4206 Nicols Rd - Electrical PermitsREQUEST FOR ELECTRIGAL INSPECTION Eg-00001 ?4
, See in?tructions ior coopfleting lhis form on pack of Yellow copy.
4 08,05 X" Be/ow Wark Coveied.by This Request
f.dtl 140. Tvoa of BuilJi?w Appliames Nirb ' Equipment WireA
Y Fee ServiceEMtanee5rse Y Fee Faedews/SuEteedars k Fce Circuits
0 to 200 Anips 0 to. 30 Am $, On 0 to 30 Am s
' A6ove 200 - 37 to 100 qmps 31 to lOQ q
Swimming Pool Above 100_ Above 100_Am4s
7ransio?ers Irtigation Boort? Partial:'Other Fee
This requast wid
Y? I
B=5?
ReqYF:st 139w- Fire No. flough-in Inspection
?_ I??g S
fle uirvM?
? tlv Now K4Will NolifV. InsPea-
-
Wh
es ?No or
en qeadv
FLLicensed Electrsral Gontrncmr I hareby requast inspection ot above ? OM'ner elecbical work i2stelled at:
Street Address. 9or or Noure No. City . .
Q r
ection Towrvshio Nane or No. Nx ge o. Caumy
Occupxm IP111NT Phune No.
Power SuppliQ Atlaress
Elechipl Con[ractor (CwnWm Name) Con:?acto??s L
ic
ense No.
' 1 -
7
1
Maili?
Nized Sigreture ( ontrac[or Owner Mak?rq Igfallation) Pho Nurt?ber
YINftESOTA 6piE gpppp'0F ElEC7RIC1T1' U THIS INSPEGTION NEUUEST WILL NOT GriygsalidwaY BidY• - Rban NA97 BE ACCEPiED BY THE STATE BOARD
14127 Univeraity Ave.. St. Peul, YN 55704 UNLESS PROPER INSPECTION FEE I' '
PMne 161212972111 ENCLOSED. .
? Y REQUEST FOR ELECTRICAL INSPECTION EB-0OW7-O4
'G?/ ? Sea insimctions for completing this form on beck of vellow copy. yM tr? /
V 7 (p
X'" Below Work Covered by This ftequest
AAd Fep. Type o1 Building Aaoliances Wired Equipment Wi.ed
Home Range Temporary Service
Duplex Water Heate.r Lightiny FixturA ,
Apt. Building Dryer Electric Heacin ?
Commercial Bldy. Fumace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oNer paci v C§her ISpnclryl
mqr Suecify ther Othe,
omuute /nspection Fee Below
N Pae Service EntranceSize H Fee Feeders/SUbteeders N Fee Circuits
iD.u"'a 0 to 200 Amps 0 to 30 Am s U tn 30 Am s
Above 200 qmps. 31 to 100 Amps 31 to 100 Ai s
Swimming Pool Above 100_Amps Above 100_Ampa
` Transiormer5 Irrigation Boon-is - PartiaL'Othe e
? Signs Speciallnspec[ipn
$
TOT
flemarks 2 3(}-V AL EE .?D
.?
r
Rough'i^ f ?`?/t? ? J? I, the ElecVical
. I???I InsOecbq hereby
certifV thxf ehe abova
Final ? ^? ? A` ?t/ ? inspeclion has been
/; ? mede.
TNB reauesl vmtl 18 montha imm
This request void
is proams rrom
A nnR29
A*A ro
c?dR2 2 Np 4 093 (o
Requesl Date - Fire No. Nough-iilnsocction
Feqoired?
?tly Now ? Will Notify InsDec-
?
?'? ? ? ? ? ?YUS [?o ror When Reedy
roensetl Electncal ConVacmr I hareby reques[ inspection ot ebove t
? Owner electricel work installad et: A
SVeet Atldress, Boz or Route No. /
Zd Co /U/GUIJ ?G/ City
?•t- 6.9-/v
ecUOn o. TOwnshiD Name or No. Ra e No. County
Occupunt( T)
'
?
T
/ Phone No.
_
K-
f
CG {rl
?-0
Pow upp 'er Add ss/??,/ )
ElecVi al Qonhactor ICOmpapv Name? Conver.mr's License No.
(C
Mai?ing Address (COntracmr or Ownar MakinB stailationl
?
? t 0.4-2-- c
1<
Authorized i na u?t( °nhactod r Making Installation) ' Phonc Number
/i?n.o
MINNE4OTA STqTE BOARD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
BOAB?
BE ACCEPTED BY'NSTHE PECTI STq7E
Gri89s;Midwey Bldg. - floom N-191 UN
: LESS PROPEi?
ON FEE IS
• 1821' Univergity Ave...5t. Paul, MN 56104
Phona 16121297-2111 ' • • . ENCLOSED.
` ?rosow a ia cvcn ?};?
? -Gr w d9. - m ?j? EB-00001-02.
