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4625 Nicols Rd - Electrical PermitsCITY OF EAGAN Include 2 sets of plans, ? 1 site plan w/el.evations & /BUILDING PERNLiT APPLICATION 1 set of energy calculations. To Be Used For d6''n, Valuation Date Oq-2 Site nddress: ?(0 2?- "e-11 c a G.s ?-p oF'F'zCE usE oru.Y _ Iot a- Bloc]c _L Sec./sub. DuflNiNc's Erect. ? Occupancy Parcel #: 10 ZZ ? D O O 2 U p\ Alter Zoning Rapair Fire Zone Owner: 0? G Enlarge _ Py??e of Const. CG? tZ ( C ? Move # Stories Address: y J7 Derolish Fmnt ft. City/Zip Code: (? a &) 'D 15 iZ--7? Grade Depth ft. Phone #: FI 3`7? ? S 2 097.s ? APPRDVAL.S FEES Contractor: S 'i AJ ---? Assessrrents Address: Watex/SEwer ?- Police City/Zip Code• -'?-? Fire Phone #: Arch./Ehg. : /a1 Address: City/Zip Code: Enq. Planner Council Bldg. Off. APC Perntit Surcharge Plan Check SAC Water Conn. Water Meter Road Unit Phone #: I s R To be used for Site Address Lot z 7Block ?•:Sec:/Sub. Parcel # Owner: Addres Phone COSl t Ta Add res CITY OF EAGAN nclude 2 sets of plans, BUILDING PERMIT APPLICATION 1 site plan w/elevations 6 1 set of energy calculatfons 0) Valuation ?/??DaLe /? t?CJ/?? ?Y ? ??.?'IP H.i.? OFFICE USE ONLY s : J UZ r?,v w , #: - '7 Erect Occupancy Alter Zoning Repair Fire Zone Enlarge Type of Const. ;P?? Move # Stories Demolish Front ft. 'WIff Grade Depth 79::::' ft. Approvals pJ Fees f c-- CCOL: f? Y? Assessment /y, 9 Permit 1/6S s? Z y?Vi?r?J Water/Sewer Surcharge f} Police Plan Check? ,3a ro ?ST. UrLy ?ft//YJ. ? ??7 Fire SAC /S2s Eng. Water Conn. ; Planner Water Meter ? V? ?77S Council_(--3 7 V?- Road Uni Yj * y ap .7p?` 4 ? Bldg. Off. af ??.7rr ? APC 2 7 4 T. ? /x.J. I??yla nr? /2^,-7z '. 3-6' -70/ TOT , - bp 4? 1 l g 1. CIZy pg EAGAN Include 2 sets of plans, 1 site plan w/elevations & 1 BUILDING PERMIT APPLICATION 1 set of energy calculations. 7?? 'Ib B2 U52d FOT Vali18t10n? Date J -? Site P13dress Iot .;:? .'':BlockSec./Sub.?Uir?!lNSf. M.N.4erect Parcel #: _ I0 Z2? O0 p'L'Q CA Oomer: J,4-mc ?/u?N?N Address City/Zip Code: .S/.?u ' SS %as Phone Contractor: ` Address: J q City/Zip Code: Phone #: e/ oA OFFICE USE 6NLY ? Occupancy ?'=? Alter Repair Enlarge _ NIove Denolish Grade < Ehg. Zoning Fire Zone 4ype of Cons L. - # Stories Front £t . Depth ft. Surcharge Plan Check .sr-O sAC cLO? szSD- water Conn. ,/'ct Planner Water Meter A/a- Council Road Unit Q/z- ?ldg. Off. APC Arch. /Eng •:? V K /-Ln 6 A i f e t?-s l/Ji rAe ,C/A v+?, Address: 3?0 /K?ynNGQ SSf City/Zip Code: So . Sf • lf"A?? ??1 nJ 5.?0 ) S Phone # : `1; d ' / Y `/ / I?jo7S/JI ;EQUESTWPOR E?LECTRI?CALtiNSPECTI?ON es-ooom-oe - 4?a?f/r/S 19 1_ "X" Below Work Covered by This Request ew ?Adtl. Rep, Typeol8uilding I AppliancesWiretl EquipmentWired 7 Home Range Temporery Service Duplex Water Heater Elaciric Hati eng Apt. Building Dryer Other (Specify) Comm./Intlustrial F'urnace Farm Air Conditioner O!her isueatyl Conhacbr's Remvks. -?-- ---- Compute lnspection Fee Below: # ? Other Fee # Service EniranceSize Fee # Circuits/Feetlers Fee ? Swimming Pool to 200 Amps 0 to 700 Amps Trensfarmers A6ove 200 _ Amps ove 100 _ Amps - Signs Inspector's use onry: TOTAL Irriqation Booms Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 16 MONTHS. I, the Elsctrical Inspecror, hereby f Aou9n-in oaie certi y that ihe above inspection has been made. Final oa? OFfICE USE ONLV nis reQUest voio 18 momns Irom / / /_7 -r"i / Y/ i i/ - -/ ., p 6 9 6 81/.z " v ,> , , - Request Dafe Fire No. Rough-in pec?ion Requiretl. -Yes No ( /' z / ?? ? Reatly Now ?ill NoOfy Inspecbr Wnen Ready? _ _ I?oicensed contractor ? owner hereby request inspection o f above electrical work at: Job Atltlress ISheel. 