3620 Denmark Ave - Electrical PermitsThis r.M. horn yaa81, 3?calss5
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Request t¢
3 Fire No.
I Rough-m Inspection - -
Requ red? ?Ready Now ?V/iil Nollty InsPec-
Yes ?NO Per Wfien Ready
Lice ed Electrical Contractor 1 hereby request inspection of above
Owner electriol work installed aC
Street Address, Rox r Route No.
3 City?-
7
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ect.on Township Name w No. Range No_ CountV
OcGypa IPRINT)
`. S V T JL/rl L
U (
Fhone No.
y3a- aYv
Pbvrer Supplier ier
Daa7lb Adtlress
Elec iral Contra?r (Coins,,. Name)
J Co tot's Lu, n a No.
;
Mailing Address (COMracto or Owner (Mraking IMMilanon) 1
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113
Sd: seoa MiL S5
A ized Sig.ture !Contra [or Owner Makers, Irtstallalionl Phone NivMur
MINNESOTA STATE BOARD OF ELECTRICITY
Griese Midway Bid,. - Roes, N-191
1821 University Ave., St. Paul. MN 551M
Pheets fM2) 2972111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-0e
5e o8b 0 See iestructions far completing this fors, M back of yellow copy 31, N5
""X. Be/ow Work Covered by This Request ° fl D
F"Adal Rap-1 Tvue of Buiktirig I Appliances Wired I Equip.t Wired 1
1 1 1 1 t-ortarrercial Bldg. IX ? Furnace 1 ? Silo Unloto
Industrial Bldg. Air Conditioner BUik UM.: 2k k
R Fee Servi
Efflmme Fee Feeders/SYbfeaders p Fee Cocuns
1. 0 to 0 to 30 A :1 77 to 30 Am >s
A
Abo
31 t0 00 Angle -
31 to 100
Swi Above lODAmps Ae 100Amps
Tran Irrigation Bmms 40 Pea Othe ee
Signs Special Inspection $ Rermrks pZ& OJ TOTAL FF.rE ??_1
Rough-in Date
1, the Elec
G`-? ° i.1
3 l??• rwpacbr. hereby
Final PPnifv that the ab¢V.
Inspection has been
? ? /W/ / IP iiwde.
This request word 56 o B 3 (rte (g5
1 months from
L l 5 Gross r w-,,, Regires'Dat ! Fire No. Rough-rn Ins pecL On
XI?\ R ned? Rea V Now Will NuI fV Inspec-
Ves ?Nn tnr When Beady
Licensed Electrical Contractor I hereby rag uest rnspectron of above
]Owner electrical work installed at:
Street Address, Be. or Route No C fly
ectron NO. Township Name or No. Range No. Co rnl ry
1
Lrl
Occupant (PRINT)
p d
C NN
Phone
o.
3 y
ga ??
'
o. _
Power Supplier Address
EI ri cal Contrac (Company Name)
d
: CnnI eter's License No.
V 3
ec
r
?
Mail ng Address (Centr ctor or Owner Mak.np sta ZrIaI e,?
3a,
30P k X;
)
?
/
I /r Jam
Auth tzed Signet re (Contra or/Owner Making Installation) Phone Mranter
?O - ??^/
?/ ' o
MINNI[SOTA STATE BOARD OF ELECTRICITY
Gri119s-NidwaY Bldg. - Room N-191
1821 Universitv Ave., St. Paul, MN 55104
Ph.. (312) 297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-0000111-04
7 0 b Sb It Sae matractrons for cormlotrng this loan on back of yellow copy,
0 2 2 ` 3 4 -X" BeloR Work Covered by This Request
A.
Rep. TyP0 of Buildmg 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 Mrlk Tank
Farm Other peaty Other ISperifv)
of .r ISpeofy Other Othm
CODlDufe In- oPetinu Fop Relnw
R Fee Service Entra nce S¢e It Fee Feeders/S ubfeede rs R Fee Ci rcaite
0 to ego AMPS 0 to 30 Arras _ 0 to 30 Am
Above 200 qm )S 'o 100 Amps
3' 31 to 100 A
Swlnming Pool Above 100-Amps
- Above 100?mps
Transformers Irrigation Booms Partial-'Other F
Signs
Remarks Special Inspection Sd O?? TOTAL FE
Rough-in Dale
o Electrical
Insneert rrerehv
card
fv that ifra above
Final -
a"' m has been
cod
rrede.
Tide request void 15 months from - I -.
This request void '31 le 4- ' x
IS months from 5t, O${p V?
Me 7. ?.11 ? L-k co Cw5.5 ra a?.?A L ??
R slit t ?
95 ` Fre No. RRogg fedntlnspecGon Ready Now Ly Will Nolifv Inspec-
for When Read
,J xYes 0No y
/L-J. nLwarnind Elactncal Contractor 1 hereby request inspection of above
Owner electrical work orstalled at
Street Address, Box or Route No. City
6-4-
LJ 11
ec ton No. I Township Name or No. Range No. Cu^r..J.Iy
Occupant IPRINT) Phone No.
D. 1 7 ?- O-P-1{G
Power Supplier Address
Electr I Contract{Company Name Conhactur'sL....1se No.
?
Mailing Address IC ntrac,?}}or or owner Makin Insta ilationl
t) l ?dT,rzK Sd• 0 U l ?/l3
Aut rned 5igna ore I ontr for/Owner Making Installation Phon
e
a Nomb
rr
., ,J tr
E?
?
U r?l V C ??
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Boom N-191
1821 University Ave., St. Paul, MN 551 ga
Phone (6121297-2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED-
666t)', REQUEST FOR ELECTRICAL INSPECTION EB-00001-01
' See instruct.... for comp..',., this form on back of yellow copy. ?'???
0 2 2 1 3 5 -X- Below Work Covered by This Request 5
Adtl Rep- Type of Bmlding Appliances Wired Equipment Wired
Water
El ectrlc
L_ L Industrial Bldg. I' Alr Conditioner Bulk Mdk Tank
I T Farm oma. etner lspe ilyl
on tee ffelow
p Fee Service Entrance Size k Fee Feeders/Subleedere d Fee Grcurts
I 0to 200 Am s Oto 30 Am s 0to 30 Amos
Above 200 Amps 31 to 100 Amps 31 to 100 A
Swimming Pool Above 100_Amps Above 100-Amps
Transformers Irrigation Booms (31 Partial '01h'r Fee,
'"g"8 Special Inspection
Remarks $; ,,L TOTAL F )-0
Rough-.n Date I, the Ele ric
/ Inspector. hereby
certify that Iha above
Final Dar, inspection has been
It --A b •? made.