3880 Danbury Tr - Electrical Permitsr
a 13480 ?/??
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Request
Oate Fre o
1-0 - ?
49 R ugn- Inspecnon
Feqm a
? Reatly Now
tll Notdy InspecWr
? Yes hen Ready?
IK' licensed conhactor .rJ owner hereby r
L? equest mspechon of above electrical work at
Jo0 Adtlress (SVeet Bo qoule ) ory
?
?
Sacoon No TownsM1ip Name or N. Renge No Counry
O uQaM RINTy, ^
Phane No
P SupPl,
Atloress
Ele I Conv qa lComonY Neme) ontraoto 5 Lice ni No
? ?
Mailing
qtldress (GOnttaoto Owner Making
f
? l 7
Autnorrze ignature ConhactovOwner Makr In tai ion PM1Ona Number
, a _3f?.
MINNES BOAPD OF ELECTRICITY
GrIgqs-Miewey Bidg - THIS INSPECTION REOIlEST WILL NOT
qoom 5-1)3 ACGEPTEO BY THE STATE BOARD
1821 Umveesrry qve, 5, Paul. MN 551D4 BE UNLESS PROPER WSPECTION FEE IS
Phane ?61P] 602?0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ii, eeooom-ae
? Sea insVUOtions lor compleLng this form on baok of yellow wpy
3480 'X° Below Work Covered by This Request
ew Add Rep TypeofBwlding AppliancesWuetl EquipmentWired
- Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Other (Speafy) '
Comm /Industrial Furnace
Farm Air Gonditioner
Other (syeary) Conlaclors qnamarks
Campufe lnspection Fee Below:
# Other Fee # ServiceEnirance5ize Fee # Qrcutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Abo Amps
SignS Inspector's Use Oniy
? TOTyL
Irngation Booms l 8• 7??
Special Ins
ection ?
p
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECT
Other Fee ED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Eledrical Inspector, hereby
certdy that the above inspection has
6een made.
r oaW
/
oate? f
OFFICE USE iNLY
This reQUesl vaa 18 monlhs irom
This request void XA'(?o
18 mon[hs fmm ?
? 47dR1;
CG' 7 / 5; C?
?'" S'. C :?,
i
flpqucst Date
? P?re No. RouPh-m InsVer,[ion
R pu reA?
?
Ready NuwWill Noufy Insuec-
?
or When Reody
?B es ?No
Wcensed Electncal Contrector I heraby requast inspection of ebove
I-I llwn.., electncal work inslellad et.
SVeet AQddress, eox or Poute No.
3 VSO 7 .1f.4:4.N City
?
eciron o. TownshiD Name or No. Fanqe No. Counry
Ocw nt (P INF)
If- Phone No.
P "r Suppl.er ?lddres
'VY• . NV
Ete?).? I Con??rjactor (Company amel ?
4 I?LGr ? ??„ E ntmctor's License No.
Q
MailineZ-Address ICon ctnr or Owner Manking Insta`aton) 53 3 3 7
Authonzed•Si9naw e ICOntraclndOwp r Mak ng nstallaLOn Phone Number
MINNESOTA STATE BOAND OF ELEGTqICITV THIS INSPECTION REQUEST WILL NOT
Grie9s-Midway Blde. - poom N-191 BE ACCEPTEO 9Y THE STpTE BOAHD
7821 Umversity Ave., St Paul, MN 55104 ? UNLE55 PROPER INSPECTION FEE IS
PFrona (612) 29]-211'I ENCLOSED.
,OM „ Ce 5
!r%/`?iSfy'? REQUEST FOR ELECTRICAL INSPECTION Ee-ooo0t-oa
/ See instruchons lor compleling this torm on heck ot Vellow copy.
