1927 Jan Echo Tr - Electrical PermitsO ?133?0?
REQUEST FOR ELECTRICAL INSPECTION ee,-oopooa-ps
10, 59e insimctions lar cqmpleting this farm on back ol yellow copy I? ?? TLP
\b ?
"X" Below?Work rovered by This Request ?fr,?p• ;?
Ne Add Rep. Type of 8uilding Appliances Wired Eqwpment Wved
- Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. BuAding Dryer Load Management
Comm llndustrial Furnace Other (Specify) -
Farm Air Condihoner
Othar (spealty) GoNradar's Remerks, .
I poR To Wr?,?o +?--Q-
Campute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ? 0 to 200 Amps 1,00 (1 0 to 100 Amps CrD
Transformers Above 200-Amps Above 100 -Amps Oo
51 n5 Inspector's Use Only TOTAL ''
Irrigation Booms 7? mo -1 ,
Special Inspection
AIarMCommunication 7HIS INSTALLA710N MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 M0NTfiSj
I, the Electncal Inspector, hereby Rough-in o e__ _ qJ^
?
certify that the above inspection has
been made. rai oa? ??r q
OFFICE USE ONLV
Thls reQUes1 vDitl 18 months from
604
? 11117 9 4/?/_f5r/-k
?
s ?
Request Data
? ( ?,
? Flre No Ro gh-In In n Reqw d
(VOU ust inspector when reatly) spedion Other Than Rough-In
? Beatly Now ?Q,Will NdJy Inspecmr
f
(f( Ves ?NO et eReatl ?
D
I?I licensed contractor ? owner hereby request inspection of above electrmal work at:
Job Atltlress (SlreeG Box or Foute NoJ ,
19 2-01 Jayt EC!-lo TrOt rl C?ry
F? ah
Secbon No Townshlp Name or No. Range No Cou\nry I/F
Va IW +01
Occupant(PRINT)
P Phone No
y52-52ao
Power Supplier
VAq Address
H Da -ZLD+-?t Jl ?' l c?
Electdcal CoNractor (Company Name)
I? 5 ?i c11. l uc_-? on Comracror's Ucense No
AOO 0
Mailing Atltlress (ConVaclor or Owner Making Installalwn)
2-l + -?e S? . 1 MN 5510
Aulhonzetl Signatura (ConlractodOwner Makmg Installation) Phone Number
ZZ4-L$33
o e,r dC
OAPD OF
CTRI
Grlgga-Midway Bldg. - Roam 5126?\. 1l
6 I II I I I I I I I I I I I I I I If THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOnRD
?
1821 Univerolty Ave., St. Paul, '?tb`
Phone
2) 642-0900 I UNLESS PROPER MSPEGTION FEE IS
ENClO5E0
REQUEST FOR ELECTRICAL WSPECTION
10o See msvuclions for compleling this forcn on back ot yellow wpy
"X" Below Work Covered by This Request ''9;;?;,..• ?
Ne Add Rep . Type of Building Ap anb2s Wired . Equipment Wired
- Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
OtM1er(specily) GonVatmr's Fsmarke
100 A +?-
Compute Inspection Fee Belaw.
# Other Fee # Service Entrance S¢e Fee # Grcwts/Fseders Fee
Swimming Pool 1 0 to 200 Amps ?,d O I ? 0 to 100 Amps S•
Transformers Above 200 Am s Above 100 -Amps Z.oa
SigpS inspector's use Only. TOTAL
Irrigation Booms -] pV ? , SQ
S ecial Inspection ?
AIarMCommunication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Othar Fee COMPLETED WITHIN 78 MON7H
I, !he Elecirical Inspector, hereby Rou9h-in ?. oa?
certify that the above inspection has
been made.
Finai
?e 3...
OFFICE USE ONLY
This request witl 18 months Imm
603
?
7
T yy a ?
°''
; a
qs ,?? (?1 C . ?y7
Requesl Dete Fire No Rouqh-In In ian Reqmra0
(VOU I w mspxlor when ready) Ins eclian Other ThXough-In
? Reatly Now WJI NobF/ Inspeclor
-? -1 --+ Yes ? No pate Read
Ix licensed contrector ?owner hereby request inspection of above electncal work at:
Job Adtlress (Stree6 Box or Roule No )
j G 2-7 JvA " Tra i I Gry
ah
Sec[ion No Townshlp Neme or No Range No County
Ko
OcoupaN (PRINn
1 Phone N.
ySZ-5z? c?
