3228 Evergreen Dr - Electrical PermitsREQUEST FOR ELECTRICAL tNSPEG?TIdIEf??,l?V , 'Ee-ooooi_on
q M>
c r? ' See instructiws (or comoletirig this form on back of yellow copy.
o- 3 p L 3 3 "X" Be/ow Wsik Covgred by This Request
Add Reo. TvDe of Building AOOliantes WireA Equfurcien[ Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Buiiding Dryer Electric Hea[in
Commercial Bldy. Furrkice Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
^ Fafm Otner neufy Other (SUUCify)
t r SUeci(y Iher Othor
ompute lnspection Fee 8elow
p Fee ServiceEnhanceSixe N Fee Fantlers/Subfeeders # Fee Circuits
0 to 200 Am s 0 to 30 qm s `0 0 to 30 Am s
Above 200 Amps 31 to 100 qmps mw 31 to 100 Am
Swinuning Poal WE Above 100-Amps Above 100-Am s
Transtormers Irrigation Boortis Partial/Other Fee
Signs ! Special Inspection g j &, 5?n TOTALFEE- -
1.'1hu.Electrical
Inspector, heraby
Certify thdt tha above
insoec[ion has bcen
ihis request voitl // ?• SQ
18 dnn(hs trom ? -?
A 1 flr, p E L (o l, q/3S'Z
Requesl?bate Fire No. Roug)h-in Insoection
fleywred?
2Heady Now ? Will Notify InsPec-
10-13-83 2]1'es ?No orWhenReady
[31-icenseA Elec[tical Con[ractor I hereby repuest insPection uf above
? Owner elactrical work installad aY.
Sveet Address, Box or Rovte No. CitV
3230 Evergreen Drive Eagan
ecUOn o. Township Name or No.
Ranpe No.
Counly
I Dakato
Occupant (PRINT) Phone No.
Brutger Companies 612-252-6262
Power $upplier Address
NSP 3000 Maxwell Ave., Newport, MN
Electrical CoMraclor ICompany Namel Contracmr"s License No.
Tim's Electric, Inc. A-41194
Mailin8 Adtlress (Contracror or Owner MakinP Instailation) .
432 S. Wabasha, St. Paul, MN 55107
Authorized Signzlure (ConvactodOwner Making Installationl Phone Number
MINNESOTq STATE BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Grie9s•Midway Bldg. - Room N-791 BE ACCEPTED 9Y THE STATE BOAHD
1821 Universiry Ava.. St Peul, MN 55704 UNLESS PNOPEH INSPECTION FEE IS
Phnnw 18121 297-2111 ENCLOSEU.
REQUEST FOR ELECTRICAL iNSPECTION Ee-ooooi-oa
w:
7 ' See instructians for completing this torm on back ol yellow copy. .
&J [I ? RR "X" Below Work Cavered by Thrs Request y
AAtl 7iep. Type at Builtlinp Apoiiunces Wired Ea.iuM1.eN Wired
g Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildinq Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unlonder
Industrial Bldy. Air Conditioner Bulk Milk Tdnk
Farm Olhnr Spaci y iherlSnur.ityl
1 er Suecify Ot er Oih.i
Compute lnspection Fee 8elow
p Fee Service EnhanceSiza q Fee Fexders/Subfeeders # Fee Circults
12.00 U to 200 qm s 3 2. 5 0 to 30 Am s 0 Am s
Above 200 Amps 31 to 100 Amps 100 Am s
j
e
Swinvniny Pool Above 100-Amps 700_Amps
Ab
e
Transiormers Irrigation Booms l?'Other Fee
Signs Speciallnspection 0
$ TO
Remzrks 5 0 . EE
:l
Roueh-in D:ice
( '?? 4 I, tha chicel
?eraby
? Inspactoq , Ihe ?
IFinal _` D insuectionhasbeen ??? ?t T?? made.
fhis reauest voitl 18 montha irom
This repuest void '2
18 months fram O
A ? nc; Z. (3 ?, Co.. .n 4,1 %Mqnds
Y Y• 5 0
?F! 3 s z
Peque3[ DdYe ?`
1 Fir¢ Na. Rough-in Inspection
FequireA?