1('' /1 7,ii "X" Below Work Covered by This Request
FAd flep. 7YUe ot 0uiltlmg p.0obencea WireA EqmVmanc Wued
Home Range Ternporary Service
Duplex Water Heater Lighhny Fxtures
Apt Bwlding Dryei Electrie HeaLn
Commercial Bldy. ` Fumace Silo Unloader
Industnal BIAg. Au Condrtmner 8ulk Milk Tank
Farm
Other Pe?i Y
C?her l5unr,ifyl
t er Tg-pn ther O?her
......
p .',.......
Fee ... r.._.._....._ __.__
Service Enhanee5iza
M
Fee
feeders/5u01eede's
k
Fee
Gircwes
0 to 200 qm s 0 to 30 Am s U in 30 Am s
A6ove 200 Am )s 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps flbove 100-AmPS
"
Transiormers rngauon t3oorc's S Other Fee
ParLaL
Signs Special Inspection $ ? ? TOTAL PEE
Aemarks
qauBh-in O1teJ /4 I, the Electn
? ? Inspector, haraby
certify [he, the above
Final Date. b
y _// inepecNOn has been
matle
OF '! .
TNareQUastvoiElBmonttoslrom V
?
This rnquest void
18 mon[hs fwm U 1
f 4 7 4 9 8
Renuest Date Fre No. fl6aph-?n Insperunn
fleqwreA?
?k ReadY Now ?Will NoLfy InsOeo-
? ? 3 A
?yes ?No tor Whe. Ready
?L.censed Elec,ncal Convactor I hereby requestinspection of above
? Owner elecuical work insialled a1'
Street AOd?re)ss, Bo''?x or AoJJJu/J?' No. /
y City
4 F
:/ ?
ecUO. a. Township Name or No. fl»nge No. County
Occu a t PRjI? T) Phane No.
Po up
r
i Address
; J t 1
E ectnc ontr ?o? (CO?W?any Nume
? /] Ccintrac r's L.cense No.
?1
1.7c/[?ti.,G
3 3
Mailinp Address (COntrac or Owner akinB lnstailaTyeq) _
Aut ?¢ed S?B^atme (COMtactor O et bng Installation) P?hones Nupm}ber y ?-
?!/V"?/ -)-
M(NNESOTq STATE BOARD OF ELECTRIEITV ? tTHIS INSPECTIDN REQUEST WILL NOT
Griggs-Midway BIdg. - Noom N-191 BE ACCEPTEO BY THE STATE BOAHD
1821 Universnty Ave,. 51. Paul, MN 65104 UNLESS PXOPEH INSPECTION FEE IS
Phone 1812) 297-2111 ENCLOSED.
9S'7 REQUEST FOfl ELECTRICAL INSPECTION ee.aoooi-oa
-. 7?,[7f??
- , See insbuchons for compleling this brm on back oi vellow covv
fr Q7 fl Q R "X" Below Work Covered by This Request
flemi AAd Reo. iyve of euiioing APplmncea Wved Eqwument Wired
Home Range Temporary Service
Duplex Water Heater Liyhting Fixtures
Apt. Bmlding Dryei Electnc HeaUn
Commercial Bidg. urnac e Silo Unloader
industnal BIAg. Air Condrtioner Bulk Milk Tank
Farm tnrr Soe6 v omc. Isur?.??vl
t ,r SucufY Othe, Onhcr
f'mm..v/e lncnart?nn fm Nnlnw
p Fee Serv.ceEnVenceSae p Fea Fexders/5ubteeders N Fee C?rwrts
0 to 200 Am s 0 to 30 Am s D to 30 Am s
Above 200 qmps 31 ta 100 qmps 31 ta 100 A s
Swimming Pool Above 100_Amps Above 1Q0_AmPS
Transiormers Irrigation t3ooms Partial,'Other Fee
Slgns SpecialJnspechon S
TOTA
Rem3rks ?
O
RouBh-in DaCe ?,the lec
Inspactaq hereby
cartAy ihet the above
Fnal D je nsoection has bean
' ede.
'nma rmijwx, rnitl 1B menihn Irom