Power Suppliar
-? -I-n AOGress
e?-
Electncal ConVac[or Oompany Name) -
C
ll
l C
F-( i
-h
C
C& ConVaclors License No.
CAO
o
ca
ons
y
.o .
in
RA O o
MaNng Atltlress (ConVactor or Owner Making Installatlon)
ZI$ S3-ckV e4- ?- ?
I f\A N5510 7
Authorvzetl SignaWre (CONraclodOwner Making Installationl Phone Nvmber
2z14-28'
MINNESOTA STATE eOARD OF ELEC I
Griggs-Mitlwey Bltlg. - Room $728?? p ? I
SL Paul
(
II
?I
I
I II
?
I
II
II I
II I
I
I II THIS INSPECTION flEOUEST WILL NOT
BE ACCEPTED BY THE STATE BOAflO
UNLESS PROPER INSPECTION FEE IS
,
v
Phone (612) 642-OBOO
V v? \ , ENCLOSED
?I A-3 - ? ? rGEI1UEST FOR ELEC{fRICAL INSPECTION
jo? See insfruchons for complehng Ihis form on back ol y_Ilow copy
Y ?
"X" Below Wark Covered by This Request
Nei Adc Rep. ' Type of Building - Appliances Wired Equipment Wved
Home Range Temporary,Sernce
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (S ecify)
Farm Air Conditioner
Otherhspenfy) Conhatlar's Remarks c?o A
Tc???ka?.
Compute lnspection Fee Below: I
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 11 0 to 200 Amps od I 0 to 100 Amps
Transformers A6ove 200 Am s 1 Above 100 _Am s 7.0,N
SI OS ' Inspxlor's Use Onty TOTAL
Irrigation Booms ?J s 'l?, 50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby Rou9min oa
cedify that the above inspection has
been made. F,nai o^`,_,??
OFFICE USE ONLY
This request voitl 18 months Irom
0- ? 3
605 A °o
?
?
? 77
?
LK I
Pequest Date fire No gh-In
Rough-In In ' Requlre0 Inspechon Olher n ou
I ^
? - I A
?YO mu 1 II nspectar wlten ?eady) ? Ready Now WI NoLty Inspeclot
'
? ?,} Ye
s ? No Date Read
I licensed contractor ?owner hereby request inspaction of above electrical work at:
Job Addrass (Slreet, Box or Route No ) Cliy
1 °I 3 1 ' c4. irl
Secbon No Township Name or No Range No. Counry
Occupent(PRINT) Phane No
52-S2oo
Powe Suppher Atltlress
L+ b-2Z0?? c-4-uk4
Electncal Conlracim (Company Name) .
I i E ec 1--Y i r,,.l C,to ? Coniractols Ucense No
CAool-! o
MaAing Address (Coniracbr or Owner Making Inslallation)
2? g S-?e c c+ 5?. P I mri SS 10
AWhonzetl SignaWre (ConhacrorlOwner Makmg Installetion) Phone Number
006 c Zzq- Za 33
MINNESOTA STATE BOARD OF ELECTRI IT
Griggs-Midway Bltlg. - Room 5-128
?
??
'~ THIS INSPECTION REQUEST WILL NOT
ACCEPTED BY THE STATE BOAflD
BE
?
..
?
1821 Universlty Ave., St. Peul, MC 5 aba 1.?
Phona I6121 642-O800 II II I I I I II II ?I ( ?
OPER INSPECTION FEE IS
EOSED
ENC
0
?? ?606
' y?a y?
"
?
0 ??
?-I
k8
Requas? Date
- Fire N. R ug?-In In on Reqmretl Inspection Other Thanjioughln
(YOµ,mu 1 II nspeIXOr when reatly) ? Reatly Now fy? Will Notdy Inspector
- 9 Fes-- ? No Date Reatl
I licensed contractor ? owner hereby request inspection of above electrical work aP
Job ABdrBSS (SVeBt Box or Route No )
(
Tr
I
' Clry
hG?
w
? o
q i a1-?
Section No
Township Name or No.
Renge No.
County
?
I Da
OcEUpant(PRINT)
? ?
{" Phone No?_?? Q
?
