3380 Denmark Ave - Electrical Permits3 3 5 ° 2 8 7 ® /Fv / r Sa Y u r que ,void a man s tram vaLdation dale poorer in his box ll
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PLEASE PRINT OR TYPE
Request Da,e Rough-in inspection required? ? yes ? No Inspection Other Than RoughIn ? Ready Now will Call
12-16-96 (you must roll the inspenar when ready) Data Ready
I, ® licensed contractor ? owner hereby request inspection of the above electrical work at.
Job Address (Street, Be., or Route No I Cry Zip Code
3380 Denmark Ave. So. Ea an 55122
Stearn No Township Nome or No Range No Fve No Cauntp
Dakota
Occupant Phone Na
Twin City Federal
Power Supplier Addrezs
Electrical Cantracwr (Company Name( Cantmcror Lcenze No Minter Lc No (Plant Elect Only)
Uhl Company, Inc. CA01B56
Mailing Address (Contmdor or Owner Pedmming Installation)
Authorized 5 nature (Coot r her Pedo in Calla an)
a a /1 JIM/) wr<1 Phone No
425-7226
EB -10 b/ ATEBO OCOPY EEINSTRUCTIONSONBACKOFYELLOWCOPY
III II III III IIII l I'll l I II IIII III REQUEST FOR ELECTRICAL INSPECTION (? ?¢^
Int Minnesota State Board of Electricity
1821 University Ave flA S 1$ /26, Paul, MN 55104
* 0 3 3 5 2 8 7 9* Phone (61 ?s12) z? 64 sax-oaoo ten//F/
Home Duplex Apt. Bldg Other: X New Addn
Commercial Industrial Farm Remod Re an
AIo Cond. Htg Equip. Water Htr Load Mgmt. Other.
Dryer Range Elec Heat Tem . Service
"K' above the work covered by thts request. Enter remarks in this space and on the back of the white copy only.
Temperature Control Wiring
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee tF Service Enhance Sae Fee # Circuits/Feeders Fee
Mobile Hame Park Stoll 0 to 200 Amps 0 to 100 Amps
Street ug./Fraffic Sig. Above 200 Amps 0 Amps
Transformer/Generator INSPECTOWSUSEONLY OTAL 111X%]
Sign/Outline Ltg. Xfmr,
_ xSX50
Alarm/Remote Control $20
50
(ffz?
?
Swtmmtng Pool .
I thereby rem that
I i ed the elect al ?nsmllation described heron on the daks shred ptit
Irrigah.n Boom *
Rough-In Dare
Special Inspection
Inves}igatrve Fee Final Dare
THIS INSTALLATION MAY BE ORDERED SCONNECT IF COMPLETED WITHIN 18 MONTHS.
- _;
II I III) I II? I I II I III III II I I III REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity
1821 U?+iversity Ave., Rm.??28??Paul, MN 5§ p4ls`
s 9 3 9 7 6* pho (812) 642-080D /qq //
0 3
N Add
Home T Dupl,, Apt. Bldg. Other: J o^^^,
above the work covered by this request Enter remarks in this space and on the ac o the white copy only.
t?.t7?so8v s? 4v? s?w?rr? r?e4ur 2f-s !4- M-f?f1-
ColcUote Inspechon Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park SYaVf 0 Ia 200 Amps 0 to 100 A'ps
;u __ •r? M
INSPECTOR'S USE ONLY
Boom
THIS INSTALLATION MAY BE
I hereby oemr, d,at I
319 ®? 9 ( ® OFFICE USE ONLY Tho request vmd I8 months from validation date printed In this box
.?52-3 ?
PLEASE PRINT OR TYPE /
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Request Dale Re
(Y c wn regmr s nspe
must II in p or wen ready), re Re ° y °
e (
a
pp licensed contract r ? owner hereby request spection of the above
I, cal war at: IZ9
Job Address (Street, Box, ar Route No)
Co e
a
Se6po No Township Name or No Range No F.re No County
Occupant Phone N.
Power Supplier Address m
J/
Electrical Contractor (Company Name) Contractar license No Master Lic Na (Plant Eled Only)
MaA Address (Contmdor or Owner per forming Inslollanon)
q.[honz tore (Cantradolr or O?Q?]?j(ne P?e/?orrn/r/? Installobon)
/lft /V]O1 Phane Na.
E8 1 -10 6195 STATE BOARD COPY- SEE INSTRUCTIONS ON BACKOF YE=WCOPY