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4410 Jan Echo Tr - Electrical PermitsREQUEST FOR ELECTRICAL INSPECTION b, See mslrucM1Ons for completinq [his Porm an back oi yellow copy ? ? ? "X" 8elow Wo?ed 6y rhis Request ??i;5 1/ Ne Add Rep. Type of Building ? Appuances Wired Eqwpment Wv ? Home j Range Temporary Service / Duplex I Water Heater Electric Heahng Apt Building ? Dryer Load Management Comm./lndustrial ? Fumace Other (Specify) - Farm Air Conditioner O[her(specJy) Con[reotora Remarks Campute Inspection Fee 8elow. (J- I ? Pccl-k ` Lk) rv!!,,?o rv ? I # Other Feel # Service Entrance Size Fee # Circwts/Feeders Fee Swimming Pool ? 11 0 to 200 Amps ? D to 100 Amps Transforrners Ahove 200_Amps Above 0-Amps '7.1)6 Slgns I Inspector's Usa Onry TOTAL lrrigation Booms I >? a ??,50 Special Inspection ? Alarm/Communication THIS INSTALLATION MAY BE O OfSCOtJNECTED IF NOT Other Fee ? COMPIETED WITHIN 78 MON7W3. I, the Electncal Inspector, heretiy tit ih t th i ti b a Rou9n-m . / oa?e ? cer y a ove nspec on h e a been made. I s . Final oate 3 Y/ OFFICE USE ONLY This request void 1 8 moNhs tro. 0? - 40 ? . ?-' , Requ [ DatB ? ^ V ? frte N I Rou InspecbOh Reqwretl (YO call inspector when reatlyl ? inspecbon OtherThan Rough-In ? Reatly Now ?I Nohiy Inspecror I 1 No s Oate Read I? licensed contractor ?owl er hereb uest ins edion of above electrical work at re y q : p dob Atldress (Sheet, Box or RoNe No ) Qty I ? r Seciron No Township Name No Range No County Occupan[(PRI n ? ^ m I i1^y 1 (? ( ? V Pnone No PawerSUppLer ? G Address L-I o0 220'I'tA ?- , EI ?ncal GonUador (GOmpan Name) ?OII A-- a Con[rec[ors ?cense No. D i . . c p Mailing Atldress (Conhactor or wner Making Installa[ion) _TK PakO M N 5) o? a?t s Authonzed Signa[ure (COMractor/Owner Making In tallaM11 ? Phone ? Numbe/?? MINNESOTA STATE BOAFU OF ELECTRICI GNggs-Mitlway Bltlg. - Room 5128 THIS INSPECTION REOl1E5T WILL NOT BE ACCEPTED B, THE STATE BOARD 1821 UNVerslty Ave., M. Paul, MN 55104 P6nnn IBV\ Gd>.OMII UNLESS PROPEP INSPECTION FEE IS 1un nem ?3 95 REQUEST FOR ELECTRICAL INSPECTION 14-?r? 10- See inslructions ior completing ihis form an back of yellow capy. "X" Be/ow Work GIIIIIIIIIII by This Request Ne Add Rep. Type of 8uilding Applia Wired Equipment Wued Home Range Temporary Service Duplez Water Heater Electric Heatin Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Av Conditioner Olhar (specAy) CoNreotor's Remarka: Tc> v? r11o t?. I oo-A " Compute Inspecfion Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool t 0 to 200 Amps 157,00 I 0 to 100 A s $,Op Transformers Above 200 Amps I Above 100' mps 7,U0 SI nS Inspecror's Use Only TOT L Irrigation Booms ?-' ? ? T Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O - NNECTED IF NOT Other Fee COMPLETED WI7HIN 18 MONT /1) I, the Elecirical Inspector, hereby_ if Rougn-m oq? y cert y Ihat the above inspection has 6een made. oate / YJ OFFlCE USE ONLV ? This reQUesl voitl 18 montps irom 0 9 95 339 Reque DaN b- ? Fre o Rcug u?red (YO ca .ctor when resay) Inspechon Other Than ugh-In ? qeady Now Will Nahly Inspecfor Ves ? No pate qeatly I liCensed contractor ? owner hereby request inspection ot above electrical work at: Job Ad ress (Sireet, eox or Rou[e No ) Qy ac&X ? ^' Wf 1 Sechon N. Township Name r No Fange No Counry 1 • <V ' ? Ol J ccypan[(?1NT) ? ^ i' ?? Nx-p Ph?NoS--t_ ZQ? PoyW?erS?Uppl1rer'- Mtlress /7o ElecMqal Cont recfor (CO ny Name) Contrecbfs License No s? CNooyt) 10 ? ?c?