3140 Neil Armstrong Blvd - Electrical Permits
?6Q pi
Requ t Date Fire No. ough-In 1 cllon Required Ins li n Other Tnan Rough-In
(Vou must call inspector when reatly)
? eady Now 0 Will Notify Inspector
? Ves
No Date Read
I?l licensed contractor ? owner heraby request inspection of above electrical work at:
Job Atltlress (Street, Box or Roule No,) City
o ?a aLu
Seclion No. Township Name or No. Range No. County
Q?
?
OccupaN (PPINT) Phone No.
Tp-ftri ?i G '
Power Supplie? Atltlr e
ElecVical Comracbr (Company Name) Coniractors License No.
Malling Atltlress (COnVactor or Owner Making Installalion)
- P O t pw, O
Aature (C raclor/Owneking Mslellation) Phone Number
U- S8
iATE BOARD OF ELECTflIC Y THIS INSPECTION flE0UE5T WILL NOT
IggsMldway Bltlg. - Room S4E8 I I I I I I I I I I?I I I I I II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Paul, MN 55100 I UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-(180 0 ENCLOSED.
REQUEST FOR ELECTRICAL IN5PECTiON ? ea.ooooi-os
?? See instmctions for compleling Ihis form on beck af yellow capy. ?5' ?
"X" Be/ow Work Covered by This Request ?4ci
Ne Add Rep. Type of Buiiding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Loatl Management
Comm./Industrial Furnace Other Specif )
Farm Air Conditioner
Olher(specity) Coniracror's Remarks,
Compute Inspection Fee 8elow:
# Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Above 100 _Am s
SI ns Inspectors Use onry_ TO
TAL
Irrigation 8ooms R
` 10
S ecial Inspection v
AIarMCommunication TMIS INSTALLATION MAY BE OR CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby
tif
ih
t
h
b
i Rou9ni oeie
cer
y
ove
a
t
e a
nspection has
been made. ' p;nai • „
OFFICE USE ONLY
This requesl void 18 monihs irom
This request voitl///Jr/gg`
18 nwnrhs fwm
E 4147 5
Requesl Uate , Fire ? Reyu iedllnsu c[ion ?Ready Now [? Will No?ifv. Insper
11-1]-Q8 MVes ?No tor Wh¢n ReatlY
?Licensetl Elecirical Contractor 1 heraby requesl inspection ol abova
? Owner elaclrical work instelled at
Street Address. Box or Roufe No. City
3140 Neil Armstron Blvd. Ea an
ecuon o. Township Name or No,
flanee No.
Counly
I Dakota
Occuuant IPqINTI Phone No.
Unis s (Cor orate D)
Power Supplier AAdress
Elecvicai Contractor lComuany Name) Cnntracmr's Lir.enae No.
Prairie Electric, Inc. 040597-7
MailinB AtlJress IConVac[or or Owner Making Instailationl
68 shin t n Avenue S. Fdjen Prairie, MN. 55344
Aut SiBnatu Co raclor/Owner M In lallationl Phone Numbcr
944-7055
MINN OTA STATE BOARD OF ELECTflIGITY THIS INSPECTION REQUEST WILL NOT
Griggs-MiAway 91dg• - Room N-191 BE ACCEPTED BV THE STqTE BOAPD
1821 Universitv Ave.. Se. Paul, MN 65104 UNLESS PNOPEN INSPECTION FEE IS
an,...e 1w111 aev.nvnn ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTlON es-ooooi-os
Il, "
Sae inslrvctlons for completing this brm on back ol Yellow copy.
4-4 7§1-, " "X" Below Work Covered by Ihis Request 7200
NsV4 Addj Rep. TVOe of Builtling AOOliancea Wiretl Equiumem WireA
Home Range Temporary Service
Duplex Water Heater Liqhtiny Fixtures
Apt. Building Dryer ElectriC HeaLn
X Commercial Bld,y. Fumace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm omr, oof v $o11eL otne, (snediv)
Ihq? Syocify t er Dther
Comnute lnsoection fee Below
p Fee ServicaEnlranceSlza n Foe Feetla,s/Subfexders M Fee Cvcaits
U io 200 qm s 0 to 30 qm s 6 18.00 0 tn 30 Am
Above 200 q?nps 31 to 100 Arnps 31 to 700 A y
Swinminy Pool Above 100-Amps Ahove 100_AmFn
Transiormers Irngation Boonis Partial.Other Fee
Signs Special Inspection S TOTA F
peervoks Remove boiler, Wire new boiler 20.50
flouBh-in Onte I.tha Ele eal
Insoactor, neraey
c tify thai tha above
Final D^?' 2
? nspection has Ceen
metle.
