3830 Danbury Tr - Electrical Permits
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,a Licensed Electncal ConVactor I hereh
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? Owner electncal work inslallad et
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OccuPant IPRINTI Phorde No.
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Power Suuu
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Elec[ncal Convactor ICompany Namo)
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Mailine AdJress (ConVactor or Owner Making Installation)
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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. ? .
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SREQUEST FOR ELECTRICAL INSPEC7lON ea-ooooi-os
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, 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?
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- ? Inspecta , e?aby
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at?ej cerldy that the above
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