3858 Danbury Tr - Electrical Permits
p 34353;?i?.,??,
Req ate ? fire No Rough-in eclion
Reqwre I
? Reatly Now otiy Inspedor
s ? No When Reatly+
I icensed contractor ? owner hereby request inspection of above electrical work at
do nddms veet. eo. Faute No ) C,y
(3 #-A)
Secnon No TownsMp Name or N. Ranqe No Couny
?
nt(P INTI YeO /? ? ? I ? ??
1 %
W
\% Pho Nq_ _? ? ^. ?
5 A
Power SUPOI)i
Address
Electncal Conhector (Company Name) Mracbr§ Li
n
se No.
KENDRTQFLI?ILE
CTTZTt-I /
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V ?
Mailing A1tNreqSS,(?optt9c?oLOr ( wner MaOng Insta aLOn)
'YJ tQ PEiaiv CK LANE
Aut ( t r r a
7 ll A
kin a,
S36 Phom Number
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MINNESOTq STATE BOARD OF ELECTRICfTY THIS INSPECTION REOUEST WILL NOi
Gtlgge-Mltlway Bitlg. - poom 5-113 8E ACCEPTED BV THE STATE 80AR0
1821 Univmsity Ave., SI. Peul, MN %f06 UNLESS PROPER INSPECTION FEE IS
Phone(812)842-OB00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION Ee-00001 .07
? ? See mstNChons for complehng [his form on back of yellow mpy. 9,3?e3
?J
0 3 4 8 5 3 'X' Below Work Covered by This Request
ew d Rep. TypeofBwlding AppliancesWired EquipmenlWired
Home Range Temporary Service
Ouplex ater Heater Electric Heating
Apt. Building r Other (Specify)
Comm./Industnal 4 urnace ?
Farm - Ar
Conditioner 'i
Other(speafy) Cpnvaclorg qemarka. 'i
Compute Inspection Fee Below:
# Other Fee # Service En[renceSize e # Circurts/Feeders
Swimming Pool 0 to 200 Amps I y 0 fo 700 Amps v
Transformefs Above 200 I Amps Above 100 _ Amps
Signs Inspecmr's Use Onry. I TOTA
Irrigation Booms ?
Special Inspection
Alarm/Communication I
Other Fee '
r :,w
I, the Elecincal Inspecfor, hereby
certif
that th
b
i
h Rouyn-in
, r
y
e a
ove inspea
on
as
been made. Final a
?-
OFPICE USE ONLY
Thia request mid 18 manihs from
P34991
Reque ate Fire Ugh-in Inspeclw
equiretl'+
? Yes ? No
? Reatly Now
? Will NaLfy Inspector
When Reedy'
IKicensed contractor ? owner hereby request inspection of a6ove electrical work at:
Job Address (St?eet, x or Route )
3 q`', q?y
SecLOn No Township Name or No. nge No Counry
Occ e [ (P) ? Phone No. 17
wer5upphe Adtlress
Eleclncal Conhapor (COmpany Name)
KEIVDRICK ELFCTRIC Comractor5 icensa No.
MaAin9 ATf4yVQcli ?tq 411LZd'11V?+
L?
\J
A,th ( alti a Phone Number
MINNESOTA STATE BOAflD pF ELECTFICITY THIS INSPECTION REQUEST WILL NOT
C.Hggs6Aidway gltlg. - Hoom frt]3 BE ACCEPTED BY THE STATE BOAHD
182/ Univetsky Ave., SL Paul, MN 55f06 UNLESS PROPER INSPECTION FEE IS
Phona (612) 662-0800 ENCLOSED
REQUEST FQR ELECTRICAL INSPECTION es.ooom 07
?
2 ? Seemstruclions tor compleLng fiis lorm on Oack oi yellav wpy.
34991 "X" 8elaw Work Covered by This Request
1?'
ew Add Rep. TypeofBUiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waier Heater lectric Heating
Apt Bwlding Dryer Other (Specify)
Comm./Industnal Furnace
Farm Air CondRioner
Olher (specdy) Contractor5 Remarks'
Compule fnspection Fee Selow:
# Other Fee # SerwceEntranceSize Fee # CirCwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TfanslOrmers AboVe 200 _ Amps A Amps
Signs Inspeclor5 Use Onry
Irrigation Booms
S
i
l I ?
pec
a
nspection -
Alarm/Communication
Other Fee
I, the Elechical Inspector, hereby
' certity that the above inspection has
been made. Rough-in
F??ai Date
?
OFFICE USE ONLY .
This request witl 18 months hom