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3920 Danbury Tr - Electrical Permits3 .1i e0 1'29V9 ? 4 3 4 6 5 ; 440 . Fequesl Date / fiR No ?1 %2 -f ough' InspecLOn ? ReaE RYp Notih, Ins ector Now Q ? m No y V p When Fl I` licensed contractor 54wner hereby request inspection of above electncal work at: Job Addres/s ??31ree1 eox oute No ? Giry ?7e2C0 V // . Secuon No Townsbip Name or No Range No Gounty Occuaam IoqINTi ?- ? Phone N. on e . r ?t , Power Suppiier Atltlress Elecmcal C udClor ICompany Name) ConnactOr's License No Onw Wn? Maiiing atlcr 55 ( ontractoe or Owner Nakmg Insiallaiion) 006, A,nonzeo aN pnVachor aTer Ma'emg Installation, pM1O ber MINNE50 STATE 90ARD 0 ELECTPICITV THIS INSPECTION FEQUEST WIIL NOT Gnggs-MlOway Bltlg. - floom S173 BE AGCEPTED BV THE STATE BOARO 1821 Ilnrversity Ave.. St Paul. MN 55104 UNLE55 PFOPFR INSPECTION FEE IS, Phone 1611) 642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION nn ee?-oaooi-oe I ? See msimcuons lor comoleling Ihs torm on back of yellow ropY ? "_ /•1???r/9 ? . 1. 4?4-E j9 "X" Below Work Covered by This Request ewI Adtl Rep Typeof8mldmg AppliancesWrted Equipmen?Wved Home Range Temporary Servme ? Duplex Water Heater Electric Heating Apt Bwldmg Dryer Other (Speafy) I Comm/Industnal Fumace Farm Air CondiLOner Other?syecJyi I Compute Inspechon Fee Below: Contraclor's Remar ?Srnl. L " ? i Other Fee # Service Enirance Srze Fee # Qrcutls/Feetlers Fee ISwimming Pool 0 to 200 Amps 0 to 100 Amps i Transformers Above 200 _ Amps Above 100 _ Amps [Signs inspec:ors use onry TOTAL f"D Irriga6on Booms d,v Speaal Inspechon Alarm/Communica6on THIS INSTALLATION MAY BE ORD ED D NNECTED IF NOT F0ther Fee COMPLETED WITHIN 18 M S. r I, the Electrical Inspectoc hereby certrfy that ihe above mspection has been made. Rou9n-in F,,,ai ? y y - OFFICE USE ONLY 'TFis reqaesl wi0 18 monNS Irom Th, requestvoid 18 nwnthr Irom E 1404F; 9OC)33 "'-- ? Re?°j s!??`/ Fire No. RRequ oup u > InsVer.tion re / oReatly Now OWill Nntrty Inspec- ? Z ?? s ?NO tor When Ready LJ L,censed Elec[ncal Contractor I hereby repuest ms0eebon ol abova ? Owner eleclrical wmk installwd wc Street Address eoe or floute No. ?,? ?(1"QiI a e .. " ,ownsnip Name r No. Range N o. unt Co y ? / ? I?•I,?IVI tal OccupantlPplNTI E (kw tcoee E . mu5k)&Q,n Phone No. Power Supulier ' OU.1(-4rLL AAd.ess Eleclncal Convactor (COmOany Name) Convarlot's License No. Maihng AdJress IConvaclor or Owner Makinp Instailauonl ? ti O SS1Z3 Auffio ize Sienalur ?COmr ior1Owner king InstallaUnn) Phane Nomber D _0 MINNESOTA STATE BOAXD OF ELECTqICITY Griggs-M.tlwey Blde. - Aoom N-191 1921 Universitv Ave.. St. Paul. MN 55104 Phone 16121 642-0800 THIS INSPECTION flEQUEST WILL NOT BE ACCEPTED 8Y THE STATE BOANO l1NLES5 PROPER INSPECTION