1540 Deerwood Dr - Electrical PermitsL "l3
/ 3/
R uest te Fire No. T RO?u7gh-in nspecllon
? Reatly Now t?Y?Noti(y Inspedor
C N. When Ready?
I icensed contractor D owner hereby request inspeCtion of above eledricai work at:
Ja6 Atlaress ??Str'ee/t Box or Route No.t
' Giry
?? m?
22LcJGUil ? I?L-
.7`i°U tY L--r7U^
"
Seclion No. Township NOme or No. Fange Na Counry
D,}<un-l
OCCUpdnt IPRINTI Ph002 N0.
?
ll? ZC VC-(?f ?
POwar Suppliel AtltllE56
Eleclncal Gonhador (COmpany Name)
Premier Electrica! Gorpor?tion
, ConVaclo(s LIOBOSE NO-
? ,? ? 145-7
Ma?liny Atlcress ' m t3 1'NI Msla9l?a ? ?
Broaklyn Center, ?N 55429
Authorized Signemre iCOnva nDwne Making stellanon)
? Phone Numbar
?- it CP
MINNESOTA STATE 80AFD OF ELECTFICITY THIS WSPECTION REQUEST WILL NOT
' Griggs-Mitlway Bitlg. - Room 5-173 6E AGGEPTED BV THE STATE BOARD
1821 University Ave., 51 . Paul. MN 55104 UNLE55 PROPER INSPEGTION FEE IS
Ppone (612) 642-0800 ENCLOSED.
REQUEST POR ELECTRICAL INSPECTION 3`...????...
ji? See'nslmct'ons lor completIng thi610rm On back oi yellow copy.
??? r_
??4°? Gw
+?/r
J
p 09153
L6 .
"X" 8e(ow Work Covered by This Aequest ?
ew Atltl Aep. Typeof6uiltling - ApptiancesWired EquipmeqiWiretl
Home Range 7emporary Service
Duplez Water Heater Electric Heating
Apt. euilding Dryer Othev-(Specity)
Comm./Indu5lrial Fumace
rtiCA-71???
? Farm m Air Conditioner ?sJ0_9?w
Omer ecifyl GomractorS Remarks'.
?.
Compute Inspecfion Fee Below:
# Other F iceEntranceSi ?% Ciratts/Feeders Fee
Swimming Pool 0 Amps 0 to 100 Amps ?/+ a6?
ransformers 200 _ Amps Amps
igns use only. `?
- 70TAL
??
rrigation Booms ?
??
?
l Speciallnspection j
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOtT
Other FeeCCN7y,dL `j' COMPLETED WITHIN 18 MO HS. I
I, the Electrical Inspector, hereby Rou9n-in r.,/ ?p!
certify that the above inspection has
been made. Final
!
9
IOFFICE USE ONIY
This request voio te momhs from
Fequest ?a?e
L Fire No. Rough-in Inspection
Re uired? A I
? Reatly Now ?y'WIII No[iy Inspedor
?
/ l Yes L No When Ready?
I y? licensed Oniractor D owner hereby request inspection of above electrical work at:
Job A re [ re t Bw or Foute No-) City
41
? E
& cr ab
=0
int, ,? 2
Sedion No. Townshlp nlame or No. Rang¢ No. Cou
C
OccupantlPRINT)
L c, Phane No.
Power Suppiier Atltlrass
G'
EI Icai Gonhector IGOmpany N
ame) Conlractor's Llcensa No,
r
t C C
Mailinq Atltlress (Con[ractor or Owner
Makiny I nstallallon)
I ?
? 1 ?' 7? K . S. ?innc - 'f1. SSyO
AutM1Orrzetl Sign e iGO ac er Ma ing Insialiation; Pbone Number
33`1-$?, 61
v vv {i
MIN OTA STATE 60ApOOi ELECTRIpTY THIS INSPECTION RWUEST WILL NOT
Gtlggs-MlOwey Bldg. - qoom 5-173 BE ACCEPTEO 6Y THE STATE BOARD
1821 University Ave., St Paul. MN 55104 l1NLE5S PROPER INSPECTION FEE IS
Ppane (612) 642-0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION /Ea-ooom-oe
-0. See instmc[ions br completing ihis lorm on back oi yellow oopy-
?1Q
-J 7-7O "X" Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmeniWired
Home Fange Temporary Service
Duplez Water Heater Electric Heating
Api. Building Dryer Other.(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
15P ecily) Gontrec[or's Remarks'.
Compute Inspection Fee Befow:
# Other Fee # ServiceEntrance Size Fee # Cirwits/Feeders Fee
f Swimminq Pool L? O 0 to 20D Amps 1 _ 0 to 100 Amps u S 9
Transformers Above 200 ?AoOAmp J N 0 A6i Amps ?- ?
