1200 Yankee Doodle Rd - Electrical Permits -w„as yo'a8/87 7~7$~
18 mon[hs from
D 3 8 3 Y
Re4uest Date fire No. flouPh-in Insyec[ion
Re~9 u retl? ~Heady Nuw ~ Will Nnlify e-
5
I 1 ~1]Ves ?NO tor When Readv
[N Licensed Electrical Coniractor I heraby repuas[ iosoection ul above
? Owner electric»I work installed at
Street Address, Box or Route No. Ciry
1200 Yankee Doodle Road Eagan
ecuon o. I Township Nsme or No. flanBe No. County
Dakota
Occupant (PRINT) Phone No.
Dr. Kevin Lahr
Power $upDlier Atltlress
Electrical Coniractor ICompany Namel Cnn[rar,lor's License No.
Prairie Electric, Inc. 040597-7
MailinB AdJress IContractor or Owner Making Instailatinnl
6824 Washington Avenue South Eden Prairie, MN 55344
Auth i Sig e ICon[ra ne Makiny Installationl Phone Number
944-7055
IN 50T STATE BOqPO OF ELECTH ITY THIS INSPECTION PEQUEST WILL'NOT
Griggs•Midwey BICg. - floom N•791 BE ACCEVTED BY THE STATE BOAPD
1821 Universitv Ave.. St. Geul. MN 55704 UNLESS PPOPEH INSPECTION FEE IS
Phone16721642-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oooot-oe
Ii, See instruetiens.for comoleti1q this form on back of yellow copy.
~Y 3837 "X" Below Work Covered by 7his Request 1340
ff4A4dj xeo. Tvae oi Bui1aine AoPliancee wtrea Enuiument Wi.en
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Electric Heabn
Commercial Bldy. Furnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm otne, oeci v elnE!r ISneriivl
-ZlT r,r Sueci y ther Olhin
ompute lnspection Fee Below
k Fee ServiceEntrancaSize tl Fee Feetlers/Subleeders N fee Circuits
U to 200 qm 5 0 io 30 qm s 0 tn 30 Am s
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Trensrormers Irrigation Booms PartiaL"Other Fee
Signs Speciallnspection S
36.5 TOTA
Nemarks
Wire Dentist Office
flouBh-in Date
I, tha Electncn
Inspector, heroby
cartify that the abova
Final D'nte, insVection hes been
7 l~ O mede.
Ttilerepuestvo1E18monthstrom
ihis reouest voiA ~~'[/~?c~~''(P `JG' %J
18.nwnths fVom
C 12 4 5 0z .a .ei
Request Ua~e Fire No. Rovph-in I ection
~_Req iro ~ReadY Nuw ill Notily, Insoec-
s ?No [or When fleatlv
icensed Electrical Contractor I hereby reauestinspection otebova
? Owner electrical work installed at:
Sveat Adtlress, Boa or Haute No. CiIY
e ~ ~
/ ;Z D -
eciron o. Tow ship ame or No. RanBe No. Coum ~
T-/~
Occuoem (PHINT) Phune No.
Zil 60 " C' .e P~,d
Power Supplier Aadress
/~o r L 7`0 10
Elechical ContraeIor (COmpeny Na el Cumeactor~s L' ensa No.
(9~Y~~j~ .(~n~
Mz~ng A Jress Contractor or Ownar Making Inslailation)
711,1 041/tl S'B P .
Autho ize ' nat ICan ctor n r ki I tallati nl Phone Number
~ a0
MINNESOTA gTATE BOAflD OF ELECTNICITY THIS INSPECTION PEQUEST WILI NOT
Grigps•Midwev 91dg. - Noom N•197 BE ACCEPTED BV THE STATE BOARD
1821 Univarsity Ave., 51. Paul, MN 55104 UNLESS PFlOPEN INSPECTION FEE IS
Phnrm 16121297.2111 ENClOSED.
/,p-/ uutsl hUX EIECTHICRL-rIGSPECTION es-oocoi oa
Sae instructions for coiApletin9 this lorm en back ol venow coav. 6-~G '71
12 450 "X" 8elow Work Covered by 7his Request
Add p°P• TYOe oi Builtling ApOlioncea WireE Equipmenl Wired
Home Range Temporary Service
Ouplex WBter Heater Lightiny Fixtures
Apt. BuilAing Oryer Electric Heabn
Commercial Bldy. Fumace Silo Unloader,
Industrial Bldg. Air Condi[ioner Bulk Milk Tdnk
FdffO Othe.r 79-P v .thce ISneufv)
1 er SVeci y Other Othur
ompu[e lnspection Fee Below
b Fee ServiceEntrenca$iie M Fea Fepders/5ubfeeders M Fee Circuits
0 to 200 qm s 0 to 30 qm s 71 0 cn 30 An~ s
Ahove Amps 31 to 100 qmps 31 to 100 Am ~
Swimming Pool ~ qbpy Am s Abave 100_Amos
Transrormers Irngation &wms Partial.'Other Fee
Signs Special Inspection
Berrtarks S7y,') T07AL F ,
Bauph-in . ~ Do~e
% ha Elec Inspector, hereby
final . certily that the above
Omje~ s0ection has been
11 - ma0e.
TltlereQUeslvdEtBmontMtmm v
This request voitl p 0 ~ S(~
18 mon[hs /rom
~v
E 235
fle~uBSt Uale ire No. 1 NouHh-in InsUection -
Required? ~FeatlY-NUw ill Notifv I.s0ec-
$ 'r ~Yes jikNo ~~r When Neatly
elicensed Elecviwl Contractor I hereby requast inspec~ion oi above
? Owner alecVical work iastalled ai '
: St
17- reet AdCress, Box or floute No. Cfty (ae y47,.r4ev, D~
ecuoa o. Townshi0 Name or No. Range n. County
D. Q~
Occupanf IPPINTI Phone No.
`rz> W/.j G@w TL'1R (za l~~-. i~ L f)l
Pow¢r Supplier Address
D L
Elec[iical Convacmr iCOmpany Namel Connacmr"s License No.
OC. y~+.. p~ e, c~2~~ b -
Mailing AdJress IConIIactor or Owner Makrne Inslailationl
0 ,.c oSc~ 4,665r- St-) Y~/nC
A orized Sienamre ICOnvaclor/Own r Making Installationl Phone Number
MINNESOTq STATE BOAND OF ECTqICITV THIS INSPECTIO QUEST WILL NOT
Griges-Midwey Bitla. - Moom N-191 BE ACCEPTED eY THE STATE BOAND
1821 Universitv Ave.. Sl. Peul. MN 56104 UNLESS PPOPEN INSPECTION FEE IS
vnnnaiaigi enznwnn ENCLOSED.
(o J$S' REQUEST FOR ELECTRICAL INSPECTION ~ epe-oooaico6
_ ~ See insROCtions,br completing this torm on back ot yellow copY- O~~'J lf
E 235 "X" Below Work Cavered by This Request
AAd Rep. Type oi Builtling Appliancea Wired Equiyment WireA
Home Range Temporary Service
Duplex Water Heater Li(,)htiny Fixnues
, Apt. Building Oryer EleCtric Heatin
Commercial 81dg. Furnace Silu Unloader
IndUStrial BIAg. Afr Conditioner 8ulk Milk Tank
Farm Otber Deci y Olher(5necify)
t.r Sucu y Other Othcr
ompule lnspection fee Below
p Fae ServiceEntrence5iie b Fee Feedere/5ubfeeders b Fxe Cfmurts
0 to200qm s Oto30qm s Otn30Am s
Above 200 qmps 37 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_A~ntri
Transformers Irrigation Booms Partial"O ee
Signs Special Inspection 5
~ TO L
Aemnrks "Z
flouBh-in Me 1. th el
Insoector, ~ereby
rortily that the abova
Final Nieinspeclion hes baen
v mede.
mie repueal voltl 18 montOS irom
This repuest void yj//,?/87 Ai'f' '7Jry-J rf
18 months from -
C 7 6 8 9 3 ~ ~
ReqIIest Dat'e Fire No. {1ouPh-in Inspection
I 1 Aepmred? [311eady Nuw~}W~II Nolify, Insaec-
?Yes o lor When fleady
Licensed Electrical Contractor I heraby reQUeat insoecfion o1 abova
Owner elecbicel work inatelled at:
Street Atldress, Boz or Route No. City
/a
Ve, n - ef-
ecLOn o. Tow s 0ip Name or No. Ran9e o. Cowrty
777 C
OccupantlPRINTI Phone No.
Pow¢r Supplier Atltlress
Electrical ;lOnV/actor (Com ny~ I _ r Cnntr ctor"s License No.