- . a?Hrg App? 5(COn ot o? Owner Mabng s1alWeon) ? U '{ ,?? I ?_ 1V I? 107 S ? J AWhor¢ed Signature (ConVactotlOwner Makinq Installa?mt??J Phone Number /? (y V • l /?• ?'V?1 MINNESOTA $TATE BOAflD OF ELECTRIGITY Griggs-Mitlway Bltlg. - Room 5-126 II II I I I I I I II II I I THIS INSPECTION REQUEST WILL NOT 8E ACCEPTEO 9Y THE STATE BOARD 1821 Unlvereity Ave., 51. Paul, MN 55704 Phone(612) 642-08D0 UNLESS PROPER INSPECTION FEE IS ENCLOSED ??J% REQUEST FOR ELECTRICAL INSPECTION ??? ??pp? ? ? ? See mslmclions fur ?ompleUng this torm on beck of yellow copy ?P /9 q5 "X" Below Work Cov,ered by This Request •??. Ntki? Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heatei Electnc Heating Apc Bwldmg Oryer Load Management Comm./Industnal Fumace Other (Specify) - Farm Av Condi4oner OtM1ar (speaty) Conlrar.mrs Pemarks ? Compute Inspectron Fee BelowI?? # Other Fee f{ Service Entrance Size Fee # Circuits/Feeders Fee $wimming Pool 0 ta 200 Amps ? 6? 0 to 100 Amps ? Transformers Above 200 Amps Above 100 _Amps •J, oa Si ns inspeaor s use oniy TOTAL Irngation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elechical Inspector, hereby b i rf Rough-in Dat y?C?J y that the a ove ced nspection has 6een made. F??a? OFFICE USE ONLY This reques[ voitl 18 months fmm ? 338 80 1'= ?9? ?l? ?' 6 77 Fleques5 ate ? Frte N. ougM1- speciwn Reqwred In echon OlherThan Roughln (YO call mspecior when reatly) ? Reatly N. WAI NotHy Inspector Yes ? N. Date Featly I- licensed contractor ? owner hereby request inspection of above electrical work at: Job Atldress (SVeet, B. or Rw[e No ) 6 Gty -H 15 e,r Sedion N. Township Name o No Range No Counry O n?(PP T) Phonq, PowerSUppher Atltlress -?-- Electtlcai Conirador (GOm ny Name (r, Conha/cro`r's/,Lice?nse ?No ilingAddress (CoMr d r or Owirer Mabn stallauon) ? ????W-d 5607 N Authonzetl SignaNre (COnVaqor/Owner Meking Installation) Pnonne?Numbe?Wr nW ^(? 35 MINNESOTA STATE BDAHD OF ELECTHICRY Gfiggs-Mitlway Bltlg. - Room, 5-126 II II I ) THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARO 1811 Unrveniry Ave., SL Paul, MN 55104 Phane (812) 642-0800 . . UNLESS PROPER INSPECTION FEE IS ENCLOSED REQUEST FOR ELECTRICAL INSPECTION 110, See insimchons lor comple0ng this form on back of yellow ropy ? "X" Below VF'ork ?ceered by This Request New Atld Rep Type of Building Appliancas Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt Bwiding Dryer Load Management Comm /Industnal Furnace Other (Speafy) Farm Air Condrtioner Other (specdy) Goniraatore Femarks - Compute lnspechon Fee Below: Iw_ N? TO 1 ?' `V`i # Other Fee 4 # Service Entrance Sze Fee # Circmts/Feeders Fee Swimming Pool 1 ( 0 to 200 Amps I 0 to 100 Amps .aO Transformers A6ove 200 Amps 700 Amps SIgt1S InspeHar's llse Only T TAL Irrigahon Booms ?, -rJ-O Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR D DISCONNECTED IF N07 Other Fee COMPLETED WITHIN 18 MONTH I, the Electrical Inspector, hereby trf th t h Rouqn,n e/ pai cer y a t e above inspection has been made. - F'"a? Da[e OFFICE USE ONLY TMS reques[ voitl 18 months lrom / 0 -P 5 ?,3 7 ?? ?O ? F2quest ate ??Q (? ? ? l?? R. No oug?