837 Govern Cir - Electrical PermitsII I II II I II II ?III?I- EEST FOR ELECTRICAL INSPECTION
Minr`•sota State Board of Electricity
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* 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
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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.
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PLEASE PRINT OR TYPE 1
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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
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Authorix Si rwN?p?(Co MrorOwror er
rnnginsmllauon) PhonaNO.
? 1461-1444
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