mia reQUest valE /8 monthe irom
This request void 18 months from e ?, ?? f) 7 O
_ ?`?` --?? R 21036
?[c cnis Request
1, as [.I,icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal winng installed at:
Sheet Address or Route No. .?[ 70 1-00. City !?LA"v
SecUon Township Range County ?Alzo 7;1
Nhich is occupied by ''l.C1/ (/AL
(Name of OccuOant)
Is a roughin inspection required on this job? No ? Yesy- Ready Now O Will Call t?f
Power Supplier Address
Electrical Contractor &AaL ????ve- Co.qtractor's L,icense No.Z_Y-?*
(COmnoany Name) ` '5
Mailing Address ?L4 ? - ?e-O?F2i % J ---SFJi . AAUL-
fElec iwl Contractor or Owner king Thls Inrtallatlon) ?
\
Authorized Signature UL?. i. 0Phone No. .1? ?f )J
(ElecVical Contractor or Owner Makin9 This Installatlan)
Q (?' This inspectlon request will not he accepted by ffie
A 00A O ?1,OPY State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
; 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
RfQUEST FOR ELECTRICAL INSPECTION
B'1fECK BELOW WORK COVERED BY THIS REQUEST
J,::3 a7o
R 21036
Type of Buitding New Add. Rep. Check Appliances Wired For Check Fquipment Wirad Fm
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Walcx Heatei ? Lighting Fixtuxes ?
Apt. Bldg. ? ? ? Dryer ? ElecVic Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Fazm 13 ? ? List . Lis[ 1
n n
Other ? ? ? p
Here?s? y
?{e?eis) 0 E O?
COMPUTE INSPECTION FEE BELOW %-
Semice Entnnce Size: # Fee cs s: # Fee C'vcuita: # Fee
0[0 100 Am s. 3 m res s °:
101 ro 200 Amps. o] 0 Am e[es r es
Abave 200 Amps. Ave 10Amps. il ps. q
Tcansformers RemoteControl Circ. ffi
ee
Si ns Special Ins ction .00
Remazks 9
I, the Electrical Inspector, hereby certify
(Final)
This request void 18
has 6een mad ,3 -ou
IDate
)Date -a F 7
/Da .
te of this, Reques P 17023
I, as p Licenaed Electric"al Contraetor..[]`Owner, do hereby request inspection of the above
electrical wiriug instdlled at:
+'? , t/ I/ d
Street Addrese or Route No-'L= Wm/a/ T/YC{L,kIYNl3/Iv (a},y ?
,r`" ,,, ,) DaV,
Section :Townyhip Range County
Which is occupied by egc 12 e'
(xame o upantl V
Is a roughin inapection required on this job? No X, Yes [(' Ready Now ? Will Call Ok
Power
Electrical Contractor d' n-Coi
(Company Name)
`Sd `56
Mailing Addres 134"a -
n[racmr or Owp r Making This
Licenae
Autharized 3ignature Z?J-V,4"' Phone No _ 3 dl
JElectrical Contnctor or Owner Making Thie IfuWl¢tion)
Minneso+a $fate Board of Elecfricity
1954 U4P? ersityAve., St. Paul, Minn. 55104-Phone 645-7703
RE UEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/c2 ?40 G ?
? 17023
Tyve of Buildin: New Add. AeDair Check ADP1i+nces Wired F'or 1 1 Cheek Epuipmmt Wired For
fiame F-I 0 0 Ran¢e . ? TemporaryWiring 0 -
Duplen E] E] Water Heater ? LightinR FlxLures G
Apk Bld¢. 0 ? 0 Dryer 0 ?IatricHeating ?
Commereial Bldg. ? 0 0 Furnare Silo Unloeder ?
Induatrial Bldg. 0 El Cl A tio Bulk Milk Tank 0
Fatm Li Liet 1
Other ? ? ? Ot
He
_ ONers } _ -) _ ?
