccuuAnt (PHINT)
1?a 1?S A- ?vtn?eU???? Phone Nn.
?b?l U 7`
Power Su ier AAtlress
Elec[ncal Contracmr (COmpany Name) Contractor's L,cmse No.
Mailmp Address (COnvactor or Owner Making Installdbon)
AuthonzeA SiBnature (ContractodOwner Making Installation) Phone Nmnber
MINNESOTA STATE BOARD OF ELECTRICITY
Grie9s-Midwey Bld9. - Aoom N-191
1821 Vnivenitv Ave. St. Paol. MN 55100
Phone (672) 642-0800
BE AGCEPTED 6V TME STATE 80ARD
UNLE55 PNOPEH INSPECTIpN FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION es-oooai-os
vellow cupv. ?c
Ili, See mstructions for comylebng this tarm on beck ol y 8j ?
FP ` j'A-j 19 E; "X'' Re/ow Work Covered by Ihis Request
fliaw Add flea. TVUe ot BuiltlmA QODhances W?red EquiVmem WireA
Home Range Temporary Service
Duplex Water Heater Liqhtiny Fiztwe-.
Apt BwIAin9 Dryer Electnc Healin
Commeraal BIAy. Fumace Silu Unloader
InAustnal 81dg.
Farm Air Condrtioner
oon«t 50e, v Bulk Milk T&nk
-ln,a Isrn,???vi 4vv
thr.r SucufY Othcr 01hm
p Fee ServmeEnvance$ize H fea Feeders?Sabfeeders Cvcans
U to 200 Amps 0 to 30 qm>s & ?? 0 tn 30 Am ?
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 10U-Amps Above 100_Am 5
Transiormers Irtigation Booms Partial- Other Fee
Signs cial Inspection
Spe 5
^
TOTAL FF
P'
J
Rerryrks ?
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Hough-in CmP I, Ihe Bect
/ Inspector, hereby
certily thet the above
Final ? ?p7msPection has been
?ea.
en....,.....1.nin iamnnrtulrom