6on or RovkiN .) Ciry Section No Township Name or No. Ranqe No. Counry Occuoanl(PqINT, Phone No. u)L wll+??? 9L-C S%. Po er Suppber AOtlress Bw onVaclor ICOmpany Name) Contract r's G cense No. o / p j / ?J G- L Mening ACOress comraclor or ner Meking Instaliati ? pr ?,?y c?jS .5'D ? u-C ?? ? - - AWhori?ngnawre tCOnvacta? wner Ma' ng Insta tion? ? .I.vJ P?one NumDer . 1 cfr/-13-K-6 MINNESOTA ST4TE BOARD OF EIECTRICITY ?'/ ? a/.(? A O? THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Hoom S-173 V 1/??? ?/?KJ BE HCCEPTEO BV THE STATE BOARD 1821 Ilniversiry Ave., SL PauI..MN 55100 UNLESS PROPEF INSPECTION FEE IS . Phone (612) 642-0800 ENCLOSED . Ttiis request void 18 months from -J' 4 ? 46563 Date of Request JU/IJE o?.Si f 97/ , I, as Lff Licensed Electrical Contractor O Owner,?p hereb?+, r?equest inspection of the above electri- cal wiring installed at: ????._?!rt??lz-uP 17 l? ?ln 5-0 - Street Address or Route No. L-adpxf Section Township Nhich is occupied by Range County T/7-U/C-4'N 7' Is a roughin inspection required on this job? No O Yes ? Ready Now @-' Will Call ? PowerSuppliefl???GD77Z LL°Gt/ZK Address riC1???G???"?? ``SOZ? oFFI?IAAJ.II Ge. 5 Electrical Contractor EGTR I C- 3ro .Z Contractor's License No. _ (COmvaoy ame) Mailing Address ?,oS?T'd,' 7 -v-I (Eledlal Clntractor or Owner Makina Thls Installation) Authorized Phone No,?9/ (Electrlcal Gontractor or owner making rnls Installaelon) (C?S?i? `?(2 pO/1 ,?? (?f'OI?? This impection request will not be accepted 6y the ??1 l1 ll L l:? l?? ?- State Board unless proper inspection fee is enclased. Minnesota State Board of Electricity P52 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ?REQUEST FOR ELECTRICAL INSPECTION CACK BELOW WOAK COVERED BY THIS REQUEST i-?,/ 9 -79' R 46563 Type of BuAding New Add. Rep. Check Appliancea Wi" Foi Check Fquipment Wired Foc Home ? ? ? Range ? Temporary W'ving ? Duplex ? ? ? Water Heater ? Lighting Fixtuces ? Apt. Btdg. ? ? ? Dryet ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloadei ? Industrial Bldg. ? ? ? Aix Conditione[ ? Bulk Milk Tank ? Fazm ? ? ? Lis[ ) Lis[ Other ? ? ? p } }leters) p HereIS? COMPUTE IN$PECTION FEE BELOW Sevice Enttancc Size: iF Fee Feede[s&Subfeedeis: # Fee Cucuits: # Fee 0 to 100 Am s. A res •60 0 to 30 Am eres 101 ta 200 Amps. ?.S D 3 0 r 31 to 100 Am eres Above 200 Amps, e l Above 100 Amps. 7ransformecs ote ntr Partialorotherfee Signs S ciallnspection Minlmum fee $ Remarks TO'IALF E,I-J? I, the Electrical Inspector, hereby certify that the above inspection has been made. (Rough-in) ??- Date (Final) ???1???' Date 4,.27 ? 7 This request void 18 months from u?- ? REQUEST FOR ELECTRICAL INSPECTION 8,548a Seo insvuctions tur com0leting this form on Gack ol vetlow copY. "?A- Below Work Covered by This Request - Ee-ooooi-oa N Add fleV T Type ot 6uilAing AoPli es Wired Equipment Wired Home Ranye Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader .Industriai BIAg. Air Conditioner Bulk Milk Tanl< Farm Olhnr peci y Othey (Soeclfy) [hnr pecify Othpr Other Cnmpute Inspection Fee Below p Fee Service Entrance5ize ft Fee Feeders/Subloetlers 71 Fee Circuita 0 to 100 qm s 0 to 30 Am s 2 d9 0 tn 30 Am s. 101 to 200 Amps 31 to 100 Amps 37 to 100 Am s A6ove 200 qmps Above 100_Am s ;Above 100_Amps Tran - r RemoteCoMrol Circ. 6-0 Partial%Ot § ns -. Speciailnspectlon $ r -U T ? • ae t .X?