- spectwn Reqwretl InspecUOn 01herThan Rough-In (Vou s? call inspecto[yfen reatly) ? Reatly Now ?WAI Nobfy Inspecbr J f Yas LJ No Date Ready I- Klicensed contractor ?ownar hereby request inspection of a6ove electrical work at: Jab, AtlItl're1ss (S^Jl're?eq 9ax or RoNe No ) ? Gryr `'1`1 ? L? V? t? Sec[mn No Township Nam or No Range No Counry 'baK0 Occupant(PRINT) ?N LlI T ? Phone No2`5? l' Prnver upplier ` ` Atltlre?sjs?,? V"'?..k.l ` W V I-[.l?' 1 \ \ V ?C?/ ? \? 1 ? • V ?/L ? 1 Elecmcal Contrector (COmpany Name) ( 4 ConVaciols License No O , . . V O Mailing Adtlress (GOnirector or Owner Making Insrellavon) 5?` \O I M N 55107 Authonzetl Signature (COntractudOwner Making I taUalwnj Phrnre Number a LI-a933 G N v 'C Y B A I I I II I I II I III II I 111 111 11111 111 B?E OT ' E vero ty A 1 82 9U Pau SMN 55104 e., St GM1nna Ifl1T fd9.(?Gll(1 I ? UN ESS PRDP R INSPECTION 13 o1111 C ?f , REQUEST FOR ELECTRICAL INSPECTION ? ??•? J ? See msmietions for oomplehnp Ihis Porm on back o( yellow copy `?i%9/?s "X" BelaHC bVocv_ered by This Request Ne Add Rep. Type of Building Appliances Wiretl Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Bwlding Dryer Load Management Comm./lndustnal Furnace Other (Specify) Farm Air Conditioner other(speciry) Comrqctors Reinarks I To W?koM-? Compute Inspectron Fee Below: Op-.4?-&p N Other Fee # Service Entrance S¢e Fe its/Feeders Fee Swimming Pool 0 to 200 Amps O Amps ICK Transformers Above 200 Amps [ 0 _Amps Above ? Signs b inspec wts Vse Onry TOTAL Irrigation Booms -7-7, 5O S eaal Ins ection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT O[her Fee COMPLETED WITHIN 18 MQP{TR6. I, the Electncal Inspector, hereby tif th l th b i i h Rough-m ? oar cer y a e a ove nspect on as been made. - Pmal ? Da[e OFFlCE USE ONLY This request vatl 18 monlhs hom ? 9 i?5 43 6 ? 0,,a!_ &-,77 eo ReQUe Date (] r _ -7- Fire No Roug nspecM1On Fteqwretl (You us call mspeclor when reatly) ? Inspection OtherThan ough-In ? qeatly Now Wtll Natdy Inspetlor I J es No Date Raetl I ?91icensed contractor ?owner hereby request inspection ot above electncal work at: Job Atltlross (SVeeL Box orqoute No) yy l I City G v? Sedion N. Township N e or No Pange No County Occupant(PRINn Phone No. PowerSUppber Adtlress y 22D`N? S?. Wils+ Elecfncal ConVactor ( mpany Name) CoMraIXOfs Lcense No los ? . • Aop l MaNng AtlCress (Contrector or Owner Makin Installation? / SA- ` PD-W MN 55) 0^ T ? Authonzetl Signature (ContracrodOwner Makmg Installatlon) Phone Number -Q,m MINNESOTA $TATE BOARD OF ELECTRICITV Griggs-Mltlway Bltlg. - Room 5-128 1 11111 1111 I? I I 11 11111 1111 1 11111 THIS MSPECTION REOUEST WII.L NOT 1111 BE ACCEPTED BV THE STATE 80ARD 1821 Unrvaraity Ave., SL Vaul, MN 55104 Phone (612) 6/2-0800 UNLESS PROPEF INSPECTION FEE IS FNG OfiFf) . ? ?S.3REQUEST FOR ELECTRICAL WSPECTION ??h;I?y,?y ^/ ? Sea ins[ruolion4 br mmplating this form on back ot yellow copy ? y y (J //] ?P ??i 1T "X" Belovi: Work.