1424 Yankee Doodle Rd - Electrical Permits This rnquest void
78 month5 from ~ •
C 67439 i i
Y~/
Req,++est'Ja~ ~ Fire No. Ro~ph-in Inspe<lion
Repmred? Aeady Nuw ? WiII Notify Insuec-
?Yes ~No ~ar When Ready
Licensed Elecnical Contractor ~
? I hetaby ra0uast inspection ot above
? Owner electrical work inetellad et:
Street Address, Box or Hou e o. City .
/ tl' a ~ ~'r/~.E ~oa~~~'~ ~ 9 •
ecbon o. Townshio Name or No. Range o. Coum
OccuDan (PFlINT) . Phane No.
OCeV
Power Supplier AdCress
Electrical Contrector ICOtppb~:y;NameQi:;'r ELECTRIC CQe ConNuc.pr45 License No. '
1987 STIIL'.7AT S
Mailinp AtlOress ICOnvac}ptor Oyyng~ju]a:ing1q{1.ilagqp11 19 '
~ rRUL ~v ~
Au[ho ed ure (COnlractor/Ownar Making Inslellationl Phone Number
t-
MINNESOTA STATE BOARD OP ELECTIIICITY TMIS INSVECTION REQUEST WILL NOT
Grippe•Midway Bld 191 BE ACCEPTED BY THE STpTE BOqRO
1821 Universitv Av . . Paul, MN 65195~~ UNLESS PNOPEN INSPECTION FEE IS
Phone16121842- 0 % ENCLOSED.
lIEQUEST FOR ELECTRICAL INSPECTION
Sea instruetions for eomoletirq fhis form on beck of vallow copy.
• ~4" "X" Below Work Covered by lhis Request
M04lAtl 8ec. Type ol 8uiltling Auplinncen Wired Equipmanl Wired
Home Range Temporary Service
Duplex Nlater Heater Ligh[in, Fixnues
Apt. Building Dryer Electric Heatin
Commercial 81dg. Furnace Silo Unloader
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Farm Mer aen v tner ISnecifvl
t er ucc, y thor Oth¢r
ompute lnspection fee Below
M Fee ServicaEntrance5ixa p Fee Feeders/SUbfeade,s M Fae Circuita
0 to 200 Am s 0 to 30 Am s O 0 to 30 Am s
Above 20 _qmps Seg, 37 to 100 Amps 31 to 100 AnVs
Swimmin Pool Above 100_Am s Above 700_Am s
Transformers Irn ation Booms Pdrtial.'Other Fee
Signs Special Inspection Sr6 TOT E/~ (
Ferturks
V~
Poueh-in Date t le '
Pce, nsoector, hereby
rtify that che nbova
I Final insoection has boen
mmde.
mi.rsoumivaa1emomneIrom~~
~
This 111ues1 voitl • + ~ J.2~
18 rtpnths Irom .
40558,C,~,
Hecuest Da~e Fire No. flaughin Inspection
Requiretl? OReaEy Nuw Will Nmifv Insper
?Yes No or Wh¢n Heatly
Licensed Elechical ConVactor I heraby request insoaction ol a0ova
? Owner elechical work inatelled at:
Streat Address, Boz r Route N.
1 E
ection o. T nship ma or o. flanBC o. ounty
Occu nt (PFlINT) Pt~pne No.
Po er SupO ~e. e Address
00 Eiec ical ConVacmr (COmoany Name) Convarlor's License No.
Mailinp ddress ICOnVactor or ner Makinu InstailatioN
. v~
A rized ure ICon[ractor Owner MakinB ~~stallalion) Phone Number
MINNESOTA STATE BOARU Of ELECTpICITY Ty-~ •I5 INSPECTION REQUEST WIL NOT
Grigae•MidwaV Bldg. - Room N•191 U BE ACCEPTED BY TME STATE BOARD
1821 UniversilY Ave.. SL Paul. MN 55104 ~ O O UNLESS PPOPER INSPECTION FEE IS
Phnnw 16121 297-2111 ENCLOSED.