Here 1 hGL
COMPUTE INSPECTfON FEE B- W
Service Enttsnee Size: }p Fre Feeden @ Sub[eeden: 1j Fee CireuiG: .j? Fee
0 W 60 Amyern 0 to 30 A.M. 0 to 90 Amperes
61 fa 100 AmDmee 3l fo 100 Amperes 91 to 100 Ampew
IOl to 200 Amyerea Above 300 A. s Above 100 m
Abovc200 Am RemoteConholCixut 91ens
Tnneformen $peeial Innpection Partid or oNe
12em8iks ' I TOTAL I. ;r,,?3,SO : ?
I, the N:lectrical Inspector, hereby c o thai ov6 inspection has,been ma?de-??
(Rough-in) ' -Da
?, y ,
Thisrequest void 18 months from `
'?
s9 , (4 _1 O 65219
Date of this Request Novem)er 9, 1978
I, as O Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. Corporate Square-Hldg. "D" City Eagan
Section Township
Range County Dakota
Which is occupied by UnivaC
(Name ot Occupant)
Is a rougliln inspection required on this job? No ? Yesg] Ready Now ? Will Call ?
PowerSupplier Aone
Address
ElectricalContractorElectric Repair 8 Construction Contractor'sLicenseNo.A33967
(company Name) (',p,l jnC.
Mailing Address
Authorized
:Avenue
o.
No. 522-6511
' Minnesota State Board of Electricity
.' 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
? REQUEST FOR ELECTRICALINSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
?aSlG-cc
O 65219
Type o[ Building New Add. Rep. Check Appliances Wired Foc Check Equipment Wired Fot
Home ? ? ? Range ? Temporary Wiring 0
Duplex ? ? ? Water Heater '
, Lighting Fizmies ?.> .
Apt. Bldg. ? 11 ? D er Electric Heating ?
Commercial Bldg. ? ? ? c Silo Unloader ?
Industrial Btdg. ? ? ? o ?? ?
V Bulk M0k Tank ?
Farm ? ? ? ist
L
? ? ? eZS p
ers}
h
Other ei re
He
COMPUTE INSPECTION FEE BELOW
Secv'Me Entrance Size: # Fee Feedecs&Subfeedeis: # Fee C¢cuits: # Fee
0'to 100 Am s. 0 to 30 Am res 0 to 30 Am eres •
101 to 200 Amps. 31 to 100 Am eies 31 to 100 Am eies
Abuve 200_Amps. Above 100 Amps. Above 100 Amps.
Transformexs 1 1 Remote Control Circ. Partial or other tee -
Si s Special Ins ection M'vtimum fee $5.00 -
Remazks $OURd SySt@rit , TOTALFEE ?
I, the Electrical Inspector, hereby certlfy that the above inspection has been made.
(Kough•in) Date
(Final) _ ///4/?, ?te
This request void 18 months from '
2 C 7? C Q? ?
? r o o OFFIC USE NLY This requesl void 18 monll?s Irom validation dah pnnled in Mis boi.
??,3'9?v 66711
ao
L
PLEASE PRINT OR TYPE
A&V
Reqoe.vl Dare
- 1? ?
x - /' Rough-In inspe tion vired2 ?'e??
d
ll
h
h o InspMion Olhe han Rovgh.ln: ? Ready Now i I Call
t
R
d
D
?,
d
j (Yw en rea
y)
must w
I
e inspMOr w ea
a
e
y:
I, licensed conhador ? owner hereby request inspection of ihe obove eleclrical work ai:
lob Pddress (SVeel, Box, or RooM No.)
3i 4o fv?i L Gh
v
.?RGA-r.I Zip Code
?s?al
SMion No. Townehip Name or No. Rvnge No. Fire No. Caunry
Occuponf ?-.
J Phone No.
oN R
Power Soppliar Pddre?s
ecfiml Conhacro
pany Name) Conhvtlor Gmiua No. Mazter lic No. (Plant Elea. Only)
a
(? I
??
A ?
c
o- la
Moiling Addnss (Conhowror Owner PeAorming Insmllan n) (?
??
?
? o ? ?
O I?EV I C?J
Aolliorixed ' noNre ?Co ador or Ow Pedorming Insroliafionj Phane Na.
