3897 Danbury Tr - Electrical Permits
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? Ready Naw kWtll Notrty Inspector
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I p licensed contractor ? owner hereby request inspection of above elecirical work at:
Jab Adtlress (Streeq 6ox or RoNe No ) qry
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Section No Township Name or No. Range No County
Occupam (PRINn
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PowerSUppber Pdtlress
Electncal Contractor (COmpany Name) Con[rec[or5 IJCenae No
MaAing pdtlress (Conhactor or Owirer Making Ustallabon)
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Autho tl Signature (CorNractor/Ownt Inslallation)
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MI f?OTA $TATE?BdARD OF ELE?CIT' THIS WSPECTION REQUEST WILL NOT
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Grl Mitly BI?g?? qoom 5113 BE ACCEPTED 8V THE STATE BOARD
182 Unlverelty Ave., St. Paul, MN 5510A UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-11900 ENCLOSED.
F j?/3/?C? REQUEST FOR ELECTRICAL INSPECTION ee-aoom-o7
? ? See msbuctlons for completmg inis form on back of yelbw mpy ?• ???? ?
N 9B 90, 3 `X" Below Work Covered by This Request
ew Add Rep. TypeofBuiltltng AppliancesWired EquipmentWired
Home Fiange Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer • Other (Specify)
Comm /Industrial Furnace
Farm Av CondRioner
Other (specily) CaMractor's Remarks R/r
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Compute Inspectron Fee Belaw:
# Other Fee # ServiceEntrance Size Fee # CircuilslFeeders F.
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transfofiners Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 Use Onry TOTAL ?sy
Irrigation 8ooms
?
Special Inspection
AlarmlCommunication
Other Fee ?
I, the Eledrical Inspector, hereby Rou9n-in
certify that the above inspection has
been made.
Fnal 7 ?
D
OFFICE USE ONLY
This request voitl 18 months from
?This r
ues
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vo?d ? Ob
e9
/?/L ?tl
18 nam
n
ths
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o
Do 56211 GG. ,el
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Request Oale Fir No. RnuAh-in InsOe<L n
Re?mred? ?
Alv..,.
?ReaAy NuwD<W,ll Nuufy InsPec-
lor When Reilly ?
E] LicenseA Electncal ConVactnr 1 h¢reby re ve 9 inspacL n of ebova? /*?
FTi Ownar electncal work inslalled ?t 1? // } f
Sveet Address. Box or Fnute No.
389 D?ri'fiur
ecuon o. Townshi0 Name No. R?nge No. Count
Occupant(PRiNT) Phone No.
.?"e r? l, ?}z. b a g 8, on
Power Supplie
lCa ' c ri S,s Address
3en
2cY', St 64r ,` ou Mn
Hectncnl Contractor lGoniuany Nemel Contrector"s L¢ense No.
L Oz [ 0?8
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neakmg InstailaUOn)
a?line Ad ess IGoniractor or Ow r M
1'; ? I'; br ?'? a w iL( ?,
A rth r zeA Si9nat e (Co ct dOwner Making Ins[allaN n) Phone Nuniber
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MINNISOTp 5T,?U BOARDUF ELECTRICITV
Gnggs-Midwey g. - Roa -791
1827 Uawersitv Ave.. St P.I.I. MN 55704
Phone (612) 642-0800
BE ACCEPTED BV THE STqTE 60ANO
UNLESS PAOPEP INSPECTION FEE IS
ENCLOSED.
REQUEST FOR EIECTHiCAL INSPECTION " Ee-00001-06
'y 7
R SPe InsVUCbens lor complevng tM1is torm on back of yellow copv ?? ;;2-
Fn) 1 "x'" Be/ow Work Covered by Ihis Request p,J 66 0
?Fdd R.P. TYOe ai 6uJEtng Applmncxs WveA Eqwpment Wved
Home Range Temporary Sewice
Duplez Water Heater Lighnny Fxtures
Apt 8wlding Dryer Hectnc Heann
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg.
Farm Air Conditioner
o?ne. Soeary Bulk Milk Tank
CTnE?? lsuc, I fy l
t c_r sueufv Other Otnce
oecuon ree tseiow
Service EnNeoce Size
FBB FBP(
0w
31 to
0
to
Swimminq Pool
Transiormers irngaLOn nuoms ???•?a? •?°??? ?
Signs SVeciallnspecuon $ n TOTAL F ?y?
Remarks 1 +? ? (/w
0.ou9h-tn O.rte c I, the Electn
Inspector, rerobv
? certify [bat the above
Final ?e 611
? inspectwn has been
? f? made.
TNarequeatvoitlinmonulinrv.., ?/Nn? J V
( V %1 ?/
. ..
^ihix request void
18 months from
In F r, :? 1 3,/, r? / '/;, ?' . ,.
Reque+c Date ? Rre No.? v RouP " nspcr.lion
Requrt ?
?Naatly Now I NoU1y InsPec-
(Ynx ?NO ?or When HeaAy
? Licensed Electncal Cunvactoe 1 hereby repuest msOecbon ot ebove
Owner aleehical work installad aP
oa or Route No.
Sheet Address, B CiN
`
??/ LJ I1? J ct i? l•sJ
e.cLOn o- Township Name or No. AinBe Na. Cnumy
Occopant IPNINTI
Sc.,^r L. (9Z?un? Phunc No.
688-27OC?
Power Suppber
l 7'c. '555 L T .4ddress j?
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Electrical ConVac[or ICompany NIa?mel
Tz rr.4 l. C?Z (?[cri) Cuntra?tor's Li :nse Nn.
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Mailing AtlJiess ICIOnVacmr or Owner M/a?kinu Installatmnl ?v
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?+ut ? e? SiAnat ? IConvaotorlOwn r M kiny Installatiunl Phune Nwnbcr
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MINNESyTA STATE Buq?D OF ELECTH?ITV
Gnggs-M?dwey Bldp. - om N•191 ?
1821 Universitv Ave.. S<. Paul. MN 55104
Phone (612) 642-0800
BE'ACCEPTED BV?THE STATE•90AflO
UNLESS PflOPER INSPECTION FEE IS
ENCLOSED.
J,,c?/,p f REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-ops
Il0 See inshuctions for cnmOletine this form on beck ot Vellow ropy qw
n "X" 8elow Work Covered by This Request
Fdd HeD TVOe oi 8uildmg Aonlianeea Wved Eqaiymenc Wired
Home Ranye Temporary Service
Duplex Water Heater Lighnny Fixtures
Apt Bwiding Dryei Electnc Huahn
Commernal Bld,y. Fumace Silu Unlurider
Industnal Bidg Air Conditioner Butk Milk Tank
Farm tnr, oe1 M 1 v .?ne? iswe??fvi
t xi Sue, ifv otho. Otncr
p r Fee r5erviceEnlmnca5ae H Fee Fexders/Subfexdars C Fee Cvcwts
0 io 200 qm ps 0 to 30 Am s 0 tn 30 Ait )
'
Above 200 Amps 31 to 100 Amps 31 to 100
Am s
Swimming Pool A6ove 100_Amps Above 100_nmPS
Transiormers Irngation Boorc?s Partial. Other Fee
Signs Special Inspection S TOTA
Remarks
floueh-in Date I. "e ecvf
Inspector, ere0y
cerldv that the above
Final DA1h' inspnctmn has bean
. ?l -61 mBAe.
Thie reQUest voi018 monllxi Iwm