1966 Glenfield Ct - Electrical PermitsREQUEST FOR ELECTRICAL INSPECTION
P. See msvacuons for compleLng Ihis lorm on back of yellow copy
J13833 `X` Below Wnrk Covered by This Request
ew A TypeofBuiltling ? ApphancesWiretl EqmpmentWired
Home Fange Temporary Service
Duplex Water Heater ElecMc Heating
Apt. Bmlding Dryer Other (Specity)
Comm.llndustrial Furnace
Farm Air Condiaoner
OtOer (syei Contractor5 Remarks
Compute fnspection Fee Below:
# 01her Fee # ServiceEnlranceSize Fee # Cirwits/Feetlers Fee
Swimming Poul 0 to 200 Amps 1 ? 0 to 700 Amps
Transformers A6ove 200 _ Amps 700 _ Amps
S19n5 in5peqor5 Use Only TOTAL
Imgahon Booms ?
?
Special Inspection
Aiarm/Communicafion THIS INSTALLATION MAY ER CPNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electrical Inspector, hereby
if R°°gn,n e
cert
y that the above inspection has
been matle
OFFICE USE ONLY
This requaR voM 18 momM1S from
Repuest Oate
? F - in InspecLOn
e0?
'''/?l"""
"""
? Reatly Now ?c/vvill Nolity Inspeclor
?
es G no When Heatly9
I17-VIcensed contrador O owner hereby requesl inspection of above elechical work at:
JOb Adtlress (Sireet Box or Rwte N0) UA
L City
& ?A "If
Section No iownship Name or Range No
OccupS (PqINT) Pnone No
R
PowerSu r ? ^ . Adtlress
Elechical MractorACompany N me) Conttactor; 4cense No,
? a -.3
Matling M ess (GOnlractor or pvner aking Installaoon)
Aulhor?retl Signamre (ConVaclov0 r Maki In lallauan? Phona Number
4?3 -3?p
MINNESOTA STATE BOARO OF ELECTRICITY THI$ WSPECTION REOUEST WILL NOT
Grigga-MlOwey Bldg - Room 5-113 BE ACCEPTED BV THE STATE BOAFD
1821 Univeratty Ave., SL Paul. MN 5510C UNlESS PROPER INSPECTION FEE IS
Phone(613) 64240800 ENCLOSEO
'j s`? REQUEST FOR ELECTRICAL INSPECTION
J13835 $ee insimctqns lor completing ihis fOrm on beck ai yellow, cbpy
"X" Below lNprk Co,ered by This Request
sTM??`'?a Ee-ooooi-oe
Adtl Rep. TypeofBuiltlmg ApPliancesWVetl EqmpmentWiretl
Home Range Temporary Service
Duplex Water Heater Eledric Heating
ApL Bwlding Dryer O}her (Speafy)
Comm./Industrial Furnace
Farm Air Conditioner
Othar(syeay) Cantractor's RemaMs
Compute Inspectron Fee Be/ow:
# ' Other Fee # Sernce EntranceSize Fee # Circmis/Feeders Fee
Swimminq Pool O to 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps LfilltaXe 100 _ Amps
SignS Inspecmr5 Usa Only
91 7pTpL a
Ircigauon Booms 1
1 • 91 a?
Special InspecM1On ??
Alarm/COmmunicahon THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby
certdythattheaboveinspectionhas
been made Rough-in t
Frnal oete
OFFICE USE ONLY ?
Ylus requesl witl 18 manths Imm '
J 1?3 ?3 5 ?
? o0
l?a O5
Reques[ DMe
?j ( o. RaglCdi Inspection
Reqmretl'+
s ? No
? Ready Naw/HWJI Notily Inspeqor
when ReaOy?
1 ja?icensed contractor ? owner hereby request inspection of above elechical woric at:
.bb AadreSS (SVeet. Box or Ro e No.)