~ ~6~~~
MadinB Aadress I oC niractor or Owner Makinp Ins il nl
Q 55~3~
AWhorized ignamre,(Cantraclor Owner Ma ing Installa 'on) Phone Nomb Nn
~ ^L 0 I
MINNESOTA STATE BOAPD OF ELEC ICITY TMIS INSPECTIDN PEQUEST WILL NOT
Gripps-MiAwev BldB• - poom N-181 BE ACCEPTED BY THE STATE BOAND
1821 UnWersifv Ave.. St. Pee1, NN 55104 UNLESS PNOPEF INSPECTION FEE IS Phone (612) 642-0800 ENCIOSED.
5'/I,j/$7 REQUEST FOR ELEC7RICAL INSPECTION e!e~-aoo,o/i-os
, Sea inahuc[io~u br completing lhis torm pn baek of vellow cooV. 7'~~
C"X" 8elow Work Covered by Ihis Request
Home Range Temporary Service
Fomp,te TVpa ol Buildin0 AoDlioncea WiroO Equiumant Wired
Duple.x Water Heater Ligh[iny Fixtures
Apt. BuilAinc~ Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader
InduStrial 81dg. Air Conditioner Bulk Milk Tnnk
Farm thxr Peci Y thpr (SPOr,ily)
t r ueci y Mer Oth¢r
pectionFee Below /La -
N Fea SarviceEntrenceSize 11 Fee Feeders/Subieeders N Fea Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am
A6ove 200 qmps 37 to 100 Amps 31 to 100 Anim
Swimmin Pool Above 100_Am s Above t00_Am s
Transformers Irngation eooms Pertiab'Other Fee
Signs Speciallnspection $
Y
~ TOTAL FE ~
Rema rks
o 140
flauph-in Da1e I,the Elec "
. ~ ~y3•-~ Ineoector, herebv
certity thet the nbove
Final inaPaction hes been
U y onsae.
TNarepueetrolel8monthelrom .
This request void
18 monMs (mm
E 4660 a'i
ReqJest Cat@~ p~/' Fire No. peyph-i InsVection ~fteaAY Nuw ill Nnlify, Insoec-
~ O es ?No lur When PeadV
Licensed Elecvical Contractot 1 hereby re0uast inapection oi ebove
? Owner eleclrical work installed at:
Sveet Address, Box or Rouce No. j5-, r OlJ4z Citv
J-Z(00 n6e NE .[Dftkarpr
ection o. Towns ip Name or No. 1 Ran7 Cownry
~?R-6 ~
Occupnnt IP111NT1 .~jPhone Nc.
OR: s ?coG C ~ oe~
Powe( $upplier Address
ElecUica on[ractor ICO nv Namel Cnnlrnctor's License No.
~Ge~ keT f1~~-/-~c ~7 317 -
Mailin0 AdJress (Conlractor or Owner MakinU Instailation)
~ 1 / I {ti0 S~ r Authorized Signamre (Convaclor Own Making InIIaY nl Phone Number
Z. _
MINNESOTA STATE BOAND OF ELECTflICITV THIS INSPETION FEQUEST WILL NOT
Grie9s-Midwey Blde. - poom N-181 BE ACC~PTCED BY THE STATE BOANO
1821 Univarsitv Ave.. St. Paul, MN 55104 UNlE55 PNOPEN INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
~ See inshuetions,(or com,n)etinq lhis form on back ol vellow copy. ~2 96+ 4~z-
E't!~ 0 "X'Below Work Covered by 7his Request
Nov4Addj Neo. Tyoe ol suilaing Aaolinnees wieed Equipmeni wi.ed
Home Range Temporary Service
Duplex Water Heater Lightinq Fixtures
Apt Building Dryer Electric Heabn
Commercial Bldg. Furnace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tnnk
Farm tnet Pmv v oiho~ Isne"ivl
I r!! SIICII(y IhCf 01M1l±f
POU"te lnspection Fee Belnw
p Fee SarviceEntrence5ize M Fae -1++,h+?Subienders N Fnrt Grcuits
0 to200Am s 0 to30Am s 2. 0 tn30Am s
Above 200 qmps F',(J 31 to 100 Ainps 31 to 700 Am s
Swinvning Poal Above 100-Amps Above 100_Am>s
Transformers Irrigation Booms PartiaLOther fee
Signs Special InspeCUOn $
Remarks TOTAL EE~ ~
(.t r
Roueh-in • .ne I.Ihe EI '
Inspector, heraby
~'na certily that the ahove
inSpBCtiOlt IldS bBln
made.
TMS repuest miO 18 moNha Imm
12240
Re st Da~e `Fire No. Rou h-in Ins tlion
a - 9 o Requiretl? ~ ? Reatly Now ? Will Notity Inspector
? Yes ? No When ReaOy?
IPeensed contractor ? owner hereby request inspection of above electrical work at:
Job are Stm j. Box or Fout No
~E!
Seqion N. Township Nam r No. Ran9e No. Counry
Occ IIPRINT~ PM1One No.
L E o
Power Sopplier AOtlress
Elecvical C mractor (COmpany Name) ConVacmrS License No.
Maling AEOress COnVacmr or Owner Making Installalion)
AufM1Onzed SlgnaWre (COnlracYOrlUvner Making Installation) PM1One NumEer
f,
MINNESOTA A BOARD OF ELECTRICI THIS INSPECTION REpl1E5T WILL NOT
Griggs-MlOwey Bltlg. - Room 5193 BE ACCEPTED BV THE STATE BOARD
1811 Unlvenlty Ave.. St. Paul, MN 55100 UNLESS PFOPER INSPECTION FEE IS
Phone (812) 6a2,0800 ENCLOSED
.
REQUEST FOR ELECTRICAL INSPECTION ~ ~;~~o~ es.ooom-m
~ See inslmctions tor completing this form on back of yellow copy #1 n C'/. 7 JL'~
~ 7? (B~.J
~ ~j' "X" Be/ow Work Covered by This Request ~
ew ttld Rep. TypeofBui(tling AppliancesWired EquipmentWired
Home Ranga Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommAlntlustrial Furnace
Farm Air Conditioner
Other (speciry) ConVa<1or's RemaArks:
Compute lnspection Fee Below:
# Other Fee # ServiceEmran ize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo Amps
Signs Inspacmr5 Use Only: ~TOTAL
Irrigation Booms Special Inspection
AiarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 19 MONTHS.
I, the Electrical Inspector, hereby R°u9n-in oare
certity that the above inspection has F;,,ai
been made.
OfiICE USE ONLY
This request void 18 months hom
- This ruavast wid
ir 7H mn;nhs hom
C 6 7 518 a17°~
Request Date Fire No. Rgoquhe~n7 nsPectian ~qeady Nuw WiII Notify Insper
?Ves ?NO tor WAen ReaJy
Licensed Elecbical Contractor 1 hareby repuest inspection ot ebove
? Owner . eleecripel work instelled at:
Sueet Atltlress, Bos or Route N. City
ection o. Tow i0 eme or o. Range No. County
Occupani (MINT) Phone Nn.
Power $uD0lier AiFdress
Elecv'ca1 Contrecmr (ComDany N el ConVacm~'s license No.
Maili p Address 1 ontrecto or Own Meking Instailation) `
AuMori SiBna[ure o c wner akine Installa ionl Phone umber
' -~Zf
MINNESOTA STATE BOARD OF ELECTflIGITY TN INSP CTION REQUEST WILL NOT
Gripga-MiJwey Bltlp. - Room N-187 BE ACCEPTED BY THE STATE BOARD
7821 Univeraitv Ave., 56 Peul, MN 65104 UNLESS PPOPEN INSPECTION FEE IS
Phone(812) 842-0800 ENCLOSE~.
REQUEST FOR ELECTRICAL INSPECTION olft ryEB-0000p1-Dn5
jl~ Sea imtruexions for.completinp ihis twm on beck oi vellow copy.
7' 1 "X" Below Work Covered by This Fequest
kiavfAdd Reo. Typa ol Builtling AoOliancea WiraA Equiumenl Wired
Home Range Temporary Service
Duplnx Wa[er Heater Li htiny Fixtures
Apt. Building Dryer Electrii: Heatm
Commercial Bldg. Fuinace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm [her Peci y ther ISner.ilyl
t er SUOCi y t er Oth.r
ompute lnspection Fee Belaw
p Fee ServicaEnhenee5ize p Fee Feadars/Subfeedars k F e Girwits
0 to 200 qm s 0 to 30 Am s tn 30 Am
Above 2 0 qm ~s 37 to 100 Amps 31 to 700 Amps
Swinunin Pool Above 100_Am s Above 100_Am s
Transiormers Irrition Booms Partial-'Other Fee
Signs Special Inspection
Nemarks r $ ~ TOTAL F E~jj
Y{
Rouph-in ~ . 1e~ I, the Elechical
InsDBC~oq h0/aGy
certify thet the nbova
Final hes been
~ ~ mede.
(Uls repuast volE 1B montM irom
This rxquest void~~~/~~
18 months from C) d G'~
E- 18 2 6 i 13 1 r~. oo
Nequesl Date Fire NO. RouGh-in InsVCr.tion
~J flequ retl? ~fteaAy Now Will Notity ~n50ec-
g jj ?YOS No lur When ReadY
O-L icenseA Elec[ncdl Coniractor 1 hereby request inspac[ion at ebove
Owner electrical work instelled eL
Sveei Address, Bos or Fou[e No. y~ Gitv
ection o. Tow hip Nrme or No. flange No. County ^
Occupant IPPINTI _ Phone No.
6 L u e C " SS
Power Supplier Address
Elechical Conhactor ICompanV Namel Contrnctor's Licnnse No.