SigOS inspecmr5 Use Only:
O?? TOTAL
8 J 503y
Irriqation
ooms
Special Inspection
Alarm/Communication THIS INSTALIATION MAY ? DERED DISCONNECTED IF NOT
Other Fee 0..?0 COMPLETED WITHIN 18 MO
I, the Electrical Inspectoc. hereby Rou9h-in Date„
L
certify that the a6ove inspection has F;,,ai
been made.
OFFICE USE ONLV -
Tnis reQUest voitl 18 momhs trom
C
74474
?
,.7
Requesl oa e
u. Fire No. Rough-i nspection
-
Requiretl?
J Ready Now AWill Nolity Inspector
?
( Yes
? No When Reaey?
Iicensed coniractor D owner hereby request inspection of above electrical work at:
Jab Atltlress (Street. 6ox or Route Naj
li Z?EE?2wc?l? AR , Ciry
Section No. Township Name orNO. Range No. Counry
?
k-,C> r
Occupam \(PPINT)
-r iV 1.?) , S DI -'/ lT ' I b Phone Na.
PowerSuppLer Atltlress
A rc-v-- ??? L 3=>- 22.z>nt- ST +.?, S So 2
EiecVical Connacmr company Name,
eiApgS v V-S ? ?', ConUactor5 License No,
? b l (7
Ma?ilinyg qadress Iconlractoror Owner akin/g I?nstalletion?
C ?
A?ior•Uvne Ma4?ng Instauaoon, Phone Number
3 39 -C'7?
AL-)
MINNE A STATE BOAflU OP ELECTPICITY THIS INSPECTION REQUEST WILL NOT ilo' Griggn-MiEway BIEg. - Room 5413 BE ACCEPTED BY THE STATE 80ARD
1621 Universiry Ave., SL Paul. MN 55104 UNLES$ PROPEP INSPECTION FEE IS
Phone (812) 642-0800 ENCIOSED.
g/? 7?? REQUEST FOR ELECTRICAL INSPECTION ?'?? /??og±;o9?
?'? ', 7ll
? See instmctions tor com0W1tn9 this form on Dack ol yellow copy. g
? 4474
"X" Below Work Covered by This Request
ew Add Rep. TypeolBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Other (Specify)
Commllndustrial Furnace $? ICE
Farm Air Conditioner
Olnerayecilyl ConVactor$ Remarks'.
Compute lnspection Fee 8elow:
d Other Fee # ServiceEntrenceSize F eeders Fee
Swimming Pool 0 to 200 Amps
Transformers ZSI Above200Z vAm -Amps
SignS Inspacmr5 Use omy
! TOTAL p ?,
Irrigation Booms ' ? O
Special Inspect ion
Alarm/Communication DISCONNECTED
THIS INSTALLATION MIF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Ro°9n-'" oeie
certify ihat the above inspection has
been made.
?
OFFICE USE ONLV
Ths reques[ void 19 monihs from
a1 768
?
/??-,?
/
Request Date '
? ire No. Rough-in Inspection
Requiretl?
? Featly Now ?1MIII Notity Inspeclar
Wh
R
9
p(, f ? yps o en
eady
I?(icensed ntractor D owner hereby request inspection of above electrical work aC
Job A6aress sheet. 9ox or Roole No.)
u.1) o J fk. Clry
?ek a"
Section No. Townsnip Name or No. qange No. Counry
a_
Occupam (PRINTi Phone No.
Power S puar
o r? .?1Pc. /?JS- ndtlress s D N
3G6 - aa?f? Sr,? rv-,
Elec I Contractor(Company Na,m!a)?
A?S U vI L°C ~(?, G Cornlrea?or5 Gcanse' /No.
C? ? D I ry0
Mai ng Atltlr¢s51ConIraCtO' or OW:ler Mdking Inslalldti0nl
Fuinonzec 5 eWre (GO amwiOwner aklnq In9allehon) Pnone Number
MINN?SOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL N0T
Griggs-MiOway Bltlg. - Room S-173 V BE ACCEPTED BV THE STATE BOARO
1821 University Ave.. 51. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61Y) 6aY-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? ? Sea inslructions lor mmpleting this lorrn on back ol yellow copy 68 ??
l0
X" Below Work. Covered by This Aequest ??
Rep. Type 8uiltling AppliancesWired EquipmentWired
Range Temporary Service
Water Heater Eleciric Heating
W
g Dryer Other(Specify)
Strial Fumace
Air Conditioner
Gontrectoh Remarks Te
,
Compute Mspection Fee Below.'(?d f L Cv? O U?
# Other Fee # ServiceEntrance Size Fee # Circui[s/Peeders Fee
Swimming Pool ? 0 to 200 Amps .DD 0 ta 100 Amps Sp0
Transformers , p Above 200 _ Amps Ahove 100 _ Amps
Signs Inspecmr5 use Only: TOTAL
Uri ation Booms
O(J
?l
Z
!F ??O
Special Inspection .
r
p
i .
Alarm/Communication THIS INSTALLATION MAY BE ORDEREU-D?SC NNO ECTED IF NOT
Oiher Fee COMPLETED WITHIN 18 MONT S.