. 0 Gry
SecLOn W Townsni0 ame or No Range No Coun
Occupant( ? Phone No
Power SuppX¢r
00-a ' r ()
Adtlress
Hecmcai v or IComparry Name)
utl_ ConVactor§ LicBnsB No
a / z - 3
Madng Atl ress ICOnUacror or Ow Ma InsYdllaOOn)
Authonxetl Signdlure IContrador ner M n Inslalla0on? Pbone Number
S-3Pro
MINNESOTp STATE BDARD OF ELEChRICITY ? p THIS MSPECTION REQOEST WILL NOT
Griggs-Midway BWg. - fioom 5-173 ? BE ACGEPTED BV THE STATE 90ARD
1811 Umvenity pve.. St Paul. NN 55106 UNLESS PROPER INSPECTION FEE IS
P.hone (612) 6624e00 ENCLOSED
11515?p, REQUEST FOR ELECTRICAL INSPECTION
fill, See snstmctions !or compleling ihis form on Oack ol yellow copy.
J 13 ? j 4 "X" 8e/ow Work Covered by This Request ??:?
ew Add Re,, , Typeof6wltling . AppliancesWiretl EqwpmemWved
,,me Range ?' 'K- Temporary Service
Duplex Water Heater Electnc Heating
Apt. Buddmg Dryer OMer (Specity)
Comm /Industnal Furnaca
Farm Air CondRioner
Ottier (syecity) CoMractor5 Remarks'
Compute Inspechon Fee Below.
# - Other Fee # ServiceEntranceSae Fee # Cucmts/Peeders Fce
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Signs inwecmr's use onry:
i TOT L
Irrigation Booms ?
?
.W a,?^
Special Inspechon ?
Alarm/COmmumcation THIS INSTALLATION MAY BE 0 DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 1fiMNTH" r
I, the Electrical Inspector, hereby
f
? o a yg? y
Ao.yn-o 17
l?
nerh
y that the above inspection has
been made. Vnai
= oate
OFFICE USE JNLV
This request witl 18 manlhs irom ?J
5 S
f.V1
4L ? 00
??a
ReQUest Oate o Rougnm Inspeceon
(?l f pgq `gpo ? Ready Now j]XJill NoGty Inspector
^? ?"( '' Ms L No When flea0y?
Izvlcensed contractor D owner hereby request mspechon of above electriral work at:
Job ADeress (Street, Box or
a No ) Gty
g
Seclion N. Township Name a No Range No Cqu?
Occupant RINT) Phone No
Power Sup?er ? r ?
`v Ad?ress
Elech¢ai Qlrada ICOmpany Name) ConVector§ ?cense No.
a ? ?3
Matlmg q tlress (COnlraqor or er Making Installalionl
Authorizetl Signatvre ICO'Vacto
ner M in InstallaLOn? ,. Phone Number
i 4,3-3g)
MINNESOTA STATE 80RHD OF ELEG6ICITY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BIEg - qoam 5-173 8E ACCEPTEO BY THE STATE BOARD
18E1 University Ave, 51. Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
i?9/9A
Jl13838
REQUEST FOR ELECTRICAL INSPECTION
? See insimctions !a com0letm9 thts forcn on Nck ol yellow copy
"X" Below Work Covered by Thrs Request
??3` A9 K?;?yt)$
?.
ew AtlG -- TypeolBUddmg ApphencesWrtetl EquipmentWired
Home Fange - ? Temporary Service
Duplez Water Heater Electnc Heating
Apt. Builtling Dryer Other (Specify)
Comm./lnduslrial Furnace
Farm Av Conditioner
Olhar (syeciy) ConhactoB RemarNs
Campute Inspechon Fee Below:
# Other Fee # ServiceEntranceSrze Fee # Circwls/Peetlers Fee
Swimming Pool 0 to 200 Amps ? o to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's Use only
/ 70TA
?
Irrigallon Booms
/ ? • ?
?S
Speaallnspec6on ?