1 University ve.. St. Paul. Minn. 55104 - Phone 287-211 ? I ti g'-o I
REQUEST FOR ELECTRICAL INSPECTION
CHECK BEL•JW k+9RK COVERED BY TH1S REQUEST ' T 2 7 0 9 5
Type ot 6uilding New Add. Rep. Checlepppliences W'ved For Check Fquipment Wired Fo:
Home ? ? El Range ? Temporaxy Wiring ?
Duplex ? ? ? Watec Heater ? Lighting F'ucwres ?
ApL Bldg. ? ? .? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnacc ? Silo UNoader ?
Insustrial Bldg. ? ? ? Au Conditioner ? Bulk Milk'Iank ?
Facm List List 1
Othec
?
?
?
penels?
f1 p
y
Heiersf
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: x Fce Feeders&Subfeeders: x Fee CvcuiEa: - u Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am res
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. A6ove 100 Amps. Above 100 Amps.
Tcanstormers RemoteControlCirc. Paztialorotherfee'
Si ns Speciallns ction Min
i fee $5.00
f
Remar
I, the E' ric spector, hereby cedify that the above inspection has been ma ?p ..
(Rough-i ? Date
(Final) Date /..x-!,i +/
This request void
18 months from
This request void 1
18 months from
Date of this Request ?;2-/^? p? Fire No. B27O95
I, u`gLicensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal kiring installed at:
Street Address or Route No. 41;200 City??(/
Section Township Range County19;MepnA
Which is occupied by
ls a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call 0
Power Supplier Address
399f??
Electrical Contractor. ? Contr ctor's License o. _
?COmpany am?l e)
Mailing Address
(t c r1 nVactor oI Vwner making Tnls Installatlon)
Authorized Signature Phone No S "
(E ectrlcal Contractor or Owner Making This Installatlon)
This inspection repuest will not be accepted 6y the
??}f State Board unless proper inspection fee is enclosed.
? p?a--?REEST FOH ELECTRICAL INSPECTION EB-OOW7-0d
S instructions for completine this form on back ol yellow caoV.
? o?
???? '"X" Below Work Covered by This Request ? lA /g
l
f ?fl
FAd flep. TVPe ?f Builtlin0 AGOliances WiraC Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Building Dryer Electric Heaun '
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Fafm Other PecW Oiher ISUer.ifyl
ther Vecify ther Othe.r
ompute lnspection Fee 8elow
M Fee ServiceEntrenceSize 4 Fee Fexders/SuGfeeders N Fee Cir?uit<
0 to200qm s 0 to30Am s 0 to30Am. s
Above 200 qmps 31 to 100 qmps 31 to 100 q s
Swimming Pool Abwc 100-Am s Above 100_Am>s
Transiormers frrigation Boon?s Partial,'Other Fee
Signs Speciallnspection
S
TOTA
?
Remarks • °
fJ J??. ?n SO IrFEE
/ ._ .,,.,)
1. tha E7eCT5ca1
Inspectoq heraby
cert' [hat the above
spection has baen
maAe.
ThlarequeslvolE
Thisrenuesivoid
18 Pmnths imm (0 6 ? ?
1- D 7 5.6 5 4 t y
Henuest I]ate Fire No. Rouph-in Inxueclion
. Requiredf [34RETdy Now ? Will Nntity Insnec-
'ey - ?Y?s U].M6 lor Whe:n ReatlY
.ce.seA Elec[rical ConVactor 1 hereby request inspacuon ol above
? Owner eleccricel work installetl at Sveet AdAress, Box or Poute No. City 1
/
.2.d.C%
ecuon o. nship Name or N Rnn9e No. County
: ?
Occupent(PRINT) Phone No,
` ? . rGG - /s"73
Powe.r SaDOlier Atldress
Elec[rical Contract ICOmpany Namel ? Cunlrar.tor's License No.
ai ing AdJress (COnvactor or Owne nking Ins[ailationl
Authori Sig re(Co r?Ow er Makiny Instal tion) Ph . Numb r
MINNESOTA STATE eOAND OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs•Midwey Bldg. - Noom N491 gE ACCEPTED BY THE STqTE BOARD
7821 Univerqity Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
.
Phane (812) 297-2711 ENCLOSED.
$/?/? REQUEST FOR ELECTRICAL INSPECTION ;s, ee-00001-07
6 v D, See inslmclions for completing Ihls form on back ol yellow copy. +E -? 9.51,13?
tart,
273,080 "X" Below Werk CoGPred by This Request
ew Rtld Rap. ` Typeof8uilding AppiiancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
- Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Other (specity) ConVac[or§ RamaMS:
Compute lnspection Fee Below: ? ?4,
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
SWimming Pool D t0 200 Amps t 0 to 700 Amps
Transformers Above 200 _ Amps Abo Amps
Signs Inspecrors Use Only:
/
a TOTAL
Irrigation Booms rJ ' ( ss?