P wer S?uppher 1 ? Atl1tl1ress ?\ 1
I?JWI?.LI
Eleclrical Contractor (Company Name) ,
?'iol IinS E? ?icci l Co ?rvuc?o h Co . ConVactors license No
A?o d
Malling Atltlress (COnVactor or Owner Making Installation)
2?I ? e+ ?, 20,u ( MN 55)07
Authonzetl SignaWre (COnlractorlOwnar Mekmg Inslallatmn) Phone Number
d2a, Zzq-a33
MINNESOTA STATE BOABD OF EdLE R?I)C /.
GrlggUs-Midway
varsi y A1va., St?. P uI?MN ?PWT ,l ?v?N?
Phone 16121802-0800 l/V ?? V` ?
11111
111
11111
11111
1111
1111 I
111
1111
111
1111
11111 THIS INSPECTION REOUEST WILL NOT
1 BN ESSEPROPER INSPECiION P6ER5
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ?°??? . Fa,?App s
? See msimctions for complalmg this lorm on back ot yellow copy
"X" Below Work Covered by Thls Request
Ne A:?rtt Rep. ?-Type of Building. -Appliances Wired Eqwpment Wved
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industnal Furnace Other (Specify)
Farm Air Conditioner
Olh¢r (specify) Conhector's Remarks
Compute lnspection Fee Below: I00'4 L4>A? D
# Other Fee # Service Enirance S¢e Fee # Circuits/Feedars Fee
Swimming Pool 0 to 200 Amps y,oo ? 0 to 100 Amps -.oa
Transformers Above 200_Amps A6ove 100 -Amps
SI n5 Inspeaor's Use Onry, TOTAL
Irrigation Booms
?
Special Ins ection
Alarm/Communicalion THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS
I, the Eiectncal Inspeclor, hereby
if Rouynin ? Date •"7 , i
(
cert
y that the a6ove mspection has
been made. F'"ai oai
OPFICE USE ONLY
This request vaitl 18 monlhs !mm
-y??5'
33607 ?
?
v1
?
7 95
41
?/ 61, 77
Req esl Oete
/? /] r
' I`?
"'
? Fre N. Rough-In '^ li Req ired
(VOU cto? when roatly) Inspeclion Olher Than Rouqh-In
? Reatly Now ? Will Nolify Inspeclor
????
1
{ Y ? No Date Reatl
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (Slree6 Box or RoNe No j '
i°I 35 ? cun Ec,ho r i I Qty
Saclion No. Township Neme or No Fange No Couniy
I o 4-Clt-
Oc ??upJant(PRINTJ (? ? p
I". Phone No
Power Supplier
? Atltlress ?
y3oo- VT-th eef
Electncal Contractor (COmpany Name) .
01 ? s E1 ec.Ar; Con ?. Conlraclors Lirense No
c Ao 0
Mai6ng Adtlress (CO5?ntracfor or Owner Making Installe0on)
M!J SSlo7
?ac
?
?
?
5?
'
,?
.
.
?
e
Y
Autnonzed SignaNre (COnhacrotlOwnar Making In allaVOn)
C Phone Number
Z Zq-2g 33
MINNESOTA STATE BOARO OP EL CT I ?'{{?? THIS INSPECTION REQUEST WILL NOT
?
Grigga-Mitlwey Bltlg. - Room S1$8 II III I( II ?I II II II I I II BE ACCEPTED BV THE STATE BOARO
1821 Unlveroity Ave., St Paul, M?J 51100)?? UNLESS PROPEF MSPECTIDN FEE IS
PM1One (612) 6AY-0800 ? .??? ENCLOSED,
iiiiii,
REQUE3T FOR ELECTRICAL INSPECTION ???".?=?*\ e oo -ys
,$ee mstmctions tor complelinq Ihis lorm on back ot y=11ow copy.
"X" Below Work Covered by This Request .,?,,,•
Ne Add ep. Type of Building Ap4,1110I Wved Eqwpment Wired .
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. 8uilding Dryer load Management
Comm./Industrial Fumace Other (Specif )
Farm Air Contlitioner
other (speqfy) ConMaclor's Remarks
10 D <k -(o b64Lo N/'e-
Compute Inspection Fee Below: .
N , Other Fee # Service Entrance S¢e Fee # Circurts/Feeders Fee
Swimming Pool O to 200 Amps 1501 00 I 0 to 100 Amps o0
Transformers Above 200-Amps ? Above 100 -Am s o0
Si ?S inspecror s Use Only TOTAL
IrrigationBooms ?D ?7,CjQ
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
certity that ihe above inspection has been made. Rough-in ? LD.W'; Z?G
sj?