[''?Heatly Now Q Will Notify
104-13-83 4- 1 3-83 ]E]ves ?rvo 1o1 When rseadv
[2 Licensetl Elecuical Convactor I hereby request ins0ection of above 4' r
? Owner elec<rical work installed at
Stredt Address, Boz or floute No. City
3232 Evergreen Drive Eagan
ectmn o., Township Name o1 No. Aange No. Counly
Dakato
Occupant(PRINT) Phone No.
Brutger Companies 612-252-6262
Power Supolie, AdAress
NSP 3000 Maxwell Ave „ Newport, MN
Elecvical Convacmr ICortipanY Namel Contracmr's license No.
Tim's Electric, Inc. A-41194
Mailing AdJress (COnVactor or Owner Makinp Instaila[ion)
432 S. Wabasha, St. Paul, MN 55107
AuMorized Signature (COntrector/Owner Making Installation) Phone Number
224-8293
MINNESOTq STATE BOAHO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-191 BE ACCEPTED 8Y THE STATE BOApD
UNLE55 PNOPEN INSKCTION FEE IS
1821 University Ave.. St. Peul, MN 55109? ENCLOSED.
Phone (812) 297-2111 ,? ..
A????td REQUEST FDR ELECTRICAL INSPECTION ea-uuooi-oa
' See insiructions lor completin9 this torm on back of yallaw copv. ?,? S?
?n?? r, ""X" " Below Work Covered by This Request
Adtl Nep. `" Type oi Builtling AoPliencea Wired Equipment WireA
g " Home Range Temporary Servlce
Duplex Water Heater Lightiny FixtuFes
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial 8idg. Air Conditioner Bulk Milk Tenk
Farm Otlier necify thar (SUVr.ify)
tirsr Sueci v Oiher Oiher
ompute lnspection Fee Below
d Fee ServiceEntrance5ize fl Fee Fexdere/5ubleetlers # Fee Circui[s
0 to 200 Am s 0 to 30 Am s U to 30 Am s
Above 200 qTrIps 1 5,0( 31 to 100 Amps 31 to 100 Am s
Swimming Pool Ahave 100_Amps - Above 700_Am s
Transtormers Irrigation Boonis
• Partial-'Other Fee
Signs Special Inspection g
r TOT
Nertwrks
J
? . ? A E
Town ouse Pro 'ect
flough-in ( Date ?.?he ElecVical
?,,aeCta.. he.ebv
certify lhat the abovq
Final
r D' e
? pection hes been
1 ade.
TMSrepuaetvoiAlBmonthsirom V
o,d
Now Q Will NoGfy. InsOec-
mr When peedy
Licensed Elecnical Conirac[orI hwebY "r .
Owner Nues[ i?apection ot a4ove
'LJ alectriml rork iBtallad a[_.
Strnee[ Address, Box or Noute No.
? Ci ?? ?
?
??? ??"B? . V
e5bon o. Town511iP NamC o! BaOgv o. CWniy
Occu ant IPIiINTI Phon¢ No.
'4/ ¢
Power Suppller `
- Y Address '
N1?J7l1 ???'?
?
6 ,?1-,4•-
Elec I Contractor (Company Namel Contract?or{"s Gccnse No.
ai ing Atldress (Contractor or Owcer Making 1n'slailation) ?
Y
? f ? ? v-..
Au orized SiB?ture (Contractor Own Ataking InsTallatim)
er
1 Ph m Nivnber
'
? 3z - 4AP
r - . t ? -- . iIlUS INSPECTION NEQUEST WILL NOT
MINNES(} p yTp7E BOARO OF ELECTRICITY gE pCCEPIEO BY THE STATE BppRD
Grigps-ASiOway Blde• - ?bom N•191
UNlE55 PROPEN IMSIECTION FEE R
1821 Univerairy Ava., St. Paul, YN 55104
Phom (812) 29721N ENCLOSED. ?
3i1-)17-s,j 4 REQUEST FOR ELECTWCAL INSPECTION 0 ?
