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3905 Danbury Tr - Electrical Permits C? 9 5 9 31z-// ? ;ZOUZL, "r, RequaSt Date - : aa Na. Ro 'Inspec?eon q ? Reatly Now IWill NoLh/ Inspectm R d '+ s ? No Ve y W?en ea I p licensed contractor '5rowner hereby request inspection of above electrical work at: Job Atltlress (Sireet, Box or RouteINo ) / T Ciy QI? r ?Y? I "J??. ?„r'1 F7C a Sechon No. Township Name or No Renge No. Counryj? Occupanl (PRMT) ;-!, Phorie No. Power Supplier AtlGress j ILYl Eledrical Contractor (COmpany Name) Contredor9 l.iLensa No Mailing Address (COnVeclor or OMner Makrtg Insta11a0on) . A 1? ? ,???(J5 'D _T?Ct ?il r a ? C?r? ANnodzed SignaWre (C Mrad ner Makng Ins?alla6on) ;??„? Phone NumbBr ? MIXNESOTA SFATEBOARD OF ELECTHICRY THIS INSPECTION REQUEST WILL NOT OrIgga-Midway Bldg. - Roam S173 BE ACCEPTED BY THE STATE 90AR0 1821 Unnvenity AvB., 51. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS PhonB (612) 602-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION - ee-oo001-07 ll?$ee mstruchons for wmpleting this form on back ot yellow copy "ea1 7 3 0 -9_ 5931 `X" 8e!ow Work Covered by This Request ew Add Rep TypeofBUiltling ApplianCeSWired EquipmentWired Home Range Temporary Sennce Duplex Water Heater Electric Heating Apt euilding Dryar Other (Specify) Comm./Industrial Furnace Farm Air Gondrtioner Olher (specrfy) Cqnkactor? Remaft- Compufe lnspecfion Fee Below: # Othar Fee # ServiceEntranCeSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps O l0 100 Amps Trensformers Above 200 _ Amps Ahove 100 - Amps Signs Inspector§ Use Only: Tp7pL Irzigation Booms 6 SZ, . ? Special Inspeaion Alarm/Communication Other Fee I, the Electncal Inspector, hereby certify that the above inspection has been made. Rouqmin Finai FFICE IISE ONLY • Thm request void 18 rtronihs hom I O -- io3 8 5731. ? Al Requeat Date ' fire No. Rough-i ns ecLOri 1- 4- 8 9 - A re ?m ? Reatly Now ](j Will Nohfy Inspector Yes ? No When ReaCy'+ I U licensed contractor ? owner hereby request Inspection of above elecidcal work at: Job Atltlress (SVeet, Boz or Route No ) c?y 3905 Danbury Trail Eagan SecLOn No 7moshm Name or No Parge No Coun H Dakota Occupant(PRWT) Larry Hover Construction Phone No 457-2751 Power SuppliBr Adtlresa Dakota Electric Farmington ,MN Elecincal ContracWr (COmpany Name) Conhac1or's License No Midland Electric Inc. . 041610 MaiLng AGtlress (COritractor or qvner Makmg Insyallahon) 14055 Grand Avenue So, Suite E, Burnsville, MN 55337 Aufiorpetl S?gnature ?COMrador/Owner Making Installahon) Phone Number 892-6688 rvnea- iq STATE 60ARD OF ELECTpIC1iY THIS INSPECTION FEOUEST WILL NOT Grigge-Mitlway Bltlg. - qopm 5-173 BE ACCEPiED BY THE STATE BOAFD 1821 University qv¢„ $[, paul, MN 55104 Phone (812) $Q2-0800 UNLES$ PROPEF INSPECTION FEE IS ENCLOSED. REOl1EST FOR ELECI'RICAL INSPECTION r. ee-ooam-m ? See mshucAOns for complehng ihis Porm on back of yellow copy C? sy J _ q ?O 5 73 l 'X" Be/ow Work Covered by This Request 637a F?TTr- nep - rypeor euntling Home Duplex AppliancesWired Range Water Heater Eqwpment Wired Temporary Service Electnc Heatin A t B ldi g p . w ng Dryer Other (S eaty) Comm./Industnal Fumace p Farm ' Air Conditioner Other (epacity) Contractor9 Remarks. Co mpute InspecNOn Fee Below: # Other Fee # ServiceEnlranceS¢e Fee # C Swimming Pool T 0 to 200 Amps 1 43 iMurts/Feeders 0 to 100 Amps Fee ransformers SignS Ab0ve200_Amps AboveWO_Amps Inspector5 Use Only Irrigation eooms TOTAL Special Inspection S?• 'J?d Alarm/Communicatwn O[her Fee t ??,d f • I, the Electncal Inspector, here6y certify that the above inspection has been made. RW9h-i" " Date a?e• _??_ OFFICE USE ONLY This request void 18 monMS from