3604 Denmark Ave - Electrical PermitsThis request void f Q
Imoridn' from U
newesr ale' Fire No. Rough-in InS VecUOn
1 /?? Re?qu ued? ? DReady Now ?t'II NnGfy Inspec-
Op {' f nlycs No for When Ready
It-s.Licensed Electncal Contractor 1 hereby request inspection of above
?Owner electrical work installed at:
Sweet Address, Box r Route No.
V1 r1?LP-??C City_
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ecinm No. Township Name or No. Range No. County
Ocp{pan1 IPRI )
11J1 bVl ?u?t5?,,? c_?? Phone Nn.
Power Supplier
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Elec cal C atractor (Company Name)
C- 1 4F 'T Contractor's License No.
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Mailing Address (Contractor of Owner Making I nsta Iauon)
Au razed ignature (C ntra tar/Owner Making Installation) 1h;c Number
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
1821 University Ave., St. Paul, MN 55104
Phone (021297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
I. y , ?? REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
J l ' Sea instructions for completing this farm on back of yellow copy.
16) 7 7 1 A (?.C'2 n:? ?X" Below Woi . covered by This Request ?{ 1 [?, tP U
Add Rep. Type of Building Appliances Wned Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heath
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm
Other Peary
Other (Soe ify)
tM:r Suaify Other Olhar
N Fee rService Entrance Size tF Fee Feaders/Subieedere 4 Fee Cn'm1s
0 to 200 Am s C12 30 Am S Oto 30 Amos
Above 200 Amps 31 to 100 Amps 31 to 100 AMPS
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Boonis Partial/Oth ee
aigns 1 Iope?ioi S ',2g) TOTAL
i
the Ele ical
ns pector, h e y
certify that the abave
inspection has been
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t4 j
This request void
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Repues Date /
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fy Inspec-
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_ ry( , Eyes ?No for When Ready
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[}Lcensed Electrical Contractor
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1 hereby request inspection of above
wner electrical work insta lled at:
Street Address, Box or. No. City
Ea e-(e v?
ectiOn o. Township Name or No. Range No. C //JI?y?± ?'1
Occu ann1t IPRINTI p-
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6 Phone No.
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Pow Supplier
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Ele ical Contractor (Company Namel
LC Q Cnntractor s License No.
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Mailing Address (Contractor o Owner Making Instal tion)
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Aut a signaturg ICo rac, r owper Making Installation) Phone Number
MINNEAOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
1821 University Ave., St. Paul, MN 55104
Phone (6121 297.2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED_
REQUEST FOR ELECTRICAL INSPECTION EB-OMOI-04
See instructions tun completing this form on back of yellow copy. Z/_ ? 5
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2 2 14 Below Worn Covetid by This Request
hire Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Sul ldmg Dryer Electric Heating
Comrnercial 61,19 Furnace Silo Unkii
Indust. ial BIAg. Air Conditioner Bulk Mr lk Tank
Farm Other speufv then (Specifo
the, lSUeorfy Other Other
M r Fea Service Enirence Siza b Fee Faeders/Subfeeders g Fea Circuim
( u to mU Amps 0 to 30 Amps ) 0 to 30 Am 1s
Ahove 200= Amps 31 to 100 Amps 31 to 100 Amos
Pool
U Partin L"Oth
S1, l1(/ TOTAL FEE
Rough-in l i- n 1 D t '-
1- the Electri 1
Inspector, hereby
Final
Dale rtify that the above
3J-?? inspection has been
t ? iiwee. '??
nmerequisermieiemonrmnwn /_?, _j_/ ?
This request void 5
rrel?oMhsfrom (±
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q( L(o(8S^
,Licensed Electrical Contractor 1 hereby request inspection o above
rinei.icnl work installed et:
1__I arwner
Street Address. Box Rnute o.
U I
cluou o. Township Name or No.
ange Nn.
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city
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County
Oc upant (PRINT)
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Phone No.
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EI ical ontracto!r 1/,CompaJny Name) Contra for s License No.
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Marling Address (Contractor or Owner Making Ins
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Phone N\umb?eJr
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THIS cr'TinN RPOtIFRT WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY
Gritels-MidweV Bldg. - Room N-191
1821 University Ave.. St. Paul. MN 55104
Phalle (872) 297.2111
L`_'J
2'11 4
1Rtulemiadvoid
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
0 E -00001 A4
_t.I NIL.AL. INSPECTION q l 1,10 (b 5
See i..?-._-.ons at completing this form on back of Vellow Copy. -I I b
...... _ ?,.:;e-a.r by This Request
This request Wod
B? 5(
214
FR
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?M?Tsgate Fire N o. h-in Insttection
quired?
?ReadV Now Wll NotifV InsDec-
Lilectrical Contract., yes FJN. for When Ready
Owner I hereby request Inspection of above
Slreet Address, ugo
-e No.
??? City
erti u
.
ame or No. gauge No. Cq
a "
Oc Dan (PRIN 1
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' Supplier (/
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y
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Ele nral antrac )Comby Name)
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Contract.r's License No.
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ai
ng Address (Contrac
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Signature ( .ntra-t
Otrmer Making Installation) Moore Number
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er.r
MINN
Griggs.Yidway Bldg. -Room 1•191
1ffi7 University Ava., St. Paul. UN 55100
Phone (5121 2972111
Wt. nvrv nE UEST WILL NOT
BE ACCEPTED By THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
5 { REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
r? r? , See inatruetions for completing mks form on hack of yellow cop V. 8S
2 214 7 ? )?0 3 , •X• &?r*' Work Covered by This Reouest
Add Ree Type ofeui Wing Appliances Mired Equipment Wired
klwtte Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt B..1dinq Dryer Electric Heating
Conynercial Bldg. .14 Furnace Silo Unluader
Industrial Bldg. A Air Conditioner Bulk Milk Tank
Farm
- Omer Dec. Omer Isporvtyl
611;;r Specify O er Other