3610 Denmark Ave - Electrical PermitsThis request void /,• 5r b I Q 5
0B bs17 L(c) 6l CvDssro-v C !5. id
Request to ire No. Rough-in Inspection ?
flegm redt Ready Now dl Nobly Inspec-
J Wes ?NO for When Ready
® Licensed Electrical Contracm, 1 hereby request inspection of above
?Owner electrical work installed at
Street Address, Box or Route No. City
Section No. Township Name or No. Range No. Coun/t^y`
`V U
Occu t (PRINT)
?t?. C4 FS:? CJ. Phone No.
q 3J- 9-
Power supplier
Do ko Admess
Electrical Contraor (Cornpany Name)
L I
Q
v Contract.,"s License No.
411 e7o' 3
e
u
e
,
Mailing Address IContractor or Owrer Making Instanaaonl
9 /?. Sd , ilc MU SS 113
Au iced Sigreture ICoMrector F Making Installatwn) Phone Num^l?ber ?}
i -,
MINNESIOTA STATE BOARD OF ELECTRICITY
GriggsJLidway Bldg. - Room N-191
1821 University Ave., St. Paul, MN 55104
Phone (812) 297-2111
THIS INSPECTION BEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001104
tFLf/ . J i .: erg ig y
? Sea instruptiepts for completi.q thjc `,.-.rm on beck of yellow copy.
2156 "X" 8elow Work Covered by This Request
Add Rep. Type of Bu. Ming Appliances Wired Equioment Wired
H. .e Ronne Temoorarv Service
F -T I I Irrkcstnal Blda. I XI Air Conditioner I I Bulk Milk Tank J
p Fee `Service Entrinc^Sm. p Fee FeedersrSubfeeders a Fee Cucmts
.Q 0 to 200 A 0 to 30 Amps O to 30 An!
Above 200 Amps 31 to 100 Amps I J 31 to 100 Arnf?
Swimming Pool Above 100_Amps Above 100_Am
Trartstormers Ifr igation Booms Partial/Other Fee
Signs
Inspection Is / /!
Ivv
r
r?T/?NO JJ the Electaca l?
Inspectioq hereby
+? `J a" fY thet the above
Final Date inspection hes been
i med..
Th., request void
,1Q months from
N2 21 bb L i l (l I ONS,S n a-p-cl 415:60
Request ate
?S Fun No. Rough-,d Inspection
Required?
yes ?Np
Inspec-
[]Ready Now aWill Ntrt"L.
ku When dy
Licensed Electrical Contractor 1 hambv request inspection of above
? Owner electrical work installed at:
Street Address, Bqz r Route No. Cityr-.
I Ll ?Ql i c..ck' L?
coon No. Township Name or No. Range No. Cn549
&1
OccuPan (PRINT) ?
4 .6,t,5 TSDr1 Phone No.
?3?- ?v
Pnwar Supplier
i
7-
/P
} Address
ntrracto?. ompany Namel
n
Elec
eal C
o Contractor's License No.
L V 7 3
Mad rig Address (Contractor or Owner Making Insiailati m
5
3 N
rh j s/ 13
t
. o - ( Dseul i
10wner
Au zed Signature I
C
o/quac?t aking Installation) Phone Number
i?
?
J
MINN SOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
1821 University Ave.. St. Paul, MN 55104
Phone (812) 29]2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
6151( REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' Sea instructions for completing this form on hack of Yellow copv.
FE) L2)22155 "X" Below Work Covered by This Request
Mae Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peaty the, Isoecifyl
t er Suoo y Other Oil....
Compute Inspection Fee Below
M Fee Service Entrance Size 4 Fee Feedera/Subfeedani p Fee Cucuils
0 to 200 AMPS 0 to 30 Amps 0 to 30 Amps
Above 200 Amps 31 to 100 Amps 11 31 to 100 AMPS
Swimming Pool Above 100-Amps I =
- Above 100_Amps
Transformers litigation Booms Partial-'Other-Fee.
Signs Special Inspection S ZJ' TOTALFEE
?
?/?
Remarks T
I, the Electrical
Inspector, hereby
cerUtY that the above
Inspection has been
...... !S I e. a
Licensed Electrical COn,raC(Or
? Owner
or
f-L
N.N.
or
-rwrpc 01A STATE BOARD OF ELECTRICITv
Gri,,s-Midway Bldg. - Reds N-191
1821 University Ave.. St. Peel, UN 55104
Phone (6121297-2111
r -d 'Y.Ao
;Pea,nnn
?Ready Now rjWill Noufy El N, tar When Ready
C o(y?
County ?.//?
?, r?
Phone No,
3a-s??o
Cantracmr's License No.
1?r07 3
I ? /7jK> JSll.3
Phone Number
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
5 ?y t REMEST FOR ELECTRICAL INSPECTION ER-00001A)4
1 , See instructioes for complebrg this loran on back of yellow copy.
222154 "X'- l mw W'.,tr r ..a.e . ... r - . e k h -ir
I hereby request Msoecbon of above
electrical work installed at
void 51511
m^
I C'm s sd
54It f
qS 0d
L / /?? I...Y .-?• I RegM reJ? • ?041•?•• EIReadv N.IgWill Noefv InsP.e-
'Yi'12oes Na for When Ready
L ecru' ;s d E ectrical Contractor 1 hereby request an pecnon of above
Owner electrical work installed at:
Street Address, Box or Route No.
j I?
? CGIY1
m?r C?a ?i 11
coon o. Towrrs P Name or No. Range No. Cou.fy
Occupant (PRINT) ? /
DLCS l .}- _L! ?SdYL Co Phone No.
K"rer Supplier
KID. 'L Address
Elec -cal Contractor lConmanv Namel
2
?
Ll
P Contractors License No.
ldI 3
?
r,
c
L /r
Nail Address (Comm[[. O raer Making Irrctailation
ma)
30q N. pk1')Z'4k Sd, z d le- RIO SS/
A 'zed Signet (Con mclrnr r Making losmilaLgl) Phone Number
-d- 7??
MINNESOTA STATE BOARD OF ELECTRICIW
Griggs-Midwav Bldg. - Room N-191
1021 University Ave., St. Paul, MN 66101
Ph.. (612) 2972111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
6151( REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
See instrrctions for contoletim this fans on back of vellow copy.
0 2 1 5 3 X. Re/OW W q /f?
y
0 or* Covered--by This Request
M Fee Service Entrance Size # Fee Feeders/Subleedem a Fee Cacwts
i 0 to 200 Amps 0 to 30 Am s 0 to 30 Ants
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Amps Above 100-.Amps
Transformers Irrigation Booms Partial=Other Fee
special inspection I S -(S,
A L FE E_ O
',cal'
r ?•. •? _I 1,ns the Etectncal
Final ,y Corn fv that the above
,?. ??Ir4 Dcaate1 inspection has been
mado.