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1977 Jan Echo Tr - Electrical Permits0 «-(C>J% Y 7YREQUEST FOR ELECTRICAL INSPECTION See mstmctlans tor camplelmg Inis form on back of yellow copy "X° Below Work`Covered by 7his Request =%x =_'?o??Z'd'OG/ Ne Add Rep. Type of Building Appliances Wired Equipment:NFre9>> Home Range Temporary Service Ouplex Water Heater Electric Heating Apt Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air CondRioner Other(spectly) Conlreclors Remarks 10 oA To??n Compute lnspechon Fee Belaw: # Other Fee # Service Entrance Srze Fee # j Cvcuits/Feeders Fee Swimmin Pool 0 ro 200 Am s 0 io 100 Am s .aD Transformers Above 200 Amps Above 100 -Amps -)r00 Si ns mspaocrns use ooiy - TOT A L Irrigation Booms 7 ? / •U? - 7 ? [ , ?? Special Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 NTH I, the Electrical Inspector, hereby tif th t th b i Rougn-in ? Da[e cer a y e a ove inspect on has 6een made. F,nai ? oale OFFICE USE ONLV This reQUest void 18 months fram °°? ? 0? 5-975 ? a- 9 U al, 7 R441st Oa e Fire No ovyh=ln ec ion Req (VOU call inspecror hen reatly) ? Inspection Other Then oughln 0 Reatly Now YlAI No6ty Inspector Yes Na D.I. Reatly Iklicensed contractor ?owner hereby request inspection of above electncal work at: JoblAdtlress (StreBt 6ax or FouNO )cc/h ? I a ? J CitY ?? C'm Sec[ion No TownsNp NHme ar No Range Na Counry cc ?0 an?(PRIN'f) u??t? ?s Phone No sz-szDo Power SupP6er Atltlress Zo EI c[ncal Contractor (COm a y Name ?lins -?. s?-. Co . ConVacror's Licensa No CA myo Maihng Atld ess (COnVactor or Owner Makm Installahon) ? ?? 7 Z?S ? ?-rec. N 10 Authorizptl SignaWre (COnVactm/Owner M king Installallon) ?b W? Phone Number ZZq -2-9 33 G?99UO e el y l Ava. 8 ? Pe OF R f I ? I II II I I II I I III I 11 I I II III ENO T OSED OPER NSPECTIONF EE $ Phone (6@) 69P-0800 ? ?? REQUEST FOR ELECTRICAL INSPECTION es-ooooi/-o/s 10, See msiructions foi completing ihis farm on back af yellow copy e`4 Fi ?S(JT "X" Be/ow Work Covered by This Requesf Ne Add Rep. Type of Building Appliances Wired Equipment ' Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Condrtwner - Other (speoily) Contracto/r'?s R/e?m?erks 1?W? \Y\? ?. Compute Inspection Fee Below: I0V1? # Other Fee # Service Entrance S¢e Fee # Circuits(Feeders Fee Swimmin Pool l 0 to 200 Amps $, 00 0 to 1 DO Am s 5Jo Transformers Above 200 Amps I Abov" 00_Am s "7, co Si ns inspenor's use Onty. TOTAL IrrigationBooms 77„Ov ??,Sb Speaal Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 ONT I, the Electrical Inspector, hereby tif h Rouqn,n ? Date cer y t at the a6ove mspection has been made. Final / oa?e OFFICE USE ONLY This request voitl 18 months tro. O ??s 69 0 ? ? ? ?? a , Reql }? /7 ^" ( - Fire No ugh-In I ecfion Reqw (Vou u II Insv=ctorr w?hen reatly) Inspechon Other Than ugh-In ? Reetly Now Will Nolify Inspeclor ?