I, ihe Elecirical Inspector, hereby
certify that the a6ove inspection has
been made. Ro°9n-'" ` f-,k,
Final Date ^!, ^GZ
?
OFFICE USE ONLV
TM1is request voitl 18 months Irom
d F? 6 7 7 i??as
' - _ ?:e rva. Rough-in Inspection
O 7 I Repuiretl?
- Ves r N. ? -
? Reatly Now ? Will Notily Inspecror
When Reatly?
I censed contractor Downer hereby quest inspectionof a ve electrical work at:
Joe Aadress (SVeeL Box or Roule No.) ? ee '
'
C
Y
Secton No. TownsmD Name or No. ?d d h
Aange No
. pp?nty
Occuoam (PqMT,
Phane No.
Power Sup
AOtlress
Elecincal Conlraclor IGOmpeny Name)
Cont
ra
clor's lic¢nse No.
/
?
?
? • ?C• l??
MailingA?dc10'or0wpp, .y qp9r) ?
6 O
d
amhoed .S?awre i.omr cio?
?D er Makmg Inslallauon,
U
Phone NumOer
I
MINNESOTA S E BOARp OF ELECTRICITV
Griggs-Mltlway Bltlg. - poom 5-173 THIS INSPECTION qEOUEST WILL NOT
1821 Unlverslty qve.. SL Paul. MN 55104 0E ACCEPTEO BY THE STATE BOARD
Phone(61])642-OB00 UNLESS PROPERINSPECTION FEEIS ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
( ? Sae inslmctions lo, completing Ihis brrn on back ot yellow copY. 3Ts.`?a,. E?
g?{8"
."X" Below Work Covered 6y Thrs Request
g AppliancesWiretl
Range EquipmentWiretl
Temporary Service
Water Heater Electric Heating
In.,,,.. .
CondiVaner
Compute Inspectio n Fee Below0 1Other ? Fee
to
Fee
to iDOA
rove 100
Fee
Booms
1. the Electrical inspedor, hereby
certify ihat the above inspection has
been made.
)FFICE USE ONLY
nis reouest vortl 18 monlhs Irom
/G
Inspectors Use Ony; - N'?
7AL. W-
?J :
THIS INSTALLATION MAY BE OR ?SCONNECTED IF NOT
COMPLETED WITHIN 18 MnN7Ns
w A r. -I
?
tl 4 pt Y ?d /
08 85 ?`"?
?.
ReQUest Oate e No.
? fn Roug?-ln Inpsection Repuiretl
r when
(VOU must call inspetl
o inspedion Other Than Aougb-m
ready) 0 Ready Now fS_Will Notity Inspectar
y
?
? Yes pL No Date PeaOy
I?licensed contractor rJ owner hereby request inspection of above elecirical work at:
Job Atltlress (SVeet Box or Roule Na.l
17? Ci
? ,
j(: D _ C ?r a -
Section No. ToxnsM1ip Name or No . Range No. C. nL0+G__
Occup n PRINTI L
1
l Phone No.
Power Suppher AOOress
Elec c i nVactor (COmOdny E
1
? ?
nV' Gon ct 5llt ?58 No.
Mailing Atl ass iGOmra r Own¢e Meki? g I tellation! ?
nu:no ?E S19,a? e I?tracm wn A1a*ing Inslallationl Pn ne NumDer
\
MINNE TA ATE BOAHO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriggsMi y Bidg. - RoOm 5493 BE AGCEPTEO BV TME STATE 80APD
1821 UniverlHy Ave.. 51. Paul. MN SSiOE UNLESS PROPEF INSPEGTION FEE IS
Vhone(61]) 602A800 ENGLOSEO.
n 7 y REQUEST FOR ELECTRICAL INSPECTION ?yee-ooom-oe
p?SeeInsVUClions ?or comDleMg ihis form on back ol yellow, copy. .L?? ?' ?/?/ORj
mV 185 "X-"Below Work Covered by This Request iS?` v? ?
. u
ew a %
Add '.
Rep. '
TypeofBuiltling
AppliancesWired
EquipmentWiretl
tiome Ranga Temporary Service
Duplez Water Heater EleCtriC Heating
Api. Builtling Dryer Lvad Menagement
CommJlndustrial Furnace Other (Specity)
Farm Air Conditioner
Ciner(syeoryl ?oni Ramarks_ ? ,`'?/? ?/ /t?•?
I ll?t??. ?iT, ? Ux-?) I?LJ
Compute Inspection Fee Below:
# Other Fee a ServiceEnirance5ize Fee # Circuits/Feedars Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps ?- Above 100 - Amps
$iJnS Inspeclor's Use Only:
Irriqation Booms L? -
Special Inspection
Alarm/Communication THIS INSTALLATION MAY RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. the Electrical Inspector, here6y Ro°9n-i° oala
certify Ihat the above inspection has
been made. Finai a?
OfFlCE USE ONLY -
Tnis request voitl 18 months irom