FEE 1S ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.os , See mslrvctions lor completvg this form on bnck of yellow copy 9co?3 3 14 0 4 6 "x eeloW Work Covered by This Request / _? -3c)__ FY) Hdd flep. Type o1 8uileinq Appbances Wirod Equiument Wue•1 Home Range Temporary Service Dupk;x Water Heater Liyhhny Fizhues Apt Bwldinq Dryer Electnc Heatin Gommercial 81dg Fumace Silo Unloader Industnal 81dg Air Conditioner Btdk Milk Tenk Farm O?ner orF-,v .ihFrlspc-rvi 1nn1 ucu v tner Otnc, LOIIIOI/IB lnSOldCIlO/1 FaP Ha!/,w N Fea ServiceENrence5iie b Fae Feetle,s/Subfeeders < Fre Circmns U to 200 qm ps 0 to 30 Am s 0 tn 30 Am s Above 200 qmps 31 to 100 qmps 31 to 100 qm 5 Swimming Pool Above 100-Amps Above 100_Amps Transrormers IrrigaLOn Booms Perbai Oth Signs Special Inspection S L? S ?7 Rertw.ks ?Q 0TAL F G - Nooeh-in ? `'?, Final Date On?e ? E leclnca I l tha ?vy t the above cnspection has Eaen roiareQuest raioiamommnom V?P WS ?Th.s request voia 18 nwnths Irom ?L =X O DD 9 8 54.3ii i'QD' " S y?'SC?? ? Ren,,est Date f ? I ire No. Rouph? I sper.tion fle wr0d? ? Readv Nuw?Will Nntrty Insuec- ? ??? 'Q b ?Yes ?NO tor When NeatlV ucensetl He.c"ncal ConVactor 1 hereby request mspeeLOn ol above Owner eiectrical work installed at: Str¢ec Adtlress, eox or ute No. CitY 0 ecUOn o. Township ame or No. Range No. ? ?py OccuV tIPRINTI Phune No. ' Sa -6? Z Ptrwer up0her Adtlress Elecvical oQ actor ICo y Namel Con rzctor's Lir.ense No. MaiM1ng Ac1Jr ss (Contraciar or wner Makmq Installabonl .QUthonz nature 1 nvac or/Owner Makiny Installationl Pho Nomb r _ ? ? ' ?? ? ? M1+inr+t50PA STATE BOAflD OF ELEC(fpICITY GrigBS-MIEway Bldg. - Room N•191 « 1821 Univers?tv Ave., St. Peul, MN ?5104 Phone (612) 642-0800 ims IrvSPECTION NEQUEST WILL NOT BE ACCEPTEO BY THE $TATE BOARD UNLESS PXOPEH INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ea-oooai-os p ? See instructiom tor complebnp this lorm on back o1 vellow coCV. ? 88543 "X"' Be/ow Work Covered bv This Reouest Fdci Rep. Typa oi Bmldmq Appluances Wved Equ,pment Wved Home flange Temporary Service Duplex Apt. BwlAinq Water Heater Dryer Lightmy Fixtures Elec(n? Neatin Commercial Bldy. Fumace Silo Unloader Industnal Bldg. Air Condrtioner Bidk Milk Tnnk Farm Omr. oe•r.irv .ini" ?su?c,tyl .... ...... ., 1..., t ¢r ucu(v .,,, ,... _ _ r . _ .. , Other pth?r N Fee ServicaEnfrenceSize b Fee Feeders/Subieeders b Fee Cvcwts .? U to 200 qm s Above 200 Amps 0 to 30 qm s 31 to 1 DO Amps 6 0 0 tn 30 qm ?s 31 m 100 q y Swimming Pool Above 100_Am)s Above 100_Amos Transformers Irrigation Booms d Parnal 0 Signs $peciallnsPecbon aemarks $ ? b TOTA FE?3? A Hough-in V v the aclri • Inspecto , ero6y Final cerUly that the abpve p, '/? inspecLOn hes been C? ?n:..?....e.?.....w m.......r.....? made.