(:overed by This Request NeH Atld Rep. Type of Building App6ances Wved Eqwpment Wired Home Aange Temporary Service Duplex Water Heater Electric Heahng Apt Building Dryer Load Management Comm.Andustrial Fumace Other (Speafy) Farm Av Conditioner O?har(specify) Conlraclors Remerks Compute Inspection Fee Below: # Other Fee # Service Entrance S¢e Fee # Cvcwts/Feeders Fee Swimming Pool 0 to 200 Amps , Do 1 0 to 100 Am , o0 Transformers Above 200 Amps I Above 100ps Z,op Si nS Inspecwr's Ose only ET OTAL IrngatwnBooms ; 5 ? Special Inspection Alarm/Communicahon THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NO7 Other Fee COMPLETED WITHIN 18 MONT . ? I, the Electrical Inspector, hereby th t t RougM1-m oai '?/ c? cer ity a the above inspection has 6een made. oaie , 7 ' OFFICE USE ONLV This request voitl 18 mon[hs fmm 0-? g l"-? ' 4 " 35 0 ? /?/ 9 a 9 Reques D te .. Fre No. ouqh-I pecM1On Reqmred inspector whN reatly) Inspection OlherThan qough-In LJ! ? Ready Now Uy,Will Nottly Inspeclor ' ? p I licensed contractor ? owner hereby request inspection ot above electncal work at: Job Atltlress (Stree6 Box or Route No.) [? Ciry I )? Seclion N. Township Name o No Pange No County O Occu ant(PRI ) u?40 ? mo2 Phone No C?Z-45 wo PowerSuppLer ? ??,.Kn?a I ec?ri C Atltlress + -12Qi? 5? . W.eSy Eleclncal ConVaclor (COmpany Name) 4 V ? . Wy1 ?. W? Co/Mracrofs L¢ense No. ? ?/ OLo Mailing ptldreas (ConVa or or Owner Making Installali,on)0 ' ?07 ? C C..1 3.J U Ll? Autrnzed Signawre onlractor/Owner Meking Installab Phon? ?? S3 3 i1 MINNESOTA STATE BOAHD OF EIECTPICR Griggs-Mitlway Bitlg. - Haom 5-126 II I I I I I I I I I II II I I I I II THIS INSPECTION REOUEST WILL NOT BE ACCEPTEO BV THE STATE BOARD 1821 Unlversily Ave.. SL Paul, MN 5510C Phone (612) 642-0800 UNLESS PFOPER INSPECTION FEE IS ENCLOSED L¢ REQUEST FOR ELECTRICAL INSPECTION ? p ?g,c?o9ai ?a Sae instmcM1ons for wmpleting this (orm on back ot ysllow copy t +?+ g? "X" Below K5rk C6J'ered by This Request ?fil-9 Illf New Add Rep Type of 8uilding Appliances Wired Equipment Home Range Temporary Service Duplex Water Heater Electnc Heatmg Apt Bwiding Dryer Load Management Comm /Industnal Fumace Other (Specify) Farm Air Conditioner Other (specdy) Conhacmr's Remarks ` ? /?????Yj?(j? loo" Campute Inspectian Fee Below: ??Y??'b # Other Fee # Service Entrance S¢e Fee # Circwts/Feeders Fee Swimming Pool ? 0 to 200 Amps 1$,00 11 0 to 100 Amps , o0 Transformers Above200_Amps 1 Ab 100-Ams ,oo Si90S Inspecror's Use ONy TOTAL Irngation Booms ? z ee "1 CJ () Speaal Inspection e AlarmlCommunication THIS INSTALLATION MAY B ISCONNECTED IF NOT Other Fee COMPIETED WITHIN 18 MOMT ? I, the Electrical Inspeclor, hereby rti th th i h b h Roughin o ce y at ove nspec on e a as been made. Finai OFFICE USE ONLV `-" ? This request vaid 1 8 manihs (ro. Request afe Fire No Ro?gn-I ? ion Requiretl (YOU m callTispedor when reatly) inspeclion Ottier Than Rough- ? Ready Now ?A'ill NoIn?ify Inspector A Yes ? No Date Reatly I licensed coniractor ? owner hereby request inspection of above electrical work af: Job Atltlrass (Street, Box or Foute No C4ly ho r( l `kLA o vl $ection No. Township Name or N. Range No. Couny ? Ocr,ypaM (P; IN? ^ Phone W. 2 O Power Supplier ' Atleress y S?. S EI qncal Conlractor (GOmpany Name) 1 Co/nV?actoi s License No 1 ? L 1. 