3605 Crossroad Ct - Electrical Permits
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Ftre N, Rough-in Inspection
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flequiretl? ?Ready NowWill Notity InSpeclar
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C) ?Q3 5 F:? NO
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I(LVensed contractor 7 owner hereby request inspection of above electrical work at:
Jo0 AtlOress (SVeel. Bo• or Route No.) ?ity
Section No. Township Neme or No. Ranqe No. c°O^ty
OccoOantIPRINTI C^ ^ ?j?,Q ' ?/?
Wl IS???`I ! Phone No.
Power SuOPb AOOress
C.?1 C 0.x M \ 'n
Elec;c al Conlraclo' iCOmpany I?ymy,? . Conlrfletor ense No.
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Mailirg A ress ICOnnatlor o, Owner Makin Installation?
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HuUOn/ze??c e:?ure?COnvac?orOwna??• e«?a) ??s?tall,aU(p-qF.s?(? Pnane Numoer
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MINNE$ TA 5 ATE BOAHO OF E?ECTflICITY
Griggc-bItl„' Y BIEg. - Room 5-177
1831 University Ave.. SL Peul, MN 55104
Vtlona (612)642-080D
THIS INSPEGTION FWUEST WILL NOT
BE AGCEPTED BV THE STATE BOARD
UNLE55 PROPER INSPEGTION FEE IS
ENCLOSEO. -0000 REQUEST FOR ELECTRICAL INSPECTION .A8
? ? e Insvuctians tor completing mis brm on back oi yallow copy. <?
?3 43 2? Below Work Covered by This Request '"??`•??
New AOtl`Repr, TypeofBuilding AppliancesWired EquipmeniWiretl
Home
Duplez Range
Water Heater Temporary Service
Electric Heating
I I APt. Building Dryer Other(Specify)
? Comm.llndustrial Fumace
? ? Farm Air Conditioner
1ny,
I 4OlM1,er (WcHI _ a Conlrectoe's Remerks'. yyn'a(?? n q-`}^'tA S' }- G 1'?Cy
' T (?
Compute 1 specnon Fee Below: ?,in ( u? ? L?^? t?x??5 ? r??\'?-I-
?her Fee # Service Enirance Size Fee # Circuits/Feeders Fee
ool 0 to 200 Amps 0 to 1a0 Amps
rs Above 200 _ Amps Above 100 _ Amps
Inspecmr's Use Only. TOTAL ?n
7''
oms
=Booms
peciion
munication
ERED DISCONNECTED IF NOT
THIS INSTALLATION MAY BE ORD
COMPLETED WITHIN 18 MONTHS.
L the Eledrical Inspecror, hereby
Rou9n-in ? f U
Oale
certify that the above inspection ha5
been made. Final , Date
?y
OFFICE USE ONLY This requesl vai0 18 months irom
L
Th;= reduest witl 5 b c? ? ?
mo
? 5151, (51etjQj
,6r ?,vossve-z.d-A
Reque? Oa[ Fre No. Hou9p-?n ?nspe6NOn
?? F??? liequrtetl? ?(t?-adY N. Will Notitv.lnspc-
a? ?ves ?Nn Io:WAenReaev
6dLicensed Eiec[rical Contrac[or 1 herabv reOoas[ inspection ot abave
n Ownnr electrical work inslelled a[:
Street Atldress. Box or floute No.
96 (1 (ar?s lreads Ca?.. 4- C'iY
C? d vt
ecuon u. Townshio Name rn No, H.ingu No. Coonty
D
Occuuanl IPIiINT)
Gus??sdn Cc?. Phone No.
413.?-8.ya
Power SunP?ier AdAress
C4J +,OL-
Elect ' al ConVactm ICOmpany Namo)
l? le Conuacror' License No.
?l! 3
ailinA Address (COnhacto or Ovnbr Makinq Im„tail tioal
30C i0
AuHytlryred Sig.ture 7n tra tor/ r 4{aking IRStallation)
lfli nnA/i/%
NJJCe(.f R+one NwnG?[e?t ?