Special Inspec[ion
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rou9h-in
? oale
o
OFFICE USE ONLV
IThis request voi0 18 months Irom
/(PO/90 ffo a
?
r 73oso sr ? ? /?
Peduest Date ire No. Rough-in Inspection
RequiredP b?
piReady Now ? WIII Notifylnspeclor
O ? Ves PLNo When Reatly?
104 licetSsed coniractor ? owner hereby request inspection of above electrical work at
JoD Atltlress (5[ree[, B. ar Faute No.) CIry
FAGA&f
Section Na Township Name or No. Range No. Counry
bAtf o-FA
Occupant(PFINT) Phone No.
1 AC P ?C'oC?r»
Pawer Supplier rltltlrass
Eleclrical Convattor (COmpany Name) Comrac1or5 License No,
Mailing Atl ess (GOnhactor or Owner Making Installation)
1
. . ? 6
"
Aut Yetl 9gnaWre IGOniracro40wner Makiny Installalion) Phone umber
. Gcl?z . -ioi o
MINNESOTA STATE BOAFD OF ELECTRIdrd THIS MSPECTION REQUEST WILL NOT
Grigge-MlCwey BIEg. - Roam S173 BE ACCEPTEO 9V TME STATE BOAFD
1831 Universlty Ave., 5t. Paul, MN 55104 UNLE55 PROPER INSPECt10N FEE IS
Phone46/Y?602-0800 ENGLOSED.
REQUEST FOR ELECTRICAL 1NSPECTION E&00 a0 -DB
go See msructions foi mmpleung IDis lorm on back nl yeliow copy 91
4
,q'•R? . -Jr
"X" Below Work Covered by This Fequest ????•?
ew A`dtl - TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Olher (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
K Oth r(syecityl CoMractor'sRemarks rR`a'Aii 6?T' S?? ?fwwPs ?
Compute Inspection Fee B?e o ~
Ak Other Fee # ServiceEniranceSize Fee # Cirwits?Feetlers Fee
Swimming Pool 0 ta 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Amps
SiynS Inspeaor's Use Onty: ? TAL
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDER CONNECTED IF NOT
Other Fee COhfPLETED WITHIN 18 MO
I, the Eledrical Inspector, hereby
o
Ro°9°-'° bco?
certify that the above inspection has
been made. F;nai ? ?e i
OFFICE USE ONLY '
This request void 18 manths imm
4piG G S
? ??o 9i
g ?
? 0t46? ` ,
Feque7l L Fire No. RougRin Inspeclion
ReQUiretl? D Reatly Now A*yill Notity Inspector
?-4LCi Rfas GNO WhenReatly?
IKlicensed coniractor ? owner hereby request inspection of above electrical work at
Job Atltlress ISVeeL Box or Route NoJ Pry
qio+v n,`ois a ?
Section No. TownsM1iO Name or No. Range No. County
4`?r l?'}''4 •
OccupantlPRINTI Phone No.
-Nol
Powar Su00lier Atlaress
Elecmcsl ConVadw (COmpany Naal ConVadors License No.
?•!''2Yw?w.}, (C??,p.c{^?'i C l • c?
MaiLng Atltlress iConinctor or Owner Making Installation)
133?a ?- ? s: • s. A?.-. JUl.. 5^Suo 1
Amh?or.rzped Signamre (Cmvacto,d0 ner Makinq Installalionl Phone Number
MINNE50TA STATE 60AH0 OP ELECTRICITY THIS INSPEGTION REOUEST WILL NOT
Griggs-MiOway BIOg. - Haom S-173 . BE ACCEPTEO BY THE STATE BOARD
1821 University Ave.. St. Vaul. MN 55100 UNLESS PROPER INSPEGTION FEE IS
Phone(fi12li 642-0800 ENGlOSED.
Minnesota State BoaM of Electricity ?
Griggs Midway Bldg. - Room N197 EB-00001-02
R- ? 78?? UniverSity Ave., St. Paul, Minn. 55104 - PFqne 297-2111 ^ I f ?
REQUEST FOR ELECTRICAL WSPECTION ?,4 q
CHECK BELOW WORK COVERED BY THIS REQUEST 71302
Type of BuOding New Add. Aep, Chmk Appliances Wired For Gheck Fquipment W'ved Fot
Home ? ? ? Range ? Temporary Wixing ?
Duplex ? ? ? Watei Hea[ec ? Lighting Fixtures ?
Ap[. Bldg. ? ? Dryec ? Electric Heating ?
Commemial Bldg. ? ? Fumace ? Silo Unioadei ?
Industrial Bldg. ? ? Au Conditioner ? Bulk MIlk Tank ?
Fazm ? ? ? Lis[ Lis[ 1
Othec
[}
?
?
hers?