.p
700o 9 .
E&OOlA10 6195 STATEBOAfiUCOPY•SEEINSTpUCT10N50NBACKOFYELLOWCOPY
II IIIIIIIII IIII IIIIIIII ??I II?I ?III II REQUEST FOR ELECTRICAL INSPECTION (P4
Minnesota State Board W Electriciry ,
1821 University Ave., Rm. 42 , St. Paul, MN 55104
* 0 2 5 7 6 8 6 6 * Phone (612) 842-0800?q?
Home Duplea Ap}. Bldg. Other: New Addn
Commer<ial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Wafer Hfr. Load Mgmt. Other:
D er Ran e Elec. Heaf Tem . Service
"k' above fhe work covered by fhis request. Enfer remarks in this space ond on the back of fhe white copy only.
I 4a
Ac 2-0 Cal<ulote Inspection Fee - This Inspection Requesl will not be accepted without the mrrect fee:
Olher Fee # Service Ghanae 5"ve Fee S ?ieceiblFeeders Fee
Mobile Hame Park Stall 0 to 200 Amps \ 0 to 100 Amps ,e
Sheet Lig./Frnffic Sig. Above 200 Amp Above 100 Amps
Transformer/Genemtor INSPECTOH'SUSEONL TITAI
c
Sign/Outline Ltg. X1mr. ? o
? _.'
?
Alarm/Remofe Conhol
$wlmming Pool I herc cani 1 Inz lafion descdbed her<in on fhe dot stufed
Irtigofion Boom Roogh-In Dai .
5
ecial Ins
ection 6
p
p
Invesiigative Fee F'"°I . Dare 2?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
This request void 18 months from
P 72639
Date of this Request Z7 -
I, as AT-Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
ca1 wiring installed at: OY, /9 Z/, z;Z$ y.?y B ?! ?"•,#`3
Street Address or Route No.3/40
/?%F/L .QiYLi??idG.r/G',(?lue?1'ity?['«i?
Sectiori Township
1Yhich is occupied by
Range County /?i•c.G.,-?.a
Is a roughin inspection required on this job? No ? Yes AV- Ready Now ? WID Call,6?'
PowerSupplier ?-e?-,•?ja?,O-Address risAaec--,
Electrical Contracto,a,&? 6'?'i . Cl'aContractor's License N&337yS
(COmpany Name) c-,, n ., r. .
Mailing Address
Au[horized
Phone No.
This inspection request will not 6e aeceptad 6y the
State Board unless proper inspection fee is enclosed.
NQii G p OQRD 00PU "
P, - Mmnesota State boara oT tlectncity
?" - 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 /09kT
?"-R•€QUESI` FOR ELECTRICAL INSPECTION ? 72
CHECK BELOW WORK COVERED BY THIS REOllEST
Type of Building New Add. Rep. Check Appliances Wired Foi - Check Equipmen[ Wiced Eoi
Home ? ? ? Range ? Tempotary Wiring ?
"Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. d?? ? Dryei ? Elec[ric Heating
° ?
Commercial Bldg. k9 ? ? Futnace ? Silo UniGa
der ?
Industrial Bldg. ?? ? Air Con i r Bulk Milk Tank ?
Farm- ? ? ? List List
)
Other ? ? ? p Heterg }
He[ers)
COMPUTE INSPECTION FEE BELOW ? r" jk=3v
Sexvice Entrance Size: u Fee Feeders&Subfeeders: # Fee Circuits: u Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above200 Amps. Above 100 Amps. Above 100 Amps.
Transfottners Remo[e Conttol Cuc. Partial or other fe
Signs Special lnspection Minimum fee $5.00
Rematks 5,
S?=c fj2J /,U ??S %• " TOTAL FEE
D?
I, the Electrical Inspector, hereby th e.abowe inspection has been mad ./Oh/ F. ,j 0
(Rough-in) ? Date
(Fiaal) Date 7
This request void 18 months from
'7,
f- a-P? 7 l?J?J7?
- 8_ 7
Y
?
,
`o^
.: _ . . :
?-_
Tttisrquest void 18 months from
Date f this Request °' g 5 3 3 3 9
I, ad Licensed Electric4-tontractoflJ Owner, do hereby request inspection of the above electri-
cal wiring installed at: ? r Q
Street Address or Route No. ?1// ?i+,..A? iSe?s?.?.aL, ? Cit?
