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