QHt
ere )
Others}
Hete )
COMPUTE INSPECTION FEE BELOW
Setvice Entiance Size: # Fee Feed '"bf *fts: - Circuits: # ce
0 tu 100 Am s. 0 to 0 to 30 Am ies i
]Ol to 200 Amps. 31 to `- 0 A eres ` 31 to 100 Am etes
Above 200 Amps. Above 100 Amps Above 100 Amps.
TzansfoTmers AemoteControlCirc. PartialorotherCee
9igns Speciul lns ection Minimum fee $5.00
Remarks60 f /` 41E -FO f K'e.(+J 10-$ ..? LkMPS TOTAL F , LYY ... CD
I; the Electrical Inspector, hereby certify that the above inspection has been rrmTe-.
(Rough-in) Date
(Final) ` Date jd , lp _dc/
This request void ?
18 months from
y This reyuest void lOll i °%!RV ?j
18 mortths from ,??c1..
a
Date o this Request /^d 5 - O 0 Fire No. S 71302
I, as Qcensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal *iring installed at:
Street Address or Route No. Td0 6 L" edA P City54 Q ^
Section Township Range County
Which is occupied by ( J Y t T Y tl 1 e%A t?-
Is a roughin inspection required on this job? No K Yes ?' Ready Now ? Will Cal?4
Power Supplier Address
Electrical Contractor ?q ?•c, ? e S? 1 t ?It -fj^ I, C Contractor's License No. _
„ (GOmpany rvame)
Mailing Address
Authorized Signature Zj
fffiftfrical Contra
OD
4L v/ ????7
71?,?? This impection request will nat 6e aceepted 6y the
l1 SWte Baard unless praper inspeetion fee is endosed.
Minnesota State BoaM of Electricity '
Griggs Midway Bldg. - Room N191 S? EB•00001-02
?.181.1 Itniversity Ave., St. Paul, Minn. 55104 - PMne 297-2111 ?,o a 1
`°REQUEST FOR ELECTRICAL INSPECTION
CHEGC BELOW WORK COVERED BY TH[S REQUEST 71286
7ype of Building New Add. Rep. Check Appliances Wixed For Check Fquipment Wired For
Home ? ? ? Rangc ? Temporary Wi[ing ?
Duplex ? ? ? Watec /p?? ? Lighting ['ixtures ?
Apt. Bldg. ? 0 Dryer /??} Electric Heating ?
Commercial Bldg. ? ?
? Furna i rs `? Silo Unloader ?
Industdal Hldg.
?
? / ?.•? 1 ? I rTil /
A'u C ?tioqei U
Bulk Milk 7'anY
?
Fazm ? ? ? List List
Other ? ? ? p
Here13? p
Heiers#
COMPUTE INSPECTION FEE BELOW
Seffice Entrsnce Size: # Fce Feeders&.Subfceders: # Fee C¢cuits: # F
0[0 100 Am s. 0 to 30 Am eres 0 to 30 Am eres .
101 to 200 Amps. 31 to IDO Amperes 31 to 100 Am eres
`Above 200_Amps. Above 100 Amps. Above 100 Am s.
Transformers RemoteControlCirc. Pactialorotherfee
Signs Special Ins ction Minimum Ce OQ
Remarks ne W l$ Q K 0.+? ?' ? J Q 7pTAL E OC1
f`? C-
JC?
I, the Electrical Inspector, hereby certify that the above inspection has beenlnad?,
(Rough-in) Date _
(Final) r Date
This request void f
18 months from
This iequest, void dc4L
18 months froro t 1913?
Date of this Request '?- 3 O- g 0 Fire No. 0 11600
1, asgy,icensed Electrical Contractor ? Owner, do hereby request inspection ot the above electri-
cal wiring installed at:
Street Address or Route No. L) a O? ? e O d?c' Q.i 2 ? 4.G h
-?_
Section Township
Range County
Which is occupied by a &i rn I e v vv?
' (Name of Octupant)
Is a rougliin inspection required on this job? No 0?, Yes ? Ready Now ? Will Call*
Power Supplier Address
?
ICL 2p
Electrical Contractor ? a??-° S Ir- Lr I ?c, r . ? c, Contractor's L" e sN'o ???
(COmpany Name)
Mailing AddressG?, k? u 7C ?? ? ?o
Authorized Signature
n
) .,°;1??
or owner makln9 7hls Installatlon)
• PhoneNo734-?8'38
akln9 Thls Installatlon) .
This impectian request will not he accepted by ffie
Stste Board unless proper inspection fee is enclased.
mmnesota state Wara ot tiectnmty
Griggs Midway Bldg. - Room N791
ty Ave., St. Paul, Minn. 55104 - Phone 297-2111
WFOR ELECTRICAL INSPECTION z
.CHECK BELOW WORK COVERED BY THIS REQUEST
"1I EB-00001-02
T 12152
; Type of Building New Add. Rep. Check Appliances Wimd Foi Check Fquipment W'ved For
Home ? ? ? Renge ? Temporaty Wiring ?