Section' Township
Which is occupied by_
b
Range ?County
Is a raughin inspection required on this job? No,)k Yes ? Ready Now El Will Caq4
Power Supplier - - Address
Electrical Contractor ?r FL Contractor's Licensne No.
(COmpany Name)
MailingAddress !ZD.
Authorized Signature
STATE B'UftARD
No.J'i?? ?i? c?i ,
"fhis inspection request will nut 6e eccepud by the
. , State.Boardunlesspraper.inspectiortfeeisenclosed
mmnesota state board ot tiectncny
4934 University Ave., St. Paul, Minn. 55104-Phone 645-7703
? ; REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
// e.3S
P 53339
Type of Building New Add. Rep. Check Appiiances Wired For Check Equipment Wired Foi
Home ? ? ? Aange ? Temporary Wicing ?
Duplex ? ? ? Water Hea[ec ? Lighting Fix[ures ?
Ap[. Bldg. ?? ? Dryer ? Electric Heating ?
Commercial Bldg. ?? ? Fumace ? Silo Unloadei ?
[ndustrial Bldg.
Fazm )9, ?
? ? ?
? Air Conditioner
L' - El
p Bulk Milk Tank
List ?
Other.
? ?
? OtheYS?
Here f
COMPUTE INSPECTION FEE BELFj6R 11 1
Semice Entmce Size: # Fee F ers ubf
• C'uwits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 m 30 Am eres ?
101 to 200 Amps. 31 to 100 Ampeies 1 to 100 Am eres
Above 200 Amps. Above ]00 Amps. 7 ; bove lOQ_Amps.
j
Transformecs RemoteControlCirc. artialo ratherfee
Signs Speciallnspection inimum fee S
Remazks
TOTALFBE tO•
I, the Electrical Inspector, here6y certify that the above inspection has been made.
(Rough-in) Date
(Final) Date /l^' -2
This request void 18 months from
This request void 18 months from ?
- s,ZoZt
Date of this Request 7
I, as Ji1'Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 3%4'D1e?/1AN6iLrxo, .e.l[4nr/ ('itv.V_4A? /
Section Township Range County1_,eA',Ze ;6g
Wluch is occupied by
Is a roughin inspection required on this job? NoA?- Yes ? Ready Now (8' . Will Call ?
Power Supplier - Address
Electrical Contract ,?y?L?ws fZ5a+,T? T,z ? Contractor's License NA?A.e_?
, (CampenY Name)
Mailing Address
Authorized
, icieccncai coniracior or uwnt
STATE BOARD COPY
This impection request will nat be aceepted 6y the
State Boer
' Minnesota State Board of Electricity
-191?8 University Ave., St. Paul, Minn. 55104-Phone 645-7703
EiEQUEST FOR ELECTRICAL INSPECTION
CH,ECK BELOW WORK COVERED BY THIS REQUEST
D/5lOq
S ^ 09iJ3
Type of Building New Add. Rep. Check Appliancea Wired For Checlc Equipment Wired Fm
Home ? ? ? Range ? Temporary W'ving ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg.
Commercial Bldg. ?
? ?
? ?
? D[
Fu ? Electtic Heating
Silo Unloadex 0
?
Industrial Bldg. ? ? ? A'u
? ondiY
? ? Bulk Mdk Tank ?
Farm ,
,
pLis }J
ls Lpist )}
hers
Other
?
?
?
)
Heie
He
)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fce Feeders&Subtcedeis: # Fee Cixcuits: # Fce
0 to 100 Am s. 0[0 30 Am res 0 to 30 Am eies / 83°'
101 tq 200 Amps. 31 to 100 Am eres 31 to 100 Am eres ' a/ ?
Above 200_Amps. Abov Amps. Abovs49?mps. 3 °=
Transfoimers RemoteControlCirc. Partialorotherf sv
Signs S ecial Ins ection Minimum
Remarks - TOTAL EP7,3. 106
I, the Electrical Inspector, hereby
(Final)
This request void
has been ?'€? y
Date ?v'-?`'?'
