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837 Govern Cir - Electrical PermitsII I II II I II II ?III?I- EEST FOR ELECTRICAL INSPECTION Minr`•sota State Board of Electricity B * 0 2 6 1 1 4* (612) 642-V0800 (? S-1? St. Paul, MN 55104 Phone ?? /2 /5'r? 83'Hp ?' X Home Duplez Apt. Bldg. New I Addn Commercial Indusfrial Farm Remod Re air Air Cond. Hig. Equip. Wafer Hfr Load Mgmt. Ofher: ? D er Ran e Elec. Hea} Tem . Service "X" above the wo mvered by fhis reqvest. Enter remarks in fhis space and on the back of ihe white copy only. Calculofe Inspechon Fee - This Inspedion Requesl will not be accep}ed wi}hout the wrred fee: Olher Fee # Service Enlrance Size Fee # Circvits/Feeders Fee Mobile Home Park Stall / 0 to 200 Amps p? a /(a 0 ta 100 Amps ? $freef Lig,/Traffic $ig. Above 200 Amps Above 100 Amps Transformer/Generator INSPECTON'SUSEONLY TOTAL $ign/Outline Lfg. X(mr. Alarm/Remote Confrol $wimming Pool I here arn that Iins h «mm II a d? nbed in on ?he daks skxd Irfi9afion Boom Roagh-In Doro $pecial Inspedion ? Investigative Fee Final Dote THIS INSTAILATION MAY BE ORDERED DISCONN TED IF NOT COMPLEfED WITHIN 18 MONT S. 2 6 5- 611 ? C USE ONLY Thn mqoesrwid 18 monlhs from validonon duro pnnled in thm baa. 4 ???.594,77 Z/ 9? ?A? ? PLEASE PRINT OR TYPE 1 ?/ R`.")'u est Duk n e 1], 19 9 6 Roo9h.in inzpedion reqmred2 [?YF ? N. „ ? , Inspedion Oiher Thon Rough.ln? Ready Now ?-MYI1Call b Re d D ro? mv?, W , ,n,? ,, w1en ,ro?) o a y I, [I '?censed mn}mdor ? owner hereby request inspedion o{ the ahove elednml work af Job Aildreas (Stmet, Box, or Roure Na.) Gy Zip Code 837 Govern Circle Eagan 55123 Secnon No. Townzhip Name or Na. Range Nn Firc No. Coonry I DAkota I O.poM Joe Miller Homes Phone N. 454-4663 PowerSupplim ^Aare,•4300 220th ST SW Dakota Electric ElMnml Conhacbr (Compoiry Nome) Contmcbr Lttnse No. MmM bc N. (Plant EIM Only) Mildiand Eelctric CA 01236 M??2e4T(cffel.or,Qwn.e?i11e,MN 55044 i? Authorix Si rwN?p?(Co MrorOwror er rnnginsmllauon) PhonaNO. ? 1461-1444 E8-000071?10 6/95 14 STAiEBOAflDCOPY-SEEINSTAUCfION50N8ACKOFYEILOWCOPY