1 v• \ 0 Mading Atltlress (COrnV,a?c,.b.?r Owne, Makinyg ,In?sUlla)) ?KJ ? w J rQCT ? < 1 Authonzetl SignaNre (COniradodOwner Making Installafion) B u t- Phona Number k-- a 10 O j-t k 2 - G Umv 8 Y e ' II (I I I I I I I I I I I I I I ATE FO III i EC E 5t P uI MN 5100 ersity Ave, 82 9 Plwna 46121 602-0800 1 ? EN ELSSE PER INSP T ON E $ REQUEST FOR ELECTRICAL INSPECTION 4L -See msRUCYOns for completing Ihis form on back oi yellow copy "X" Below Work ! bvered by This Request _ Ne Add Rep. Type of Bwlding A.,anCgs Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management 4 1 Comm /Industrial Furnace Other (Specrfy) Farm Air Conditioner Other (specdy) ConVector's Remarks ^{° - 1W XA..A.p Compute lnspechon Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Poai 0 to 200 Amps 1S-,ocs 1f 0 to 100 Amps gS,° Transformers Above 200 Amps I Above 100 _Amps 7.ou Slgns Inspecmrs use Only TOTAL IvigationBooms O r 7 J6 Special Inspection ?? ? • AlarmlCommunication THIS WSTALLATION MAY BE ORD NECTED IF NOT Other Fee COMPLETED WITHIN 18 MOl ? I, the Electrical Inspactor, hereby d f th R°°9n-tii / oar ce i y at ihe above inspection has beenmade. Finai ?d °(l?C?e'`?? OFFICE IISE ONLY This reques( vatl 1 8 monlhs hom &342 N 1* ?? L aam, 4 ? 1 . , Reques Date (A Fre N. ough-? ec100ReOmretl (Yo?m call mspeclor when ready) ? Inspec0on Othe, Tha ough n Ready Now ill Noinhfy Inspeclor ?` { ? N. es Oate Featl Iglicensed contractor ?owner hereby request inspection of above electrical work at: Jbb Atldress (Sireet, Box or Roote N) ?f? l l ? h a'r - bly - S a.?n - L , v r Section No Township Name or No Pange No County 77 ko t- ????Pant?PRINTJ ? O& km czx 'T Phone No f? ?_5?O Power Supplier Adaress Da.y-D-b- EIe.C??c- q3o0-ZZO-{'i, Elecincal Contrac[or (COmpaO Name) ' vllin C,a 5+-. Conhactor's License No c,Aoo(4 oCo Madmg Address (COntrac[or or Owner Making Insbllahon) S?r +- }. cu.a I ?1 N i o? Authonzed SignaWre ( ntractod0 nerMakm Ins abwn) Gb Q,rcv?. ? m Phone Numper ZzLI -2S3 MINNESOTA STATE 80ARD OF ELECTflI TV Grigga-MlUwey BIOg. - floom 5128 THIS INSPECTION REQUEST WILI NOT BE ACCEPTEO BV THE STATE eOARD 1821 Universiry Ave., SL Paul, MN 55104 Ph- IR11\ Rd'l.fiMll UNLESS PROPER INSPECTION FEE IS ??irr ne?n 3t/ REQUEST FOR ELECTRICAL INSPECTION g,qppoi ??"?p' , Wio,s 110, See msimohons for compledng this form on back of yellow copy "X" Be/ow Work Covered by Thrs Request ?5 ? Ne Add Rep. Type of Bmlding Apptances.yVired Eqmpment Wire Home Range Temporary Service Duplex Water Heater Electnc Heanng Apt. Building Dryer Load Management CommJlndustrial Furnace Other (Specdy) Farm Air Conditioner Other (spemly) Confractor's Remarks lC6-A*-P TO t.Onr\\n-O Compufe lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool ? 0 to 200 Amps 15.00 l 0 to 100 Amps CjS, m Transformers Above 200 Amps 1 Above 100 -Amps Z,pa Slgns Inspemar's Use Only TOTAI Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAV BE ORDEREU DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electrical Inspector, hereby tif h h Rou9n,n oar y t cer al the above mspeGion as been made. F'"ai D? a[e ? rc?? OFFICE IISE ONLY This request witl 18 monihs irom 0- 9 y 43 Reques Date Cl-f I 6 Fre No, ough- sp?qiron Reqmred (VOU call ina?mw when reatly) Inspec[mn Other TM1an flaugh-In 0 Ready Now g Will Notify Inspector ' Ves ? No Da[aReetly I 9 licensed contracior ? owner hereby request inspection of above electrical work at: Job Adtlress (SVSeL Box Qc Poute Na_) i G ? 