%~~~~dlPREQUEST FOR ELEGTRICAL,INSPECTION ~ n
Il, See instruetions lor completinp lhis form on beck ot Vellow coOV. .`JX
A1155 8 "X" Below Work Covered 6y This Request
A1tl RaD: f Typa of euiltline ACGlioncea Wited Equiyment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fiztures
Apt. BuilAing Dryer Electric He2Ln
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm rnr. oen v otncr (snec;fv)
t .i uecifv Oiher Olh.r
ompute Inspec[ron Fee 8elow
p Fee ServiceEntroneaSize tt Fee Feaders/5ubleadere p Fan Circuits
. 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am s
Above 200 qm ps 31 to 100 Amps 31 [0 100 qm s
Swinming Pool Above 100_Am s Above 100_Amn
Transiormers Irngation Boorns Pnrtial.'Other Fee
$ign5 SpeciallnsUection • / ~
Pemarks TOTAL FEE
p. •
NouOh-in aSe.( I,the EfacWCel
~ ~UP~ Inspactor, heiaby
certify the~ the above
Findl -insoecuon haa been
' `JI~.-ID mreae.
mia repuast rold 18 montne imm
'e ^w~rns i;om °o;e / 1 /c q
7
Request Date 'Fire No. Rouph-in Insueccion ~
fleQU~red? Heatly Now~Nill Notify, InsoeC-
l- ~ es ?NO ~or When qeady
'P~Licensed Eleclrical ConVactor I hereby raquest inspection ot above
? Owner eleclrical work installed at:
Street Address, Box or Boute No. City
~ RG RtJ
emion o. Tawnship Name or No. . flanBe o. County
11*~. por- oTR
Occupant (PBINT) Phone No.
rn b L.Q~
Power Sup0lier Atldress
E~~le//c~~vic~~al Comracmr (Com any Nama) Con[ramor's License No.
d4 . ot,i ) , ~l
MadmLtlddres9 (Contr or or Owner Ma mg nstaila2ion)
IOh _ W 5~ra5
AuthorizeG Sienature (COn[ractor Owner Making Ire[allation) Phone Number
. C,c~ ~ a~~ 3e-ro3o
MINNESpTp STATE BOARU OF ELECTflIC1iY THIS INSPECTION NEQUEST WILL NOi
Grlpga•Midway Bltlfl• - Aoom N-191 BE ACCEPTED 9V THE STATE BOAHD
7877 Unirareitv Ava.. SL Paul. MN 55104 UNLESS PflOPEP INSPECTION FEE IS
Phenw 16121 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAE INSPECTION ee-oooai-os
I0 Sae instruetions br completi" this fwm on beek o/ yellow copy.
"X" 8elow Work Covered by This Request
AAd Nep. Type of BuilEinp Apvliancea Wired Equiumenl WireA
Home Range Temporary Service
D41ex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaLn
X Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm t N ueo v oine, ~snecvrr~
t,r Veci y Other Other
ompute nspectron Fee Below
p Fee SBrviee EnVancaSixe M Fee Feeders/SuEteeders N Fee Circuits
0 to 200 Am s 0 to 30 Am s $ 0 to 30 Am
Atiove 200 qmp,. 37 to 100 Amps 31 to 100 A g
Swimmin Pool Above 100_Amps $1; Above 700_Am s
TransTOrmerS Irngation Booms "ti.y~ p Partial-`Other Fee
Signs $pecial Inspection i
Nertark5
$ `S TOTAL. ~{O /lD\RE. EnAS Pt,t, ~i'
Nouph-in Date I, the Elechical
Inspectoq heraby
certily Uat the above
Final spection hes been
/ i
mede.
Tk repuest volE 18 montM irom
rt/
a 38315
Request Date Fire No. Rough-in In9pec~ion
Requiretl? ? PaeUy Naw ? Will Notily In9pactw
? Ves ? No When Ready7
, Ilicensed contractor ? owner. hereby request inspection of above elec[rical work at: .
Jo0 AEtlress ISheel, Box or Roufe' No.) t Ciy
a"i
$ection No. Township Name w No. Range No. Counry~
1\
IJ
' Occupant (P INT) Phone No.