.!?
OFFICE USE ONLY
This request voitl 18 monlhs irom
0-133-6 0 8
l? I
Fequ st Date Re No Pougplh I tion Reqmred
(YOV?, all?c?spedo? when reatly) Inspedion Other Than Fough-In
E] qeady Naw ?Will Nobty Inspecror
5 Yes ? N. Date Peatly
IN licensed contractor ? owner here6y request inspecnon of above electrical work at.
Jobnddress (SVeet, Box or Foute No)
l? o'J rGt,i I Ciry
?Gt G?.
Sechon No Township Name or N. Range No County
\ !'
LW??o+c,
Oc¢upant(PRIN'? Phone No
~
? 2,00
Powe.r Supplier
fu- ? c. Atltlress
L ZZo-N? *L4
Elecmcal Confraqor (COmpany Namel
ollin5 l,?e?c?ricc. ?0 5 uU o Commctor's License No
C?ooyot.o
MaAing Adtlress (Conhao[or or Owner Making Inshllebon)
M5SID7
27 a
S
-1- ??-
P
e
cx
au
.
Authar¢etl SgnaNra (Contractoe/Owner Makmg Inslallalmno
U3
?
Phone Number
z
y
-e?
c,
ex 5 33
-
Z2-
MINNESOTA STATE BOARD OF ELECTRICI p
Gnggs
Mitl) ay 91dg - Room S1?8 ?` pl/
1ffi1 Ilniversity Ave
SL Paul
I
I
I I I
1 I I
III I
I
II
II
I I
I I
III
I I? THIS INSPECTION REpVEST WILL NOT
ED 8V THE STATE BDARD
(
.,
,
Pbone 612 642-0800 UNLE55 PROPER INSPECTION FEE IS
ENCL^SEp
?,? / REDUEST FOR ELECTRICAL WSPECTION ?
? ?^%??ao, ijgs
? /? ?o d .r? ?
?, ?5 See mstmctrons for complating this lorm on back of yellow copy. • i? y°/ (o
"X" Below Work Covered by This Request .Z
Ne Add ep - Type ot Bwiding ` Apphances Wired Equipment Wired
Home fiange Temporary Service
Duplex Water Heater Electric Heatin
Apt. Buildmg Dryer Load Management
Comm /Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Contractor's Remarks
1o0 }N\ To M-s?-
Compute Inspechan Fee Below:
# Other Fee # Service Entrance Size Fee Jl Circwts/Feeders Fee
Swimming Pool I 0 to 200 Amps , o0 1 ? 0 to 100 Am s 96.
Transformers Above 200 Amps ti abavgj -Amps -7,00
I ns Inspector's Use Only TOTAL
Irrigation Booms ,? ? ??.??
Special Inspection
Alartn/Communication 7HIS INS7ALLATION MAV BE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONT .
I, ihe Electrical Inspector, hereby Roogh-m oai
- a 4
certify that the above inspection has
been made.
Final Dat
OFFICE USE ONLY
This requesf v0itl 18 monlhs imm
?
a?
s ? 2
?3
?
9
Reques[ Dale
'^/]
-
` Fire No oughd ection ReQUireO Inspeclion Othet TY?gn qough-In
(VOU 1 call inspector when reatly) 0 Reetly Now y?Will Notify Inspector
?X
I"1 Yes ? No Dete Read
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Addrass (Stree[, Box or Route No )
I 9 2? -, I e \A1G Ciry
Ea c?.v-,
Seclion N. Township me ot No. Pange No Counry
Dc?Ko?-
Occupanl(PRINT) Phone No
??? C) O
Power Suppller ACtlress
?
i
S
c- ZZ
v e
Elecitlcal Coniracror (COmpeny Name)
i I ?
C
lfi Coniractofs Lsense No.
?AOOl-fO
?.J ?•
'b
ris
Mailln8 Address (COnhactor ot Owner Malting Instailatlon)
MN 55 I o`7
Awhonzetl SlgnaNre (COniraaorlOwner Making Inslallation) Phone NumGer
'
&Jp z -n 33
MINNESOTA Gr ggs MltlweyTBlCg e Raom 54RBEC p, '0 ,
Q??
II
II
(
I I II
I
II
I
I
II
I I
I
I
BV HE STATE 60A ?T
BE ACCEPTEDI T
SL Peul, MN (?
