3913 Danbury Tr - Electrical Permitse
?This request void
18 rtwnths trom
D 419 2 5-
..1? bB l
Reques?, te
(J
?
/? Fre No. Hodp -in InSpectwn
Rep red?
?Ready Now l NoUty Inspec-
3
1 Yes ?NO lor When fleadY
? Lice.nsed Elecvical ConVactor I heraby requestInsPeclion ot above
Owner elactrical work installed at
Sheei Address, Bo or Route No.
39/ 3 Oill
f /^u , / Uty
?o?4ir
ection o. TownshiFl Name No. RanBe No. Counry /?
a/io /cl
Occuoan?t??P `INT) Phone No.
1?
Power SupDlier r ?I
?
cl?,%,c
1
h
6 Adtlress
F
4
.
G.
-I-4 e 4r41:? 9 /,,,
Electncal ConVac r(Comuany
l me)
I
Comrar.?o?'s License No.
?//G
? ?i.?
/1
Maisli ? Address (/C?Ontraclor or Ow1}? )e,r Maklny Installa[ion)
QuA
Q q'?
i
X'
??
?
f
I:OJ/L .
?,sc
?
V'SOU.c r
44
Authnnzed nature IGefV odOwner Making Installationl Phon!e?Numbe/r '/
8fV ?7?0
MINNESOTq STATE B6AfysuF ELECTflICITV
Gnggs•M.dwey Blde. A N-1e1
1621 Universitv Ave.. SL Vxul, MN 55100
Phone (612) 642-0800
TMIS INSPECTION flEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? ee-oaooi-os
, See pnatruc4ons br completing this form on Eack oi yellow copy. ??j'?.? ??
D 41 92 .)" "X" Below Work Covered by 7his Request
AdJ peD. Type ot BmlGmg Appbunces Wrtetl EqwymeM Wved
Home Range Terriporary Service
Duplex Water Heater 1( Loghtiny Fiztures
Apt Bwldmg Dryei Electne Heatin
Commercial Bldy_ Fumace Silo Unloader
Industnal Bldy Air Conditfoner Bulk MiIk 7ank
Farm Dner oer.i v otner (SOCUfy)
ther Suecity Other p?hi.r
Compute insoeciion hee Below
p Fee ServmeEmranceS.ze b Fee Fexders/5u01exders N Fee Cvcmis
Zi;
0 to 200 Am s
0 to 30 qm s
0 to 30 Am s
Above 200 qmpy, 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100-Amps Ahove 100_Amps
Transtormers Irrigation Buoms 195 Partial- Other Fee
Signs Special InspecLOn
TOT
ertyrks
R
AL
?
r
floueh-in Dnte tpa Ele
/.?'
? e«o,. he.abv
Final b certify Ihat the abova
mspectwn has been
? , {' f? made.
Thia rapueat va1019 momnn trom
r
0014`4 s a'°2
Request Date Fire No R p.ioInspeMion
1_9_80 R mretl'+ lJL Reatly Now ? WAI NoOty Inspector
? Yes Na When Ready?
IL -2 licensed coniractor ? owner hereby request inspection of above electrical work aC
Job Atldress (SVeeI, Box or Rome No t Ciry
Ea
r
secnan No iownshio Name or No
Range No i
gA
Counry
Dakota
Occupani Phone No
Richard Srickson
Power Suppher Aatlress
Electncal ConVaclor (COmFany Name) Conlractor5 License No
Q" 7' f- A 7 '
MaiLng AOaress (COnvecior or Ow t Making Irzs?allalion)
040
Eagan,
a MN 55122
mnonz awre oo c er a ng Insianaoon)
- ? ? ? /?
/ _ / /
??.?_""f?-? .X , / P?one Number
/
MINNESOTA STATE BOAqO OF ELECTqICI THIS INSPECTION REOUEST WILL NOT
Griggs-Mltlway Bltlg. - qoom S173 BE ACGEPTEO BV THE STATE BOARD
1821 Unlverelly Ave., St. Paul. MN 55100 IINLE55 PROPEF INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSEO
? f/??jQ REOUEST FOR ELECTRICAL INSPECTION v
_ ° ?. , ee-ooom m
? ? See ms(mnions lor complenng ihis form on Dack oi yellow copy
00144 "X" Below Work Covered bv This Reauest ??1,.? 7 `7
ew Add Rep TypeoiBuiltling AppliancesWired EquipmeniWired
Home Ran9e Temporary Serwce
Duplex Water Heater Eleciric Heating
? Apt Bwlding
Comm./Indusinal Dryer
Furnace Other (Specify)
Farm g AirConditioner X E.A_ Cleaner
Olher (spenly) ConVacmrS Ramarks
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSrze Fee # CircutlsiFeeders Fee
Swimming Pool
hansformers
Signs 0 to 200 Amps a 0 to 700 Amps 8.0
Above 200 _ Amps Above 10AmOS Y
Inspector's use omy OTAL
Irrigation Booms ?Q
15
5
Speaal Inspection .
0
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS
Other Fee
rj CONNECTED IF NOT
COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, here6y
certrfy that the above inspechon has
been made. Rou
F,nai oa1e
Dat
OFFICE USE ONLY
This rBpuest voiE 18 monlM1S bom