Alarm/Communication THIS INSTALLATION MAV BE ORD ED D ONNECTED IF NOT
Other Fee COMPLETED WITHIN •MONTHS.,
?
I, ihe Electrical Inspector, hereby
certify that the above inspection has
been made. Ro.qn-,n
•
oa?e
OFFICE USE ONLY
This repaest wid 18 montM1S from l
io,5e5<r s
J • 838
Request0ale F R ugh-m InspecLOn
ivred? ? Reatly Now .effPlill NoMy Inspector
?
?r es ? No When Reatly'+
Icensed contractor ? owner hereby request mspection of above electrical work aC
Job AtlOress (SVeel. Box or Route No ) Gry
7? '
Seclmn N. Township Name or No. Ranqe No. Cuunly
Gccupa PRINTI ? Phone No
Power 5 iBlFYn)' C n MtlR55
Electnca or?( cto? ICOmpany Name) Conlrador5 Lqense No
Vv? a¢i??3
Mailmg Aaa ess ICOmractor or o er Making Installauon)
AulM1Onzetl Signature IGOnVatlor wner aki q InstallaLOn ? PM1one Number
1 4?- 3 - gl?
MINNESOTA STATE BOAFD OF EIACTRICITY y THIS INSPECTION REQUEST WILL NOT
GriggaMidway Bldg. - Hoom 5-113 BE ACGEPTEO BV THE STATE BOARD
1821 Universlty Ava , 51 Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)6C2-0B00 ENCLOSED
/1919,i REOUEST FOR ELECTRICAL INSPECTION
J????? ?$ee inshuclions for completing ihis lortn on back of yellow copy
X" Below Work Covered by This Request
a ??= 513-00001-08
O 'S
? m- /Osd4?
w A - TypeofBwlding -405pliancesWired EqwpmeniWiretl
r ' Home Range
7
i
Temporary Service
Duplex Water Heater Eleciric Heahng
Apt. Building Dryer Other (Specify)
Comm.llndustnal Fumace
Farm Av Conditioner
Other (Specdyi Contracmr5 Remerks:
Compute Inspection Fee Below:
# Other Fee # SernceEntranceS2e Fee # CircuitslFeeders F e
Swimming Pool 0 to 200 Amps 0 to 100 Amps
hansformers A6ove 200 _ Amps 100 _ Amps
Signs Inwectore Use Only
? TOTAL
Irngation Booms 6? '
Speciallnspeclion
Alarm/Communication THIS INSTALLATION MAV RDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 HS. r
I, ihe Electrical Inspector, hereby
if
h ROUgh,m
y t
cert
at the above inspection has
been made F,,,ai oate
OFFlCE USE aNW
TM1is request voi0 18 month4lmm
S
J ?3? 37 ?a
ReQUest Date o ough-tn Inspechon
? (ieatly Now 01fi11 NoVty Inspector
?? 1? ` ?es C No When Readi
ID*c'ensed contractor D owner hereby request mspection ot above electrical work at.
Job Addreu (Siree?t/,BOx w Rwle No )
7 I GM1y?
Section No Township Name or No qange No ('qu'n?ty
Bccupa PPINT) Phom No.
Power 5 ier Atldress
Elecmc Co4phactpr (COmpany Nama) Co
nVadorS License No
? A
'h.. 412-?
Mahng AOtlress (Camracror IN O e? Makmg Installaoon)
AutM1On3atl SqneWre IConlrypt IOwne aking Insialiatmn) Phone Number
. . 46,3-39(e)
MINNESOTA STATE BOAND OF,6LECTRICITY ? A THIS MSPECTION REQUEST WILL NOT
Griggs•Mitlway BIEg - Raam SI73 BE ACCEPTEO BY THE STATE BOARO
1821 Unrversity Ave., Sl Paul. MN 55104 UNLESS PROPER MSPEQION FEE IS
Phane(61Y)6CY-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION 'rp'"'•??* ee-oooo, oe
J 13839 See msVUCUOns for compeoig Mis lorm on Deck oi Yell yow Wp` ?