/ I Ves u No Date Reatl I x licensed contractor ?owner hereby request inspection of above electrical work at: JoG Atldren (Sheet, eox or Rome No ? ?q , o?e? ??r Ciry Ea Sedion No Township Name or No Range No Gounry AaAo Occup/an/l?PRl T) P(h?oeNo pr I Ji-sz O ? Power Supplier I? ?i `Ki ?IQC4'7G Atlaress `?3(?0 ZZD'Ii1 CJf1'?C(?" (5 E qrical Conttatlor (Cm I Co 65 any Name) ' C+Vi (c-l (?oY) 6. ConVacrors License No . vo?f o 1? Maihng Address (Conhaclor or Owner Ma1king Installahon) IA h ' ? ? I IV`1V ??jL) Authorrzetl Signature (COnlraclorlOwner Making I slalla0on) b Phone Number 2- Z3 33 MINNESOTA STATE BOARD OF ELECTRI THIS INSPECTION REQUEST N11LL NOT P u ?MN $S10?M1? gE ACCEPTEO 6Y THE STATE BOAFD B21?tln ve sRy Alve., Room Phone (812) 642-0800 ?/ FUNLESS NCLSEpOPER INSPECTION FEE I$ 0-l05 - ?7? i0??Ifv REDUEST FOR ELECTRICAL INSPECTION ° '? ?es-Sogopi-oy ? See instmctions for completing Ihis form on back of yellow copy ??d??f "X" Below Work Covered by 7his Request Ne Add Rep. - Type of Building Appliances Wired . Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management - Comm./Intlustrial Fumace Other (Specify) Farm Air Conddioner Olher (speafy) Conlrador's flemarks' I 0 0 F? Tao-n? ?? Compute Inspechon Fee Below' # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool ? 0 to 200 Amps IfS,601 (11 0 to 100 Amps .00 Transformers Above 200_Amps ( Abov 100 _Am s , W $IgnS inspectors use Only TOTAL Irrigation Booms ? 7' -7 -7, SQ Special Ins ection Alarcn/Communication THIS INSTALIATION MAY BE O D E4 DISCONNECTED IF NOT Other Fee COMPLETED WITHI 8 ON I, the Electrical Inspector, hereby i h h Rough-in ? r oaie ry i at t e above inspection has cert been made. F?nai p i oate OFFICE USE ONLY This requast witl 18 monihs imm 0= p? vQ76 ? ? ? ? ? ? ? Requ t Oete Fre No ough-In ec?lon 9e Inspection Other Than ough-In (VOU u II inspector when ready) ? Reatly Now Will NoLly Inspector - ?30" Ves ? N. Date Ready I licensetl contractor ?owner hereby request inspechon of above electrical work at Jo4 F ress (Street, Box or Route Na iq?q ?o?h ck) -fra i Qly Ec? CA, Section No Township Name or No Range No Cp\unty 1 Oc ani (PR NT7 ?u c? Phone No -S o Power Supplier . ? 'le hri Atldress o- z 5?-. W-es--? Electnr.ei ConVec[or (COmpeny Name) • II . Elem? al Co ?tu??tbh Gontredoi s License No C+?oo otO Mailing AtlCress (COntraclor ot Owner Meking Installalion) Z7 8 5 ?-e, 5?r?e?- S? .?GU•?. I I?l N 6S)67 AuthonzeE SignaN In Ilation) T)Zk re ( oniraclor! wner Maki -?m? Phone Numb r Z2?-Zg33 MINNESOTA STATE BOpRO O?T?? Grtggs-Mitlway Bltlg. Room 1 I? III I I I II I I I I II ?I I I (I THIS INSPECTION REQUEST WILL NOT eE ACCEPTED Bv THE STATE BOARU 1821 Univerolty Ave., SC Pau , M 5 Gbnnn IBt9\ PG9lIM11 UNLESS PROPER INSPECTION FEE IS FNCI (lAFfl E?.o?- REQUEST FOR ELECTRICALINSPECTION v See Instmctwns br complenng this form on back ol yellow copy. ? "X" Be/ow WorkGbvere,d by This Requesf xC?L . R°?-?-??___ Ne Ao`d Rep. Type of Bwlding Appliances Wiretl Equipment ved Home Range Temporary Serwce Duplex Watar Heater Electnc Heatin tBuilding Dryer Load Management l t mm./Industrial Furnace Other S acify) rm Air Conditioner er (speclty) Contraclor's Remerks' Compute Inspecfion Fee Below: IoD Ill -T-O c KIL-? N Other Fee # Service Entrance Size Fee # CircwtslFeeders Fee Swimming Pool 0 ta 200 Am s •op I, 0 to 100 Amps 5,60 Transformers Above 200_Am s , Above-j 00 -Amps 7 00 SI nS Inspector's Use only TOTAL Irrigation Booms -77 0 Special Ins ection Alarm/Communication THIS INSTALLATION MAY ORDE D/615?ONNECTEO IF NOT Other Fee COMPLETED WITHIN 