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3819 Danbury Tr - Electrical Permitsfrom'd 223 ryoW E] Will Nolify_ Inspec- tor When Ready Licensed Electrical Contractot 1 hereby request inspeccion of a6ove 4-1 Owner electrical work installed at: MINNESOTA STATE BOARD Of ELECTRICITY GrigSg.Midwey Bldg. - Room N-191 1821 Univarsitv Ave.. 51. Paul, MN 55104 Phone (612) 642-0800 BE ? IS REQUEST FOR F,' ECTRICAL INSPECTION ? Eg-00001c-06 1 See instrucLons for completing this Iwm on back of vellow copy. l 1"% 7 fl r) 7o "X" RPlnw Wark Covered by Thrs ReQuesi LJ J dd VL ReD• LJ TYDe of Building ApplianCes Wired EquiVmenl Wired Home Temporary 5ervice Duplex Heater Lfghtin,y Fixtures Apt. Buildinc? F Electric Heattn Commercial Bldg. ce Silo Unloade. Industrial 81dg. onditioner Bulk Mflk Tcnk Farm Ocn?? vec? y iher ISP?'r.ifVl t er Vecify Other Other I.UI1 M 1jJL1lC JrIJ Fee JJC?uvrr r cc -vrr ServiceEntranceSixe fi Fee Feeders/Subfeeders f? Fea Circuits 0 to200Am s Oto30Am s Oto 30Am s Above 200 Am ?s 31 to 7 00 Amps 31 to 100 Am s Swimming Pool Above 100-A?iPs Above tOd_.Amps Transformers Irrigation Boorns AFV p Other F-ee Signs Special Inspection $/t TOTAL 71 E l(?G? OD me.Lc ?`? I S I, the Ele ' Rough-in Date Inspector, hereby rlily lhat lhe ahove Final ? ??Pection has been Thls request rald 18 montha lrom 7hi5 re9uest void ?W?I??3l?O rrpnths /rom 18 /1 / { 030224 , 1 A, , W R gqyest I]ate ?? ??(? j ? Fire No. Rou -m Insper,bon epwrad> c?/oL ?Heady NowWill Nouty Inspec- ? ? N Wh R dY Licensed EIecV.cal Convactor I hareby reQUast insoection af ebova Owner alactnwl work in.culiwn a, REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os . ? See msiructions for campleUn this lorm on back ol L ? 7(?) 9 yellaw caOY. 0+3U`L 2 4 "X Below Work Covered by 7his Request dJ Rep. Type ol Building ApPlisncae WveE EquiUmem WveA Home Range Temporery Service Ouplen Water Heater Lighbng fixtwes Apt. Bwlding Dryei Electnc Heatin Cominercial Bldg. Furnace Silo Unloader Industnal BIAg. Air Condinoner Bulk M, Ik Tank Farm ort,Nr SpNr,ifv Other lsucr,FVl t?er Sue?,ifY Other OthHr `-vrupwe Jnsueciron ree eeiow k Fee ServiceEntranceSize n Fee aders a Fea Circui?s 0 to 200 qm s 0 m 30 Am s Above 200 qmps s 31 to 100 q 5 Swinxning Pool Amps =100-Amps Above 100_Amps ms Pertial/Other Fee ction $ ?- Remarks ? s OTAL FEE / - . G7/ i / Rough-in t ?. ? / e? I, the Eleciricxf' U Inspector, hereby certrfV <hat the above F??al Zur r Oate ipgpeclion ha5 Eeen ? ? fQ ?? mede. This reauest void 18 montlss Irom 1821 Universitv Ave., St Paul, MN 55104 UNLESS PftOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 4?/ ??y'y M40622 R 80/? equestoate j ne No Raugh In I psecbon p re? (You musl call insp o hen reatly) ? Ves IngpecM1On OtM1er Than qougM1-In ? Reatly Now ? Wni Not?ry mspeno. o pate Reatly I hcensed contraclor ? o wner hereby request mspection of above el Job Atltlress (Streel Bo ectrical work at. , x or Route No ) 3cr51q -DAQ Bu,p,`{ --j-1R19 I l cnyr - Section No Township Name or No l.. •j Fan9e No Counry Occupanl(PqlNT) (A k O r14 t.-F,E,Y t 1 -e- Ev ?nN?Un Li? t Phone No Fower Suoolie? LL '??v - 1-7 - -' L+i-nnvr_ ry I G jA/(1 " L: rCf' ING Coniractors License No 135E2 CENTRAL AV?. N.E. /1 ? ?O, n p? qd Madmg Oress (Conv??or ol OwnerMaking Installauon? ? ` ? ? Auihorrzea Sgna?u rComra? wner Mpking Insial?lon) Phone Number MINNESOTA STATE BOqRD OF ELECTqIQTY I? ?? ?? v v , Gfi99s Mitlway Bltlg - qoom S473 ?? THIS INSPECTION REOUEST WILL NOT 1821 Unrverstly Ava, St, paul. MN 5510< BE ACCEPTED 8V iHE $TATE BOARD Phona (812) 861-0800 t1NLESS PqOPEF INSPECTION FEE IS ENCLOSEp 4?W 7/y? REQUEST FOR ELECTRICAL INSPECTION ¢7 0 4 0622 Sea insvuobone lor romplatinq tM1is brm on back of yellow oopy ar??? EB-00001-OB 'X"Below Work Covered by rhis Requesf .,ogI? aedl Heater Compu? te lnspection Fee Below. Remarks -- ree SWimming Pool # Sermce EntrenceSze Fee ?F Circmts/Feeders F Transformers e 0 to 200 Amps 0 to 100 Amps 5igns A6ove 200 _ qmps Above ?00 - Amps InspecNr's Use Onl Irngahon BDOms y = - TOTAL Special Ingpection Alarm/Communication ? Other Fee TFiIS INSTALLATION MqY BE?ORpERED DISCONNECTED IF CO I NOT MPLETED WITHIN 18MONTHS , the Electncal Inspect or, hereby . Rougn-?„ certty that ihe above inspection has oate been made Fi^ai ( IFFICE USE ONLY De ? his request voitl ig monihs from - /