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3916 Danbury Tr - Electrical Permits This rnquest void O`J/`S? 18 mpnths imm DD 41912 I Reque ? Dace Rre No. Nouph ? InsVer.uon ? ? Re<?wre? ?Ready Now %W.II Nnbty Inspec- ?'g/ yQ5 ?N?? 1orWhenPeady Li ens¢A EIeCV,cal Contracto, I hBrabV ?equBSt inBPecLOn OI BbOVO n Owner electncel wark inslalled at. Street Atldress Boa or Floute No. 39/(o LaAbut-if . 4p.4',1 C,tv a 4 ecuon o. I I Townshio Nam or No. anee No. Coun r J` ? Oca{INT) /J 0 l.on Phone o --? 7ir? Pow r SuOVlier Atldress Fw",,? -?A Ele?cyt/nca?l jConttact r ICOmyany Namel [i<<cY (4nfi. CltJ&.? -TiE- Conlractor's L?cense No. S?I?oIO ^ ?- Ma ImB AtlJress IConvactrn r Own Ma ing Instailabonl ?-5d0 C.oo^ A thor¢ed Sign re IConhac r/Owner Mabng Installal?on) ? ?mbgr6// Pn¢Y I ? MINNESOTA STATE 60Afl? OF ELECTflICITV Gripgs-Midway BIAg. - Naom N-191 1821 Universilv Ave.. SL Peul. MN 56100 Phone (612) 642-0800 TMIS INSPEGTION REQUEST WILL NOT BE ACCEPTED BV THE STATE BOAHD UNLESS PROPEP INSPECTION FEE IS ENCLOSED. ?/-REQUEST FOR ELECTRICAL INSPECTIDN • ea/-ooooi-os ~ ?LO 9?Q ' See inst,uctions far comDleting this form on beck ol vellow copV. n !I 1 Q 1 7 "X" ee/ow Work Covered by 7his Reyuest ? AAd ReD. ?Type ol BmlCing Aopltoncea nirod EquiUment Wired Home Range Temporary Service Duplex Water Heater Liyh[iny Fixtures Apt. Bmidmg Dryei Eler.tnc HeaLn Commercial Bldy. Furnace Silo Unloader Industnal BIAg. Air Conditioner Bulk Milk Tank Farm Othei pen y Other (SO,miy) [ er Suci.ily Othcr 01 h, ..... p ..r,..., ..._ Fee r"'._....._ __.__ ServiceEnirance5ize p Fee Fenders/Subleaders N Fne . .. Grewts i 0 to 200 Am 5 0 to 30 Am s :1 0 tn 30 Am Abovqinpa 31 to 100 Amps t 31 to 100 Am s Swi nrs ve 10D-Am s Irrigation Booms S d Above 100-Am?s PaiLaL"Other Fee Signs Special InsPection 5 i TOTAL FEE Nertwrks ' i i ?? ? ? / RouBh-?n / V?j ?? / I. the Eiactncai• Ins harob ctor / . y pe , CBfl1Iy 1h81 IM1B TOOVB ?nal F ?^1e inspect,on hes been II meEe. i ? mia reauesl voiC 18 monihs Irom