,
" Below Work Cc+vered by This Request ???
X
ew Add Rep. TypeolBmidmg ` AppliaiiicesWired EquipmeMWired
ome Range Temporary Service
Duplex Water Hea[er Electfic HeaUng
Apt. Bwldmg Dryer O[her (Speciy)
Comm /Industrial Furnace
Farm Air Condifioner
Other (specityl Gontracla5 Remarks
Compute Inspection Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fe
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Insveciws use onN TOTAL
Irngaaon Booms
Special Inspection
Alarm/Communication TNIS INSTALLATION MAY ORDERE DISCONNECTED IF NOT
' Other Fee COMPLETED WRHIN 1 NTH . (
I, the Electrical Inspector, hereby
certifythattheaboveinspedionhas
been made. Ro"gn," ? ,
F,,,ai
( oaie o?p.q,
? Qr
oa?e
OFFICE USE ONLV L ?
This request wid 18 months hom
REQUEST FOR ELECTRICAL INSPECTION ?!"="`"`"e eaoooo, as
? See mstmctions ior <om0leling Ihis tortn on back ol yellow copy p"? ??31 ?a czl? S
J 1 3 ? 3 6 "X" Below Work Covered by This Request I
ew Ad TypeotBwlding •?Appfianca,sWired EqwpmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bmltlinq Dryer Other (Specity)
CommJlndustrial Furnace
Farm Av Conddioner
Other(syenty) ConVacrorS Remarks'
Compute Inspection Fee Below:
# - Olher Fee # ServiceEnlranceSize Fee # CrtcuRS/Feetlers Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
$i9ftS Inspectar5 Use Only N
TOTAL
Irngation Booms `
// J . F, ?
a
Special Inspection P
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTEU IF NOT
Other Fee COMPLETED WRHIN 18
HS.
I, the Electrical Inspector, hereby
certiry that the above mspection has
been made. Rough-rn
F,,,ai
,
j ?=-i • * , •
oare
pFFICE USE ONLY
TM1is repuest wi0 10 montl Irom //.? ?/
/
R?8 36 ?
L,%,8. e?agm
Request Gate F u
q
F-in Inspecbon
' •. ?
J
,
e?; ? ReadY Now Notify e
Pector
h
tl
^ l ?i
C N. en
a
y
IP?iicensed contracior D owner hereby request inspection of above electrical work aC
Jab A40res5 (Sireet, Box w Rou[e No ) ?
h
City
a
Sedion No TownsM1ip Name w No Range No County
?
upanf WT) ? Phone No
PowerSUqM?er?
I 1
V Adtlress
Eleqnoal onlr tor,(Company Name) Gon??aotor§ L¢ense No
'?. ¢ ?? 2 - 3
Mai6nq Adtlress fGOnVflda KO.vn Making Inslallatmn,
Aulhonzed Signalure ICOnlractor/ ner m Ins[allaVOn) PM1One Number
MINNESOTA STNTE BOAPD OF El. TRICRY THIS INSPECTION FEOIlEST WILL NOT
Griggs-Midway Bltlg - Room 5-173 8E ACCEPTEO BY THE STATE BDARD
1821 UnlVersily Ave., SI. Vaul. MN 55106 UNLE55 PRDPER INSPECTION FEE IS
Phone(611)60Y-0800 ENCLOSED
J3 8 3 9
Rerruest Date Fi F ?-in Inspeclwn
'
? ReaOY NowLdW
or
( PV ?s
O No Wlien ReatlY
I licensed contractor O owner here6y request inspection of above electrical work at:
JoD AdOress (Shea[ Bav ar Ro e No )
p ^ .
?W o:: Vl Gry
Seciron No Tpxnsmip Neme or No Range No Courrty
Oc[upa RINT) ? Phone No.