Date I/^ dt ' 7 9'
This request void 18 months from ??, ?? l?f''??, 3
` ?'-
Date of this Request /? -/? - 7? ?%?? ? S 01_ a 2
I, as}v-ticensed Electrical Contractor ? Owner, do hereby requEst inspection of the above electri-
cal wiring installed at:
Street Address or Route No. .3/-4VAffS /zDS4 .eL?c? CityA C72?Al)
Section Township Range County?-"
Which is occupied by
Is a roughin inspection required on this job? NoQ- Yes ?
Power Supplier ? Address _
Electrical ContractG`?CT.(py?/
(COmpany Na e)
MailingAddress ?j?' _S?c?- S% •
Authorized Signature
or
Ready Now IR' Will Call ?
Contractor's License
No..-
????? ????? ???? 7his inspection request will not be accepted by the
State Board unless proper inspection fee is endosed.
Minnesota State Board of Electricity
'W9544University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHE°CK BELOW WORK COVERED BY THIS REQUEST
p?6,/Oy1.
ie, -Vea
s ri ?
? 5
Type of Building New Add. Rep. pi¢clc Appliances Wired Foi Check Equipment Wired Fm
Home ? ? 11 Range ? Temporary W'ving ?
Duplex ? ? ? Water Heater 0 Lighting Fixmres ?
Apt. Bldg. ? ? ? Dryex ? Electric Heating ?
Cqmmercial Bldg. ? ? 2r Fumace ? Silo Unloadei ?
Industrial Bldg. ? ? ? Air Conditionet ? Bulk Milk Tank ?
Farm L
ist List
Other ? ? ? o
Herers( Q
Aereis?
COMPUTE INSPECTION FEE BELOW
Service Entrance Sizei # Fm Feedere& 6( Fm Cuwits: # Fm
0 to IDO Am s. ,t 30 re !.?. 0 to 30 Am eres ye
101 to 200 Amps. 3f0 A e? 3
Above 200 Amps. ? ve 10 Amps. - ¢?
Transformexs Re te Conuol Cuc.
S' ns
1
1 Special lns ection
Remarks
?-, _ i
TOTAL ESQ.D ,g'
I,the Electricallnspector,her
eby
(Final) _
This request
been made.
e G...7G_2
? 14 -
,.us cequest void 18 months from a
1 ?7 1
Date of this Request /0? z7e? S 0
I, as,R'Licensed Electrical Contractor OwnelJ r, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. Cit ?A,/
Section Township Range County cv
Which is occupied by ????? Uiviu /3 ?-!3/a/? F'
(Name of Occupant)
Is aroughin inspeciion required on this job? No lV-- Yes O Ready Now Ej" Will Call ?
Power Supplier
Electrical
Mailing Address
Authorized
Contractor
Address --
Contractor's License NA0C;?_V'
No.
?(°?? f?j ?? ????? ???? This inspecGon request will not be accepted hy the
?j State Board unless propar inspection fee is enclosed.
Minnesota State Board of Electricity
105.4 tlniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAE JN$PECTION
CaNE& BELOW WORK COVERED BY THIS REQUEST
o? s/o 9T
Type of Building New Add. Aep. Cncea Wired Foi Check Equipment W'ved Fm
HoRie
Duplex
Apt. Bldg.
Cwnmeicia! Bldg.
Industriai Bldg.
Fazm
Other ?
?
?
?
?
?
? ?
?
?
?
?
?
? ?
?
?
?
?
?
? ?
?
?
?
? Temporazy Wiring
Lighting Fi?ctures
Electric Hea[ing
Silo Unloader
Bulk M0k Tank
List
p
Hehers? ?
?
?
?
?
COMPUTE INSPECTION FEE BELOW
Servic
e Entrance Size:
#
Fce
Feeders&Subteeders:
#
Fee
Cvcuits:
#
Fce
b to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am' res 31 to 100 Am ies
Above 200 Amps. ''povG;700.'-'S`Amps. Above 100 Am s.
Tiansforme?s
Rot ontrol C'vc.
Partial oraEqacfees
4
So
' ns . S ecial Ins ection Minimum fce $5:0
Remazks
TOTAL FE
e-a"?
1, the Electrical Inspector, hereby certify that the above inspection has been ma3e.
(Final)
This request void 18 months from
Date
Date o - G?