3216 Evergreen Dr- Electrical PermitsThis reQUest voitl 6
/r
78 rtqnths I mm _ "? Q
.0 09.6325 ?--5 ' &/??e Y7 -
RP.wlesYDate
16 1 Q?6 Fire No. Rouph-in InsVer.iion
flepupeA?
' ?
?Ready Nuw QX?iII Notity InsPec-
?NO
Ig
yos lor When Ready
?Q Licensed Eleclrical Con[ractor . 1 hereby raquest inspection ot above .
. Q Owner electricel work installed at - -
1
Street Address. Box or Foute No.
z .
?-? Uri re City
Ec? a??
ecunn _o. Township Name No. Range No. Count,
Do K I,O r?
T
Or.cuoant(PRINT)
Concyimcin
W
ds Phone No.
Power Supplier Atltlress (?
J
En a e)
V
- fc?rrZ 0. Contractor's License No
.
.
?37 ?3
Mai m d r or wner Making Ins' IntioN
?
/
? L
Authorized iAnaWre ICont ct Own aking Installation) Phone Number f n
?GJ ??.!
MINNESOTp STATE BOANO OP ELECTlIICITY y THIS INSPECTION REQUEST WILI NOT
Griggs•Midway Bltlg. - Poom N•191 gE ACCEPTED BY THE STATE BOAHD
1821 UniversitV Ave., St. Paul, MN 56104 UNLESS PflOPEN INSPECTION FEE IS
Phone 16121 297-2111 ENCIOSED.
;?,?Si;om1d V??°y '1(ro(?`f
V"9i 0 9 4 4 21
Request Oa?e Fire No. ugh-in Inspec[iun `
S ? Rflo
equireAT Ready Now ? ?"/ ioiil Nutify. Insc
7- ?Yes No r Whrrrqeatl6e
y
(&icensed Eleclrical Contrartor I hereby repuest inspecfion oi above
,?Owner elecVicelworkirwtalleda[:
SLeet AdAress, eox or ute No. CitY
D
ecuon o. Townsh ip Name or o. Range No. Cow LZ?
Occa 'nt (PRINT) Phone No.
Pow¢r Supplier Ad
dress
?
U. s ?
?loin .
Electri al Contracto Comp Y N ie ? Con[ractor's Licens?ej Np.
Mailing AtlJress (ConVa?tpr or0 MakinH Instail tioN
? ?
Author' e Sipnamrv ConVactodOwner M inB I
n tal atmn
C X
Phone Number
-
Xd
3
- ? !
-
MINNESOTp STATE eOAflD OF ELECTflICRY THIS INSVECTION NEQUEST WILL NOT
Griggs-Midwey Bidg. - floom N-197 BE ACGEPTED BY THE STATE BOAPD
iB21 University AVa., St. Peul, MN 56104 UNLESS PPOPER INSPECTION FEE IS o-_ 1a11t ocv?'ll ENCLOSED.
Y REQUEST FOR ELECYRICft INSPECTION EB-00001-04
See irrstructions for completing this form on back oi yellow copy. ?
?fol??
Belo?Wo'rk Covered by This Request I _
Antl HeO. Tvpa oi Buildine Anoliances Wired EquiumeN Wired
Home Ringe - Temporary Scrrvice
Duplex Water Heater Lighting FixNres "
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ' Otner pecJV 1her ISnecity)
t er ecif Other 01hur
ompute lnspectian Fee Below
d Fee ServiceEntrenceSiza # Fee Faeders/Subfeedars # Fee Circuits
0 to 200 qm s 0 to 30 Am s Z 0 to 30 Am s
Above 200-Am>s 37 to 100 Amps 37 to 100 qm s
Swimmin Pool Above 100_Amps Above 100_Am s
Transrormers Irrigation Boorcis _y Partial%Othor Fee
Signs Special Inspection g 6
? T
R¢marks
, ^ ,
Q O
s ? v
I Rough-in Dnte ? ical
erby
ify ththe ebove
Final ?le/J? nspection has baen
- J de.
Th1e requesi voitl 18 monlRS lro.
' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi:oa
I' See insiructions for comoleting this lorm m back of Ysllow coOV- "X" Be/av Work Covered by Thrs Re9uest
NW4 Add jRep.j Type of Builtling Appliances WireA Equipmenl Wired
Home Range Temporary Service
Duple.x Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heaun
Cominercial Bldg. Fumace Silo Unloader
Industrial 81dg. Air Corxlitioner Bulk Milk Tank
F2rm Other Speri Dthe.r ISUeciNl •
ther uecry Oehcr Other
ompute Inspection Fee 8elow # Fee Se?viceEntrance5ize N F e Feetlers/Subfeeders p Fee Circuitg
•
• 0 to 200 qm s • to 30 qm s- 0 tn 30 Amps
Above 200 Amps 1 to 700 Amps 31 to 100 A s
$wimming Pool Above 700_P.m s A6ove 100_Amps
Transformers Irrigation Booms 0 Partial-'Other Fee
Signs Speciallnspection $ TOT
Fertarks
rj0 .00 FEE
/LC/?i// /
Nough-in - Da[e y F?
?.
? '??• " Inspectur, hereby
?ity [hat the abova
Pinal Date `? pection has been
made.
flJa reauesr void 18 montM from
Tyis re9uest vaiE S V
18 mpnths irom 7
A 1 n??q 1- !0 61 /3 /, Co a cf, n,a?, ?;,?y????+?dSC?1352
: equest ??5te' Fire No.
I
Rouuh-in Insuection
1lequir tvl7
?
SReady NOw ? W?I Notity?lnspec-
10-13-83 [2Yes ?No torWhenReady
0 Licensed Elec[rical Contrector 1 hamby request inspection of abave
? Owner electrical work irtstallad at:
Street Atldress, eox or Route No. CitV
3228 Evergreen Drive Ea an
ectmn o. Townshio Name or No. Range No. Covnty ?
Dakato
Occapant (PqINT) Phone No.
Brutger Companies 612-252-6262
Power SuoVlier Atldress
NSP 3000 Maxwell Ave., Newport, MN
Elec[rical Conlractor (Company Namol Conhaclor"s License No.
Tim's Ele r'
Mailin8 Address JConvact?r Own?king InstailAtion)
Auihorized Si9n.iure(COnhxcmr Owner Makinp I sWllation)
Phone Number
224-82g3
1
MINNESOTA STATE 80ARD OF ELEC7AICITY THIS INSPECTION REUUEST WILL NOT
Griggs•Midwey Blde. - poom N-191 BE ACCEPTED BY THE STpTE BOAflD
UNlE55 VNOPER INSPECTION FEE IS
1821 University Ava., St. Paul, MN 55104
Phone (612) 297a171 ENCIOSED.
This reques! void .jkrM.Th$ Irom ? A'/` 4
•??it L? `?/.?f G6aJima?'a
/J-fY -85
0-o , trL)
Reques ate =
? ..
. Fire No. Nouph-in ItispecNon
Hequired?
[]FbeaM Nwr Wiil Notify InsOec-
?/
7" ?NO 1or When fleadY
D5-Licensed Electrical Conbacto, 1 hereb
y repms, inspeetian of above
? Owner eltttriol work immlled av
_......__... ...?..? .......... ... ...?.........
Griggs-Midwav eldg. - Poom N-191 0E ACCEPFED HY iNE SiATE BOABD
1827 Universiry Ave., St. Peul, MN 65104 UNLESS PIIOPEp INSfEC710N FEE LS
Phone 16121297-2111 ENCLOSED.
? -%.BEQUEST FOR ELECTRICAL INSPECTION EB-O00D7-04
?3 , Sea instruetions iw completi?9 thi tIvm on pack of Ysllor emY- p
36236. 'X'* Below Work Covered by Thrs Request
Add R9D. TVOe ol Builtling Apolianeas Nird EauiC?t qjred
Home Range Tertqiorary Service
Dupiex Water Heater Lighting Fixmres
Apt. BuilAing Dryer Electric He.tin
Commercial Bldy. Fumace Silo Unlo.-der
Industrial BIAg. Air Condirioner Buik Milk Tank
Farm 01ne, SMcify) eine.l5nec:rH
t er SVecify Other OIMr
ompute lnspection Fee Below
M Pee • Service EntranceSize p Fee Feetlers?SUbfeeders tl Fee Ci¢uits
0 to200qms 0 to30A Oto30
A6ove 200 qmps 31 to 100 Amps 31 to 100 A
Swimming Pool Ahove 100_ - Above 100_Ampe
Transtormers Imgation Boars Partial? Othevi,e-
Signs Special Inepection
TOTA
F
Xemarks? . . ?2 i
I
?E 00)
/
/1.A11
flouOh-in Da[e
?