7B ?HS. I, the Elecirical Inspecfor, hereby nif h h b i i h Rough-in . ?e ce y t at t e a ove nspect on as been made. F,nai e OFFICE USE ONLY This requesi void 18 mon[hs from 5 m 9 7 ?094 0 -1 ? ? RequBSt ate Flre No, ough-I pectlon fl rt Ins eclion Other Tnen qough-In (YOU cail inspeclor when reatly) ? Reedy Now Will Notiy Inspeclm Ves ? No Date Reatl I licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (SVeet, Box or Route No.) 40 arid CLr cl e. Qty Ec.a Section N. Township Name or No Renge No. Counry lJ? 69 +-C( Occu ent(PRIN? U Pnone No 45Z-SZD O Power Supplier a.Ko I ??-?? Atltlress -220 5?r?eet- w-ts-4- EI ttlcel ontrector (COr?p y Name !? n5 ? e-? ?,l ` Co ?s-?. Conirector's L?cense No CAoo L- oU Maihng Atltlrass gnlracror or Owner Making Inslallatmn) Authorizetl Signature (COniractor/Owner tdaking Insl Lon) ?? 2 v??i Phone Number 2Z?( -2.S 33 MINNESOTA STATE BOARO OF ELECTFIC ,n Grigge.Mldwey Bltlg - Room 5448 ' II THI$ INSPECTION REQUEST WILL NOT BE ACCEPTED 6V THE STATE BOAFO 1811 Unlvttafly Ave., Sl Peul, MN(5 S (?fTC Ghone 16121 642.OBIIO k V UNLESS PROPER INSPECfION FEE IS cnin necn ?41*917Z C/ 7,7REQUEST FOR ELECTRICAL INSPECTION ? 10- See mstmcnons for rompleting this torm on back oi yellow copy, "X" Below V?ork Covered by This Request e- o i-os .? o ??s?•- ?"- - Ne% Add Rep. Type of 8uilding Appliances Wired Eqwpment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Othar Spea ) Farm Av Condrtioner Other (specdy) ConVaotoi s Remarks' {- Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circwts/Feeders Fee Swimmin Pool )l 0 to 200 Amps s o0 1 11 0 to 100 AmpS . od Transformers A6ove 200_Amps I Above-t0 _Amps 7uc00 Si nS mspecmrs use Oniy , ' ), TOTAL Irrigation Booms CC -7-7, -?J- Q S ecial Inspection Alarm/Communicahon THIS INSTALlATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN MONTIJ& ( I, the Electrical Inspecior, hereby Rough-in oate certify that the above inspection has been made. F,nai J ? -? oate OFFICE USE ONLV This requesi voM 18 months fmm 0- 0 ?977 ? ?t, ?oy? ` 6,0 9 u 9 77 / > Rel Date --3O Fire No ou?,r-la :[ion Req etl Insper,tion Other Thugh-In (VOU u call inspetlor when ready) ? Reatly Now Will NoUfy Inspec[or Ves ? No Da[e Reatl I? licensed contractor ? owner hereby request inspection of a6ove electrical work at: Job Mtlress (Sire I, Box or Route N) a?81 an ko a,.i I Ciry Section No Township Name or No Fange No C unry 1 /?V 1 t? OLC an?l I T? ? ? Phone Na S? SZD Q PowerS1Uppber Atltlress l/..`? 1I {p ?3DO-??0? V?. VVIJ? Elecmcel Contractor (COmpany Name) " l ?. CD. Con[rector's 4cense No GAOC otQ Maihng Addrass (GOnlractor or Owner M king Install tion) ?lg e?- Authoriietl SignaNre (ConVactodOwner Making I all n) ? ?m Phone Num?er MINNESOTA SY ATE BOAHD?? IZYy? I Gtiggs-Mltlway Bltlg. - Raom ? w II I I II I II I I II I ?I II II I I THIS INSPECTION FEQUEST \NII L NOT BE ACCEPTED BV THE STATE BOARD 1821 Univerell Ave., 51. Pa I, Phonef612160R-OB00 UNLESS PFOPER INSPECTION FEE IS ENCLOSED Q(?f 5?'-7 (REQUEST FOR ELECTRICAL INSPECTION ?? 