3843 Danbury Tr - Electrical Permitssh'//$.Y
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? Ready Now ot InspectOr
When ReadY7
I censed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AWress SYreat, x or Houte No ) C
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SecLOp No
L lbwnshi ame or No Ran No nry
Occu (PRINT)
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Power $u I qdcreas
Electr¢al Contreclor (COmpany Name) Cortlr ctor5 Lmensa No
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Mailing Atltlress (COnhac al . *?
14540 d
Futhonzetl Si n7?ctctQ/pye?.baking I a
L V i1L?EY, Aq Phona Number
MINNESOTp STATE BOAFU OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway 81Eg. - Foom S173 BE ACCEPTED 6YTHE STATE BOARD
1821 UnlversRy Ave., St. Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 602408pp ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION E&ooom-0, ?
? See insWCUOn81ar completing INS brm on back at yellaw copy
C? 6 U 2 8 9 "X" 8elow Work Covered by This Request
ew Add Fep. _ TypeofBuiltling AppliancesWired EqmpmentWired
- Home Range emporary Sernce
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Av Condmoner
Olher (specily) Comractor5,RaTarks
Compute Inspection Fee Below:
U
# Other Fee ie Fee # Cir /Fe de rs Fee
Swimminp Pool l ! 0 0 10ps
Transformers s A6ove 100 _ qmps
Signs irsvec+ors use ony TpT ?
Irngation Booms
S
ecial In
M1
p
spec
On
Aiarm/Communication 3 .O
Other Fee
I, the Electrical Inspector, hereby
certity that the above mspeaion has
been made. Rough-in
Finai -
a?
OFFlCE USE ONLY
This request void 18 manths Fmm
?_o?n C 1) _ I
/U// 7 0 7 T/ 'r
60312
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Re ?es[pare . 1 Fire No Ro in Inspec1an
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v U qe?y Now [?W?M'flohlY Inspedor
When Reatly°
ctor ? owner hereby request inspection of
t
d above electrical work at:
con
ra
I icense
Job Atldrew (St Bov or Ro N C"
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Secnon No. ownship Name or No. Renge Counry
Occu RIIJn ?
S
E PhoneNO.
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PowerS ie Atltlress
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or
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Elac[ncalpCyo?n'V+a?cl Cont actor§ L ree No.
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MaAmgAtltlressf.?5ab??NnCK LF,NE ?
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ANhwzeC a_ d e in ns
T ? 55124 Pnone Numbat
MINNESOTA STAiE BOAHD OF EIECTRIC1iY THIS INSPECTION REQl1EST WILL NOT
BE ACCEPTED
Griggs-Midway Bltlg. - Roam S1]3 BV THE STATE BOARD
/821 Universfty Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
ENCLOSEO
Phone(812) 842-0800 _
REQUEST FOR ELECTRICAL INSPECTION += ee-00001-07
p, See mstmclians tor complehng th¢ brm an back of yelbw copy
?9 "X" Below Work Covered by This Request
u .
e .
dd . ..•
Qep. r.
Typeofewiding
ApphancesWired
mpmeniWired
Eq
Home Range Temporary Service
Duplez Water Heater Elecfic Heating
Apt. Building Dryer Other (SpeciTy)
Comm./Industrial urnace
Farm Air Condinoner
Other (speary) ConVa41ofs flema'ks
Compute Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee ?# CircwCS/Feaders Fee
Swimming Pool to 200 Amps J I 0 to i00 Amps .l/
Transformers Above 200 _ Amps A6ove 100 -P.mps
Sigf1S Inspecmr5 Use Only T
tion Booms
Irri
ga -?
Special Inspection .
\ J .?
?
Alarm/Communication
Other Fee r
/
Rough-in Dale
1, the Electrical Inspector, hereby ?
?
certdy that the above inspection has F,nai oec
7?
been made. ?
OFFICE USE ONLY ?- ?
This repuesl void 18 monUs hom