_ '.S S 5 OTAL EE,: J j Rouc? -n ( L ?1'#p I, the Elacvical / h? L?? InSpBCt4r. hBreby I Final Uat?; 7'i7? cartify that the ebove pection has Aeen ??s mede. ihis request voitl ,.ia mnnths hom This rc9uesc void ?emo85482 ? L-2, $?, Du??. ?g's aq 84 7 L., 35 .o 0 Re aest ate? ? Y? /p ? Fir¢ No. ' Flou, h-in Insuectinn Feeluir ? ?ReaAV Now [?}MrtT'Notifv. Insocc- [ur Wh n fl tl ' 7/ ?Y ? es No e ea V e'Llcensed EteCtrical ConVac[or I hereby repues[ insoection ot ebove ? Owner elechical wurk installed aY Sveec Address, Boz or Route No. 2? c-a- ?a.'cl./1r '/ ^V e ? Citv ? M' I-lv ecUOn o. Township Name ur No. RanA?' No. Co y^ /, , Or. tIPPINT) ? Phane No. v2n. in.c S e?' fi4c? 2A?-IV l ?'I'S`! `" (0 7cf Power Suppli a ? E/?G , Add e ' /-??m ?Ng rd? Elec ? cal nnVac?orICompany Namni ??? ? Contrar,mr's Lir.ense No. ?Yov?r E Mailinq Address IComrTClor or Owner Makinq Ins[ailau o-o ," z e?e< ! ? ? ? Au[ ? nat e(CO tractor O?o M.iking Installation) ? Phone Numb¢r rz - rS-&; MINNES07A STATE e0AP0 OF ELECSIIICITY - ' - TMIS INSPECTION HEQUEST WILL NOT Gfiqpa-Midway Yldp. - Iloom N491 BE ACCEPTED BYTME STATE 60AHU UNLESS PNOPER INSPECTION FEE IS 1821 UNVersit, Ave., St. Peul, MN 55104 e?___ 'a?a? vo o',I . ENCLOSED. This request void 18 months from ?- X4? 70 R46565 Date of this Request4'.27-7 9 I, as C9'Licen`sed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: ?? - ?- Street Address or Route No. ?Ea?X' Citv 46_46pti Section Township Range CountyAkOT,4 1Vhich is occupied by Is a roughin inspection required on this job? No ? Yes &-"? Ready Now ? Will Call 01-' Power Supplier IG(97 G(.FG?7Z (G_, Address LF?.TZ/L ?? EleCttical Contractor CG?siNN Contractor's License No. _ , . (Co=aqyvame) ? „'r'V Mailing Address (tl I I CO dCtOf Of OWOBf MBkip9 TM1IS I(IStdlldtlOh) Authorized Signature !nN ?LCir?? Phone Noep91-7YS (Electrical Conttactor or Owner Making Tnls Installatlon) ?jn ?( r? {'? This inspection request will not 6e accepted 6y the ? ll W ll E ????1?'?j{? J ??I,?ly SWte Board unless proper inspection fee is enclosed. Minnesota State Board ot Electricity ? 1?4 Univgrsity Ave., St. Paui, Minn. 551,p4-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION fD46565 -ciYECK BELOW WOFtK COVERED BY THIS REOUEST I(? Type of Buildjng New Add. Rep. Check Appliances Wired For 11 Check Equipment Wired For Home ? ? ? Rangc ? Temporaty Wiring ? Duplex ? ? ? WalerHeater ? LighUngFixtutes ? Ap[. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Btdg. IK ? ? Fumace ="'- ? Silo UNoadex ? IndustrialBldg. ? ? ? AvQop foriok El BulkMOkTank ? Fazm ? ? ? Ihets} List Othexs# Other ? ? ? ?? , elc 7+ ? '! Here COMPUTE INSPECTIO .EE SEL°'01t?'0 V[0 1 W Am s. 0[0 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 31 to 100 Amperes / _ 1131 to 100 Amperes AbOV¢ 200OC1Amos. -::Z .. Ahnve 100 Amns -W LT Ahnve 100 Amnc 11 Signs Special [ns ection Minimum fce $5. Remazks TOTAL FEE I, the Electrical Inspector, hereby,ceat t ms e"on has been ma . (Rough-in) Date /9kLV - (Final) Date go-S't3 . This request void 18 months from . gg- ?y -?_ 119- 7`/ 7- x Y- ?y ?= 90 • ? y'; 6-7?- ?_ .1• 7y ? 4- zY-xi ,j . /6 _ 3-zy ro , 7- 2/9, ee- Z i7-7f ii- ? 7 -,)y w