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3912 Danbury Tr - Electrical Permits18is request voitl m 7 - onths (rom ?? \J?. O d 9'v 2 E 6 2 9 5 )-.?e Reqo¢st Uate Fire No. Nou m In 1 ? SV6CbOn _ 1? Re0 etl? t?JW.AV Now DWill NoLtV InsPec- ? ?Yes ?No 10, When flea0y Licensed EIecViwl Contractor ? Owner I hereby re0uest inspection oi ebova Streel Address, Baz or Poute No. emion o. Townsh,0 Name or No. i C_ F?nge No. ry V Cliy E? Co Occupant (PRINT) Phon¢ No,. I ^ P ow¢r Supplie? Adtlress Elec cal Conhactor (Comuany Namel ???t? ELEC1l2 Cnntrar,tor's License No. MaiJmg Atldress (COnt actor pr Owner Makin Ins1Ai1 ionl QQQ / A ?? ??? uthonzedSi ?utur 8 Conhactor er Maki n Installnl,on) " Phon¢ Nom '. i? ? ? '1 C /•' I Griggs-Midwey Bidg?-mqoom N 187 FKI? ??T 1821 Universitv Ave.. $L Paul. MN 56104 Phone (612) 642-0800 ^'? '->rcC i PON NEQUEST WILL NOT 8E ACCEPTED 6Y THE STqTE BOARD UNLESS PXOPEP INSPECTION FEE IS ENClOSED. REQUEST FOR ELECTRICAL INSPECTI y /cr ON es-oooai-os 2 ? Sea mstructions br complahng Ihis torm on Geck ol yellow copy. O ?? LS 6295 "X'' BBlow Work Covered bv 7his Renuesf Ad? Peo- "vae of Builem¢ aaoliancwa Wiraa e?? W?reA ' Home - Fang¢ Service Duplex Wa[er Heater ixtures Apt Bwidin? Dryer eatui Commercial Bldg. Furnace i Jcr m InAustnal &d Av Conditfoner ank Farm .,iv? t nr ucnfY nR l/1//? P N a Above caEntrence5¢e 2DOqm 5 200 q?????y h Fee Fexders/5ubfeedels Oto30qm s 31 to 100 qmps N FeR Grcmts Om30Am s 31 to 100 q s ming Pool q?vE 100Ampy siormers rrigation Booms s Special InspecLOn Nema.ks S IO ? Above 100Amps Partial. r Fee T AV6EEh Bouah-in ? - Dale ?. ?h lecv f ' insoecto., ne.eev Final , p(? certily thet the above ?'?? inspection hes been metle. RIIB fB0Y85t vOId 18 montln fram This reQUest void ?? 16 rronths (rom d D 3 3 6 8 Y ?;? /?, .2_,?%: 7/1'2 0 _ fteqrest Date ..._ _ Fire No. ?. . ?. - - qouph-(' InsVecbon Re? d1i - L.?. ire ?Neady Nuw ?Wdl Nnbfy InsDec- ?es ON tor Whe R dy mf `? _._?..??? ?•??•••"• `?••`??`?O? I herabY ?e9uest inspection ol above ? Owner elecfrical -4 m.mu.n ntStreet Address, Boz or Roure No. ?ity 39/2 ? .,; I F ect? n o o. Townshi0 Name or o. qange No. Count R .,"Y Occuu.M (PqINT) Phon¢ No, b Power Suppber AAdress ? f-ie ? C ? 1w'iq4 hQl Eleoln :al Conhaclor ICompany Nemel on ractor's L?r.ense No. / f/1 J)v.[- FICP T riv O cv - Ma ing AdJress Contmctor r Owner M a kinu ??stallatmnl / ? Authon etl Sien ture IConha od ner Makmg Installat1On1 Phone Nvmber 9,2 ; 71 mrvwuiq STATE BOAflD OF ELECTRICITY Gripps•Midway Blde. - Room N-191 1821 Univarsilv Ave.. St Peul, MN 55104 Phpne (672) 642-0800 iMIS INSPECTION ItEQVEST WILL NOT 8E ACCEPTEO BY THE $TATE BOAFlD VNLESS PNOPEH INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION . ee-aoooi- ? / See insnructwns br comoleting thia form on bnck o( Yellow copy. D 32Cj.87 .'X" 8e/ow Work Covered by 7his Reouest aXi 'Reo. rype or Bioia?ne Applmnroa WiroE eautuniene wiren Home Range orary Serv?ce Duplex Apt Bwlding Water Heeter Dryei iny Fixtwes n?: Neatin Cnmmercial Bldy Fumace Unloader E Industnal BIAg. Air Condiuoner BUlk Milk Tank F2rm O?he, peo v 15 poc?lvl m .,,. ? 1 .... ............ r_" n_i_ ther M Fae ServicaEniranceSize X Fea Feeda1s/5ubieeders 4 Fn¢ ts ? ? Am s 0[0 3 0 qm s 0 to 3s % Above 200 qm??y 31 to 700 qinps ,c-" 31 to m s Swimming Pool Above 100_Amps 100 Above _Amps Transtormers Irngation Booms Partial. Other Fee $i gns Speaa I I nspe ct i on Hemarks $.elfC' TO7AL F Aough-in L v Dme ,?e Elect.?? nsDectoq he?eby Fnal ceriify thet ihe above A?r inspeclion has been mede. TObrepueslrolElBmonlhatrom ? ' ???