9es o0 01 -0 / ( ? See insVUCOons for complelmg Ihis form on back ol yellow copy. ? i}Q? "X" Be/ow Worls Covered by This Request Ne Add „ Type of Building Appliances Wired EquipmenfV9fred= Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwlding Dryer Load Managament Comm./Intlustrial Fumace Other (Specify) Farm Air Conditioner Omer (speaty) CoMracmrs Remarks ? ? q Compute Inspechon Fee Below: J A ?O ?n? D M1l"?-' # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps ,pp 111 0 to 100 Am s co Transformers Above200_Amps Aycve 00-Amps ,o0 51 f1S Inspecror's use Only TOTAL Irrigation Booms 7-OV -7-7.60 5 ecial Inspection AlarmlCommunication THIS INSTALLATION MAY BE OR R D PISCONNECTED IF NOT Other Fee COMPLETED WITHIN =NUDNT ? I, the Eledrical Inspector, hereby tif ih t th b i Roughin ? oate . cer y a e a ove inspect on has been made. F'"af7 7/3 a')WY . _ /1 "? Date OFFICE USE ONLY ThIB rPquesi Vad 18 mOnlhB fmm Feque 1 De4_ !? ? Fre No ough- n ectmd quvaC? Inspection 01her Than ugh-In (YOU , cell inspeclor when raetly) ? Reetly Naw III Nobty Inspec[or ?? (J Yes ? nate Read No I I?] licensed contractor ? owner hereby request inspection of above electrical work et Job AOEress (Sireet. Box or Rout No ) +'?a.cl c Q'g2 Ov? l? City E , , 2-Qallq Seqion No Township Name or No Range No C?ounty? ? V`-'.. ?upanl1P?NT) ?? Ph?eSZ??VO Power Supplier 1 ? L^'J? -f?'?/?( 1/VkKO ' Li V l'L?1' Il? ? AtlCre?ss Eleclncal Contracror (COmpany Na ? ? ? e) ?- C ' Coniractor's License No C14-?0?( b ?h . eC b • o CU Matlmg AtlOress (Cmhactor or Owner Making I?stallaLOn) 2 -lu,?e ?-ee?- 54?,Pcu,-f' MN S6Io7 Autnorizetl SignaNre (COnlractoriOwner Makm9lnst ) 306 ,A,(? m Phone Number zzq-ZS 33 Gr STATE 1821 Oniverslly Ave., SC Paul, MN 55?OD '? UNLESS PROPER MSPECTION FEE IS ggs-MldwayBtlg 8 Room 5428E( ??v? 11111111111111111111111111111111111111111111111 ENCL03Ep EO BV THE STATE BOARDT Phone (612) 642-0800 ? ???? REQUEST FOR ELECTRICAL INSPECTION _ _Q1 y ? See msvucuons for completing this fortn on back ot yellow copy U "X" Below Work Covered by This Request +. ??,• ? Ne% Add Rep. Type of Building App4m'7ices Wired Equipment Wired Home Range Temporary Service - Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other S eci ) Farm Air Conditioner Other (apecity) Contracfor's Remarks Compute lnspection Fee Belaw: 10 A, ?O w?A VI D I p vn?,, # Other Fee Jt Service Entrance Size Fee # CircuitslFeeders Fee Swimming Pool ? 0 to 200 Am s 1l-?. b0 V I 0 to 100 Amps ? DO Transformers A6ove 200 Amps I Above 100 _Am s , o0 - Si f1S Inspector s Use only. TOTAL Irrigation Booms 1l-? 1 T , j c? Special Ins ection . Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee ( COMPLETED WITHIN ONT . I, the Elecirical Inspector, hereby R°"qh-'n certify that the above mspection has been made. F'"ai //, ? Dale OFFICE USE ONLY This requesl voitl 18 months irom 178 ?S?SO?f ?o? ? R; Request Date j? re ughdn c0on R (YOU .