3420 Denmark Ave - Electrical PermitsOFFI USE SE NLY This ro,uem void 18 months from volidanon doh printed in th?
333®000 ®
PLEASE PRINT OR TYPE ?/ Yes Na Inspecti on Other Than Rough-I ready Nov, 1Qy?a
Req. t Dak Rough-m mspetlion requir / ,
/V, (You must mil the ,,,,.d-1 when ready) f e.d
I, lp licensed contractor ? owner hereby request inspection of the above electr at work at: -- , y /f /Ooy0
Job Address(Strl Bo*, rRotreNo)
h^ ^ ee
3 J v fM?/C 4 !!
Range No. Fire No C rW' r?
Seai.n No Township Name or No
Phone No
P..y` Suppler /`"; _ e 1-? Ar 19 / dPM/? 1.lTNY 1.1
C
Mo.
Standard Electric Co
Mailmg Add., (C ., Inc. CA0111b
antma.r or Owner VeWcF ming Irmtallm?on)
2672 a lewood Drive, Maple d Mn 55109 Phone Na
Aothonxd SigrwNre(C.nn. edo ,kn ^) 484-8044
EB-00001 A10 6/95 "MOARD COPY-SEE INSTPUOTIONSON BACKOF YELLOW COPY
REOUEST FOR O ?
VIII IIII III !I Illlal I II VIII II I illlllll ELECTRICAL
1821 innesta at Ave, d Rm. of El BSy Paul, MN 55104 _
M
o University + /D/3//9li
* 0 3 3 3 0 0 8 2) 64e-0800 y
Home Duplex Apt. Bldg. Other: New can
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt
. Other:
Dryer Range Elec. Heat Temp. Serv
e
")(° above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee 8 Service Entronee Sae Fee # Circvits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to Amps
Street Ltg./rraffic Sig. by Above 200# Amps 3p'-' Above 100_Amps
Transformer/Generator INSPECTOWSUSEONLY.' !?? TOTAL
Sign/Outline Ltg. Xfmr. -
Alarm/Remote Control t -
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Special Inspection
Investigative Fee Final Dote
THIS INSTALLATION MAY RE ORDERED D I THIN 18 MONTHS.