Duplex ? ? ? Watet Heater ? Lighting Fixtures ?
Ap[. Bldg, ? ? Dtyer ? Electric Heating 0
Commeccial Bldg. ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? Au Conditioner ? Bulk Milk Tank ?
,Farm E) [-] ? List List
Other
?
?
? Others
HeTe pthers
Here
COMPUTE INSPECTION FEE BELOW
Service Entiance Size: # Fce Feedels&Subfeedeis: # Fee Circuits: # Fee
0 ro 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 100 Amperes
to 31 ta 100 Am res
Above 200_Amps. Abo
ve 100 Amps. Above lOQ_Amps.
Transfotmers Remo[e Control Circ. Partial or other fee
Signs S ecial Ins ection Minimum fee $5.0
Remarks Z
6) - e ror OPa wa 'f'es.,
1'"
TOTALFEE ,
r
I,the
This request voic
18 months Gom
hereby certify that the above inspection has been maae:-? SO
? Date .SO
71,43 ? Lg.. /,,.Date
"'us request void LJRI , BO$I?? ¢ ZV71 V
?
-Wonths from C ? 6 , 2
`Date o this Request o Fiee No. T 12152
l, as I.icensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
L/ ? cF ri
Street Address or Route No. 7?o 6Pda /' CIty
Section Township
Which is occupied by
Is a rougttin inspection required on this job? No
Power Supplier
f^ ?
Electrical ContractorL!,n
n
Mailing Address d, o
(E
Authorized Signature - ZIC
Electrital Con
STATE BOA
Name)
or
of
Range County
Yes ? Ready Now' Will Call ?
? r?39377
f-r?_ Contractor's License No. _
Making Thls Installation)
This inspection.request will nat6e accepted 6y ffie SWte Baard unless proper inspection fee is enclosed.
11111101V?' Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
R 74734
Type of Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired For
I-fome ? ? ? Rattge ? Tempotary Wving ?
Duplex ? ? ? Wate[Heater ? LightingFvcttues ?
Apt. Bldg. 0 ? ? Dryei ? ElecVic Heating ?
Commercial Bldg. El ? ? Fumace ? Silo Unloader ?
Industrial B1dg. ? ? ? Aix Conditionec Q Bulk Milk Tank ?
Fami ? ? ? Lis[ ) List )
Othei ? ? ? p
Herefs}
) O[?hers}
H )
COMPUTE INSPECTION FEE BELOW
Service EnVance Size: # Fee Feedeis85ubfeedeis: # F? Ci?wita: # Fee
0 ta 100 Am s. 0 A es 0 to 30 Am eres ?
]Ol to 200 Amps. 31 e 31 to 100 Am res
Above 200 Amps. A e]0 Above 100 Amps.
Transfocmeis Remote ontiol ' Partialorothexfee
S" ns Special Inspection Minimum fee $5. i
n (1
Remarksp _ a41AJ?P?•fX
l1.4?7 JLt?•r?
TOTALF OW
1, the Electrical Inspector, hereby certify that the above inspection has been ma e.
(Rough-in) Date
?J
(Final) ? Da[e .?
This request void 18 months &o -?
? Ttu's request void 18 months from
. t I ? I 34
Dateo «?quest 747
S-L? - ??
I, as Licensed Electrical Contractor ? Owner, do he:eby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. 0(o 6?B a'A r ? 4G N
c7 --
Section Township ^ Range CounjC
eC otg
1Vhich is occupied by(j,r 72 T?
Is a roughin inspection cequired on this job?
Power Supplier
? r
Electrical Contractor 19
(GOmpany P
Mailing Addre
( ectrlf a1 19
Authorized Sienature -el,
SG tYe1VF3 BOARD
: of Occupant) --
Yes ? Ready Now-';9" Will Cap ?
Phone
Makinq ThIS Installatlon)
This impection request will not be aceepted 6y the
State Board unless proper inspxtion fee is endosed.
b
REQUEST FOR ELECTRICAL INSPECTION
1 See instrvctims for comolelinp thig form on b9ek ot vellow coDY•
7!)anQ "X" Below Work Covered by 7his Request
ot
0 E5-00007-05
7,93 7,?-/
1?.ommercial eltlg. ? 1 rumace unioader d
?Industrial Bldo. Air Conditioner Bulk Milk Tank
p Fee Serviee
EnUence tt Fee Feedera/Subteedera # F., Gircuits
0 to 20 0 to 30 As 0 tn 30 Am s
- A
Above 31 ta 100 ps t 31 to 100 Amjrs
Swim Above 100m s Above 100 Am s
Transf Irngation Booms Partial.'Other Fee
$J r0Q TOT
EXP,QFSS
1, the Elecbicel
InsVactoq herebv
cartify thet iha nbov9
inapection Aas been
ireda.