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YINNESOTA STATE BOARO OF EIECTRICITY
Griggs-Midwav BId9• - Roorn N-191
1821 University Ave..St. Paul, YN 56106
Phone (021 297-2111
iHIS INSPECTION REQUEST WILL NOT
BE ACGEPfED 9Y THE STAiE BOAIID
IINIESS PROPER INSPECTION FEE IS
ENCLOSED.
G, () (P t( REQUEST FOR ELECTRICAL INSPECTIOSSSN??? Ee'°°°°i-?
? S303 ;f.? ' See i?s(ruetions !w completi?g thie lorm orf Yellow coDY.
I n5 'l 7 1117 C7 tti /'-X" Be/aw Work Covered by This Reqaest J
aad Nea- Troe at euileinp Anvliames Nirsd Enroon,ern wi.ed
Home Hange Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryef Elec[ric Heatin
Commercial Bldy. Fumace Silo Unbader
IrWustrial Bldg. Afr CondiTioncr Bulk Milk Tdnk
Farm oenrr w:??W o?ne? iSUCr.?W)
Ux1r I54K'fV OIIICr 01ho,
flough-in Dne
th¢'E ectncal
u5peclar, Mreby
, CBft1fY 1101 ll?B ThOVB
Final 7 irtpec[ion has Deen
made.
711iY1BVUasiwbttlmon?m.rwn 1 _' _ ?
??? ?U ?sou
? O? 4 IEQUEST FOR ELECTRICAL INSPECTION
??gg i?tnctiaas tor wmpieti.y fhis f?m m back of vellow coov.
[? 2 2141 3 XBe/ow Work Eo-ve red by This Request
,?s;,
Adtl ReP Trwe ot BuilEim Appliancen 1HreA Eqi
EB-OOOOIA4
({, 3-9 5
uouovi wirM
y S¢fvlCe
Fixtures
I I I I Irxkstrial Bida. 1 I Air Corditioner 1 I Bulk Milk Tank 1
F Fee ServiceE'R`aneeSiza M Fee Feedars/5ubfeeders # Fee Gucuits
0 to200 Anqrs 0 to30A s Oto30Am s
Above 200 q-yt; 37 to 100 Amps 31 to 100 Anrf?
Swimmirg Pool A6ove 100_Amps Above 100_Amps
Tranutormers Irrigation Boort.s U Pertia6'Other Fee
Inspectur, heraby
certify tM1et tM1B abpve
jnsOection lys been
Iepul
i?hisreq`astwiC + 51?'f C??g??5
C( -3-k5
Q 2 G 1 4I L. c? /3 1 ?it-oSS l. a.? a1, S O
Heque Dat
?
? Fre No. Rnugh-in InspecUUn
Re?mred?
Yes ?No
I
QReady NuwWill No?ily, InsDec-
?or W
fleatly
]CI Licensed ElecVical ConUaclar I ?F?
/- Y raVwesl inspection ot above
? Owner eleebiral work imtelled aY Sveet AdAress, Bnx or Route No. CitY
ection o. TownsAip Name or No. flange No. Gounly
D a q?.
Or.cu am IWiIN 1
. 1i . ?ust??s?.? Phone Nn.
- FaZ/o
Power SupDlies Address
Elec 'cal CoMractw IConWM Namel
c.r,? ? Gec?t ?L Conuactor's Licens No.
ql
Ylailin8 Address (Contrac or or Uwner Making Ins
3 ?' l?.z?v? Sd', ilatioN
o !
m,(j 5/ I
Auth 'zed S?g?mre (C nt c[ar'Oxmer Yaking Immllation) Phone Number
?a-1?90
MIfiNF40Tp STATE BpARD OF ELEC7IIICITT THIS INSPECTION pEUUEST WILL NOT
Griggs-Nidway Bldg. - Ropn N-191 gE ACCEPTEO BY THE STA7E BOARD
1821 Univers:ry Ave., SY. Poul, IW 551" UNLESS PROPER INSPECTION FEE IS
Phooe 4612129741111 ENCLOSEO.