PowerSv er /?. ///yjjj' ^/
/• l, Pdtlress
EleclrW Convacta ?COmpany Name) CoMracta5 Lwense No.
a, 4a4i;L-3
MaAing Adtlress (COnfractoi or ner Making InstallaM1On)
ti
Amhor2etl SignaWre ICOntran iOwner a ng Installa?io )
.. Pho?re Numbe?
MINNESOTA STRTE 80Aqp OF E&CTRICITY THIS INSPECTION REOUEST WILL NOT
Grfgps-MlOway Bltlg. - Raam 5113 BE ACCEPTED Bv THE STATE BOAPD
1821 Universiry Ave.. SL Paul. MN SS1M UNLESS PROPER INSPECTION FEE IS
Ptqne (612) 642-OB00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ,r, ee ooom-
? See msimclions for completing this form on back ot yellow copy. ?j /Q??V S
J 1 3 8 I?. O "X" 6elow Work Covered by This Request ??
ew Atltl Rep: ' '-TypeolBwlding r? ,-??cesWired EqwpmenlWired
Home Range Temporary Service
Duptex Water Heater Elednc Heating
Apl Buddmg Dryer Other (Specify)
Comm./Indusirial Fumace
Farm Air Condinoner
Other (speaty) Con[racmr5 Remarks
Compute Inspecnon Fee Below:
# Other Fee # ServiceEmranceS¢e Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 D to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
, Signs irs0ector§ Usa anly TOTAL
IrngaUOn BoomS
Special Inspechon
ly•
Alarm/Gommunication THIS INSTALLATION MAV BE ORD RED NNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS r
I, the Electrical Inspector, hereby
certify that the above inspection has
been made R°ugh.in ?
F,,,ai Dai
oa?e
OFFICE USE ONLY
This request vmd 18 months tmm
/ os
l
3?4Q ?
;J ??
Reqoes? Daie Frt n ?+n InspecLOn
I
'+
N
'Wtll N
In
? R
tl
ti
t
?]
1v _p? 6 ^?+ R tl
? ?NO ow ?
ea
y
o
ty
spac
or
WhenRaetl"
IOficensed contreaor ? owner hereby reques( inspection of above electrical work at.
Job Atltlress (Sireet.Box orROUte No) Ciy
V
Section No, Township ame or No Range No. Coury?
(? \
L-?
Ocmpa IPRINT? Pnone No
Power pher Atltlress
OA WV_
Elednwl onrcaz?o, (Company Name) ConVactar5 L¢ense No
F?
Maning qotlress (COnVector or Oylner Making Installation)
Avthorrzetl Signalure IGOmract ?Owner M inq InslailaUOnl , Phone Number
i, 3 - K/0
MINNESOTA STATE BOI.RD OF ELE&NICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bltlg - Poom 5-113 BE ACCEPTED BY THE STATE 60AR0
1821 Omveralty Ave., $1 Paal, MN 55100 UNLESS PPOPEF MSPECTION FEE IS
Phone (612) 661-0800 ENCLOSED
//?/?? REQUEST FOR ELECTRICAL INSPECTION
???.? ?? See inslmcLOns for completmg Ihis form on back of yalbw copy
J "X" Below Work Govered by This Request
?r,?, L01
EB-0O?p y
ew Add Rec.'- -iyPeofBwlding Apphancesw,.red EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm /Industriai Fumace
Farm Av Condihoner
OlM1er(syeaty) Convactor's Remarks
Compufe lnspectian Fee 8elow.
# Other Fee # ServiceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps U
Trensformers Above 200 _ Amps ve 100 _ Amps
' Signs Inspector§ Use Onry
B 70TAL
IrrigationBooms ?a• ?? ?a
Special Inspeclion
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 8 MONTHS.P
I, the Electrical Inspecror, hereby
h Rouqn-m
L'/
oaie
cerUythatt
eaboveinspectionhas
•been made. F,nai ? i? r
c. -- oate
OFFICE USE'JNLV
IThis r¢quest voitl 18 months Imm
l
- i/ Y 5'?--
J 1 8 4 2 4,5 et,2. /& /O_U: 4e0.5
Requesl Date
O` Fi u -inlnspectron
uqea?