COLLINS ELECTRICAL CONST. C0. 0395-47-2
MailinB Atldress (COnttactor or Ownar MakinB lnstailation)
278 State Street St. Paul MN 55107
Autho - i0~awre ICon a nr Oy~oer M' king Installation) Phone Numher
612)224-2833
MINNESOTA STATE BOAFO OF ELECTRICITY TMIS INSPECTION AEQUEST WILL NOT
Grigga-MidwaY Bldg. - Noom N•191 BE ACCEPTED BV THE STATE BOAND
1821 Universitv Ave.. SL Pnul. MN 55704 UNLESS PflOPEH INSPECTION FEE IS
on....e ~F»i weg.nann ENCLOSED.
T FOR ELECTRICAL INSPECTION EB- 0001-06
REQUES S~/
~ See instructions lor cofnoletine Ihis form on back ol yellow copV.
~ a q
E•1'8 2 6 "X' ' Below Work Covered by Ihis Request FIns Tyoe ol Bu ilain0 p.ooloncee WIreE Equiumant Wired
Home Range Tempmrary Service
Duplex Water Heater Liyhtiny Fixtures
ApL BuilAmg Dryer Electric Heatin
Conrnercial Bldg. Fumae Silo Unloader
InduStrial BIAg. Air Conditinner Bulk Milk Tank
Farm Other pau v Ulhcr t er yC Ufy O[her Other
pectran fee Below
p Fee ServicaEnvence5iie k Fee FextlerS~SuhlaeAers « Fex Circuits
0 to200qm s Oto30Am s Oto30Am s
Above 200 Ain~s 31 to 700 Amps 31 to 100 Am s
Swimming Pool Above 100-Am s Above 100_Amps
Transiormers Irrigation Booms Partial."Oth
Signs SVeciallnspection 5
/ ~p F
Nemarks ~ pyJ ~Go~ .5-0 E4W w
QSL i
flough-in Dnte I. t lacvi
Inspector, he, aby
ertify tliet the above
Pinal Oxtr
~ inspection has baen
rP maae.
Thie request voM 18 months fmm
This requesl void~i~//'//p~
18 npmhs from
~5 3-~ 9 6~, ~
Rzquest Date ire No. qnuPh~in Inspeclion
Re4~ired? ReatlV Now Q Win Notiiv. lnsoec-
6
2 cYes ~ tor When ReadY
ALlcensetl Electrical Comractor
? Owner I hereby request inspection of ebove
elachical work instellad at:
Street Address, Box or floute No.
e ion n00
N.nshi Name o~ N~. ~V yC2 ~
flanpe No. County
Occu A PRINT)
1& CIVO J S Phone No.
PoYVer Supolier Atldress
Elec[rical Cnntractor ICompany Namel
Contrar.mr's LicensO No.
Collins Electrical Const. co, 0395-472
MailinB Address ICon[racmr or Owner M, kinfl Installation)
278 State Street ST. Paul MN 55107
Auth Si ature ICo or wner M kinB Installa[ionj Phone Ntember
(612)224-2833
MINNESOTA STATE BOAND Of ELECTNICI THIS INSPECTION HEQUEST WiLL NOT
Griggs-Midway 91dg. - Naom N•197 BE ACCEPTED BY THE STqTE BOAND
1827 Universitv Ave.. Sc. Gaul, MN 65104 UNLESS PROVER INSPECTION FEE IS
Phone (6721 642-0800 ENCLOSED.
REQUEST FOR ELECTRICA4 INSPECTION E~B/-00v001~6
See instmctions lor 4om0letin9 lhis brm on beck ol Yellow copy.
~ $~O 9 6 X'" Be/ow Work Covered by 7his Request X 9.2Q 7
Aricl Nep. TVPe DI B.iltling ApPlianCea Wired EquiVnien[ Wire!1
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtmes
Apt. Building Dryer Electric Heahn
Commercial Bldy. Fumace Silo UnWader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm Otn" oro v 00hcrl5nec00
t rr Suec1 y Othnr Oth,;r
ompute Inspection fee Below
p Fee Sarvice EnVanceSize !i Fee Fexders/5abfeeders # Fae Circuits
U to 200 Am s 0 to 30 Am s 0 to 30 An s
Above 200 qmps31 to 100 qmps 37 to 700 'Am s
Swimming Pool Above 100-Am s Above 700_AmPS
Transinrmers Irrigation Booms Partia6'Other Fee
Signs SUeciallnspection
Nemerks 536 OT FEE~
HauBh-in ~ Oate 1.the Ele '
InSpeClor. hereby
ceriify thet the above
Final ` G,~ ~'11e! L inspectian has been
rI-o mea.
fliia rapueat voiE 1B momlu irom
This re uest void oZ Y/
18 momhs from `~/a7157
Reques[ D2te Fire No. Rnugh-in Insuer,tion InsUec-
R neA? Heatly Nuw Q Wiil Nolity,
3-g qYes ?NO tor Whan Heody
Licens¢d Electrical Convactor 1 hereby request inspaction oi above
Owner electrical work inslallad et:
Sfreet Atldress, eoz ar Rouie No. 1 City
1.2,90 /L VOO ~V /`/7
ectmn o. T nship Name or No. Range No. Countyn/~ y
Or.c (PflINT) Phone No.
~ u L tf- ss
Power SupDlier AAdress
Eleclrical Con[ractor IComOany Namel ConVeclor's License No,
COLLINS ELECTRICAL CONST. CO. 0395-472
MailinB 4.dJress IContraclor or Owner Makinq Instafla[ionl
7 te Street sT. Paul MN 55107
Corize Bre ( ac Ow r akiny Installation) Phone Number
(612)224-2833
MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION HEQUEST WILL NOT
Grigga-MiOwey BIdB. - Hoom N-197 BE ACCEPTED BY THE STA7E BOA0.D
1821 Universitv Ave., St. Paul, MN 55106 UNLESS PflOPEP INSPECTION FEE IS
Phone (672) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTlON ~-00001~06
~ ' Sea instructions lor completing this form on back oi yellow copy.
b'2 2 "X" Below Work Covered by This Request 7
AAd Rep. Type of Building Applipncea Wiratl EquiVment WireA
Home Range Temporary Service
Duplex Water Heater LiGhtiny Fixtures
Apt. Builtling Dryer Electric HeaUn Commercial Bldg. Fumace Silo Unlonder
Industrial BIAg. Air Conditioner Bulk Milk Tank
F8lrt1 ther pei;iFy Olhe, ISp@r.ilyl
t .r $Ueci y the, Othur
ompute lnspection fee Be/ow
N Pae ServiceEntrence5ize Ir Fee Fexders/Sublextlers H Fxe Gircuits
0 to 200 qm s 0 to 30 qm s 0 tn 30 Am s
Above 200 Amps, 37 ro 100 Amps 31 to 100 Ar s
Swimming Pool Above 100-Amps Above 700_Am s
Transiormers Irrigation Boorris Partial.'Other Fee
SignS Speciallnspection %17,4 r _
Remvrks N OTAL ad,~ Sa • ~pi.a
Nough-in Date iha Elac cal
~ Insoecbr, heraby
certily thet the above
Final D¢te / {nspection has been
CP~ w mede.
thin requeat volC 18 monfhs fram
This requesl void~//~/~'~ p~/2 /2 v
le rmmhs from O
E 18 ~ 0 ! ; 1 ~ i~, . n o
Requesl Uate Fire No. RouPh-i Insuection
NP?quirotl? Reatly Now Q WiII Notifv ~~soec-
yes N. mr When Peady
Licensed ElecVical Convactor I hereby raquestinsDection of abova
Owner eleclrical work installed at
Street Adtlress, Box or Noule No. a~ CitV
/ o Nzirr jJl 45~X A,1
ecuon o. ownship Name or No. flange No. County
I
Oc (PpiNT) Phon¢ No.
Mkr r'gos-!;
Power SupDlier Address
ElecUical Conhacmr IComOany Numel Contrar.mr's License No.
COLLINS ELECTRICAL CONST. C0. 0395-47-2
MailinB Address ICOnVactor or Ownar Makine Instailationl
278 S Street ST. Paul NIN 55107
Auih zatl $i ture (Cont ~ne aking Inslalletionl 1 Phone Number
(612)224-2833
MINNESOTA STATE BOAND OF ELECTHICITY 7HI5 INSPECTION HEQUEST WILL NOT
Griges•Midwey Bltlg. - Room N•191 BE ACCEVTED BY TME STATE BOAPD
UNLESS PROVE0. INSPECTION FEE IS
1821 Universitv Ave.. 51. Veul. MN 55104
Pnnnnlfi1215a2.oNao ENCLOSEO.
oi-o^s
REQUEST FOR ELECTRICAL INSPECTION o7~
0 See instruc4ans for completind tRis form on bnek of Vellow cooY.
~x"" Below Work Covered by lhis Request x RN
E_18.,~~0 ~
AAd NeO. TVCe ol BuilCing AOUliancea Wiretl EquiUment Wire!1
HOme Range Temporary $erviCe
Duplex Water Heater Lightinp Fixtures
Apt. BuilAing Dryer Electric He2iin
Commercial Bidg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm ~ne~ oeci v 011her lSnecHVl
t.r ua.eifY ~ cr O er'
ompute lnspection Fee 8elow
p Fee ServiceEntrence5ize A Fea Fextlers/Subfexders N Fan Cir uits
U[0 200qm s 0 to 30 Am s 0 to 30 Am
Above 200 qinps. 37 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s A6ove 700_Am)s
Transiormers Ivigation Booms Partial.Othe Fee
Signs Specialinspection S
NerrNrks OT L FEE
SI~E E12GtG~. COGON 0
flouph-in Date al
Inspector, by
erliiv t~at the ahove
Final / D'nte insoeclion hes bean
meae.