1821
? ?I I UNLE55 PROPER INSPECTION FEE IS
P
hone f6121 8
62-0BDO
1/\ ?
A
!
ENCLOSED
jgJ.60,7,REQUEST FOR ELECTRICAL INSPECTION EB-ooooi
'? Sae insimdians lor completing this form on beck ot yellow wpy N.??-.-?I ?
y "X" Below lNork Covered by This Aequest
Ne Add Rep. Type of Building Appliances Wired Equipment Wired .
Home Range Temporary Service
Duplex Water Heater Electnc Heatin -
Apt. Building Dryer Load Management
Comm./Industnal Fumace Other Speci )
Farm - Air Conditioner
Olner (specRy) Contractor's Remarks
Compute lnspection Fee Below:
# Other Fee Jf Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s ? I 0 to 100 Amps , od
Transformers Above 200 Amps e 100_Am s ,pa
SignS inspecror's Use Onry. TOTAL
Irrigahon Booms
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NO7
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby
th
if
h fl0u9mm
L
cert
y
at t
e a6ove inspec6on has
been made. Final Data 'U i?
r
OPFICE USE ONLY
This request void 18 months fmm
601 , , k
?
d
7
77
9
a
Requeal Date Fre N
I ough-I , eclion Reqmretl
?vm- m h inspenor when reatly) Ins ectlon Other Than Raughln
? Reatly Now ? WAI Notdy Inspector
Yes ? No Date Reatl
IN licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Slreat, Box or Route No ) Ciy
Iq23 e U Ea c?
Seclion N. Townsmp me or No Fange No. Counry
Occupant(PRINi)
P 1
r?.c? Phone No.
?45Z C) Z)
Power Supplier
?? -FriL Adtlress
300- 4 eei Wt
Eledncal Contraclor(Company Name)
Oe- , cc?l Aru C. Conrcactor's Lmense No.
CiP\oo u oln
Maihng Atltlress Contrecbf or pwner Making Insiallation)
2? $ av e? , Pcul M N 5510-1
Aulhonied SiqnaWre (COnVactodOwner Makinq Installstion)
b We,r 1 Phone Number
ZZ'?- ZS 33
BOARD OF ELE TR?yl I
STATE
Griggs-Mitlway Bldg. - Raom 5428
?
A III II III
? I' I
?? IIII I
??? I II I I I II I I ID BY THE STATE BOARDT
BE ACCEPTE
I
F
E
S
1821 Universiry Ave., 51. Paul, MN 5 1 I II III ON
I
UNLESS PROPER INSPECT
E
2 ??
P?one (61p
6 w w ENCLOSED
? ? REQUEST FOR ELECTRICAL INSPECTION ?'??
? ?/_ n// { ? See msimdions for compieang tnis form on back ol yelb?v copy_ I -j ???e
i
S,C o? / ? ?VL
"X" Below Work--overed by This Request "'?'s•„q,."
New Add Fep. Type of Building ? Ap nces Wired. Equipment Wved
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm /Industnal Fumace Other (Specify)
Farm Av CondiUOner
olher(spenfy)
Compute Inspecfion Fee Below ConVaROrs Remarks lbo A Tpv???o r?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s _C5,00
Transformers Above 200_Amps 1 Above 100 -Am s ,va
SIgI1S Inspector's Use only L
TOT
A
Irrigation Booms ,? O /
-
?/• 5 b
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rough-in ?
zZIA Da0e
ceAify that the above inspection has
been mada F??ai P
oace
?
OFFICE USE ONLV
Tnis requesl voM 18 months imm
?i°?35<?
'
"
0? ;7 6 0 0 2
?
?
?
?
7
,
.,,-
/?/ .
Request De!e Frte No R gh-In I Imn Reqwretl Inspxlion Olher Tha ough-In
I (? ( YOU all inspector when reatly)
?es ? No ? Refltly Now dl Nobtly Inspector
Dete Read
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Box or Route No j
0
Q? Cirt?y
j
J GCL 0.
SecUo. No Townahip N mB or No. Range No Counly
Owupan
RINT) Phone No
?
IvVC
4 ?'
Powar Suppller
? Adtlress
? ?
EI ctncal Contrectar (COm eny Name)
• Conlraclar's Llcense No.