?es L No
? Featly Now iO?VJill NoM1ry Inspeclor
When fleay
?
tl
Ii2licensed contractor ? owner hereby request inspection of above electrical work aT
Job Atltlress (Street, ox or R We No ) ? City
Seqion No Township Name o? No Faye NO CouMy
Ocwpa IPRINT? Phone No
Power S plier /? ^
Luc( . CN??. fWOress
Elecmca ?pany Namel
A? CoriVedorS L¢¢nse No
d ?°3
Mailing Adtlress IConVactor or pw er Making InslallaLOn)
AutM1OnEed 95^aWre iCOnttatl Oxner ki insianauon, _ Pnorie Number
3-3
MINNESOTA STATE BOAAO OF ELE?TRICITY ? THIS INSPECTION FEOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1021 Unrvereity Ave., SI Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
"Phone(61Y)602-0800 ENGLOSED
REOUEST FOR ELECTRICAL INSPECTION
iii, See mshuclmns lor completing ihis lorm on back ot yellow copy
J13841 'X' Below Wort ^overed by This Requesf
=-'?'aa eaooooi-oe
e Ada' qep r TypeofBUdding ? ? Ap IiancasWired EqmpmentWired
Home fir Range Temporary Service
Duplex Water Heater Electric Heating
ADt. Building Dryer Other (Specity)
Comm /lnduslrial Furnace
Farm Air Conditioner
Omer (syeary) ConVactor5 Remarks
Compute Inspection Fee Below:
# ' Other Fee # SerwceEMranceSize Fee # CircuiGS/Feeders Fee
Swimming Pool 0 t0 200 Amps S' O 0 to 100 Amps G
Transformers Above 200 _ Amps A6 ve 100 _ Amps
Signs Inspecror5 Use Ony. TOTAL
?..
Imga6on Booms ?
? J
Specialln5peclion
Alarm/Communication THIS INSTAILATION MAY BE OR ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 HS r
I, the Electrical Inspector, hereby
certify that tbe a6ove inspectlon has
been made. Rou9n-io are o?
F?,wi oa ?
?
OFFICE USE ONLY ?
This request voi0 1B monMS from
? S
,?
. /?, ? Ov
a
Request Dale h,in Inspeciron
I'gp?
? Reatly Now eMill NoGiy Inspector
es ? No Whe^ RBatlY?
la licensed coniractor ? owner hereby request inspection of a6ove electrical work at:
Job AAtlress (Sheet Bw or Fout No.) Gly
. ? ?
Sechon N. Township ame or No Range No Co
Octupa (PqINT) Phone No.
?
Power S pher ? Atltlress
Eleclnca onVactor,ICOmpany Name) CoMraciw5 Lwense Na.
` U'Ll- ¢a4i? ?3
MaAing AOOress(Conhactoror ner Making Installatan)
/ M k?y" _ '
Authonzetl SignaWre IConvM ing Installa?ion Phor?e NumOer
MINNESOTA STATE BOAflD OF ELECTflICITY f THIS INSPECTION REOl1EST WILL NOT
Gdggs-Mitlwey Bldg - Popm St]] V 6E ACCEPTED BV THE STATE BOHRD
1821 Ilniverslly pve, 5[. Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(612) 6024)800 ENCLOSED
i/s??9'g
J 13?44
REQUEST FOR ELECTRICAL INSPECTION
? See msimclions for com0leting iNS lorm on back of yellow copy
"X" Below Work Covered by This Request
EB-00001-08
? ?' fa4?S?0S
?.o
ew Atl9.?,Rap_ .,,, TypeolBwiding 'AppliemcesWired EqmpmentWiretl
Home Ranqe Temporary Service
Duplez Water Heater Elec[ric Heating
Apt. Bmlding Dryer Other (Specdy)
Comm /Indushial Furnace
Farm Air Conditioner
Omar (syeay Conlractor's Remarks'
Compute lnspection Fee Below.