?? 1 ?'7?' . th. Electriq
IBOe? Y
49(lity [ABl LhB abpVe
I Final l?
? a ? pKtim has bean
nxsreauest +ab 1emon818 han
ues 18imonth5 (ri?n?d al?? ? y
E7 f1r;p4 ?loV,13 (, ?o wckt+,a
Y ?SI)
i`?/4nals 41352
Reyuired? ?. ... ['?ReaAy Nuw ? WiIA Notifyd1spec-I
10-13?83 ?ves ?NO [or When fleady
i
?Licensed ElecVic21 Contractor I hereby reques[ inspection ot above
? Owner . elaclrical work instelled at:
Street AdAress, Box or Route Nn. CitY
3236 Evergreen Drive Eagan
ecuon o. Townsnip Name or No. Flnnge No. Couniy
Dakato
Occuoan2(PRINT) Phune No.
Brutger Companies
• 612-252-6262
Pawer Supplier Addross
NSP 3000 Maxwell Ave., Newport, MN
ectrifal Con ractor ICOmp2ny Name.)
?im s E?ectric
Inc Con[rar,mr'S Lic??nse No.
A
4
4
,
. -
119
Mailing AddresS (Contrector or Owner Making InstailatioN
432 S. Wabasha, St. Paul, MN 55107
Authorized Signawre (COnVactor/Owner Making Installationl
1
Phone Number
224-8293
MINNESOTA STATE BOAND OF ELECT(11CITY THIS INSPECTION REUUEST WIIL NOT
Gripes-Midwey Blde. - Hoom N•191 BE ACCEPTEO BY THE STATE 90AflD
1821 UoiveraitV p.ve., St. Vaul. MN 66104 UNLESS PNOPEN INSPECTION FEE IS Phone 012) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooom oa
See instructions tor completine this form on back of Yellow copy. ?/ ? S.?
"X" Below Wak Covered by This Request
?"? ??R?q
NmI Addi Ne_g.
? Type of Bviltline Aool?ances Wired Equipment Wired
?• Home Range Temporary ScNice •
Ouplex Water Heater Lightiny Fixtures
Apt Buflding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air Conditioner 8ulk Milk Tank
- Farm oinu. ,oeu v Otne. ISUecifyl
t nr SPecify Other Olher
ompute liispection Fee Below
M- Fee_ Service EntranceSiie p Fea Fnaders/Suhteeders # F5e Circuits
.1 1 2. 00 0 to 200 qm s 1 131 32 . 5 0 to 30 Am s 0 tn 30 Am s
Above 200 qmpyl , Q 31 to 700 qmps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100-AmVs
Trensiormers Irrigation Booms Partial:'Other Fee
Si?s Special Inspection S •
TO
Remarks '?JEE' b
?....u ........... ....J.. • ..
Hough-in Date 1, ihe Elachieal
Inspectoq hereby
cerlify that the xbova
Final Dat ''?` L,;/speclion has been
? ? Ior•p ??aAe.
Tfiie request voitl 18 montM irom
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
?..
' See insiructions tor comoleting this form on back of yellow cooV.
o i n?qn "X" Below Work Covered by This Request ..S
F Rep. ? TyOeot Builtling Aocliances WireA Equipment Wired
Home flange Temporary. Service
-0uplez Water Heater Liyhtiny Fixtwes
- Apt. Building Dryer Electric Heatin
Commercial 81dy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otnrsrl peu v CIIherlSneriiyl
t ie, SGe6fY Other 01h,er
Compute lnspectlon Fee Belaw
N Fee Service Entr anca5ize # Fee Feeders/5u1bfeetlers # Foe Circuits
0 to 200 Am s 0 m 30 Am s
Above 200 qinps 1 . 0 31 to 700 A s
Swinvning Pool MN Above 100_Am s
Transiormers Pertial,bther Fee
Signs Speciallnspection $ TO
Hemarks T......L.... D....4 ..F
rJQ•o L
Pough-in atg?? I •
I, the ecfrical
?? Inspectoq hereby
certity thxi the above
Final D:ne' (. insoection has been
? ( I made.
mlerequastroitll8monthafmm ?