Power Supplier Atltlress ~
~4 Od 0~ : LJ . ~ ew
Elecnical Conbxtor (COmoeny Name) . Conttector§ Lkense No. F ` N O Q~
Maili
1.0-77 eq Arltlrass (COnuacbr or Ow kug In flon) L~c-
Autlron ' ature antr orlOwnar AWkirg Ins Iletian) Plrore NumOer J
WNNESOTA SiATE BOARD OF ElECT81CITV. . THIS INSPECTION REOUEST WILL NOT -
Gdqqf-MlJwey Bldg. - Noom S-1]] BE ACCEPTED BY THE STATE BOARD
1821 VMVenNy Ave., St Veul, MN-55106 UNLESS PROPER INSPECTION FEE IS
PMrw, (8121 64=-0B00 ENCLOSED.
~""~x
EB40001-08
REQUEST FOR ELEC"fRICAL INSPECTION °F
? See inswcUons lor completing this form on back oi yellow wpy. 3 315 ~
~y "X" Be/ow Work Covered by This Request
? e~ Add Rep. 7ypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Drye' Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
qher(speciy) Cqniractw5flemarks: ? ~~t1 ( H
~ ~ J
Compute Inspection Fee Below: ~j,'l ~ i?
# Other Fee # ServiceEnlranceSize Fee # Cimuits/Feeders fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trensformers Above 200 _ Amps Abov Amps ~ V
SIgnS Inspector§ Use Onry: ~ AL
Irrigation 6ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical Inspectoc hereby Aough-in oe~e
certifythattheaboveinspecfionhas F;,,ai ~a ~/J^
been made.
OFFICE OSE ONLY ! . '
This requesl wiC iB monNS hom
s m ~3 8 319
Raquest Oata Fira No. Bough-in Inapection
/ Requiretl? fifPeatly Now ? Will NMity InspecYOr
?Yes o WhanReatly7
Ig licensed contractw ? owner hereby request inspection ot above electrical work at: Job FOOress (Sheet, Bo- ar Route No.) 1 Q ( Ciry N f ' bH
secem w. ravnsnio Neme or No. aarqa No. counry
Ocapem (PRINT) MOne No. - -
P
aa er suvpiw naaress .
` Eleclriwl n~ractw (COmpany Name) CoMractw§ Liceme No.
Mailing Atltlress (CMtractor or Oxner M' g Inwellatqn) r a / . A1. ' ~ l Te ~l'~s? - ~~~Q~l
Fut ' n Wre Mra er Meking In4tellation) Phone NumOer
MINNESOTA STAiE BOANU OF ELECiRICITY THIS INSPECTION REOUEST WILI NOT
GrlqyrNWway BItlB. - pwm S173 . ' BE ACCEVTED BV THE STATE BOMD
/B21 UnNeraky Rra., St. Paul, 41N 55104 - UNLESS PROGER INSPECTION FEE 15
Fhone(612)8/2-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION ee-00001-08
~9 g 4
?$ee insVUClions ior compieting thls lorm on back oi yellrnv copy. /a I1G+/ ~
uest ,n•
"X" Below Work Covered by This ReQ v
'a 38319
ew AOd Rep. " TypeofBuilding AppliancasWired EquipmeniWired
Home Range Temporary Service
Duplez Water Hea[er Electric Heating
Apt. Buildinq Dryer Other (Specify)
Comm./Indu5lrial ' Fumate
Fafm Air Condi~iOnBf
Other (specity) Coniractor4 Remarks:
Compute Inspection Fee 8elow:
~ Other Fee # ServiceEnlranceSize Fee # Circuils/Feeders Fee
Swimming Po01 O to 200 Amps 0 t0 100 Amps
Transformers Above 200 _ Amps Above 100 _ mps
Si9n5 InspBCtorS Vse Only: TOTAL
Irrigation Booms ~
Special Inspection ,
Alarm/Communicalion THIS INSTALIATION MAY BE OR NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONYf1S.
I, the Electrical Inspector, hereby Rough-in
certirythattheaboveinspectionhas F;~ai v ~e '
been made.
OFFICE USE ONLV
~
This repuest voi0 18 moMin4 i.
i~zjaa/8'9 r - . , ys3~i
~ 74434
Requasl Date Fire No. Raugh-inlnspeclion
Requiretl?~ bikeatlyNaw ?WiIlNOtifylnspec[or
~ ? ~s VJhen Reatly?
M,licensed contractor ? owner hereby request inspection of a6ove electrical work at:
JoC AdCress (Sheet, Box or FoNe No.)
.
a~ N f oo C ~P ~
t
Seclbn rJo. T ip Name or No. Renge No. ~
OccupaiH (PRINn
A tVA C) `d Phone No.