4q 1 ho CA Ctih Sechon No Township Name or N. Range N. County 1 v\ Occupar?i (P? Iry1 f T) ? 1 v w? Ptlone No ?J Paver Supplier ?-a ElR-c,-hr;G Address 04+ WeS? Elec[ncal ConVacbor (Company Name) ? C k'. C,o Confredofs Licrose No cP?tooii MaAm Adtlress (COnV ro or Owner Makinq I tallatron? ? 5? M N 55 107 Authonzed Signature (ConlraclorlOwner Making I stall n) n% Phone Numpe? ^? ? Cb MINNESOTA STATE BOAHD OF ELECTRICI Y Griggs-Mitlxay 81Eg. - Roam 5428 INI N? I I ?I INI I II N II I THIS INSPEGTION REQUEST WILL NOT BE ACCEPTED 8V THE STATE BOARD 1821 Univeniry Ave., St. Paul, MN 55104 Vhone(612) 6e20600 UNLE55 PROPER INSPECTION PEE IS ENCLOSED ?J .3 ? REDUE5T FOR ELECTRICAL INSPECTION °"?Po oi- ? s Sce insVUdions lor completing Ihis form on back of yellow copy ?? 4? "X" Below Work Covered by This Request ?„ Ne Add Rep. Type of Bwlding Appliances Wired Equipment Wire Home Range Temporary Service Duplex Water Heater Electnc Heating Apt. Butldmg Dryer Load Management Comm./Industnal Furnace Other (Specify) Farm Air Conditioner Ollier (specity) Cmtraator's Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool ? 0 to 200 Amps 1,O0 1 0 to 700 Amps %.W Transforcners Above200_Amps 1 AtQvp 100 Ams -1,oo Si ns Inspector's Use Only TOTAL Irrigation Booms 7so Special Inspection Alarrn/Communication THI5 INSTALLATION MAY BE OR ED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 1 MONTyS. I, the Electncal Inspec[or, hereby ni th t th i h b Rough-in / l.??,v' oat? / ce y a e a ove inspec. on as en mad e. Finei /6 y? oa? FlCE USE ONLY s request void 18 8 months Imm rT s344 'r3 ? ' ? "v ?7??d"? 09 ? 9 ,RegAnI Dat 1 Fire No oe?h s04.^??on Reqwred Inspection OtherThn Rough-In (YOU u call inspector when ready) ? Ready Now Wtll Nobty Inspector Ves ? No Date Reatl I)?licensed contractor ?owner hereby request inspection of a6ove elecirical work at: Job Address (SVee[ Box or Route No ) Ctly ko a ? Secfon No Township Name or No Range N. Cou ty Oc cu aM (PRi T) L ?1 Phone N. "? ?' ? ` C) Power Supplrer p Ad'dress ` 1 Electncs{ Conlmctw (Comparcy NamS) I License No Con?ra 7 ( nS . oo O O Maibn Atltlress (COnVacror or pwner Makinq Inslalla?ion? `l ? Str -r S.7110uu l MN 55107 Authonzetl Signature ontractorlOwner Making Install Uon) Phone Number 6O I ? ? -ZS 33 MINNESOTA STATE BOAFD OF ELECTNICIT Gtlggs-Mitlway 91dg. - Hoom 5-028 I I THIS INSPECTION REQUEST WILL NOT BE ACCEPTEO BY THE STATE BDARO 1821 UMvereity Ave, St Paul, MN $5109 Phone (612) 642-0800 I , ONLESS PROPER INSPEGTION FEE IS ENCLOSEO REDUEST FOR ELECTRICAL INSPECTION A'i`.y'g;., ? ? ? S. inedmcirons for compieong irns iortn on back ol yellow copy ! ? "X" Below Worh.Covered by This Request T Ne Add Rep. Type of Building :-. Apphances Wired Equipment Wired Home Range Temporary Service Duplez Water Heater Electnc Hea[in Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner OUet (specdy) CnnVactor's RemaMs Compute fnspection Fee BalawI00^ A-hAp ?UV V n? O? # Other Fee t! Service Entrance Sze Fee # Circuits/Feeders Fee Swimming Pool ? 