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1110 Yankee Doodle Rd - Electrical Permits 3 3 4- 9 6 4_ A OFFlCE USE ONLV This reqoes:rold 18 monlhs fmm validation doh pnnkd in ~is boz /0~7~9G ~ !P 5~7 'Z! 904v PLEASE PRINT OR TYPE Request Dole Rough-in inspeclion requiredE ~aYes ? Na Impenion Olher Than Rwgh-Ire ~ Rmdr Now ~"WII Coll O~ o (Yoo must call the Inapeaor when ready) ~are Reody: ~ S I, A licensed contractor ? ownar hereby request inspection of 1Fie above el riml wo ~ 69 Job Pddrezs (Skreet, Baa, arI Rouh No. , <A <d ~ih C e S,UJ. cY yanKse t V- OJe/n M cGy a 17 Setlion No. Township Name or No. Range No. Fire No. Counry Occupanl PhoM No. dIW 1V~1 C~ Power 5 pplier Addrcss oL_ I sd~ r ic. Eleclncol Conlracmr /(Compony Name~ Canvocror Lianse No. Masrer Lk. No. (Plam Eled. Only) !e r~' ~ ~ss~• Go . DO D~n MoNinp Mdrae (Comracmr ar P.ner PeAoimiig Insmllafion) Slo,+e . au l n/ SS' /WhorixedSiqnwNm(ConhatlororOwnerPeAoeminglmloll -on) PhoneNo. za y a .3 EB-01MIA-10 6/95 SrATEBOARDCOPY-SEEINSfRUCTION30NBRCKOFYELLOWCOPY IIIII IIIIIII IFI IIIII~~I II I III IIIII II AEQUE$T FOR ELECTRICINFPEGT(ON Minnesota State Board of Electricity 1821 University Ave., Rm. 5-128, St. Paul, MN~104 * 0 3 3 4 9 6 4 4* Phone (si2) s42-0e00 Home Duplex Apt. Bldg. Qther: . New Addn Commercial Indushial Fartn Remod Re air Air Cond. H}g. Equip. Woter H}r. Load Mgmf. Other: D er Ran e Elec. Heaf Tem $ervice "X" above the work covered 6y this requesf. Enter remarks in this space and on the bock of fhe white copy only. 1,41' 25 3KIt-, Calculate Inspecfion Fee - This Inspection Request will not be accepted without the correct fee: Olfier Fee 3D` Service Enhance $ae Fee # Circuih/Feeders Fee Mobile Home Park Stall 0 fo 200 Amps 0 to 100 Amps p,pp Sireet Ltg./Traf{ic Sig. A6-_I9B A Amps ),{70 Transformer/Generator INSPECTOR'SU oNLv i TOTAL Sign/Outline Ltg. Xlmr. 7 Alarm/Remote Conhol J $wimming Pool I henb m' ins ed ele ml i ion dess' ed herein an Me doks sl E gation Boom Rough-In / ecial Inspedion ~ Inves}igafive Fee Final THIS INSTALLATION MAY BE ORDEHED DIS TED 1 D WITHIN 18 ONTHS. / 7 • OFFICE USE ONLY This reqmst void 18 months from validalion dale printed inihis . Illlllilllllllllilll~llll~lllli~~ r~~~,~~~~~~~ ~ O 4 3 7 Q 8 7 O~ PLEASE PRINT OR TYPE (~O Request Dote RwgMin inspectian requiredZ ? Yes No Inspeaion Oiher Tnan RougMn: ? Reody Now Will Coll 1/ 6/ 9 7 Ivou m~.r ~au m, ms,r«m, .hen madyl D.I. Ready: I, Micensed conlracror ? owner hereby request inspection of the obove elechical work aY. lob Address ISheel. Box, w Raule No.) Ciry Zip Code 1110 YANKEE DOODLE RD EAGAN 55121 Setlion tJo. Township Name w No. kange Na Fire No. Couny DAKOTA oaupom Phone No. OAKPOINT CLINIC