CAOOLto (-v
Mailing
alS
Atldress (COntractor or Owner Making Inslalla +1twn)
^? 1 kM 7
r
Authorrzetl SlgnaWre (COntracror/Owner aking In atlon)
6 Phone Numbar
22y-ZS'33
MI NESOTA STATE BOAflU OF ELEQTi?kT N
Grlggs•Mltlway eltlg. - Boom S-7 ?.1`
II
II
II
I I
I
II
II
I THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
5 ?
Phone (61218692ABOOSt. Peul, M
u .
ENCOSEOOPER INSPECTION FEE IS
E
REQUEST FOR ELECTRICAL INSPECTION ;aq?,"Xb %N e Qqooi,o
? ?
See instrumions lor compleeng thls lorm on back oi yellow copy ? 3?
?p °2 S "X" Be/ow Work Covered by This Request
Ne Ado ..,p. Type of Building App iances Wired Equipment Wire
Home Fange Temporary Service
Du lex Water Heater Electric Heating
' Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ecif )
Farm Air Conditioner
OCher (specily) Conhacloi s RemeAs.
Compute lnspection Fee Below: I A
# Other Fee # Service Entrance Size Fee # Circuits/Fesders Fee
Swimmin Pool ? 0 to 200 Amps ,00 I 0 to 100 Amps
Transformers Above 200-Amps 1 Above 100 -Am s
SIgf15 Inspecror's Use Only: TOTAL
IrrigationBooms Q?5 '7?,O
S ecial Ins action
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NO7
Other Fee COMPLETED WITHIN 18 MONT S.
I, the Elecirical Inspector, hereby Rough-in oare WIPJ
cediry that the above inspection has
been made. F;nai oa?
OFFICE USE ONLV
Thls rBQUest voitl 18 mOnths irom
Request Date
ry
(] Fre No Rough-I cbon Reqwretl
(YOU ? all ?nspeclor when reatly) Ins enion Other Than ough-In
? Reatly Now Will NoUfy Inspeclor
? Yea. ? No pate Fead
Ik licensed contractor ?owner hereby request inspaction of above electrical work at:
Job AtlOress (Slreet. Box or Rome No )
113 2 W G Qry
c?vl
eo-q
SecM1On N. TownSM1ip Na e or No Rang¢ N. C\ounry '
??Ko+ril,
Oc anI?PRINT) Phona No
1 2-5zvo
PowerSUpplier
DaK
(QC c Atltlress
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E cincel Con(raclar ( mpeny Name)
' Comrecmr's License No
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Maihng Atldrese (CO ac r or wner MaWn Instellaeon)
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07
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Authonzed Signature (COnlractodOwner Ma mp Installation)
fr-b 01-exd-W Phone Numb.er
22 ?I-Zg
MINNESOTA STATE BOARD OF E EC ,_I THIS INSPECTION REOUEST WILL NOT
Grlgge-Mltlway Bltlg. - Room 1 ??? Y II 1 1 11 I I 1 11111 11111 1111 111 1111 II BE ACCEPTED BY THE STATE 80AR0
1821 UnlvBnily Ava., St Pau? 0 W I UNLESS PROPER INSPECTION FEE IS
Phone/8141642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTiON {>a?y? Es-?oi-
? See mstruclions lor completinq IM1is lorm on OacA oi ytJlow copy •(? ?Sl
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"X" Below Work Covered by This Request ?q„?;?,? p
Ne Atl -Type of Bwlding . Appliances Wved Equipment Wired
Home Range Temporary Service
Duplex Water Heafer Electric Hea4ng
Apt Building Dryer Load Management
Comm./Industrial Furnace Othar(Specify)
Farm Air Conditioner '
Other(specdy) Convacror's Remarks -
to(D A TowYV?-
Compute Inspectron Fee Below:
# Other Fee tf Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 6= 11 0 to 100 Amps ,
Transformers Above 200_Amps Above 700 -Am s 'j C'O
Si f15 Inspecmr's Use Ony TOTAL
Irngation Booms , 7 D ? T E) ?
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, lhe Elecirical Inspector, hereby Rough-in oaie r
cedity that the above inspection has
been made.