?
Thie reQUest voltl 18 monlhs irom
0 ~ 18 5 D, i ~ ~79 ~
~88'
Repuesl Cfaie Fire N. gp-In Inspection Requiretl Inspeclion Other Then Rough-In
(YOU must call inspeclor when reatly) 0 Ready Now ~ Will NoOty Inspector
i /3 ~ ? Ves ? N. Date Reatl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Mtlress (Streel, Box or RoWe No.) CiTy
00 E4 64AJ
Seclion Na. io ship Name or No. Range No. Counly
/
Occupanl(P T) Phone No.
uCE - ~.uE h~/eZ.D
Power Su ier Adtlress
/ ~V
Eleclrica nlractof (COmpany Name) ConVacmts License No.
DGE3' C 2 S &fl
Mailing Atldress (COnlrecror or Owner Meking Instellation)
2. 7 ~ i CG/1lp~LE 1/C J% - S.S/d
A honzetl SigneWre (COnlracloAOwner Maki Install ion~ Phone Number
z2 7-
MINNESOTA STATE BOARD OF LECTRICITV THIS INSPECTION REOUEST WILL NOT
Grigga-Mitlway Bltlg. - Room S 28 BE ACCEPTED BV THE STATE BOARD
1821 UniversRy Ave., St. Paul, MN 5510a I I II UNLESS PROPER INSPECTION FEE IS
Phone(612)602-0800 ENCLOSED.
7y R~EQ~~U-Tp~OR ELECTRICAL INSPECTION es-ooooi-o/s
/ CY~B(~uaions for wm"Rnng tM1is Fortn on back ot yellow copy.
C400,15 ' / U 1 - T
'X" Below . ' W~oot&red by This Request
Ne Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Fumace Other (Speci ) V-
Fartn - Air Conditioner o.r
Olh cily]~~ Coniraclor'sRemalks:OuTdW 2 n'~ ~ y~~
C: jp y
Compute Inspection Fee Be/ow: ~ yzAl-~" MoF/CA-T7C,clS'
# Other Fee # Service Enlrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 ta 100 Amps )E O.cO
Transformers Above 200-Amps Above 100 Am s 7Y. e
Sigfls insvecror's Use Only TOTAL
Irrigation Booms
Speciallnspection Alarm/Communication THIS INSTALLATION MAV D DISCONNECTED IF NOT
Other Fe ~ COMPLETED WITHIN 18 I, the Electriral Inspector, hereby Rough-in °ace~~~~y(J
certify that the above inspection has
Final ~ f vF oet ~
been made.
OFFICE USE ONLY
This request voi0 18 months Imm
K07 72 /o7a7 3
Reques~ Dafe Pire No. Rough-in Inspection ~^'7 Requiretl? ? ReaEy Now KWill NotiTy Inspector
/2- ? Ves C No When Reatly'1
IX licensed contrador ? owner hereby request inspeclion of above electrical work aT
Job Aatlress 1Street Box or Raute No. t Ciry
ZOO nI~RSI ~ ' `--1 ~
$ection No. Township Name or No. Ranqa No.
Occ t(PRINT) Phone No.
s~\ a
Pawer SuDPlier Atlpress
Eleancal Conhactor ~COmpany Name~ Gontratlor5 License No.
`42Y c~FY-i C. c-0 2-
Maiiinq Adtlress (COntrector or Ow er Makmg Installation) c
Nu o o Slgnalure ICOnbactovOwn r Making Instal alioni Phone Number
' 8ald - 3555
MINN 0 STATE BOAPO OF ELECTRICI Y iHIS INSPECTION REQUEST WILI NOT
Gtlg ~M way Bltlg. - Room 34]3 BE RCCEPTED BV THE STATE BOARD
1831 ' ersity Ave., 51 Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane(613)602-0800 ENGLOSEO.
I0"IQ11 REQUEST FOR ELECTRICAL INSPECTION ~~yT"ee.ooom-oe
? Sa - simct s loc ~or.pleting this krm on back ol yellow mpµ /O
ne 07272
tl0 g~1/7~ory:`X" Be/ow Work Covered by This Request m.o ~
ewAAd Rep. 7ypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Othec(Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Otner (sVinifY) CoMractor§ Remarks:
lu~r¢, cnoli rt9 '~r' # Pu^`P~
Compute Inspection Fee Below:
# Other Fee # Service EniranceSize Fee # Circuifs/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 1BB`Amps3b "
Transformer5 Above 200 _ Amps z 100 _ Amps
SigpS Inspector's Use Only: TAL S~
Irrigation 8oom5 TO
~ ~i
Speciallnspection
Alarm/Communication TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee g'0 COMPLETED WITMIN 78 MONSyS.
I, the Electrical Inspector, hereby Rouqn-m
certify that the above inspection has e
been made.
OFFICE IlSE DNLV
This requeSt voitl 1B monihs Irom
J 6 3 6 2 9 ~ 13 d6i, , 1,oo ~794re 7
Re Quest Dale Fire No. Rough-in Inspeclion
Q~/ y ~ Repuiratl? ? Raatly Now AI Notify Inspeclor
~ G Yes No Whan Reatly?
I icensed contractor ? owner hereby request inspection of above electrical
JoD tlress ISheet Box ar te No.~ ~ Ci
I ZOO Rou.v e2, 6o~L2 P, d
$edion No. Townshlp Name or No, Fange No. Coun
Occupanl(PFINT) Phone No.
wAT v i e cs F i c e. To w-e 1--
Power Supplier Atltlress
Eleprical ConVaclor (COnpeny Name; CanVaclors License No.
c5 20 53Q
Q
ver ree.~ FLecTni~. ~Av c
ng Atldres ICOntratlor or Owner Making Installatmn)
73 25-C Tis i x.vv MPL5 SS~tz~
AWhonzetl Signature I@onlractor+Owner Making Installation) P~On2 NvmD¢r
53,6- l/zv
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION REQUEST WILL NOT
Griggs-MiAwey Bltlg. - Poom 5-1]3 BE ACCEPTED BV THE STATE BOARD
18I1 UniverSity Ave., SL Vaul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Ghone(612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee.ooom-oe
? See instructions for complting this form on back oi yellow copy,
s
J
6362Q ad 'X" 8elow Work Covered by This Request ?r r
e AtltiFlep..,-+TypeofBuilding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Builtling Dryer Other (Specify)
Comm.llndushial Fumace
Farm Air Conditioner
Omer (suecily) CoMractor's Remarks: ~ 00 L I N~ ro u, e"i--
Compute Inspection Fee Below: Co.N Tro t- L~fl I N I N
# . Other Pee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transiormers Above 200 _ Amps AEo Amps
SignS Inspecmr's Usa Only:
Irtigation 8ooms Qt:
Special Inspection Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical InspeC[or, hereby Rouqh-in oaie
certify that the above inspection has F;,,ai oaie.
been made. C
OFFlCE USE ONLY ~
This request voitl 18 monNS irom
This requesl void 7R12~l
18 momhs from
E 3 419 6,c 00 c~
RaquesYDa~e Fire No. Roueh-ln Insueclion ~
Requiretl? Ready Nuw Q Will Notfly InsDer.-
3/ ?Yes ?Na tor When FeodY
Licemsed ElecVical Contnctor 1 hereby request inapaction of above
Owne.r electrical work installed ac
Street AdAress, Boz or Roure No. Ciry
A OLE 6. C~S4r
ecuon o. I/lownship Name or No. flan9e No. CowntY
J.~A
Occauant(PPINT) Phone Nn.
E &SY' E ~SNE/c ~
Pawer $,\upplier Address
.JA"m ~LCC-
Ele~c yI Conhacior ICOmpany Name) Contractor"s License No.
-f~ac~ oe~72rllAc- 6,z40-M - o a-Z.
Mailine />tldress ICOnVac[or or Ownet Makin0lnstailationl
27 E. ~c~Auo~el.c ~r. ctL SS/o
Auyyorizetl $ig ure 1 n ractorZ~ aking Installation) Phone NwnGer
771Z
THIS INSPECTION FEQUEST WIIL NOT
227- MINNESOiA STATE BOARO ELECTIi1CITY
Gria9s-Midwev Bldg. - Noom N-191 BE ACCEPTED BV THE STATE BOAXD
UNLESS PflOPEfl INSPECTION FEE IS
1821 Universitv Ava.. St. Paul. MN 55104
~n....e ra.vi cev_nwnn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-00001-o~
1 Sae ins4octiuns (or completinq this brm on Eack of yellow copV.
E `3 4f9 6 "X' Below Work Covered by 7his Request
Fdd flBD. , TypeAf BuilAing AOpliancea Wired Equiumenl Wire9
lome Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatui
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air CotMitioner jBUlk Milk Tank
Farm om«t Sper.i y 01her ISnentvl
t7G1Su~1_'_fv Othcr Olh.r
ompute lnspection Fee Below
k Fea Service EnvanceSiza N Fee ~Fteedeis/Subleeders G Fu Gircuits
0 to 200 qm s 0 qm s 4a 0 tn 30 Am ps
Above 200 q~~py, 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 700_AmPs
Transrormers Irrigation Booms 476 Pdrtial.'Other Fee
Signs Speciallnspection S
FFF~
Remvrks TOT
/ 7d
T WA,
Noueh-in D ~ I,theElacical
~ ~ Ins eclor,Vhereby
~ rtify [hat the ebova
Final ~e~ ~ insOection has been
~~Q mede.
