3909 Danbury Tr - Electrical Permits
^This request void
18 nwnohs fmm ? J
fleqiTSSr Datb ?
? //
- r' ?? Ftre No. Rouflh-i spccbon
PeQmre T
wyes ?NO ,y
?Ready Now?Will NoLfy InsOer
tur When qeaAy
L'icensetl Eler.tnr.al Convae.tor 1 hereby repuest mspecbon ot above
Owner -L??%?' r ? ly elactncal work installed al
Street Address, Bon or Route No.
A . 3 i3 ti K/
? u ,0. Qty
ecLOn o. TownshiD Name or No. Ranyr a County
k?
OccuVl (PpINT
?
? Phane No,
c ? 'e -s
Po Sopplier Address
-C Y/1'1 /Vl
Electiical Conuecmr lCompeny Namel ConVacmr's Li nse No.
,
fl?
?
MeilinA /A Jress'(fCon[rar,tor or Owner Makmg Ins ilanonl
?O?V ? 7?
Auth zeA S?enatur ICont cto /Owner ing InstallaLOn)
Phone /ujmb / (? /'
`f?' 1
MINNESOTq STATE 80AHI OF ELECTqICITY
Griggs-MidwaY Bltlg. - Noom N-191
1821 University Ave.. St. Paul, MN 55106
Phone (612) 642-0800
THIS INSPECTION PEQUEST WILL NOT
8E ACCEPTEO BY THE STqTE BOARO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
311-51,y3' REQUEST FOR' fCTRICAL INSPECTION ee-ooooi-os
0 See instrucLOn.. for comoletin9 this lorm an beck ol yellow copy. ~
?.
. ?'?869q. "R" Below Work Covered bv This Request
Fdd Rep Tyoe oi 8uiltling Apphancea Wvetl Equiymem Wired
HoR?e Fange Temporary Service
Duplex
Ap2 Bwlding Water Heater
Dryer Lighhny Fixture,
Electnc HeaLn
Commercial Bldg. Furnace Silo Unloader
InduStnal Bldg Au CondiLOner Bulk Milk TUnk
Farm Orher „peci v rhcr ISOCntyI
ine. Snecify tne. o?ner
# Fee ice Entrence5¢e H Fee Feeders/5ubfeeders Fee Cir urts
200 qm s 0 to 30 qmps 0 to 30 Am s
j
ve 200 qmF?y 31 to 1 DO A mps T 31 to 100 Am ?
mming Pool qbove 100Amps Abovz 100AmpS
siormers Irngation Booms Partial."Other Fee
s Special Inspection
52
Rerr?a?ks $ 5, TOT FEE
/l. Ai
Nough-in ?ate
I, ch lecin
Inspector ereby
Final certify [het the abova
1e /? inspeclion hd5 baen
"?>? >? meda.
inre reauas[ vaitl 1B months from