& mspector when ready) Ins ecUan OlharTnep f7oughln ? Reatly Now PIA, In Notity Inspecmr Ves ? No Dete Read I l?]ticensed contractor ?owner hereby request inspection of above electrical work at: Job Address (Sireel, Qox or Route No? Iqg3 Jftn e Trai,( Ctly 6a a,h Sectwn No Tawnship Neme ar No Range No Counry D crl-- Oc pant P INT) Phone No ySZ SZ,ao ower Supphar M -?ri c? Atltlress y30o-- .C)% 5+ . -? E ctncal Convactor (COm ny Name) I ` ? Con[rac[or's License No J? 1?. ?C I YLJ ?o V Maihng Atltlress (?1 ec?or o? ner Ma ing Inslal?? ? ? ? S 5J' 0? ?N ? , ? ' Amhonretl SignaWre (Comrac?or/Owner Makin Inst letion) '1r?1 Phone Number 22 -7?33 G999 UNva elry Ave, StR. P u SME 5?R' II III I I IIII III II I I? I I I I III ENC OSED.OPER INSPECTIONF 6EpST Phone(812) 6C4-0800 ???N ? ? UEST FOR ELECTRICAL INSPECTION ee-pp11-os mstruc0ons for completing ihis brtn on back ot yellow copy. EI ? "X" Be/ow Work Covered by This Request Ne? Add Rep. Type of Building ApH. .s Wired Equipment WrreB_ Home Range Temporary Service Du lex Water Heater Electric Heating Api. Building Dryer Loatl Management - Comm./Industrial Fumace Other (Speciry) Farm Air Conditioner Other (speclfy) Con[ractor's Ramarke I A ,?1 Compute lnspectlon Fee Below: tf Other Fee # Serwce Entrance Size Fee # CircuitslFeeders Fee Swimmin Pool 0 to 200 Amps I s,GO ! ? 0 to 100 Amps S.vo - Transformers Above 200-Amps Above 700 -Amps 7, GY) Si 09 Inspectars use Onry TOTAL Irrigation Booms ? 7, pU ",, CJ- Q Special Inspection Alarm/Communication 7HIS INSTALLATION MAY BE OR DISCONNECTED IF NO7 Other Fee COMPLETED WITHIN 18 OfiTHS. ( I, the ElecMcal Inspector, hereby tif th t th i 6 i h Rough-In 610 ,, aie cer y a e a ove nspect on as been made. Final . OFFICE USE ONLV This request voitl 18 manth5 hom 0- 0 ? Requ t Dat Fire No ou h-ction R ve (YOU apector wnen ready) ? Inspection OtherThan ough-ln ? Ready Now Will Notily Inspeclor No Dale ReaO I licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Slreet. Box or Route No ) od ' Cny ?c ?- Seclmn No Township Name or No Range No Counly ? Oc?pant (PR ? rLAA Phone No. Power Supplier tua- ?? Atltlress Iti1-?S?- Electncal ConVador (COmpany Name) 1ins le ( Contractors Lmense No Os?. Co. cNoo o(p l71alLng Address (CO a ? tor or Owner Making Installatron) t? S-1-Yee .-F _ aw-l 64 (\,?f SS 10-7 rluthorrzetl Signature (ConlradodOwner Mekm Install lion) Phone NumGer '? ZZy- 33 ?t MINNESOTA STATE BOARO OF ELE TF I THIS INSPECTIO:J REOIlEST WILL NOT tt' S2?-. p 6E AGCEPTED BV THE STHTE BOAHD Gdggs-MlOVray Bltlg - Room -0 1821 Ilniverslly Ave., SL Paul, MN @S?q`? I UNLESS PFOPER INSPECTION FEE i5 Ppone 16121 642-0800 U- V??,I ENCLDSED REQUEST FOR EIECTRICAL INSPECTION '$ee mslmctions for completing ihis form on back ot yellow copy "X" Below WoFA.qWed by This Request Ne 'Add Rep' Type of Building Appliances Wired Equipment Wire Home Range Temporary Service Duplex Watar Heater Electnc Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specrfy) Farm Air Conditioner Otber(speclty) Contracbrs Remarks: - AO ?O " r'n???n ?vw Compute lnspection Fee Below: 160 A # Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps , np ( 0 to 100 Amps , W TransFormers Above 200 Amps Above 100 -Amps 7.00 Si nS Inspector's Use Only/ TOTAL Irrigation Booms 0J -77, SQ S ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE O 4 DISCONNECTED IF NOT Other Fee ' COMPLETED WITHI TQVION I, the Electrical Inspector, hereby h Rou9n-in oate e above inspection has been made1 Final /" y oaie OFflCE USE ONLY Thrs requestwid 18 monthsirom E0r?S? ??Qt 0-? --79 ? R st Dat Fve No Rough- c Re (VOU u a, per.lm when reatly) Inspeclion Other Than ough-In ? R9atly Now Will Notify Inspecbr ) Ves ?No peteFeatl I-?licensed contractor ? owner hereby request inspection of above electrical work at Job AdCress (Slree,. Box or PoNe No 5 c?.n ? i? i I Ciry Ea a Section No. Township Name or No Range No County ?1 ? O p am ( P INT) E Phone No ySz SZ?o Powe bADVp- r Sup ier ( c/ Atldress ^-7 /'` ? V ? . . + E(le'?ctncal ontrector(Cojmoe?ny Name\) f ? Conrca/c'+loYS Lmense No W OO O l? MaAmg Address (C mr ctor r Owner Makin Instelislio p QU l M N S10_7 ?