3904 Danbury Tr - Electrical PermitsMINNESOTA STATE BOPRD OF ELECTHIqTY
Gdgge-MlCwey Bltl9 - Aoom 5-170 y2' '
1821 UnivetsKy A"e., St Gaul. MN 55100 ?
Phane (612) 642-0600
REOUEST E 6IOARDT
PTED 6V HE STA
PROPER INSPECTION FEE IS
0 ;EQUEST?FOR E?LECTRICA?L bNSPECTION
.7 3 5 C 9 °?° -Belc;w Work Covered 6y This Request
5J ? ?? e..NUnceSW?red
Farm
atnerfspeG?y1
Compute Inspechon Fee Below
« Other F
8ooms
I Other Fee I -
I, the Electrical Inspector, hereby
certify lhat the above inspection has
been made
OFFICE USE ONLY ihls reQue51 voitl 16 manIDS irom
Remat / ?)l???
a I20C
qbove £
clofs Use
? A
. m• -
Serwce
Fee
CtrcuM1SlFeeders
ta 100 AmPs
THIS INSTALIATION MAY BE10uDERED DISCONNEC'TED IF NOT
--- -- - ? S?? 9
Yd
This request voiA 7
iA months trom
Pequest Date ? FirB No. RouqM1-i InspecDOn ???cccfff???''''''
Fe wre DReady Nowdl Nntrty Inspec-
,,,...,,,tte 5/Val?`? Yes ?NO Lo, When RoadY
?Licen:.ed Eler,tnial ConVactor I hereby raquest mspection ol above
nw.o, elechical work ins[alled et'
Street Address, BoK or Poute NO.
396Lf Djr-NBLkeY Gry
E/j-6,rN
eciion o. Township Name ur NO. 0.angc No. County
Qy??y
D?/ /w I /?
OccuUant(PFINT) Phonr NO.
Power Supplier
DPrKz, ?- Atldress
w30o a ve STw. ??rNC}roN
Elactncal ConVactor (CompanY Name)
f_?'rSC6FlCLt et_re_(.-'1?lG C, Coniractor s Licenso NO.
`fa °fl-oZ-
AAdress IConvacto or Owner Makmg Instailauonl
Mailing
/ _
lfc I.? ?I ?2LBN D ST. 9r??v W . S?{O l G
AuYhpnzj? S Bnat rc actur/Owner Making Installation) Phone Number
/ lS
MINNESIITqGpTAdARD OF ELECTRIGTV THIS INSPECTION FEQUEST WIIL NOT
Gnggs•MidwnV gldg. - Noom N•191 BE ACCEPTED BY THE STATE BOAHD
UNLESS
1821 University Ave., 5t. Paul. MN 65104 PROPER INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSE?.
_ +... Ee-00001-Od
7; sQUESTuFOR EL?EC?TR?ICA 91NSPECTfONck at vel Iow -Oav. ???
?MR61 71 "X' ee,oW Work Covered by This Request
Fdtl R.P. lE?ng Appliances WvBa """' °""'""-"
orary Service
Tem
p
Lightiny Fiztures
H
ig eavn
Electnc
Bld TFurtiace o Silo Unlozder
g.
ldg. Bulk Milk Tanl<
Spe,,fv ??hirl5o3civl
OtF
er
IfyI ?
LOfllpu[e rns'pec11111 rec .+"-- Grcuiis
rvice Enva?ca5ize
S leetlers N Fee
p Fea e
0 to Z00 Amp 17 ? to 30 Am?s
ve Z00 ps 31 to 100 Am s
ng Pool Amps
=Above Above 100_-?mPS
e-
P
l
'
oms e
.
artia
Signs ection S?3 70T L F
Remerks
Rough-in ?zte I, ene cv
d-' ?- Inspectoq he?ebY
ertity that tne above
l
F
L Z
' mspection has baen
ina
L
e?? .?. made.
This reQUesl voltl 18 montM irom