Thla repuest voltl 18 montlu irom
This reQUesl void
19 months from . '
3 4 9 2 0,~~
Request Date , Fire No. &ouPh-in Insoection
A~~ ~ equiretl? OReady Now Q Will Nolify Inspec-
?1'es ?Na pr When fleady
Licensed ElecviCal Contracmr 1 heraby requast insoection ai ebave
Owner electricel work inslalled at
Sheet Address, 6ox or Route No. / Ciry~,r
e OD L~ "TUWE.~- GV~IViV
cuon o. Township N ame or No. Range No. Counry
~Y2I'T
Occuoant IPHINTI Phone Ne.
E &Iys L.~c,6
Power Supplier Adtlress •
Elec ~i al ConVactor ICompany Name) Contr tor's 'cense No.
o8a..2
Vrr,
~EO
Mailing AdJress IConvactor or Owner Mekine instailationl
~77 E_ ~e~~?o!1~ ~ ClL ~ o~
Au horizedSignature IC nhactor/Ow er-Making Instellationl Phone Number
`y
MINNE$pTq STATE BOAP OF ELECT CITY TMIS INSPECTION NEQUEST WILL NOT
GripBe-Midwey Bitle. - om N•191 BE ACCEPTED BY THE STATE BOANO
1821 University Ave.. St Paul. MN 65104 UNLESS PNOPEN INSPECTION FEE IS Pho" (612) 297.2111 ENCIOSEO.
REQUEST FOR.ELECTRICAL INSPECTION 7%0001-04
9
~ See instruetions br comoletiiq this torm an beek of vellow copY. .
43 4 9 2 0 "X" BeloW Work Covered by 7hrs Request
Nav4Addj Rep. TvPS oi BuilEinp AoClinncee WireE Equiument Wired
Home Range Temporary Service
Duple,x Water Heater Lightiq Fixtures
Apt. BuilAing Dryer Electric Hoann
Commercial Bldg. Furnace Silo Unloader
Industrial 81Ag. Air Conditioner Bulk Milk Tank
Farm Other oer,, v Other ISnecitvl
t .r Succify Other Other
ompute nspection Fee Below
p Fee ServiceEnvenceSize k Fee Feedars/Subtaeders N Fea Circuits
U to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 qmps 31 to 100 Ainps Q~Oa 31 to 100 Am s
Swimming Pooi Above 100-Amps Above 100_Am s
Transformers Irngation Hooms Partial.bther Fee
Signs SUecial Inspection 5 ~ 70TA E
Remxrks N
Fouah-in Dnte
1, the EI rical
InsOectar, hereby
certily ihat tha above
Final ( D. ~jp~ inspeclion hes baen
IE ~[U( meda.
Thb reQUeet volA 18 montlu Irom '
This re9uest voiA /1la~„`
18 months Irom
E 456 ,1 i
HequBS Date Firp No. FouPh-i InsVeclio ~
? Ready Nuw W.II Nmily Inspec-
ReQUireA7
~ yes No ~or When fleady
Licensed ElecVir.al ConVac[or I hereby repuest inspection ot above
Owner electricel work instelled et:
Street Atldress, Bax or Ro te No. Ciry 1
0 .C~EPU D 661'J
ect oi o. Towns p Na ~or No. ~ ~anga No. ~ Counry
~ 5 ~ ,
Occu a[ 1 INTI I Phone No.
Power Supplier Atldress
Eleclrical ConVector ICompany Namel Conlractor's License No.
Collins Electrical Const. Co. 0395-47-2
Mailine Address IContraclor or Owner MakinO lnstailationl
State Street St. Paul, NIN 55107
Auffio zed i re IConua e Installationl Phone Number
(612)224-2833
MINNESOTA STATE BDAND OF ELECTHICITV iH15 INSPECTION REUUEST WILL NOT
GrigBS-Midwey Bltlg. - floom N.191 BE ACCEPTEO 8Y THE STqTE BOAND
1821 Universitv Ave.. St. Pxul. MN 55104 UNLESS PXOPEP INSPECTION FEE IS
vn,,..e raigs Rnznann ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Eg4q~~e. /
~ q ~ Sea instructions tor camDle4ng lhi5 fOrm On back Df VBllow Copy. f ~f
E 4 ~f 1 "X'' Be/ow Work Covered by 7his Request XR"w
Nm4Addj HeO. Type ol Builtling ApPliancna Whed Equiument Wired
Home Runge Temporary Service
Duplex Water Heater LiGhtiny Fixtures
Apl. Building Dry¢r EleCtric HeaLn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk T&nk
Farm oin. oec, v 1n,,, tsro,,:uvl
1hP.f SIICGI{Sr t Cf C1thuf
ompute Inspection fee Below
p Fee Service Entrence5ize H Fee Faxders~SUbieeders IX Fex Circuits
U to 200 Am s 0 to 30 Am s 12.1 0 to 30 Ain s
Above 200 Amps 37 to 100 Ainps 31 ta 100 A s
Swimming Pool Above 700-Amps Ahove 100_Am s
Transformers Irrigation Booms Partia6`Oth Fee
SignS SUeCialln5pection $
Nemarks OTAL E
~.w
Rovgh-in Da~e
I, the E cVi
r Inspactor, e,aby
erIily thet the above
Final spection has been
,
TMS reQUesl voiE 18 montlre Irom
Thisrbqu¢stvoitlgjhlr' ~ G~~• y'~~~
18 monffis /mm
E 2 20 1 L1 2,z'
flequest Date Fire No. NouAh-in InsOer,[ion Inspeo
- f/ a Naquiredl ?Heatlv Now ~]~{W-orill Nolify,
~0 0 Yes ? No /t When Reatly
Licensed Electrical ConRactor I heraby repeast ins0eclion oi ebove
? Owner elecVical wwk instelletl at
Street AdAress, Boz or Flo~No. City
N,Gk]E OdD 1~ .LU. Caea
ecuon Townshio Name or No. Range No. Counly
Occuuant (PNINTI Phone No.
!.E .L /4 SsoG
Power Supplie, Address
Eloc[rical Con[ractor ICompany Nemel Cnntrar.loi's LicrznSe No.
Collins Electrical Const. Co. 0395-47-2
Mailinq AtlJress ICon[raclor or Ownar Makine Installationl
278 State Street St. Paul, MN 55107
A r¢e Signature ICo ~Own~ aking Installation) Phone Numbe~
t (612)224-2833
THIS INSPECTION flEQUEST WILL NOT
MINNESOTp STATE BOARD OF ELECT111CITY
Gri99s-Midway Bldg. - Noom N-191 BE ACCEPTED BY THE STATE BOAND
1821 Universitv Ave.. SL Yaul, MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
;EQUEST FOR ELECTRICAL INSPECTION . EB-00001-06
L'
See instructions for completing lhis iwm on bnck o/ Vellow copy.
E2-20 ~ ""X" Be/ow Work Covered by This Request
AdA ReO. Typn ol Builaing Applianeea WiroA nJumant Wired
Home Ranye Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt Building Dryer Bectric Heaun
Commercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm otne, ot!r, v 1lic, ISnrr.iWl
t nr Suua-ty Othcr Otner
lompute lnspeciion fee Below
p Fee ServiceEnlrenceSize n Fee fexdars/5ableeders N e Ciicuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 An!
Above 200 qmps 31 ta 100 Amps 37 to 100 Am s
Swinvning Pool Above 700-Amps Above 100_Amps
Transiormers Irrfgation &ooms Partiat.'Other Fee
$igns Specialln5pection $ OTAL F
flenarks w
~v
Rough-in ~:11e ~p/~ I. the Ele '
I/ :~spectoq heraby
cerlify thel tAe above
Final D'11e~ spection has been
~ ~D• ,C ranaa.
thle repuast vo1E 1B moniM irom
` _
This rr,quesl void
18 months Irom
Cc~ 8201 _ v~
Requ~r,l Date Fire o. Y27 InsYection
~ / `d ~Ready Nuw Will No~ify, Insuer
~ NO _ or When Ready iicensed ElecVical Convactor 1 hereby requast insoection ot ebove
Owner elactncal work inslalled et
Sveet Address, Baz or Route No. City
A d ~
a ~ o. Town ip Name or No. RanBe No. County
wcl
OccuOant (PqINT) ~ Phone No.
L l / O u.e v- l4 U,Ei..
Po er Suoplier Ad7ress
Elactrical Convactor ICampany Namel Contrar.tor's license No.
Collins Electrical Construction Company 0395-47-2
Mailin0 AdJress (ConVactor or Owner Making InstailatioN
278 Sta treet St. Paul, Minnesota 55107
Au ed awre IC to king Installa[ionl Phone Number
th< < W (612) 224-2833
MINNESOTA STATE 80APU OF ELECTflICI Y THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwav gldy. - Room Nd91 BE ACCEPTED BY THE STATE BOAND
1821 University Ave., 56 Paul, MN 65114 UNLE55 PROPEfl INSPECTION FEE IS Ph.nw (812129]-2111 ENCLOSED.
FIEQUEST FOR ELECTRICAL INSPECTION /EB-00001-04
~ See instrvctions lor comolaiiop this torm on beek o1 yellow coov.
