3893 Danbury Tr - Electrical PermitsThis request vmd ^/p?j
I Bnonthsfrom ?? l/ Op
9 19423N12,8/
•J a1 ?b? / _
neque te ' " Fve No.
??'? r r R u h-? Insper,bon
Fa netll
y?Y n N v
?Reatly Nuw Will Notity Insoec-
wn R
Lire e Elecincal Contractor
? Owner
1 heraby reQuest msoection ol above
elechicel work installed at.
Streel Agdress, Boz or Route No.
ecboi. Township ame or No. ?
fldpgpnNo/ C'ty
Coun{ ?
Occupnnt PRI T) `??
I ?? ?LVb t'?-5 Ppune Nn. ?
uPDlier
?-? f.l?:?-; Adtlress
Electnca Co tractm (Company a Conva t's License No.
MaJing qAJress (Convactor or Ownr.nMakina ?nsta
?t? ol --- 3 1/ r7-+r? . ilau
?
rlfra?
tl Sfgnaiure (COnhaci ne M»k ny InstailaLnn) Phone. Numb¢r
?
mmrvrsUlA STATE BOAND OF ELECTpICITV
GrI99s•Mitlway Blde. - floom N-197
1821 Umvmsih Ave.. SL Paul, MN 56100
Phone (612) 642-0800
THIS INSPECTION qEQUEST WILI NOT
eE ACCEPTEO 9Y THE STATE BpqqD
UNLESS PqOPEH INSPECTION FEE IS
ENCIOSED.
?j(?j' REQUEST FOR ELECTHICAL INSPECTION re?e,-ooooi-os
?/d (} 1 See instmctions for comOlebrg Ihis torm on back o1 yellow copV ?( ?? ?
d ?
? "X" 8elow Work Covered by 7his Request
?-???? ?
Nalia Arld Feo. Type of Bmlaing AooI,uncns Wrtee Eqmpment wved
Home Ranye Temporary Service
Duplex Water Heater L71911[iny Fixtures
Apt. BuflAmg Dryei Elec[ric HeaLn
Commercial 81dy. Fumdce Silo Unloader
Industnal Bldg Air Conditioner Bulk Milk Tank
farm omi,, or? ,T v (11n, Isn, , iv)
i .r suac?W ome, oine,
M Fea Service EnVanceSrze lexders N Foe. Ci«urts
? 0 to 200 Am s 13 31 0 in 30 Am >s
Above 200 Amps nps 31 [0 100 Am y
Swimming Pool =bove
?mps Ahove 100_Amps
Transiormers orc?s Parual. r Fee
Signs ecnon 5
g ?
Ferrw3?ks
.
/
?
T AL F5E \
r .?. ?
Boueh-in ? Date _-
yr,^?? 1 tpElec1nca
Ins r, by
cerlify t at the above
Final . • , ?ie ? insDeeUen has bean
? made.
This reouestva1418montlrefrom
.-
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