0 ta 200 Amps S.aO 0 to 700 Amps loo Transformers Above 200 Amps Above 700-Amps pa SIgnS Inspecmr's use Only TOTAL Irrigation Booms -7 I, Special Ins ection Alarm/Communication THIS INSTALLATION MAY B DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS, I, the Electrical Inspector, hereby certify that ihe above inspection has been made. R°ughin /?i ? Fi°ai C? oa?e ae`?/ ? OFFlCE USE ONLY This requesl void 18 months fmm s345 [A ? " t 4 v / Req st Dat /?'`' ?? (,?? Fre No. flough-In t?on uiretl Inspedion Other Tlan Rough-In (VOU mu ca I inspeclor when rea0y? ? qeatly Now ?Will Noliy Inspecfor Ves ? No Date Reatly I licensed con[ractor ? owner hereby request inspection ot above electrical work at: Job Atltlress ($VSet, Box or Route NoJ Qty 1 r q I? V `0 1 Secnon No. Township Name or No Range No. Counry Occupant(PRINT) ? ?AN C Phone rvo. 1 - 'bEQ p PawerSUppber F- e l Atldress S+- 4 - ri . -ZzC 3 Elecmral Contxctor (Company Name) n Contractots License No C Y C ADO O Mailing Ad ess (Conhaciw or Owner Malting Instellatwn) ? fi?e? s?? Pcu.?.l A(U 55l 0-7 Authonzetl Sgnamre (COnlraclodOwner Mekmg Inslallahon) Phone Number 506 fA)'eA0tUt/--&A ZZ cf -ZF33 MINNESOTA STATE BOARD OF ELECTRICI GrIggs-Midwey Bltlg. - Room 5128 I THIS INSPECTION REQUEST WILL NOT 8E ACCEPTED 8V THE STATE BOARD 1821 University Ave., St Paul, MN 55109 Phone(6121642-0800 UNLESS PROPER INSPECTION FEE IS FNCLOSED REQUEST FOR ELECTRICAL INSPECTION G jli? See in.slruotions for complellng Ihis lortn on back of yellow copy "X" Below W,ork Covered by This Request Ne Add Rep. Type of Building Appliances Wired Equipment Wired Home Range emporary Service Duplex Water Heater Heanng EIectric Apt. Building Dryer 4 oad Management Comm./Industrial Furnace ther (Specify) Farm Arc Condrtioner Other (spealy) Goniradors Remarks IOOA-t•n.p _'6t,Jn_k%ot•A-0- Compute Inspechon Fee Below: # Other Fee tt Service Entrance Srze Fee !t Circwts/Feeders Fee Swimming Pool ? 0 to 200 Amps p I( D ta 100 Amps ,00 Transformers Above 200 Amps Above 700 _Amps oa Si ns insPamors use ouiy TOTAL Irrigahon Booms 77,5D Special Inspection Alarm/Communication THIS INSTALLATIDN MAY BE 0 DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 THS. I, the Electncal Inspector, here6y if th t ih b Ruuqn,n j l, 2??' ' oaP cert y a e a ove inspeclion has een made F'"ai oate r FICE USE ONLY s reyuest voitl 18 months !mm 4 6 0 1,4 Requ st Date (? /] Fre No ough-In c?lion Requiretl (Vou II inspec[or when reatly) ? Inspecbon Other Than ougM1-In ? Reatly Now Will NoOty InSpecior ? ? Yes No Date Read IXicensed contraclor ?owner hereby iequest inspection of above electncal work at Job Atldress (Streel, Box or Route No ) , Hq lO c6-.o-'?rok-lk \ Qty E av? SecM1On N. Township Name or No Range No Counry TO? Occupanl(PRINT) M?S o? M? r. Phone N. 52- 52c? o Pawer SupPlier ? Aatlress 300- ZZoN-, ?-?-. W.eS-- Eledncal Contractor (Gompany Name) V?\? CI • Y 1??, W? ConVacror's License No f? DOqVW MaiLng Atldress (Conhactor or Owner Makmg Installal?on) p j til S z 'ol _ a'U Authonzetl Signature (Contrador/Owner Making Installafion) Pnone Number ZZYZ$ o MINNESOTA STATE BOAHD OF ELECTIiIC Y Gtlggs-Midway Bltlg. - Hoom 5128 1 1111 111 11 THIS INSPECTION REOUEST WILL NOT eE ACCEPiED BV THE STATE BOARD 1821 UnlversRy Ave, 5t Paul, MN 55104 ox.w [gim aeznvnn UNlESS PFOPER INSPECTION FEE IS