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ReQU si
Det Fire No. Raul ^ InSpecli
q'ratl?
? Reatly Now ?lill Notify Inspector
es _ No 11an n Reatly?
I?c nsed contrector D owner hereby request inspection ot above electrical work at:
Jo0 Aotlress (Streec Bex or Route Nyo.???
S G ,-+ss'?o.? ry
Setlmn No. Townsnip Name or No. Fange No. Counry
OccupantiPFINT;
,n 'rr'u C-Fi O+'1 Phone No.
Power Oclrer Atltlress QrYnI?(l
Elecv¢al Connacmr ICompany Namei
?/1 ???? c?Fri ?? Conva s License No.
MeJing?Aa re s IComractor or owner Makm InslallaUOn1 ? ?
Autnpi Sgna:ure ICCniracm,ll tionl Phone Number
?----?--?
MINNES A TATE BOARD OF ELECTRICITV
GriB9s- itl ey Bltlg. - Roam 5-173
18]1 Un rsity Ave.. St. Psul. MN 55104
PM1One (612) 6A2-0900
THIS INSPECTION REOUEST WILL NOT
BE AGGEPTED BV THE STATE BOARD
UNlESS PROPER INSPECTION FEE I$
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION EB-00001,08
lp ??
o3??S Se s mctions for compleLng inis lorm on back 0f yellow copy. +
J
{? Q 7 7 ///?Below Work Covered by This Request '???•?
°
ew ...s
ACd . , • -
Rep. TypeolBuilding
ApplianceSWired
EquipmenlWired
Home Range Temporary Service
Duplex water Heater Electric Heating
Apt. 8uilding Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Ot er (sli^q _Ot? ConVa<!or's Remarks: -
Pl
Compute Inspection Fee Below:
? Other Fee 9 ServiceEnlranceSize Fee #' Circuits/Feeders Fee
Swimming Pool I 0 ro 200 Amps 0 to 100 Amps
Above 200 - Amps 0_ Amps
nspema?s use omy TOTAL
?
U
tion HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
a
n T
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby gh-in Date ?i
Rou i 'r
certify that the aoove inspection has F;nai oal ii ?!y
been made.
OiFICE USE ONLV
This re4uest voitl 18 monlns Irom
?j03S?S REQUESTFOR ELECTRICAL INSPECTION
? see Ngrjuction5 for completing tM1is form on back oi yellow mpy
I? ?A 171; -5/?/??X" Below Work Covered bv This Request
7N'' EB-00001-08
ew Add Rap. Typeof6uiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Watar Heater Electric Heating
? i APi. Building Dryer Other (Specity)
CommJlndustrial Fumace
Farm Air Conditioner
0thussWCoNractor5 Pemarks'
h tZZQ1o,6n9toul?si ?} ?n-i1Sn? ?;1in$ -p.,.-}??
Compute Inspection Fee Below.? y-? k4a.*Q g C'2cwLV i c.1 "1
o Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspectors Use Onry. TOTAL
Irrigation Booms ? ?
?
' pecial Inspection
Aiarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in ? oaie
_ ,.
certify that the above inspection has
been made. Fhai oare . -
--S'
OFFICE USE ONLY
This request voitl 18 monlhs fmm
d
?O/
NOw?j?'?II Notily Inspeclor
? When Raetly9
J:J I (D '?? I . I?r? ?no V I
tQC5?;_;sed contractor ] owner hereby request inspection of above electrical work at:
cry
bb Atltlress fStreet Box or Route Na.l ?
or No. IRenge Na.
Comractor
o?
Maxin9
MINNE TA ATE BOAflD OF ELECTR'Griq9n- aY 8109. - Raom 5413
1821 Universfly Ava.. SL Peul. MN 551pG
Phone (612) 662-0600
--`- Phone No.
-fLl C,?i?O?'1
AOtlress
Y)
Conlra, Cicense Nt
Y? C C.o C' ? I I
ioni Q ?
THIS INSPECTION FEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARO
UNLES$ PROPER INSPECTION FEE IS
ENGLOSED.