Thie rnquesl void ?!/?Y 7
78 months from K d /
C 7060 L19v 69.Ai ?n'-c
Reque`st ate ' Fire No. Houph-in InsOection
Requiretl?
[:)fleady Nuw?Will Notify Inspec-
?Yes No tor When Ready
...refucensed Elettrical Contractor I hareby request insVection of ebova ? Owner elecvicel work Installetl et:
Str¢ei Address, Bax qt Raute No. CitY
--?o206 1t?11?1-10,i ZOi9-4 FA6j9A/
ect?on o. Township Neme or No. ang¢ o• Coumy
? Aea 7-j3
Occupant(PPINTI Phone No. '
??,P?LEGCl?
Power Supplier Addr¢ss
Electncel Contractor ICamoany Name) Coniractor's License No.
?y)')A??sr?c
Ma?lmg Address (COntrector or Owner Making Instanation
i d Smre IConn ar Owner MakinO lnsW latianl 7hone NumOer
?/-, 1 -7,:? Ap- 0 3 0
MINNESOTA STATE 80AN0 OF ELECTIIICITY THIS INSPECTION NEQUE3T WILL NOT
OriYBe-Mitlwey Bldp. - qoom N•797 BE ACCEPTED BY THE STq'fE gOAPD
UNLESS'PPOPEP INSPECTION FEE IS
1821 Unireraitv Ave.. St. Peul, MN 66104
Phnne(612)662-0800 ENCLOSED.
?aI/? REQUEST FOH ELECTRICAL INSPECTION
, See inshuctions br complating [his form on beek ol yellow cooV.
E3 0 515 "x" BeloW Work Covered by 7his Request
EB-00001-06
8`? ?60
Atld A.P. Typa ol Ouiltlin0 ApPlianews Wind Equiumant Wired
Home Ranye Temporary Service
Duplex Water Heater Lightinp Fixtures
ApL Building Dryer Electrle Heatin
Commercial Bld,y. Fumace Silo Unloader
Industrial Bldg. AIr Conditioner Bulk Milk Tank
Farm inr, oec,fy) Ctne, ISOenfvl
tFar Ucu y Other Othnr
Comuute lnsaectian fee Below
p Fee ServiceEntrenceSixe n Fee Feeders/5ubleeders Circu
0 to 200 Amps 0 to 30 Am 5 0 to 30 Am
Above 200 qmps
31 to 100 Amps i B
31 to 100
E
imming Pool Above 100_Amps Above 100m s
Transrormers Irrigation Booms 5 Pania6"Ote
Signs Special
lnspection
$10.$0
TOT
Remsrks FEE
? j;
uvvn u Vail -SV111L 1 I
flough- in Da1e I, Ihe Elaclricxl
Inspector, hereby
rtily thaf the above
Final D'nte "G rmspection has been
J maea.
"iw reeuest voiJ 10 monflio from
This repuest void 9 ag ?' J/?O V
78 nwnths from
E 30515?
neVUC3? VOaG ??v. ?uH"-"' ?•
RequireA? E]Neatly Now [2Will Nolily InsDec-
•?:q-?q-fjj2 ?1'es ?No [orWhenPeady
E] Licensed Elecincal Contraclor I hereby requast insOeclion ot ebove ? 9wner elachical work installetl aL
Streel Address, Bon or Rovte No. CiN
4206 Nicols Road gan
ecuon o. Township Name or No.
Range No.
County
I Dakota
OccupantlPqlNT) Phune No.
Total Petroleum
Power Supulier Atlaress
Electrical Contractor ICOmpany Namel Contrector's License No,
Maiestic Electric, Inc. 39977
Mailing AdJress ICOnVactor or Owner Making Instailalionl
11576 Valle creek Rd-W od
Authorized SiBnature IConttacmr?Owner Makiny Installation Phone Numbr.r
?Q, cx)u 436-.1010
MINNESOTA STATE BOARD OF ELECTHICIT}' ? THIS INSPECTION NEQUEST WILL NOT
Grig9s-MidweV Bldg. - Room N•191 l../ BE qCGEPTED BY THE STATE BOAHD
1821 Universitv Ava.. St. Paul. MN 65104 UNLESS PNOPEH INSPECTION FEE IS
ow....e 1a111 ano.nann ENCLOSED.
III I II '• I II I II II I III II III I II I I I IIII B
Minnesta 2113Un?rvers?ryAve., dRm-of SRe 8c? Paul, MN 55?10 ?? ?.m
* a 3 1 8 4 0 5 8* Phone (612),s42-0800 ?fJ/??jr4,
Home Duplez Apt. Bldg. Other: New
X Addn
Comrnercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water H}r. Lood Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"k' above ffie wodc covered by ihis reqvest. Enter remarks in this space ond on tbe back of ibe white <opy only.