` S
8201 X" Below Work Covered by This Request - -
ev, AAd Peo. " Type of- u:ltling Aoolioncea Wired EquiumentWired
Home Range Temporary Service
Dup~rx Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Fumace Sib Uninader.
Industrial BIAg. Air Conditioner Bulk Milk Tank
F2rm Other oeu y the, ISprr,ityl
~ . ucarv otner 01nu,
ompute Inspectron Fee Below
p Fee ServiceEntmncaSixe tl Fee FeeCere/Subteeders N Fee Circuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qm ~s 3 0 100 Amps 3~[c106 qm Swimming Pool Above 100_Am s Above 100_AmVy
Transiormer5 Irriga[ion Booms Partial.'Other Fee
Signs Specialinspection S
TOT EE
pemarks ~ ~
flou0h-in I. t Elec '
Inspector, th6reby
cerlify that the above
Final U~ep~ inspec~ion has been
~ made.
?
tltlereQueatvolOlBmontlefrom '
This reques[ void
18 months Imm .
.4 8 6 21
Feques Date Fire No. Rouph-in Insuection
Repu.red? HeaAy Nuw ? Will Notify InsOec-
?Yes No tor When Reatly
~Licensed Eleclrical Conl,aclor I hareby reQUest inspection o1 abov0
Owner electricel work inaialled at:
Slreet Address, Box or Route No. CifyI
d7 D~G 61$ /f/
'
A
ecLOll o. wnship-Name or No. ange o. County D• Y
Occvpant P TI Phone No.
4612,4G i &P
Pow¢t SuppIIB, Atldress
Elecirical Coniractor (Company Namel Convuctor's Liconse No.
COLLINS ELECTRICAL CONST. CO? - 1 0399-472
Mailing Address (COntractor or Owner Making Instailation)
278 State Street
Au ze i aWm (C t c d r Making Insullation) 1 Phnne Nomber
( 612) 224-2833
THIS INSPECTION flEUUEST WILL NOT
MINNESOTA STATE BOARD OF ELECT ICITV
Gri{ps-Mitlway Bldg. - Noom N•187 BE ACCEPTED BY TNE STATE BOARO
7021 UniversitY Ave.. St. Pevl, MN 55104 UNLESS PNOPEN INSPECTION FEE IS
Pn- 16121 297-2111 ENCLOSED.
REQUEST FOR , RICAL'INSPECTION EB-00%x11-04
!
~ See instructions for compl6ting this form on beck of yellow copy.
A JV21 "X" Below Work Covered by 7his Request Y,
Ne4Addj Reo. Typa ol BuilCinp AoOliancen Wiretl Equiumenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt. Building Dryer Electric Hezbn
Commercial Bidg. Furnace Silo Unloader
Intlustrial BIAg. Air Conditioner 8ulk Milk Tenk
F3fT Othe, oeci y ther ISnecifyl
t,r SVeci y tbe, Other
ompute lnspection Fee Below
p Fea Service EntrancaSixa M Fea Feeders/Subleetlers N Fee Circuits
0 to200qm s 0 to30qm s 0 to30Am s
Above 200 qmpy 31 to 100 Amps 31 to 700 q y
Swinvning Pool Above 100_Amps Above 100_Amps
Transtormers Irngation Booms .~s1 PartialOther e
Signs Suecial Inspection g ~ v TOTAL F
ema,ks (/13L/C COtiF,,~'!Fk'/Gz /204N'l ~1
HouBh-in D:lte 1, the Electr
Inspeclor, heraby
certi(V thet the above
Final D.te/ inspectien hes baen
f / /?t? matle.
Thfa reQuesl voltl 18 monlha irom
Thig repuest voitl
18 monNS from . , ~.i' .J~• ~1
48559 y1, Z3 J Sec. To~
Raqus'~ Da i Fire No. ~RouPh-ei~n~lns7p.-e,ction ~qeatly Nuw Will Notify InsPer
~ ~Q yes UNo vewtor When Ready
Licensed ElacVical Contrector I hereby requast insDection ol ebova
Owner electrical work inslalled at:
Street AdCress, Boa or Roure No. City
aao A A.46F,C -Do o E) ,C?o
ecvon o. Township Name or No. Range o. Cownly
N)c
Occupant IPPINT) Phone No.
Et'J . t ~ i4NG
Power Supplier Adtlress
Electrical Contractor ICompany Nume) ' Conhactor's Licensa No.
COLLINS ELECTRICAL CONST_ CO_ 0395-472
MailinA P.tldress IContractor or Owner Making Installationl
278 te Street St. Paul, MN 55107
o ize 'g^amre ( ac ~ wne knB 1nstallation Phone Number
, 612)224-2833
MINNESOTA STpTE BOAPD OF ELECTRICITY THIS INSPEGTION REQUEST WILI NOT
BE ACCEPTEO BY THE STATE BOARD
Griggs-Midwav Bldg. - Room N•191
UNLESS PNOPEfl INSPECTION FEE IS
7821 UnivemitYAve., SL Paul. MN 55104
ENCLOSED.
Pn.nw 18121297_2111
REQUEST FOR ELECTRICAL INSPECTION Ee
Stions for tompibtinglthis form on ~ack of Vellow copy. b5 c 1
9 q, g~5 ~ C~ ee ins h ""uc R" Be/ow Work Covered by Ihis Requesf al~3~~ ~SS
Nev4Addj Ri Typa of Builtline Aoolinncne Wiud Equiumenl Wired
°Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Elec[ric Heaun
Commercial Bldy. Fumace Silo UnloadPr
Industrial BIAg. Air Conditioner Bulk Milk T&nk
Farm M«r oeu v tner l5perilvl
1 er Ueci y ther Olhcr
ompute lnspection £ee Belvw
p Fee ServiceEntmocaSize p Fae Feedars/Sabfeeders N Fe Circuits
U to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qm ps 37 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
TranStormer5 Irrigation f3ooms tia6'Other Fee
Signs Speciallnspection S J Q
Remsrks ~ OTAL FEES ~
2 .
• I, the Electrical ~eby
Nouph-in kf
Final inspeetion has been
mB .
tltlarequeetvoi0lBmonthalrom ~(J
;s e4 a o;d
,e mntns,,om
48555 ae"
Reqoest Date Fire No. Rough-in Insuer,tion
rn_ ~ ~Reamretl7 ~Readv Now Q Wi11 Noiity Inspec
V U ? ~es N. ~or When Ready
O -
Lfcensed ElecVical Cauramor I hereb re
y puast insOection ol ebove
wner r elactrical work installed at:
Sveet Adtlress, Boz or Poute No. City
l')ao
ectron o. Tow shiD Name or No. RanBe No. Counry ^
~f./ 4~
Occupent (PpWTI Phone No.
Powar Supplier Address
Electrical Conhactor (CompanV Neme) Cw[raclor's License No.
COLLINS ELECTRICAL CONST, C0. 0395-472
Mailing AdJress (ConVactor or Owner MakinO Installation) 278 a e Street St Paul MN 55107
Aufio ~zed i ure ICon or wner kind Installation) Phone Number
~ 6 24-83
MINNESOTA STpTE BOAPD OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Gri99s-Midwey Bldg. - Noom N•791 BE ACCEPTED BY THE STATE BOARU
UNIESS PflOPEN INSPECTION FEE IS
1821 UniveusitY Ave., St. Paul. MN 55704
nh..... 16121 291s1 N ENClOSEO.
REQUEST FOR ELECTRICAL INSPECTION /EB-W001-04
~ -~'I ~Y 0 See instruc[ions lor comoleCinq this form on back of 4,3 / 7/~
yellow copy.
F'
4 8 5 5 5 "X" BeloW Work Covered by 7his Request 14
AAe fleD. Type of BuilEing AOOli a..es Wired EQUiument WireA
--^Hom¢ Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAing Dryer Electric He2Un
Commercial Bidg. Fumace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm tner Paa y 11or 15POniiVl
~ er Suecify Other Oth.r
ompute nspection Fee Below
p Fea ServiceEnSreneeSize tt Fea fawtlers/5ubfaedera Fex Circuits
U to M 0 to 30 Am s 0 tn 30 Am s
Ab31 to 100 Ainps 31 to 100 Am s
SwiAbove 100s Above 100_Am '
TraISO Partia6Other Fee
SigSpecialln5peaion S
Nemarks TOTAL
QiO
Rouph-in Date I, the Elec cxl
Insoactor, herebV
certify [het the abpve
Final r inspection hes been
made.
ThlareQuesiroldl8montlmtrom ~
This renuest void 1
lBr. thslmm 59
g254 PJ 1 wn lep-ISt- c
Pequest Date Fire No. qouWh-in InsPectian
~ ~ Reduired? [:]Rcady Now ? Will Nutily Inspe c-
,
~ ?1'es ?No ror When Ready
Icensetl Electrical Cunvactor I hereby requast inspection ui above
? Owner electrical work instBlled aY
Sveet Address, Bax or Route No. . Citv
/gcr? 41lc,9_nbocotC ,ea.v
e.cuon o Township Name ot No. Rang~ No. County
OccuoantlPfllNTI Phunc No.
G~~ss+
Power Supplier Adtlress
Ac"e"Jee_
Electri Conva,c/to (Co/mD~a'nY ~Na(mel / Cnnvar,tor's~ L/~iF {ense No.