This reauest vold + 18 months from b
02 ?.14[l
Repoest?ate?? Fire No. Rough-in Inspection '?-? ? ? ReQUiretlP E] FleaAy Now?Will Nolify Insoec-
?5 / S ?Ves ? No ?or Whe? fleadv
pLir.ensetl ElecVical ConVaclor I harebV repuest inspection ot above
? Owner electrical work installed a1:
Sheet Addre{s?s, Bo/z ?or Ro te No.
/? CitY
`fJ0 Ji
ecvnn o. Township Name or No. Fange No. County
Occu ant (PRWT)
? a. G`Lk5lcll`? Phone No.
132 -9ayo
Power Suppfier_
00A-0, Atltlress
Elec rical Coniracmr lCOmpany Nemel
Gl ConVactor's License Na.
ec, rK., ?1! D 3
Mailing Address ICOntracmr or Owner Making Instailationl
N?n
AuM ' etl SignaWre (CO [rac r/Owner Making Installation) Phnne Number
xaa -?? -?a
MINNEiOTq STATE BOAPO OF ELECTIiICITY
Grigps-Nidway Bltlg. - Noom N•191
1821 UniversitY Ave., S[. Peul, MN 56104
Pho,ve (812) 297.2111
TMIS INSPECTION REQUEST WILL NOT
BE ACGEPTEO BY THE STAIE BppRD
UNLESS PROPEN INSPECTION FEE IS
ENCLOSED.
q REQUEST FOR ELECTRICAL INSPECTION EB-°°°°»a
' S° ?in uclions lor comoheting this fo?rm back of yellowcopy. l/
° 2 2 14 0 .r[ JGf l?'X" Be/ow Work Co?rbV This Request T?3 ? 5
Adtl Rep. Tyoe of euiltline ADOliancae WiraE EpoiDmxm Wired
Home Fiange Temporary $ervice
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Buik Milk Tenk
Farm Othei Specity Oihcr ISnedfyl
thel Spoclfy Other O?her
N ` Fea ServiceEnhenceSixe 11 Fee Feednrs/5ubteeJars H Fee Circuits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps..
l 31 to 100 Amps 31 to 100 A
Swimminy Pool Abo,, 100_Amps Above 100_AmPs-
Trensiormers Irrigation Booms Partial.'Other Fee
Jogns I I IopeciaiinsVecuon IS
^"uo"-•'• ?/ I. the Flecvn
? ??rJ?J 1 pe ctor, hereCy
41
-1itY tha? [he above
rfinai inspection has been
This reQUest wid
18 ^?Jy? ?oFy J 7 a a-? (/ ?L, -(
Repue t pate
?S "
Fire No. -?• i w
qou ?-in Insp¢r.tion
pequirNT
KYes ?No ?•-• r a- t/JV
?f?aCV Now?Will Nolify. InsPec-
[or When Reatly
-- --- ----""?'?'
Owner 1 hereAY ro9.st inspsction of above ..
? x?o?r:..? ...
SV I???. Bo(a? or flo te No. ..? 'ly"
?
ecLOn o. Township Name p No.
Ha^9e No. CaumY
Or.cWn1(PRINT)
?
• ? 6L1.
?t(s?T'1 C6
Phone Ho.
W,? - ??5?(?
Po,Suppiier Aadress
Ele ica Cont tor ICompaM Name)
tr; ?? CmIIactor"s License No_
yl4o ? 3
Mailinp Addrass IGontra tor or Owri¢r ?b4ug Iiailalio
3fl l? N?um Sd?r?e?
mkJ SSi?3
Au r zed SiB?ture 1 nv ?tor r Making Installatian) Pho. N?n?be
r
n
?y
?? - ?+ ! -V
clLG?6R41?1
Grigps-Midwav Bldg. - Room N-191
1821 llnivarsitY A.e., SL Peul, MN 55100
Phone 18121 29]-2111
n.a .wsr[cnUN xEQUFST NILI NOT
eE ACGEP7ED ey THE STATE BpAXD
UNLE55 PpOPEN INSPECTION FEE IS
ENCL0.4E0.
