3874 Danbury Tr - Electrical Permits,
This request void /r y%Cc%?
?mohr
J ll 2 3 ?./. 1-i._3 491,,??i?)/.-?:J
(iequas Data
= ? _ Q ?j Fre No. Raugh-?n In OecLOn
Re0 ?red?
?
-
?Ready Nuw DWil I Not.fY Inspec-
6 / [
Yes [
]No ?or When Peatlv
.? '-seo necincai convactor I hereby repuast mspection oi ebove
? Owner elec[ncel wark installee nr
Street Address. Box ar floote Na.
??
T
/ C?iy
6
?v U? A? ? ?v
ecuon o. Township Name or No. Range o. Counry
eo7l`?
Occupem (PpINT) Phone No.
Power Suppher Address
O /'o E/f ? L
!!1 ? TO /l
Elactnc I Contractor (COmpanY Na
m
e) Contractor's License No.
?
[
C/lilC "" If T J`W V'
MaJing qtldress (Contractor or Own r MekinB ??s?ailauon)
3 0?,/ .o a .9 R o.? i?
Authoriz ignat re (COntrector Owner M ing Ins[allavon) Phone Num6er
ri1 y z a ?eel
..cav?q SIATE BOARD OF EIECTRIC1iY - ^?? --svECiION qEQUEST WILI NOT
Gr,ge•Mitlwey Bld9• - Aoom N-197 BE ACCEPTED BY THE STATE BOARD
1821 Univeraitv Ave., St. Peul, MN 56104 UNLE35 PROPER INSPECTIpN FEE IS
Phons(612)642-0900 ENCLOSED.
7 REQUEST FOR ELECTRICAL INSPECTION •Eya-ooooi-os
? 1 See inahuetwns lor comolabny thia form on back of vellow coOY?
"X" 8elow Work Cnvered by This Request
ana Fleo. rvoe of euiienne aocuancea wi.ea eeuiumant w,.ee
Tiome ftange Temporary Service
Du01ex Water Haatar 1 ..h".,.,
Silo Un
Bulk M,
?Z h
olno,
H Fee ServicaEntrenceSixe N Fee Fexders/Subleeders N Fee Cvr,wts
0 to 200 qm s 0 to 30 qm s L.•'d 0 to 30 Am s
Above 200 qmpy, 31 to 100 Amps 31 to 100 q s
Sw,mming Pool Above 100_Am s Above 10Am s
Transiormer5 rrigation Booms ,. ? Partial."Other Fee
3Veciai inspecuon
Mertnrks S<-4e J G TOTAL F E ??? ?
Rou9h-in - ?ate ?
. . . [.%,F ;', _L„ _. . • the Elec ic
?/ I15PBC?01. hBlBby
Final certdy thel ihe above
? .? .. `. D`yJ h ePecnan has been
meAe.
This repuesI voitl
1A nxnnihs from Y
DD 80q941/ ,2a
Raquast Date,
ne No. i., ?, --e
qo ph-in InsVection
2- 17-0o n0
F?pbtretl, ?y.
?Heady Nuw U Will Nobfy Insper,-
?Y nN Wh q d
Ml i .,.,..,,. _
1 hereby request inspectmn of a0ove
? Owner electncal work rnstallad at
$veet AtlAress, Boz or Houte Na
3874 DANBURY TRAIL
ecuon o. Township Name or No. q:nige No. iv
EAGAN
County
DAKOTA
OccuVam ?PRWTI Phune No.
STU CHANT - NICK STANCEVIC 688-642
Power Sopplier AdAress
Elactncal Contractor (Comoany Name) ConVaotor's Lscense No.
C& M ELECTRIC, INC. A-042214
Mailing qdJress (Convactor or Owner Making Instailavon)
P.O. BOX 328• LAKEVILLE MN XIO 55044
Authoriz .d Sq, ure (Co Sactor/Owner Makinp Ins[allab n)
j Phone Numbe.r
469-3233
-'° n o?wnulUr tL[CIHICRY
G??69s-Mid y Blde - Noom N•191
1821 Unrversity Ave.. SL Peui, MN 55104
Phone (612) 642-0800
.na irvsrtc i iUrv NEQUEST WILL NOT
BE ACGEPTED BY THE STqTE BOpHD
UNLE55 PHOPEH INSPECTION fEE IS
ENCLOSED.
?j$ ? REQUEST FOR ELECTRICAL INSPECTION ee-ooao{i--os
p(? [?? S/ey4 e instrucLOns for comoleline th?s form on back ol yellow co0v_
zV U
DD
> OJ "X" Be/ow Work Covered bv This RemiPS?
A ? BmIEinO aooliancaa wi.ed
Enu?ument w?red
Ranye ary Scrvice
Water Heater s
Apt.Buiding
lding Dryei c H
eatm
W
ial Bldg.
Fumace f
loader
l Bldy. Air Conditioncr lk Tank
???ev
O/ OO F?.. O..i,....
p Fee ServiceEnlranceSrza ? Fee Fexders/Subleede rs p Fee Circwts
0 to 200 qmps 0 to 30 qm s 0 tn 30 Am s
Abwe 200 q?????y 31 to 700 qmps 31 to 100 Am
s
Swinxning Pool Abave 100_Ainps Above 100
.Qmps
Transiormers Irngation F3oorc, s _
Pdrtial. Other Fee
51?5 S?eCldl I17eCt10n
Rerrwrks $ 20 5 0 TOT F
Rough-in
??te
1, th Elech
IIISpBCtDl, (IeIB"y
iinal Ddte carlJy thet the ebove
i^soection has Eean