V6Ci?a r C~-~E:,l. i L<(.J • 1 - 'TV ~~Z
Mailing Atldress lCOntmcmr or Owner MakinP Installation)
hor- ed i nat~ur ConvactodOwCer Makin g Installation~ Phone Number -
1
MINNESOTA STATE B -flD OF ELECTqiCITY THIS INSPECTION flEQUEST WILL NOT ,
Griggs-Midway Bldg. Hoom N-191 BE ACCEPTED eY THE STqTE 90ARD
1921 University Ave., St. Pxul, MN 65104 UNLESS PpOPEfl INSPECTION FEE IS
Phone (612) 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-oa
See instructions tor completing this torm on back ot vellow copy.
q-, 6
9254 "X" Below Work Covered by 7his Request
FAd Hep. T qn ot Bpulding Appliaocns Wired Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
- Apt. Building Dryer Electric Heabn
Commercial Bldg. Furnace Silo Unloader
industrial Bldg. Air Conditioner BUdk Milk Tank
Farm othe~ oeutv tner ISneaN!
t cr Suecityl Ot er Othnr
omP~~~e lnspection Fee Below
p Fee ServiceEntranceSize d Pee Fenders/Subtenders O#jl Fee Circuiis
0 to 200 qm ps 0 to 30 Amps 0 to 30 Am s
A6ove 200 qmps~ 31 to 700 Amps 37 to 700 Am s
Swimming Pool Above 700_Am s Above 100_Am s
H Irrigation F3oorris -L' Partial- Other Fee
TransPormers
Signs Speciai Inspeclion
em~rk $ F+ ITOTA /
H
g~,,
Ltfl~E ~R*/~r_°4t/C7~+Y3V..'i~~y.~L~1~.S =!L ~•O
flouBh-in O/ate I. the E -
~ Inspectoq hereby
~ certHy that the above
Final insoection
mede. has been
p ~3l-or
,
TNSrepuestvoiElBmonllmimm jU,
This request vaiC o~_~/87 ee'-/
18 months lrom
•7 0 ;4 9 ~PL
Nequest Uate Fire No. qoueh-in Inspection ~
~Q(/ RaQUired? Reatly Nuw ?WiII Notify. Inspec-
If, Q ?Yes ?No for When Reatly'
Licensed Elec[rical ConVac[or I hereby request inspaction of ebova
Owner elecvical work installed ac
Street Address, eoz or Roure No. Citv
W.qrue~~
; %ZV .4,r/ ~ :,~aa~ - Z.• Tvw -r-~ !!F'4Er4N
ecLOn o. ownship Name or No. ange No. Cawrty
A
OccupanllPplNTI Phone No.
$L1lE eleosS 8Lr1E
Power Suppli¢r Adtlress
/ ,(c07A EL.~~ -
Cnnvactor's Lic se No.
Elecirical ConVactor (Company Namel
A
~~ac~ ~~r,~~ Lsw~.a«.~ - ~
Mailing Aderess IConvacior or Ow~er Meking Inslailation)
C, o~r.lla[ional1L A.._. ~/D 7
Au hori d Si awre IConvacio Of'~ner Mekinp Instal Pnone Number
!P ~ .d"/ .ZZy_ MINNESOTA S7ATE BO ' OF ELECTflICITY THIS INSPECTION FEQUEST WILL NOT
Grigpg-Mitlway Bldq. - om N•191 BE ACCEPTED BY THE STA7E BOAHD
7821 Univaraitv Ave.. St. Peul, MN 66104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 642-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
7liIF(,
' See inztructiens for eomplelirq thie lorm on back ot Yellow cooV.
r'~ 0749 "X" Below Work Covered by This Request AAtl Rap. Type o7 Building Applinnces WireA Equipment Wired
Home Range 7emporary Service
Duplex Water Heater Lightiny Fiatures
. Apt. Building Dryer ElectriC MeaUn
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Conditioner 8ulk Milk Tank
Farm ffier peci y lhpr (Snerify)
mer Uccify thor Othi,
ompute lnspec[ion Fee Below
p Fee SwvieeEntreneeSize M Fee feedera/Subleedms FceCircuite
U to 200 qm s 0 to 30 Am s Od 0 to 30 Am
Above 200 qm )5 31 to 100 Amps 31 to 100 A s
Swinmin Pool Above 100_Am s A6ove 700_Am s
Transiormers Irrigation Booms Pertial•'Other Fee
. Signs Special Inspection
Remar TOTAL F
6 T~ ~G.-- 16E N.~-'TiT/ONS
Xouph-in I,the Electricel
Zjo'(f' IOSpBCtOl, 11BIBEy
cartily that tha above
Final ~^ifJl1~- nspection hea Oeen
G~7~7 metle.
Thle reQueal valtl 78 monllu Irom
51X(o Ht(lUEST FOR ELECTRICAL INSPECTION - ~ Ey~001,-0°
See instrvetions lor completing this form o. beck o/ vellow co0v/„ 7~
3 C7 4 S 6 O O x" Below Work Covered by This Request V619
Add Rep. Type ol Builtline Aooliancea WiraA Equipment Wired
Home Range Temporary ServiCe
Ouplex Water Heater Lightiny Fiztures
Apt BuilAing Dryer Electric Heatm
Commercial Bldg. Fumace Silo Unloader
InAustrial BIAg. Air Conditioner BLdk Milk Tank
Farm the. oeci v iher ISn~~cifvl
t e~ Uec~W t er pther
ompute lnspection Fee Below
Y `Fae ServiceEn\rancaSixa H Fee Faxders/SVbfeeJera N Fee Circwts
0 to 200 Am s 0 to 30 qm s 0 to 30 An+, s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swinaning Pool qbove 100_Am s bove 100_AmNs
Transformers Irrigation t3ooms Partial•'Other Fee
Signs Speciallnspection
errw.ks $ TOTAL FEE,~ Q
~it tr>I /l, '
RouBh in I, the lectrical
InsOecEbq
hereby
~ cartify that tha above
Final D:~ye Er`. ngpection has baen
maae.
Tnb repuast voia 1e monthn irom
C/ C ~
This requesl voitl
18 mon~hs.(rom . ~ /3~Q'] ~ ~ 9
~ ti. o 0
~ 4860 a" ao.co~
Pequest Daie~ Fire No. flouPh-in InsVer.tian
Re ired? 0 Reatly Now Will Noti
ty, InsPeo-
1'es ?NO tor When fleadV
Licensed Ele<[rical ConVaclor 1 hareby request inspection ol ebove
Owner electricel work installed et:
$Ireet Address, Box or Route No. City
/CP00 'r- Z?oQOZ~ ,d ~
eclwn o. Towns~'~ Name or No. Ranee No. Coup
Occupam NTI II Phane No.
L ~-I$Ii0 'iLo Arl-a
Power Su001ier Atldress
Electncal ConVactor (Company Nemel Contrar.tor's License No.
COLLINS ELECTRICAL CON ST. C0. 0395-472
Mailinp AdJress (Contractor or Owner Making Instailation)
278 State Street St. Paul, NIN 55107
Aut zed S nawre ICOmr O r M fg Installatlon~ Phone Number
(612)224-2833
MINNESOTp STqTE 90ANO OF ELECTRICITV THIS INSPECTION HEQUEST WILL NOt
Griggs-Midwey Bidg• - Raom N•191 BE ACCEPTE~ BY THE STATE BOARD
UNLE55 PPOVEX INSPECTION fEE IS
1821 Universitv Ave., St. Paul. MN 55104
Phone I612) 297-2111 ENCLOSEO.
ihis r?q~est~59~/ / 0 ~ /
~ ~
088593~ c r
Requcst Date Fire No. Rough-in Inspection
/ 6 Renwred? ~ReaAy Now~]`Will Notity, InsOeo
~ y'~ ?Ves f~Ko tor When Ready
2Llcensed ElecVical Conlreclor I hereby raquestinspection of above
? Owner electricel work installed at:
Street Atldress, Boz or Roure No. Ciry
~0700 t ,8 e ~oo i ; ~iR ° .etro
ecuon o. . Township Name or No. Ranqe No. Coun
A4 6
Occupant IPNWTI Phone No.
' O~'Fic e ~vwe
Power S plier 11 Adtl es
v07`.~ ~It
Elec[rical Contractor ICompany Namel . ' Cnntractor's License No.
Collins Elect. Const. Co. 0395-47-2
Mailing Address (Contractor or Ownar MakinH lnstallation)
278 ate St. St. Paul 55107
A nze ature (Comr /Op~oer ' K g Installation) 1 Phonx Number
~ 224-2833
MINNESOTA STATE BOARD Oi ELECTIIICITY THIS INSVECTION PEQUEST WILL NOT
Griggs-Midway BItlO. - Room N•181 BE ACCEPTED BY THE STqTE BOARD
7821 University Ave.. St Peul, MN 55104 - - UNLESS PNOPEN INSPECTION FEE IS
Phone (6721 297-2711 ENCLOSED.
tQREQUEST FOR ELECTRICAL INSPECTION EB-00007-04
~ V ~ ~ Sea instruefi W
pns for cynple[ing this form on beck of yellow copy. v I^
hV~d /
0 88 "'R'" Below Work Covered by This Request
fhw4Addj Rep. Type ol euilding Apolianees Wired Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fix[ures
Apt. Building Dryer Electric Heatui
Commercial Bidg. Furnace Silo Unludder
Industrial BIAg. Air Conditioner Bulk Milk Tdnk
Ferm thxr pec~ y ther ISUecityl
1 ar SUecity Other Oth,,
ompute lnspection Fee Below
N Fee ServicaEntrenceSize # Fee Fextler5/5ubfeetlers N Fep CircuiM
0 to200qms 0 to30Ams 0 tn30Ams
Above 200 Amps. 31 to 700 Amps 31 to 100 A s
Swimming Pool Above 100_Am s A
Transiormers Irrigation Boort~s "d Partial%Other Fee
Signs - / Special Inspection $
~7~ .
flemarks C'`' @ ~ ~,f/C~ C•~7(i°__SG t3 / ?