{bQ0 4 vwc.ur. i wY+ i-e LtS?n.+ pole
Colculote Inspection Fee - 7his Inspeciion Request will not be accepted wiihoui the corzecf fee:
(Ther Fee ,i Service Enhance $ize Fee S Circvih/Feeders Fce
Mobile Home Park Sfall 0 to 200 Amps ? 0 to 100 Amps
$Ireef Lfg./Tra(fic Sig. Above 200 Am s Above 100 Amps
Transformer/Generotor INSPECT eoNLr?y? - TOTAL
SQ
$ign/Outline Lig. Xfmr. V? 0)0•
Alartn/Remote Conhol
$wimmi0g Pool I ry?rob cem at I im the dxlnml insblloban descnbed hemin on Ma dorea sbred
Imigo}ion Boom Rough-In Dak
S
ecial Ins
eciion
p
p
Investiga}ive Fee
f? ?y
? c
THIS INSTALLATION MAY BE OR ED DISC NNECTED IF NOT COMPLETED WITHIN 7 M N HS.
318 - 4 0 5
? OPFl E US ONLY Thix reqoest void 18 monMslrom volidafion date pnnted in Ihis bos
9?90
-0
??n
L1Q
PLEASE PRINT OR TYPE ?OLO.1t-
esl Wh
Requ Roogh.tn inspeciion rcqolmd2 ? Yes AtNo ?nspxlian O?er Thon Ro.ghlrc 0 Ready Now ? Will Call
Q (Yoo must wll Ihe insPemr when reodYl ??^ R?av: q - t 3-4 b
I, IJZ licensed mntmdor 0 owner hereby request inspedian of fhe above electrical work at:
Job Pddrcss (Sheei, BaF, or Rook No.)
lf :;L-o A i Lo l+c R- D Gry
[- i Zip Code
Setlion No. Tawmhip Nome or No. Ranee No. Fira Na. Covnry
Oavpont J - Phone No.
Po»sr5opplier Pddreas
Eleclriml Conhacror (ComponY Nome) dor Littnse No.
Ca
ntm Maskr Lic No. (Plonl Eled. Only)
I '
?I'e,.M L S.AC. - /
,
V'-?pplB
hlailifg Address ?Canhador ar Owner Perfomiing Inslallofian)
P
al
o ?
AuMorized Signamre ?? 1?y1 inB Insmllafion? Phone No. r
EB-OOOOlA-10 6/9( ) S6)rEBOAflDCOVY-SEEINSTRUCTIONSONBACKOFYELLOWCOPV
?.. / ry p p REQUEST FOR ELECTRICAL INSPECTION
O { d- ? See instmdiuna lorrtompleting fhis form on back of yellow copy
0 333 ?`X" Below Work Covered by This Request
d A14=eaooooia
z ?
?
ew Add Rep. Type of Building AppliancesWired EquipmentWiied?-- ?
Home Ranqe Temporary Service
Ouplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Induslrial Furnace Other (Speciry)
Farm Air Conditioner
Other (specity) Conhac[or's RemaHCS:
/i(? ?c ?7roFae?.n? P•...,p . ?
Compute Inspection Fee Below: n G?J ? oc?-?-. o-?
# Olher Fee # Service Enirance Size Fee # CirCUils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Above 700 _ Amps
SigflS Inspector5 Use Only: TOTAL
Irrigation Booms ?' ? S Q
Spacial Inspection
AIarMCommunication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certity that ihe above inspection has
been made. Rough-in
F;,,ai oaie
OFFICE USE ONLY •
This raquest voi0 18 monNs from
3
M? ijs7°oz-
01 Alff
RequaSt Oate Flee N0. Rough-in Inspeclion NOTICE: Vou Mvst Call ElecVical Inspector
B'- 7-93 Required?
?Yes ?Na tl A Rou9h-In Inspection
IsRequired.
IX licensed contractor ? owner hereby request inspection of above electrical work at
JoC Atltlres9 (Slreet, Bon or FoNe NoJ Ciry
Q /CNO/ Ll
Section No. Townshlp Name or No. Range No. Counly
Occupartl(PRINT) Phone No.
a./ ar
Power Supplier Atltlress
Eleclricel Contracmr (COmpany N/eme) n Conlrador5 License No.
l
' U
? C QO?/??
n
.
eCY/ n .
- o
ailing Atldress (COnhaclor orOxner Making Installatqn)
5 . /v/ / S/ 07
Authonzed SignaWre (COntrector/Owner Making nstellation) Phone Number
MINNESOTA STATE BOARD OF ELECiA1G'ffY ? THIS INSPECTION REOUEST WILL NOT
Grigga-Midwey Bldg. - Aoom S-173 BE ACCEPTED BYTHE STATE eOAPD
1821 Unlvttsiry Ave., St. Peul, MN 55104 &UNLE55 PROPEP INSPECTION FEE IS
Phoro (812) fb2-O800 ,q ? ? ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?x" N"
? EB0000108
? See instmtlions lor romplBling tnis brm on back oi yellow copy. ?€'?3!
n q ? /
LS 33746 'X" Be/ow Work Covered by This Request
e Atld Rep. Typeol8uilding teRcesWiratl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
ApL Building Oryer Other-(Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Other (specily) Coniracror's Remerks',
Compute /nspecfion Fee Below:
# Other Fee # SarviceEntranceSize Fae # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Abova 200 _ Amps Abo 0_ Amps
SIgnS Inspecbr's Use Only: ?? TOTpL ly?
