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3830 Danbury Tr - Electrical Permits Thig reques[ void -?1151G'C? 18 mon(hs (mm U ? E 13279 ? ? /?? ?.?_ ? _??' (l ?? ?CJ Feqdest Uate u 7- ? ?? ire No. R h-in InsVertion R q irvd? ?ady Now 0 Will Nouty InsPer.- Wh [ 7 ?es ?No (?r en ReaAY ,a Licensed Electncal ConVactor I hereh y request inspection of ebove ? Owner electncal work inslallad et Soreet Atldress, Box ?or Rjaa;e Na. x ? a ; / 30 ? City 1' ..m - . 6/ ecLOn o. 7oiydshuD Name or N. Fange No. nty Cou / ? ?- /?rr OccuPant IPRINTI Phorde No. ' ?,d/? Power Suuu 6s2KoT C L?? c. Atldress /r/.r?'?16N?14 Elec[ncal Convactor ICompany Namo) /? T? ?[ D Cuntractnr's L.canse No. 4 4'a39?= r? ?.. ? s i. Mailine AdJress (ConVactor or Owner Making Installation) 10??.Z xh?g ,4 Autlor¢ed S?gn ICOnt -to ?Ow r ki 5 stallatmn) P ne N umher ? ? / p ?II ? ?L? MINNESOTA STpTE BOAPO OF ELECTqICITY ? Gnggs-Midway Bldg. - Noom N•191 iBYI Umversitv Ave.. St Paul. MN 55104 Phone16121642-0800 THIS INSPECTION AEQUEST WILL NOT 8E ACCEPTEO BY TME STqTE BOARO UNIESS P0.0PER INSPECTION FEE IP ENCLOSED. ? . ? SREQUEST FOR ELECTRICAL INSPEC7lON ea-ooooi-os . //0 , See instroctmns lor compleLng this torm on 6nck of yellow copy - ?i 3 2--7 9 "%' Be/ow Wark Covered by Ihrs Request HAd Rep. Tvoe ol Bwleing Aooliancea Wvee Enuiument W,red Home Ronge Teinporary Service Duplez Water Heater Liyhbny Rxtwes Apt. 6wlding Dryei ElecVie Heahn Commercial 61dy. Fumace Silo Unloddrr Industnal Bldy. Air Conditioner Bulk MiIk Tank Farm otnrr Soe,.?fv C+ihcr isn.-utyl ticr Suaufy 0[her piFee COOIOUtE IASOP.CtIOA FPP Relnw N fee ServmeENrancaSrse p Fee FAeders/SUbleeders b Fne Cuwrts 0 to 200 qmps 0 to 30 Am>s .Z 0 ta 30 Am s Above 200 qmps, 31 to 100 qmps 31 ta 100 Am s Swimming Pool Above 100_Anips A6ove 100_Amps Transtormers Irrigabon 8ooms SU ParLal, Other Fee Signs Spec,al Inspectron j T Pemarks oTAI? / ? /?A? flauph-m ?-'?.^e'} 07 / I, the lac?nc - ? Inspecta , e?aby Rnal ? at?ej cerldy that the above inspectmn hes bean mede. ?bla mmowsl vmn tF mnntlu fmm