V
flouph-in r Di e e Ele cal
by
rit Y that the nbove
Final P ~r}~/ inspection has baen
~ (J~~Qd made.
TOis request roitl /8 montha irom
,h;~ ~,:~i" 53U3 ~ hlzu c E
a,• L 161 c-I -m I c.rj~ ~ b~• o O
BeuueS. Da~e Rre No. Rough-in I~Oection
iretl? ~
I Ready Now Will NotifY InsPec-
, ` (j Ye.s ?No tor WM;n PeadV
Liceased Electricil Comroctor 1 hereb
? Owner J~% YFeauest insoeeBon of ebove
O e etricnl work iretalled aL
Slreet AA~Aress, B. or ibu[e No. C itv
lsoa ,(a opLx
Sectionmo- TwmshiD Name or No_ Range No. County py', ,
Occupem 1 INT) Phone No.
C E 7e4r
Power Supplier Adtlresx
Electrital Convactar IConPam/ Namel Convactor's license No.
A- " O 3y--f' S/ a.
M6ilinq Atldr¢ss (CantracT~r Nakap Ir,op-Ilationl
ulhorix ipren~e (CO I r k-'p InsTallationl OUoneNumber
YINNESpTp S7p7E gpqpp OF ElEC7111CT1 THIS INSPECTION REUUEST MIILL NOT
Grig,salidweY gMY- - Sbom N-791 BE ACCEPfED BY TIE STATE BOABU
1827 Unirersiry Aw., St Paul, YN SSIOt UNLESS PqOVER INSPECTION FEE IS
PhaFr 1612j py7-2111 ENCLOSED.
F~' f~ 3/ I~QUEST FOR H.ECTRICAL INSPECTION Ea-oooo~ w
Sae iBhuetions 1w ro~letinp this torm m back of Yellow copy.
? ~o
7~~ "X"" Belaw lVurk C?vered by This Request
O ~ ~
aad rtw. ryu. o~ a~~w~~w Applienesa Air~tl Ea~~nme~~ M~ired
Home Range Temxrary Service
Duplex Water Heater Ligh[iny Fixmres
Apt. Building Dryer Elechic Heatin
Ca~mercial Bldg. Fumace Silo Unloade.r
Irdustrial Bldg. Air Caditioner Bulk Milk Tank
othe. ~ec~ ther lsuecitrl
t r Socuty ther Othnr
ampufe lnspectian Fee Below
11 Fee i E~NeneaSize k Fea Feeders~Subiaeders H Fee Circuits
0 Oto30A Oto30Am s
A6ove 200 A 37 ro 100 Amps 31 to 100 q
Swimmirg Pool Above 100_Amps Above 700_Amps
Transionners Irtigation Boolrs Partial.'Other Fee
Sig~s Speciai Inspec[ion g OTAL FE
Ne~rks ~ ~ (
L{
pwqh-in Dale , [ha Elecvical
I~pectoq hereby
~ r[ify thai tM above
Final ~ ~ Dat i~paction has been
• ' `.~'n'~,, ? -3~ ~
meda.
~N~ ~Bq~sl ~pid /8 nbnUB 71an
request void ~,:5V3
nths .'cr8O 0 O 1 8 1) ~/~.4,~
fle,ques[ Date Fira No. RoaBh-in Inspection
n F o rteA? ~Ready Now Will Notity, InsOec-
Yes ? Nu [o~ When Ready
~p.Licensed Electtical GonGac[or I hereby repuasi insoection o1 abova
/F-' dwner 'U elachicel work installed at
Straet Adress, Box or Havt No. /~U(J C.e/ ' (-re~ City~~ /
{O
ectwn o. Townshi0 Name or No. " Fanee No. Cow"ry`
Oc nt I%tINTI Phona No.
~L Uf S 5,t- ~ U li- .S/d /
Power SupOlier Address .
Eleccrical Contraclor ICompany Namel Contrnctor's license No.
Collins Elect.COnst. Co. 0395-47-2
Mailing Atltlress ICOnvactor or Owner Makine Instailationl
S
A ri d Signatu ~ on tor w er Making Installation) Phone Number
, 224-2833
MIryNESOTA SiATE BOAflD OF ELECTNICI THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - floom N-791 BE ACCEPTED BV THE STATE BOAHD
UNlESS PPOPER INSPECTION FEE IS
1821 University Ava.. 51. Peul, MN 55104
Phone (812) 297-2711 ENCLOSED.
cST FOR ELECTRICAL INSPECTION ouom:oa
3ee instructions for completi~g this torm on bnek of yellow eopy. ~~U, Gz)
08 "Ito X" Be/ow Work Covered by This Request g c~ / x
AAd 0.ep. Tyoe ot Building Appliences Wired Equiomen[ Wiretl
Home Range Temporary Service
Duplex Water Heater ~ C- Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air ConAitioner Bulk Milk Tank
farm ' omer aeutv om~,r (snecirv)
1,r SGOCi y 1 CI Othe,
ompute lnspection Fee 8elaw
N Pee ServiceEnvanceSize~ p Fee Feeders/SUbfeaders 5~LFP, Circui
ts
0 to 200 qm 5 0 to 30 Am s bove 200 qinps 37 to 100 Amps 31 to 100 Am s
Simmin Pool Above 100_Amps Above 100Am s
Transtormers Irrigation Boorc~s Z7Z Partial'Otr Fee
Signs Special inspection TAL F , O~ I
floueh-in Date
% (ohaEle Vical
1 ~ . InsPector. Y
, certity that the nbove
Final A. 'nspection has been
r made.
Thiaraquestvoltll8montMirom ~
~ repuest vai~~ I/_ U~ ? J y C
/8-,..n[h4 iwm ~q ? o J
' y~. v
flequest Date Fire No. flough-in Insoaction
o S~ Ne retlt ~peadv Now, ~w:11 NoiiN. Inspcc-
~ O n Yes ?NO ~lb~ When qeypY
~iconsetl Elechical Conhac[ot Wl~°~ 40r ~ hereby request inapacfion ot above
? Owner elec -wl wpk inttalled aT
reet Address. Box or Route No. City
roo k f / loe, ! ~wnC~r~fez lo Ah
acuon o. Townshi0 Name or No. ~Be C ty
~~ko
Oc upant IPftIN Q !C Phore No.
1~~4 - I~vta~eRSo ti vL C. ow 70S$
Powe, s.oouet Adtlress
9 Y,8. ~ o ~cnd vL
Electrical Connaclor ICnompanv Namel C~tractor"s License No.
COLLINS ELECTRICAL CONSTRUCITON CO. 0395-47-2
MailinB AdJress (ConVacror or Ownar Makine lnsiailationl
278 State STreet St. P ul
Authorized Sienaiiure (COntractar/Owner Makine Installation) Rione Number
MINNESOTA STATE BOARO OF ELECTItICITY THIS INSPECTION REQUFST wILL NOT
Grigga-Mitlway Bltle. - Aoom N-191 BE ACGEPfED 9T iHE STA7E 80AlID
7821 University Ave., SL Paul, MN 66104 UNLE55 PROPER INSIEGTON FEE 6
Phorie (612) 297-2111 ENCLOSED.
y REQUEST fON ELECTRICAL INSPECTION E&°°°°i'°a .
' See insvueuons for rnmplating thls fo-m on baek o7 wlloor coPY- 5~f3 ~
~ 20178 • "X" 8eh»v Work Covered 6y This Request
Re ?
Adtl Peo. Tyoa of BuiiEing Apoliaacea OirW Equipmenoi Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixmres
Apt. Building Dryer Electric Heatin
Commercial Bidg. Furnace Silo Unloader
lndustrial Bldg. Air Corxlitioner Buik Milk Tank
Farm ONer peu v ther ISpedNl
tier Peci/V ther Olhe.
od)pute lnspec[ion Fee 8elow
M Fae ServicaEntranca5ize p Fee Feaders/Svbieeders i1 Fee Gimvits
p 0 to200qms 0 to30A ~ Om30A
41
Above 200 qm 31 to 700 Amps 31 to 100
• Swinttnin Pool Above 100_Amps Above lOD_A -
TranstormerS Irtigation Boorts , Partial•'OUm
Signs Speciailnspection 5 / ~
Rerrcuks Q TOTg~ FEE
I ~f6
NouBh-in ~ Oate
r~ 1~¢Peetur.lmeby
o?A~h ~hat ihe a4ore
Final O e ~V~ tis baen
~ ,~..d-
TUisrepuastvoMlBmontlqlmm o