? IiEQUEST FOR ELECTRICAL INSPECTION Es-oaooi-w/
O ?^ ' See iatr=tims for completirg 2pis tvm on pack uf wllow cupY.
C3 2 2?1 33 9<-j ri r-.x.. &,aw work covP,r?n-;? Ra,.,-
waa Reo. Tvae or euiiains wnoua.e. a:..e eaucone.1 wj.ea
Home H:inge Temporary $etvice
Duplex Water Heater LigAtin
y Fixtures
Apt. BwlAing Oryer ,
ElectrfC Heatin
Conmercial Bldg. Furnace Silo Unloader
liMUStrial BIAg, Air Corxiitioner Bulk Mflk Tank
Farm oenr, soec,rv o?ne, 15o.-c?rv1
tMer Snecifv Oehe,
O?her
omplde lnspection Fee Below
k Fee ServicaEntmnce5ize p ?e F?aers?SU6feeders N Fee Circuits
U to 200 qm s 0 to 30 Am s 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to tOQ A
Swinming Popl Above 100_ Above 100
Amps
Transformers
S Irrigation Boorr? _
Partia6'Offier Fee
'?5 S{?cial fnspec[ion
S
Hemarks
TOTQL F,EE
RoaBh-In
Dat
L
1
?he El
2hi
? '
C
?'
'? .
c
ral
7
Q Inspecmr. hemby
Final ? ceniiy that 1h¢ apove
inspection Ips h"n
Yf?y(.??
C??? da
--?
i
?wm.??...u?e.......«.e?...... ' ?
.
3 G'
d? 24
rI --- /.?
?
Reque i Date
S ? ?[] ?
-? Fire No. Roughin I s c io
uir "? (??,
? Reatly Now `fAM9^
pector
n
(
- No en
Reatly
I- ensed contractor ] owner hereby request inspection o( above electrical work ak
Job Atltlress (SVeel Box orRoute No.)
12?? City
Seciion No TOwnsnip Name or No. Rarge No. f,punry
Occucani(PqINTi
Pnane No.
PawerSuppt '
?' ?1Y ? L Adcress ?.{??
rr,-? ??i N?
Elecincal Gontracior (COmGany Namei Con qo,s License No.
S C G ?QS l L?('?
Mailing Adar s IComraclo o,Ownar Maong Irstellaiioni
A:imoriiec 5? re ?CO??reaon4wner Ma? ??. nstaliacon? Pnone N er
MINNESOT TAT BOAPD OF ELECTRICITY
Griggs-Mid Idg. - poom 5-173
1921 llniversily Ave., St. Paul. MN 551114
PM1One(61Y) 642-0800
THIS INSPECTION REOUEST WILL NOT
BE FCCEPTED BY TME STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
22 'y REQUEST FOR ELECTRICAL INSPECTION ee- oo 1-08
ll? See instructions br completing ihis brm on back ol yellow coOB
3 4 3 'X" Be/ow Work Covered by This Request
ew Atld Rep. _ TypeoiBuiltling qppliancesWiretl EquipmeniWiretl
? Home Ran
9e
Temporary Service
Duplex Water Heater Electric Heating
Apt Buiiding Dryer Other (Specity)
Comm!Intlustrial Furnace
Farm Air Conditioner
0 er ((syeci I Comranors Remerks:
Placi ?s+ I cci \, n5 pu,di n9 t o
Compuie lnspection r¢ Fee Below: ILIL?? IreS rz ?z?t tcn
# Other Fee # ServiceEntrance Size Fee # rcuits/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 0_ Amps
SignS inspecmr5 Use Omy: TOTAL
IrrigationBOOms ?0 • !10 So
?
peciallnspection '
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED
Other Fee IF NOT
COMPLETEO WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
certifY that the above insPection has
been made. Rou9h i"
?
F„ei
? ? oa?a ?
'? w??
oeie
OFFICE USE ONLY
Th¢ reGUesl voia 18 momns Irom
J