Pawer Supplier Addreu Elechiml Connoclor (Company Name) Convocror Limnse N0. Mosler lk. No. (Planr Elen. Onlo Prairie Electric Co. Inc. CAO 1452 Nwiling Address (Connocmr or Owncv PeAommng Insbllallon) 6595 Ed le Blv Suite 120 en Prairie, MN 55346 ANhorized Signa r or Owner P. ~g Instalhlion] Plwne No. E600001A1 I/96 g7 ppD COPY - SEE INSTNUC S ON BACK OF YELLOW COPV REQUEST FOR ELECTRICAL INSPECTION 6p a 4 3 7~ OQ O f7 Minnesota State 6oard of Electriciry 1821 Universiry Ave., Rm. 5-128, SL Paul, MN 55104 - 28614 Phone (612) 642-0800 Home Du lex Apt. Bldg. Other: ' New dn X Commercial Induskiol Farm Remod AdRe oir Air Cond. E uip. Wafer Hfr. Load ml. O+er: Dryer Range Elec. Heai Temp. Service "X" obove fhe work covered by fhis requesi. Enler remarks in this space ond on fhe bock oF rhe white copy only. W7RE BUILDING AUTOMATION SYSTEM Colculate Inspech'on Fee - This Inspecfion Requesi will noi be accepfed without the correctlae: Other Fee # Service EnYrsnce Size Fee N Cirtvits/Feeders Fee Mobile Home Pork $tall 0 to 200 Amps 0 l0 100 Amps 20.00 Skee1 Lig./Tmffic Sig. A6ove 200_Am s Amps Transformer/Generalor INSPECTOR'S USE ONLY ~ ATOTAL Sign/Outline Lfg. Xfmr. / $20.50 Alarm/Remote Confrol Swimming Pool I hareb ce ih I i 1 e el n' an dexri6ed herein on ~hc dares smkd Irtigafion Boom Ro,M~ Dme Speciallnspection Investigalive Fee THIS INSTALLATION MAV 9E f1R OISC[1NNF _ OT LETEO WITHIN 1 M NTMS. 3 0 4- 762 OFFICE US ONLY This mquast.oid 18 monMs from wlidafian daM pnnred in thiz box. ~97~ ~ Co 9070 ao PLEASE PRINT OR TYPE 42 Requast Doh Rough-in inspection rcqWtred2 ? Yes ~ No Inepedian Other Thon Rough.ln: ~ Ready Now ~ Will Coll (You must wll Me impe 1or wM1en rendy) Date Reedy: li<ensed conhador ? owner hereby requesf inspedion of ihe above eledrical work oh Job Addrms (Smel, eoa, or Roob No.) Cih Zip Code ! D x,, «~o 0A 'ed E a r 55 z 1 Secfion No. Towmhip Nome or No. Range No. Fire No. Covn r1 - ~ ~"V 4" OFn1 n PhaneNo ~l G CG+.. + Cl, ni L y~ Power Supplia, Pddmas Eletlriyl Commnor (Company Namel Conhacmr Umnse No. Mmter 6<. No. (Plant Elec1. Only) G/ c ~ oz L/ z Moiling Pdaeass (Conkacmr or OwMr eerlormiig Insfallofon) a a tz 5-f' v n v l~ 5533~ Au rixed Sig Nm (Conkador ar ner eming InsbllaHOn) Phone No. ~.1-- a-v `6 EBOOOOIA-10 6/95 SrATEeOMDCOPY-SEEINSrRUCilON50NBACKOFYELLOWCOPY ~II I III II I I III I I II II I II I I~I ~I N~ REOUEST FOR ELECTRICAL INSPECTION MihnesoW State Board of Elechicity a * m 0 3 0 4 7 6 2 8 * Phone (612) 642-0800 . S- 128, t. Paul, MN 55164 Home Duple: Apt. Bldg. Other: New Addn Commer<ial Indusirial Farcn Remod Re air Air Cond. Htg. Equip. Water Hir. Load Mgmi. Other: D er Ran e Elec. Heat Tem . Service above the work covered by