' Sea i-tructions for co?mletinp lhis ivm m baek of rellow cooY- ?j
?3 Q 3 9 H XBe/ow Wbrk Covered by This Request ?O ?' d 1!
Ada A. ' Type of Building Apoliaaas Mired EquipmencWirM
Home Range iem{nrary Service
Duplex Wa[er Heater Lighting Fixmres
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furrace Silo Unloader
Industrial BIAg. Air Conditioner Bolk Milk Tank
Fartn O?he. oeo ther 15Ver.iryl
t, pedfy Ot er Other
Comp02e Inspectron fee Below M iee ServiceEnlrenceSiza p Fea F¢adet
rs M fee Gircui?s
U to 200 Am 0 tp 30 0[n 30 Am
Above 200 qmps 31 to 1 31 to 100 A
Swimming Pool Above nq?s Above 100_Art4?s
Irtiga[i Partial'Offier
Signs Special inspec[ion ?y- TOTAL FEE /&OV
pem?rks
E ?lu?l?: fa- ? .4 ;'a.- - W.
flouBh-in Oate 1. tha ElecViw
I?Kpec[W, hereby
j cerlity tha2 the abpva
Final r Da, :re?.;on ha, baint
44 .4 aode.
tft tepuest vob 18monHS(r0m
This request voiE Y 7 9• J Q
18 monffis from f
A inizo o L b3. IB I, C owc ??,.u1n ?i?j r.,nds ?l 3 S t
rfl uest Date" ""
I
- Fire No. BouBh-in InspecNon
Nr
uiretl7
Inspec-
Reatly Now Q Will Notifv
'
L 1 0- 1 3-83 .
YCS ?No ,
tor When Ready
licensetl Elecvicai Conhactor ' I herabv request inspection af above
? Owner elechical wark ingtalled at
S[reet AtlAress. 8oz or Route Nu. CitV
3234 Ever reen Drive Ea an
ectmn o.,
? Township Name or No.
Hanee No.
County
I Dakato
OccupantlPRINTI Phone Nu.
Brutger Companies 612-252-6262
Power Sup0lier Adtlress
NSP 3000 Maxwell Ave., Newport, MN
Elec[ncal ConVactor (COmpany Name) Convactor's License No.
Tim's Electric, Inc. A-41194
Mailine .Qddress (COnhactor or Owner Making Instailationl
432 S. Wabasha, St. Paul, MN 55107
Authorized Signature IContractor Owner Making Ins[allatfon) Phune Number
MINNESOTq STATE BOAPD OF ELECTHICITY TNIS INSPECTION NEQUEST WILL NOT
Griggs•Midway Bldg. - floom N•791 eE ACCEPTED BY THE STATE BOARD
7821 Univaraity Ava.. St. Paul. MN 55106 UNLESS PflOPER INSPECTION fEE IS
Phona 16121 297-2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
, See instruetions for completing [his fprm on beck of yellow co0v
"X" Below Work Covered by This Request
EB-00001-04
? c(/35Z
AAtl Rer 4 Tyoe of Builtling AaVliancen Wiretl Equipment Wired ?
Home Range 7emporary SereTce
Duplex Water Heater Liyh[iny Fixmres
ApL Building Dryer Electric Heatin
Commercial Bldg. Furnace Si!o Unloader
Industrial BlAg. Air Conditioner Bulk Milk Tank
Farm ONer neu y ther lSVacifyl
t r (SUCCify Other Other
Compute Inspection Fee Below - -p , Fea ServiceEntranceSize d Fea faeders/Subfaeders ? Fee Circuits
U to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 A s
$wimming Pool Above 700_Am s Above 700_AmPs
Transformers Irtigation Booms N Partial'Other Fee
Signs Speciallnspection • °
$ TOTA
Remarks Q Q
r? 0 EE
.
T ? ?
BouBh-in Oate ?,the ElacVicxl
I ? ?-b"?3 Inspectoq herehy
certily thet the above
Final
I
f Dnte
l
?'
fosva?tloo nas oeen
'
?1F
j rtrede.
RilerequestvoiElBmonthsirom '/