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-
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Li ens¢A EIeCV,cal Contracto, I hBrabV ?equBSt inBPecLOn OI BbOVO
n Owner electncel wark inslalled at.
Street Atldress Boa or Floute No.
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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
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CBfl1Iy 1h81 IM1B TOOVB
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inspect,on hes been
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i ? mia reauesl voiC 18 monihs Irom