? Other Fee # SerwceEniranceSae Fee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps bo 100 _ Amps
Signs Inspe<ror9 Use On1y: TOTAL
Irrigation Booms C' ?
Special Inspection
Aiarm/COmmunication THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT
Other Fee COMPLETED WITHI MON
I, the Electncal Inspector, hereby Rough-m oa?e
certrfy that the above inspection has
been made. F,,,ai
? oate
OFFIGE USE 9NLY _ , , `
This raquesl voitl 18 monihs Imm
//
9/O°S?yUs
Y8A
J 1 &2 °°
Request Date
) LJ iire ug -in Inspeclion
ev ? Reatly Now RJGhII NotAy Inspec[or
'
+
? ?es ? No When Re6tly
IP""censed contractor O owner hereby request inspection of above electrical work at:
Job Xtldress (Slreel. Box or qout No ? Qty
? gg
Secoon No Township Name or No Renge No Cou
?
Occupa (PqINTI Pnone No.
Power S Dli ? e7,1
L Atltlress
Eleclnc Cont ado?r (Company? Contracbr's License N.
41,2
Matlmg AOOress IGOmractor or ner Making Installalion,
?
UL
Autholrzed SignaWre IConVact ? r Mak?ng Inslall ? n? Phon2 Number
MINNESOTq STATE BOAflD OF EtECTRICITV THIS MSPECTION REQUEST WILL NOT
Griggs-MiGway BIEg - Poom 5-173 BE ACCEPTEO BV THE STNTE 60AR0
1621 Univernity Ave, 51 Paal, MN 55106 UNLESS PROPER MSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
a? $A
_ ? See insvucLOns lor comolenna ihis farm an back of vellow coo¢ h'rC"F??I
J 1
X" Be/ow Work Covered by This Request ''?•??? ?
3843 - - .-- ?
e Add Reo. TypeofBuildmg _Applir,-cesWVed EquipmeniWved
pe Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
CommJlndustrial Furnace
Farm Air CondRioner
aner (wc ,M CnnVaaor§ RemarksCompute Inspecfion Fee Selow:
8 Other Fee # ServiceEmranceSize Fee 8 CireuitslFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps U
hansformers Above 200 - Amps A6ove 700 _ Amps
SgnS inspector's Use onry: TOTAL
Irrigation Booms •a
Special InspeC[ion
AlarmlCommunication THIS INSTALLATION MAY B ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 HS. f-
I, the Electrical Inspector, hereby
certrfy that the above inspection has
been made Rough-in ? are
F,nei ?r Date
OFFICE USE ONLY ?
ThvS request mitl 18 monihs irom
/ ?EB?.00901-
Y?/ T/OS
f yfi 4 3
Repuest Date
/ C]
(? Fire ug rn Inspection
do
?es' G No
? Ready Now NA1 No41y Inspedor
When fleaey9
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atltlress (Sireel. Box or qo te NoJ
t 7 p 6?a
W°vll? City
Section No.
I
TownsOip Name or N_
Renge No
I
Cou?y ?
%N
Occupa (PRMTr?)t? PhoneNo
Powerlgypplier. ?
? t
???<< Mdress
Elecinc Pt ?or(Company Name)
?? Contrador's L¢ense No
Maihng ACtlress (COnvxtor or Owner Making Inslallauon)
AuiM1Onzetl Signature ICOnIr oYOwn Making Installa i , ?
? Ghone NumDer
3-?3 k/0
MINNESOTA STATE BOAqD OF ELECTRICITY ? THIS INSPEGTION REQUEST WILL NOT
Grlggs-MlCwey Bitlg. - Room S1T! BE ACCEPTED BV THE STATE BOARD
1821 UniversHy Ave.. St Paul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phone(B1R) 6CYUB00 ENGLOSED