IrrigationBooms . - t..L..?'. ?"
Specialinspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DI5CONNECTEO IF NOT
Other Fee COMPLETED WITHIN-1 NTH
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. aouyn-m I
F;nai oeie ^, ?r? ?
oet
OFFICE USE 3NLV
This requesl voitl 18 montps trom ?
? 3 46
O N? ?? av
,C q
Ra uest Da Fire No. Rough-in Inspection
/?_ ? Raquiretl7
1 ?r?
? Reatly N. tlnrvill Notify lnspecmr
?? Wh
R
tl
?
?
YBS NO
en
ea
y
I?<licensed contractor ? owner hereby request inspection of above electrical work at
? ry/? ? ?„ ^'
JobQtlrJ?? ae1. eox or, oy`e._ ?i rc.?n
l1 / //Jl
!< ? ?
Crry E ?
Section No. Township Name or No. Renge No. County
Dew kot?
Occupant IPRINT) ?
pe_N-a- ??vi?or+me??fi4? Cvns? -?- PM1One No.
?-gozz
Pawer Suoplier Mtlress
' S (
ElacVical Contractor ICompeny Name)
i
r?L
? Conlr9ctor5 License No.
C'
4C /61 Z
:
o e .
IMai!ing Aadress IConhactor or Owner Making Instailation)
aq-01a rc- c S-f • IN a. M 1U• SS /zp
AvthoriEetl ' ICcnlractouOwner Making Instell9tior) Phone Numper
?'j4-- 7DSg
MINNESOTA STATE BOARD OF ELECTNIqTY THIS INSPECTION FEOUEST WILL NOT
Grig95-Mitlwey Bidg. - FoOm S-173 BE ACCEPTEO BV TME SiATE BOARD
1821 Uoiverslty Ave., SL Paul. MN 55100 UNLE$$ PROPER INSPECTION FEE IS
Ppane(612) 602-0B00 ENCLOSED.
?(/J?jJ?(?/ REQUEST FOR ELECTRICAL INSPECTION tee-ooooi-os
/W /?/? '('? . ? See inslrudions (or compleling Ihis lor n back of ye? w copY-
? "X" @elow Work Covered b This Re uest
Ne dd Rep. Type of Building Apphances NFitetl Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specity)
Farm Air Conditioner
Olner(sVE'city) Convacmr'sRemarks'. ?„ipen?t, y3tyR.t, ?3
J. 'Ttff[ { J
u+esh bl ?? CGlo-f¢d ??
Compute Inspection Fee Below: c.,asln C??• +^•?}`
# Other Fee 11 Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps ic 0 to 100 Amps q C??
Transtormers Above 200 °' Amps Z.5I" 0-Amps
Slgns Inspecror's use onry: TOTAL
Irrigation Booms a
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDER . DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, ihe Electrical Inspedor, hereby Roughin oa?e
certify that the above inspection has
been made. finel
? oa7
a
OFFlCE lISE ONLY
This request voitl 18 monlhs fmm
y??
orm 9.. n 55 ?: ild
? a
Reque De[e Fire No. Rou -In Inspection Requiretl
w?en
reatly)
(VOU mus[ call inspector Inspeclion Other Than Rough-ln
? Reatly Now Will Notity Inspector
No
?
Vas Date PeaO
I Iicensed contractor ? owner hereby request inspection of ahove electrical work at:
Job AtlOress (SVeet, 8ox or Roule No.) E
?2Ato ??
' ,oa
SecUOn No. Township Name or No. Range No. County
U?4 <<-0y+ca-
Occupanl(PRINT) Phone No.
e+.
Power Supplier AtlAress
y ? O (?
Elecvical Con[raclo? (COmpany Name) ConvactoYS License No.
w? ?-v\ C•
Mailing Atltlress (COnVactor r Owner Making Installalion)
ANhorizetl SignaWre (COn?ractor/Owner Making Ilaoon) Phone Number
' q -?\O ' s?']
CJ
MINNESOTA 5 TE B RD OF ELECT ITY THIS INSPECTION REQUEST WILL NOT
G`ig9s-Mltlwey - m 5-128
, SL Paul, MN 55106
1821 Unlverscy Ave I II II I I I I I II III III II II I III BE ACCEPTED BV THE $TATE BOAflD
UNLESS PROPER INSPECTION FEE IS
?
.-• ..e ENCIOSE .