Firai oai
OFFICE USE DNIY
This r¢quest voitl 18 monNS (mm
7
98
9s
Reduest Date
" ly FvB No. Rouph-ln d? non RBquired Inspectlon Other ThaNqoughdn
(YOU m' II Inspeclor when reaCy) ? Reatly NOw ? ??^:III NotHy Inspector
`
ci -Yes a ? No ?ate Reatl
Iklicensed contractor ? owner here6y request inspection of above electrical work at:
Job Atltlress (Streel, Box or Route No ) Ciry
19 H 4p,
Seclion No Township me or No. Range No, County
Oc?pant (PR NT) Phone No
Z- Zoo
Power Supphar AGtlress
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Elactncal ConVactor (Compan Nama) , Coniraclor's L¢ense No
l ?Q, oo r. lv
Malling Aatlress (GO treclor or Owner Makin Instelletlonj
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Aulhorized Signeture (ConlraclotlOwner Meking I lallebon)
6 C1..t,K Phone Number
2Z?f -2 33
MINNESOTA STATE BOAflOOF ELEC IC
I TMIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg. - Room 5
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I I I I I I ? I I? I I I I I I I I I II BE ACCEPTEO BY THE STATE BOARD
..11
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OPER INSPECTION FEE IS
E
Phone (62) 2-0B00
1
1 ? OSEO
ENC
REQUEST FOR ELECTRICAL INSPECTION
10- See instmclions for comple[ing ihis form on nck of yellow copy ( s 1
?/a7 9s "X" Below Work Covered by This Request
Ne Add Re?;. Type of Building pppliances Wired ' Equipment Wiretl
Home Range Temporary Servica
Du lex Water Heater Electric Heatin
Apt Building Dryer Loatl Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other(specity) Contracror's Remerks'
IOOA Tov??hQ?--
Compute Inspection Fee Below:
ti Other Fee # Service Entrance Sae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 700 Amps o6
Transformers Above 200_Amps Above 100 -Am s
SIgf1S Inspectors Use Only. TOTAL
Irrigation Booms 7 ?p ??, ?Q
S ecial Ins ection
AIarMCommunication THIS INSTALLATION MAV BE OfiDERE CONNECTED IF NO7
Other Fee COMPIETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rouqn-in r
Fmei ? oat
Dat -!? G f
/ w
OFFICE USE ONLY
This requeat witl 18 monihs imm
G-l,597 ?? ? r (a
Requl Date
(? G
_q Fire No Rough?l pechon Reqwred
(VO?m ca.l mspector when reatly) Inspec6on OlherThan pough-in
? Reatly Now DI Will Nrniy Inspeclor
- `? ?
?„J Yes ? No Dale Reatly
I licensed contractor ?owner hereby request inspection of above electrical work at:
Job Ptldress (Slreat. Box or Pou[e No ) Ciry
13 e
Section No Township Nam No, Renge No Coumy
. ?
Oc aN ?PRINT? Phone No
l -Sz.D o
Poner Supplier
? Atltlress
?3?- ee?
EI ctncal iractor (COm any Name)
Con
Comr^acmr s ?icense No.
Meiling AtlOress (C Iraaor or Ownee M Wng Iretalla n)
?J 55 (D7
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Authorrze Signature (COnVactoqOwner Making Insial ion) Phone Number
A
2
-29 3
OAflD OF E
CT
Mltl
G
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R
S
? THIS INSPECTION PEQUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
?
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way B
g. -
oom
. 128
1841 Unlveratty Fve., 51. Peul, MN
A
? II II I I I I II I I I II I I II UNLESS PROPER INSPECTION FEE IS
PhoM (612) 92
0 00 1 ENCLOSED
•. ??? EQUEST FOR ELECTRICAL INSPECTION
? See insduclmns br mmpletin9 this form on bac4 0l yellow copy
"X" Below Work Covered by This Request ??
Ne Add Rep. Type of Builtling I Ap'phartees Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt. Building . Dryer Load Management
Comm./Industrial Furnace Other (S eci )
Farm Air Contlitioner
Other (specJY) Comraaors Remarks Compute Inspechon Fee Below: ioo A -T0 ??kc)KKR''
# Other Fee # Service Entrance Size Fee N CircuRslFeeders Fee
Swimming Pool 0 to 200 Amps ,op S 0 to 100 Amps ,
Transformers Above 200_Amps Above 100 -Amps Op
$1 03 Inspecmrs llse Only TOTAL
Irrigation Booms ? 0 ???
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDER CONNECTED IF NO7
Other Fee COMPLETED WITHIN 18 MO
L the Electrical Inspector, hareby Ro°q°-'" oa
certify that the above inspection has
been made. Final . Date
-
?
OFFICE USE ONLV
Thia request void 18 months fmm