- SV A_ , ? r-ee Authoraed Signeture (ConiractonOwner Mak'ng Installafi ? Phone Number ? 2100 _ v,lj'? t ZZy-283 % ??? THIS INSPECTION REOUEST WILL NOT Or ggs-MIC ey Bldg B qoom S 1 ? Phone (61Y) 602-0800 II II I I II III I I II I I I? II BE AGCEPTED 0V THE STATE AOARD 1821 UnivenRy qve, SL Vaul, M 5 UNLESS PROPER MSPECTION FEE IS ENCLOSED ?ou -773REQUEST FOR ELECTRICAL INSPECTION g?e-e/-aoooi-os ? See inslmc0ons lor compleling Ihis form on back of yellow copy {?ll? ? "X" Below Work Covered by This Request _w- 1 3 q _3 5 Ne Add Rep. Type of Building v, pliarlDes Wired Eqapment Wired Home Range Temporary Service ? Duplex Water Heater Electric Heating Apt Bwlding Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conddioner Olher (specdy) Conlratlor's Remarks Compute Mspection Fee Below' I O01? N - Other Fee # Service Entrance Size Fee # CvcurtslFeeders Fee Swimmin Pool 1 0020 0 Amps S,oo 11 0 to 100 Amps fio Transformers Above 200_Amps Above 700 -Amps 6C7 Si n5 Insvecror'sUSeOnry, ? TOTAL Irrigation Booms 1??C?j `]7, S? S ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT . Other Fee COMPLETED WITHIN 1 THS ( I, the Electncal Inspector, hereby rtf th h Rouqn.m ? r ? oaie y ce at t e above inspection has been made. Fin.i OFFICE USE ONLY This repuest wid 18 monfhs irom 7 3 F9? ?? s S Fequ t Date 1 Fire N RougF, nspecno etl Inspection Other T?e?ugh-In (VOU IPmspec?or When reatly) ? Reatly Now Will No1Ry Inspeclor Yes o No Da?e ReeG I?licensed contractor ?owner hereby request inspection of above electrical work at: Job Ad/tl?re?ss`I(Str,,eeG Box` oIrU Royu?te No) •I`7 O lY D V ?.? l V ? CA?y ?j l.r? c.l SecOon N. Township Name or No. Range No Counly ( Il-o I w Occu nt(PRINT ? Ph q oqe N ?- o Power Sup0liei cZ+-c,c -?C-I-. Address 3CO- ZZO+r%, ??' (,J?!S+- Elecfncal Conirector (C pany NaIme) ? 11 5 T. Contraclor's License No- Mailing Atldress (CO?ct I L`?/ ?wner Maki I stall?,?) C I M„ JI D? J ?/ ANhorrzetl Signamre (COnlraqor;Owner Makmg Inslall mnl)/? 1^^ Phone Nu?m(pe, Z? ?? O I ? MINNESOTA STATE BOARD ITY Gdggs-Mitlway Bldg. - Roam II I I I III I I I I I I THIS INSPECTION qEOt1EST WILL NOT II BE ACCEPTED BV THE STATE BOARO iffiI University Ave, St iaul ? Phnnw IF191 PAMMO11 9 . UNLE55 PPOPER INSPEC710N FEE IS FNf.I ORFfI REQUEST FOR ELECTRICAL INSPECTION 10- See instructrons for compleung this lorm on back oi yellow copy. - 4? "X" Be/ow Work Covered iy This Request Ni Add Rep. Type of Building Appliances Wired EquipmentAfJired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Speafy) Farm Air Conditioner Other(speciy) Contractor's Remafrk?s' ?/V? l.V \v'? 