this request. Enter remarks in this space and on fhe back oi fhe whife copy only. Calculate Inspecfion Fee - 7his Inspection Request will noi be accepfed without fhe cortecf fee:jv[ Ck'yC'Sj 0 OHier Fee # Service Enhance $ize Fee # Circvih/Fecders Fee Mo6ile Home Park Stall I 0 to 200 Amps 1 $.60 15 0 to 100 Amps P'S, ga Street Ltg./Traffic Sig. Above 200 Amps Above 700 Amps Transformer/Generafor INSPECTON'SUSEONLY TOTAL Sign/Outline Ltg. Xfmn C) Alarm/Remote Control Swimming Pool i h<m6 anfif mm i m .ckd ths ai ~ h~bad ha~m on ~h~ dm,: c Iffigation Boom Raugh.ln Special Inspection Final Investigative Fee THIS INSTALLATION MAY BE ORDEREU DISCONNECTEU IF NOT COMPLETED WITHIN 1 M TFIS. 3 n~_ Q~ f~ ~ This raquest void IB months iram wlidoHon dole pnnhd in this bax-/~~ L O G PLEASE PRINT OR TYPE Rcqmsf Dob Roogh-in inspealon reqoired2 ? Y ~No InxpMion O~her Thon Rough.ln: ~ Rwdr Now 0 Will Call 3/ 2 4/ 9 7 D'a~ mu9 mll ihe inspenar when readesy) Dok Ready: I,XX licensed contracfor ? owner hereby request inspeciion of ihe above elecfrical work af: Job Address (Sireel, Box, or Ravle No) Gry 2p Code 1110 Yankee Doodle Road Eagan Setlion No. Tovmship Name or No. Range No. Fre No. Coonly Eagan Dakota OccupoM PFwr~e No. Allina Oak Point Power Suppiiar Pddrezs Electnml Comrocor (Company Nome) Convotlor prense Na. Masler lic. Na (Flvnl Eled. Only) Mailiig lddroas (Conhacror or Owner P<r(orming Inmllorion~ 4401 - 85th Ave. No. Brookl n Park MN 55443 fwthorized Si Nre (CoMm or Owner Performing I smllafion) Phone No. 424-6551 E8-0000IX10 6/95 STATEBOARDCOPY•SEEINSTRUCf10NSON6ACKOFYELLOWCOPY I III I I~ ~ I F~EQUEST FOR ELECTRICAL I~P C O II I~ ~ellll I III~IIII III IIII 11821 Univ rsdYAveefRm.S- 2BcSt. PS~ ~ * 0 3 2 b 8 7 2 4* phone (812) BQ2-0800 195947-120 ( Home Duplez . Bldg. Other: New Addn Commercial Indusfrial AptFarm Remod Re air Air Cond. Hfg. Equip. Water Hfr. Load Mgmt. Other: D er Ran e Elec. Heof Tem . Service "k' ahove the work mvered by fhis requesf. Enfer remarks in this spoce and on the 6ack of the white <opy only. Provide final connection of 2 base power feeds for partitions Colculate Inspeclian Fee - ihis Inspection Request will not be accepled without the cortect fee: OILer Fee # $ervice EnlraMe Srze Fee ffi Circuih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 fo 100 Amps $ireef Lig./fraffic Sig. ~ Above 200 Amps A6ove 100 Amps Transformer/Generafor INSPECTOP'SUSEONLV . TOTAL Sign/Outline Lfg. Xfmr. 20.50 Alarm/Remote Confrol Swimming Pool I hereb cenil thot 1 inz e el al i lallofion descnbed hemin on ihe dares smbd Irrigotion Boom Ro.gh.ln D.I. $pecial Inspeciion Final Date InvestigWive Fee THIS INSTALLATION MAY BE ORDERED DISC F D WITHIN 46 MONTHS.