3838 Danbury Tr - Electrical Permits_ ,?
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RequaSt Date Fre No.
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I N licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlCress (Slreet, Box or Route No.) CAy
3838 Danbury Trail Eagan
Section No Township Name or No Rarge No. Counry
Dakota
OccupenllPRIM) Phorie No.
Key Land Homes 894-2636
Power Suppher Atltlress
Dakota Electric Farmington, MN 55024
Eledrical CoMrector (Compeny Name) Contrecio?5 License No
Midland Electric Inc. 041610
MeAmg Address (COmrador or Owner Making Instelletan)
14055 Grand Ave So, Suite E, Burnsville MN 55337
AWlanzed S? naWre (COmratlor/Owner MaMrg Instellabon) Plrone NumDer
17l/?i? 1-?5;7 892-6688
MINNESOTA STA7E BOAHD OF ELECTRICIT' THIS INSPECTION FEQUEST WILL NOT
Grigpe-Mitlway BIEg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
182111niversity Ave., St Peul, MN 55104 LINLESS PROPER INSPECTION FEE IS
Phona (612) 642.0900 ENCLOSED.
3REQUEST FOR ELECTRICAL INSPECTION es-oaoma7
,. ga
See msVUClions tar complebng lhis form on peck af yellow copy. 4&>
bo
E .8-5 92 5 "X" Below Work Covered by This Request
ew Adtl Fep. TypeoFBuiltling ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Hea4ng
Api Building Oryer O[her(Specdy)
Comm /Industrial Furnace
Farm Air Gonditioner
Other (specrty) Con racfor5 Remarks:
Campute lnspechon Fee Below:
# Other Fee # ServiceEntranceSize Fee
# Circuils/Feeders Fee
Swimming Pool ? 0
to 200 Amps
ii?
0 to 100 Amps
TfansfOrmefs Above 200 _ Amps Above 100 _ Amps
Signs Inspecmrs Use Ony TOTAL
Irrigation Boams ?
?(y-W
Special Inspection
AlarmlCommunication
Other Fee (
I, the Electrical Inspector, hereby Rou9M'" oaie _
certify that the above inspection has
been made. F,,,@l oaie ?
OFFlCE USE ONLY '
This reQUest wid 18 monlhs Irom