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3917 Danbury Tr - Electrical Permits 0) s?513 ??'? ? y?ap°" Req est Date .? Fire No ?ugh-In Inspec0on Req rt Ins io er Than Rouqh-In (V tly) ady Now ? Wdl Noldy Inspector OU must call msAeclar ee ? Ves o Dale Ready I a (c sed contractor ?owner herehy request inspection of above electrical work at: Job Addal ( r p x or Raut a) ?M /' ?' / ,L?'??" e ?L??t` ,{, Sec4on N. Township Name or N. flange No County j t O<cupant (PRI Pnone No ? ?? ? Power5upp6er / ? Atltlress Elecl(¢al nlrador (COmpa6y Name) CAm?reC/{o 's Lioense N. ctor or Owner i Ins?elleVOn) (COntrn Madm AZ7 1 v ? 6 Aut nzetl Signa[ura (Conirnctod0 Makmg InGallalion) Phone Number V 'C,TY O O RDT I Ve s ty FIVe.B p?P u SMNB 5104 GB99 0nl II I I II I I I I I I I I I I I II I?I I PROP ER INSPECTION P SS ?I E PFnna lfi1 41 F69.ON00 S EN C > REQUEST FOR ELECTRICAL INSPECTION ? Il Ses insrmtlions for compleMq [his lorm on back oi yellow aopy A46 "X" Below Work Covered by Thrs Request eaoaoai-os ype of 8uilding Appliances Wired Equipment Wired e Range emporary Service lex Weter Heater Electnc Heating M Bwlding Der Load Management m./Industrial Furnace Other (Speciiy) m ir Condrtioner r(specAy) Gontractor's Pemarks Ons Compute Inspection Fee Below. # Other Fee # ice Entrance Size Fee k Circuits/Feeders Fee Swimming Pool 200 Amps 0 to 100 Amps Transtormers e 200 Amps Above 100-Amps Slgns Use Only T?TAL Irrigauon Booms f Special Inspecuon AlarmlCommunication THIS INSTALLATION MAY BE OROERED-DiSCONNEQTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. 1. the Eleclncal Inspectoc, hereby Ro°9n'" ( oa?e certify that the a6ove inspection has 6een made. Fca 77 , OFFICE USE DNLY ' This requesl vmtl 18 months irom T8i5 requesl vmd wmhs4rom O / ? 36947 7/ C? d `7 Request VatO \ Fve No. fldu h-in Insner,t?on RCq rteA? eady Now Q WtiI Nou1y Insoec- L? ?Yes No lor When ReadV ,censed Ele.c[ncal Conlrac[or -_ -- • I hereby repuest inspection oi above wner elecVieal work installed at. Sireet Address, Box or ouje Na, ? Citv %3? l d ?- ecLnn o. Townshi0 ame or No. flange No. Counry ?" Oc paAt IWiINT? ^ V Ph ne No.- ?? p) ?U wer Su pher AAdress EI ical ontract°r ir^mp any Ndmel o ense No. Convaclor's Lic ? ? - ?? ^ O Mailing AdJress (CO ctor or Owner MakinA Ins[ailauonl 3 2_d Av r¢etl Signamr Co hactnr/0 er Makiny Installatinn) sS?3? 8u Numba ?o-3ias MI"ESOTA STATE BOARD OF ELECTRICITY Grigge-Midwey Bldg. - floom N•191 1827 Univarsotv Ave.. 51. Paul. MN 56104 Phone16121642-0900 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOAHD UNLESS PpOPEN INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-os , Sae insbuctmns br compleh.g this lorm on Eack ot Vellow copy. 0` 36947 "1(" Be/ow Work Covered by Ihis Request Add fleD Tvpe oi 0uilamA APpluancns Wiree Eqmpment Wued Home Range Temporaiy Service Duplex rvater Heater Liyhtiny Fixtures Apt. Bwlding Dryei Electni; Heatin Cominercial Bidy. Furnace Silo Unloader Indugtnal Bldg. Air Conditioner Bulk MiIk Tank Farm Otnvr oeci v Jnrr ISpo<:tyl t er pocify Othcr pihue l.Ulf1U(/IE IASOCGLfO/IYPF 6BfOW k Fee ServiceEnlrenceSize p Fee Feeders?Subfeeders M Fee Crtcwts U to 200 Am s 0 to 30 Am s 0 to 30 !?m o Above 200 Amps 31 [0 100 Amps 31 to 100 Am s Swimming Pool Above 100-Amps Above 100 Arnjn This re4uggt void 16'monthsfrom 0 36950 i , ?Z6,????..??? ?112J Renuest Oate Fve No. ph-,n InsV.r,1 ion retl? ?Ready NuwWill Nmdy Inspec- - - ? Yes ?No or When FeatlY Lacensetl Electncal Contnctm I hereb re y ?n ques? SDaCtion af abovB Owner electrical work inslalled aC Street Atldress, Box Rome No. 7 l.? J'^ir-a-? C?tv ? ecLOn o. TownsniD Name or No. Range No. Coumy OccUpa (PeINT) Phone No. ) , Power Su0 lier J . Atltlres ? EI l C nVactor Compa y Namel ica ?Q,? - I -?-c-? ? Contractor's License No. 03-5l3-S- 3 -7 Ma,lina?.dJress (ConVa r or Owner Makmg Installation) S-?;--3 3 7 Amhonzed Si awre ( onnraclodOwner kin In alla[ion) Phone Number MINNESOTA STATE BOARD OF ELECTHICITY J, iH15 INSPECTION NEOUEST WILL NOT GrnAgs•Midwey Bldq. - qoom N-197 V BE ACCEPTE? BY THE STATE BOAFD 1821 Universitv Ave.. St. Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. R sQU EST uFOR EL ? ECTR ?ICA 9 Ithis NSP ?ECT ?^ON ek o? yellow copy " ?? j?1ss Ce? 3 6-95 Q "x" 8e'nw W,, k Covered by Thrs Request AAd Pao_ Type of 9uilEmg Applmncas Wvatl Equiument Wired Home Fange Temporary Service Dupiex Water Heater Liqhtiny Fixtures Apt. BwIAmg Dryei Electnc Heatin Commercial BIdG. Furnace Silo Unloader InAustnal 81Ag. qir Conditioner Bulk Milk Tank N Fee ServiceEnhenceS¢e tt Fee Faeders/Svbfeetlers K Fex CIr urts to 200 Am s 0 0 ro 30 Am s 0 to 30 F.m s ? Above 200 qmps 31 to 100 qmps _ 31 to 100 qm y Swimming Pool Atwve 100_Amps 7 Above 100_Amps Transtormers IrngaLOn Booms 5?"?D Partial."Other Fee ?•a??? apeuai inspecuon $ Nertw.ks TOTAL FEE az ? 117_ .3, ? c? flough-in 0 DS ?/ •? e ? ? the Etectncel ?soecione.eev Final ? q ?/ ?1e )? carlily thet the above msoectwn has bean 7'"OW' mada. This ropuest vo1C