1^ O L N? Compute lnspection Fee Below: 10 0 I? 1O 1 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool ' 0 to 200 Amps (?j, 00 I( 0 to 100 Amps oc; Transformers Above 200_Amps Above 100 _Am s-7_oc?, $' p5 Inspedors Use Only TOTAL Irrigation Booms ti ' -77 , S/? (J Speciai Inspection Alarm/Communication THIS INSTALLATION MA BE O D PISCONNECTED IF NOT Other Fee COMCLETED WITHIN NT I, the Elecirical Inspector, hereby Rouyn-in , ? ? oate certity thal the above inspection has been made. Flnal o ete OFFICE IISE ONLV Ths request voitl 18 months irom 0-I,,aa 9 7 9 8 0 ? ?.?, ? ?-so5u Requ t Det ? I?? O` ? Fire No. Rough-Iq.i ction Requ (Vou u t I mspec5or?han reatly) Inspection Other Than gough-In ? Raetly Now S?Will NoUty Inspeclor es No Date Featl I? licensed contractor ? owner hereby request inspection of above electncal work aC Job Atltlress (Straet, x or Poute No ) ?g i City r 7 a o Lra Secbon No Township Name or No. Range No unry Occ nt?PRiN Pnone No Pawer SuOPlier Y?/ C?C Atltlress V?' ("` O V. learical Contracmr (Gompe Name) Con/lr'a?nors Lmense No V A?}tl^O(?ress (COnvactor r Owner Makin Installation) Mailin 2? V J' /`}1 ( n? Authonzetl 3igpneture (Canireator/Owner Makmg Inslsllal' n) ? Phone Number (?? ? 2? ? ?J . v V l MINNESOTA STATE BOARO E E Idj? Griggs-MlEwey BIEg. - Haom?S ?W I ? THIS INSPECTIDN REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARO ? 1821 Universlry Ave., St. P6W, Phone I6121692-OBW \ , UNLESS PROPER INSPECTION FEE IS . ENCLOSEO 0 ° 0 7 4 k °0 " $ ? q, 8l ?? -77 Request afe I - Fire No Poughln+n eetlorFFe (VOU call inspector w?en reatly) u Inspection Other T n ugh-In ? Ready Now WAI NoNy Inspector I ves ? Na oate Reatly IIx licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Street, Box or Route No ) 88 G?.v? ?Ji C City -? ?-h Sec[mn N. - Township Name or No Fange No Counry t)a O- pan?(P NT) p??,ti? ?S Phone N. Sz-52Db PawerSUppher pg-K o-I-C,t- E,l.,eC-I-ri C. Atldress Lf 3oc; - 22o-?i 5+ . k?e 5+ Elactncal Contractor (COm ny Name) /' ? ??' ?` Conlractor's Lmeose No • h D I C ? l: o M?? tldles5 (Cq(d clor0 ner kng Inslallalion1)? V ? . I V L Authonzed SianaNre (ConVactodOwner Making Ilahon ? b -? c1?-PIns1 m Phone Number Zzq-Z833 MINNESOTA Gr ggs-MltlwayTB tlg.B Raom SF128?T?` V1 ?I ? I ? 1111111111111111111 I I II I ENCLOSEO ED BV THE? STATE BOA OT 1821 University Ave., St. Vaul, MN 55 t?6? UNLE55 PROPER INSPECTION FEE IS Phone(612) 692-0800 ?? / Qf ?V7 EQUEST FOR ELECTRICAL INSPECTION B-00001-0 ? See insimctions lor completmg this form on back of yelbw copy ??? tn/7 "X" Be/ow WorkjaZu?ered by This Aequest ?. Ne Add Rep Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Du lex Water Heater Electric Heatin Apt. Bwlding Oryer Load Managemenl Comm./Indusirial Fumaca Other (Speafy) Farm Av Conditioner Otherspenly) Contradofs Remarks Compute Inspection Fee Be/ow, I v0' ` TQ Wn; hb lll # Other Fee k Service Entrance Size Fee # Cvcuits/Feeders Fee Swimmin Pool 0 to 200 Amps '0 I 0 to 100 Amps rA Transformers Above 200 Amps Above 100 _Am s 7.P 1 SI n5 Inspector's Use Onry , - TOTAL Irngation Booms 7?-GY? 7? S? S'ecial Inspection Alarm/Communication THIS INSTALLATION M BE O ?DISCONNECTED IF NOT Other Fee COMPLETED WITHI ONT I, the Electncal Inspector, hereby Rough-in r f oaie certiiy that the above mspechon has been made. Final s oate OFFICE USE ONLV TMs requast void 18 monihs irom