This request void ?7i,&y
18 momhs from
A , 'I n r, q n ? ?r g I
ys5o
fle.ques[ Dafe Fire No. Houuh-inInspection
Repurred? -
?ReedvNuw?Will?Sotitvlnsuec-
10-13-83 91 Yes ?Nn tor When Roady
[ILlcensed ElecVical Contractor I hereby reQUest inSpeMion oi abova
? Owner electrical work installetl at:
Sireet Address, eoz or floute No. Citv
3238 ver reen Drive Ea an
acuon 140. Towns i0 Name or No. flanye No. County
Dakato
OccupxntlPRINTI Phonc No.
Brutger Companies 612-252-6262
Power $upplier Adtlress
NSP 3000 Maxwell Ave. New ort MN
Electrical Contracmr IComDanv Namel Contractor's License No.
Tims Electric Inc. A-41194
Mailing Address ICOn[ractor or Owner Making Instailationl
432 S. Wabasha St. Paul MN 5510
Authorized SignaIDre (Convactor Owner Making Installation) Ph?ne Number
224-8293
MINNESOTA STpTE BOA0.O OF ELECTflICITV THIS INSPECTION PEQUEST WILL NOT
Griggs-Mitlway eltlg. - 0.oom N-197 BE ACCEPTED BY THE STATE 80ANO
1821 UnivarsitY Ave.. St. Pa.l, MN 55104 l1NLES5 PROPER INSPECTION FEE IS
Phone (6'12) 297-21H ' ENCLOSED.
-7
/67 .4/Y-?-
??J 37 I ?,/ / / / - oa
Request Dare /
O -? Fire No. Houg?-in InspecYi ?/
Raquiretl?
? yes X N.
Reatly Now 0 Will Notity Inspeclor
When Reatly7
I?&ensed contractor p owner hereby request inspection of above electrical work at:
JW AtlOress streeL Box or fIQute Na.)
3a3a
v-
?
Senion No. Tawnship Name or No. Range No. Co 1
±CtiJ
Oc< p tIPnPIN?TI?' `
?' Phone No.
Powe( Suppli2/ Adtlre55
Ele I onhacla I mOaoY N.
c? Qjc.-? ? ?- ConVactor's License No.
?`k10 I Iq a.
Matling Aadre IConfrapor or ner Maxing Ins?allati?
A n?ized(gnature Go vactorMaftinglnstallatio -
? c?.. ? Phon N ber
b-3S5 S
MINNESOTA STATE OA F EL GTRICITY THIS INSPECTION REOUEST WILL NOT
GNgga.Mitlwey BltlB.- R o Slt BE AGGEPTED BY THE STATE BOARO
1641 Universiry Ava., eul, 106 UNlE55 PROPER INSPECTION FEE IS
Phone (612) 6420800 ENCIOSED.
a 54397
REQUEST FOR ELF'CTRICAL INSPECTION
?$ee in9mctions rr completing ihs brm on back ol yellow copy.
"X" Below Work Covered by This Request
'FFMR?n$ EB-00001-08
,??'/o ??'??
e Atltl Rep. Typeofeuilding AppliancesWired EquipmernWiretl
Home Range Temporary Service
?uplez Water Heater Electric Heating
Apt. Buildinq Dryer 01her-(Specity)
Comm./Industrial Fumace
Farm Alr Conditionar
Other lspecityl Convactor5 emarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnhanceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Signs Insoectw'sUSeOnly:
Irrigation Booms
Special Inspection !
Aiarm/Communication THIS INSTALLATION MAY BE ORDEflED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
? oaie
certify that the above inspection has
been made. F;nei e
OFFICE USE ONLV
This request voitl 18 months fmm