Power Supplier Atldress
Elecbi 1 ConVac[or (COmparry Name) Cantr¢dor§ License No.
I~ ~ ~ EA.I~ E'L,E~D i-c, o o~
Mang AOtlress (COntrac9or ar Owner Makng Installairon)
J~5 0 3
Fmhoriz S' Wre (ConVaclor/Gmer Melting lirstallation) Plwne Num r- ~
~ ~
MINNESOTA STATE BOARO OF ELECTPICRV THIS INSPECTION REQUEST W ILL NOT
Gtlgga-Midway Bldg. - Hoqn S/T3 BE ACCEPTED BYTHE STATE BOARD
18Y7 Unlvaraily Ava., 31. Psul, NN 55100 UNLESS PROPER INSPECTION FEE IS
Phorc (672) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAI, INSPECTION ea.00om-07
~ Sea insiructions~faicompktirg ihis fwm on back 01 yellow copy.
C~ 34U4 ~ X" Below Work Covered 6y This Request .
ew Atld Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
Olher (specfiy) Conlractor9 Remarks: . . .
,/0S64cc_ zj„ei ,i 7-/13
Af eywe ,
Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transfortners Above 200 _ Amps Above 100 _ Amps q
Signs InspeGars Usa Onry: ~ TpTA ~
Irtigation Booms 1 J, 0 ~
Special Inspection
AlartnlCommunication
Olher Fee
I, the Electrical Inspector, hereby Rough-in oa~e
certity that the above inspection has Fmal oe
been made.
OFflCE USE ONLY
This request voitl 18 rtanRis irom
/ . . 3,,a ~ a° 9
M 9814
Request Date Fib No. Rough-in Inspecfion NOTICE: Vou Musl Call ElecViwl Inspecbr
Required? II A flough-In Inspection
I J P1? Q ' ? Yes kNO Is Required.
I)'l.licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street. Bm or Roule NoJ City
I`!2Y A~ e, ac~ a~e R_ d. Aa
Section No. Township Nama w No. Range No. Counry
pp ko
OccuDanl RINn Phone No.
(r1o Ld
Pawer Supplier qddress
Electriwl Comrac[ar (Compairy Name) Conlre/ct~or5 Licenae N/o~.
~Q.w`L1 12U ' lJW Qv~ ~(.lCi
Mailin8 Address (Contractor r Owner Makirig In3lallaiion)
o 3o4 `7 's ~n - 5 Soo ~
Authorizetl SignaWre (COniracrodOwner Making Instal tion) Phone Number
MINNESOTA STAT BOA D OF ELECTHIC THIS INSPECTION PEOUEST WILL NOT
Griggs-Mitlway B m 54YJ 0E ACCEPTED BV THE STATE BOAFD
1821 Universiry Ave., . Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED. ~
hp REQUEST FOR ELECTRICAL WSPECTION es-0ooo,-oe
/0 ~J
0~ / ~ See insVUCtions for crompleting this form on back of yellow cvpy.
q J ~li o
4 9 H 14 "X" Be(qw Work Covered by This Request
ewAtltl RTypeofeuiiding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
Apt. Building Dryer Loatl Managemenl
CommJlndusMal Furnace Other (Specity)
Farm Air Conditioner
01[h~erCfItC ~(specity) ConvadorSRemarkr.
.J ePlnc~ c~y Wpyh- , re~akd
Compute Mspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ~ 2°p
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's Use Only: TOTAL
Irrigatlon6ooms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby ROOqn-in oa~e
certify that the above inspection has Date
been made. !
OFFICE USE ONLY
This requasi voia 18 rtronths fmm
5i
L ~ A 4 ~
io s_.
Requ t Date Flre No. Rougn -inlnapection
- Feqw ? ~J Ready Now ill NoHty Inspector
n ryo When F88tlY?
I21icensetl contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Streel. Box or RoNe No. ) City -
~ ~--AGAt~
Setlion No. ow ship Name or No. Range No. Cowty
OccuDant(PRINT) Ppone N0.
Power SuOPlier Atlaress
Eiectncal ConVacror (Company Name) Conirector$ License No.
Meiling AOtlres (ConVacto, or Owner Making Inslellation)
I e. ~l.caQ - lvl
Aumonzetl SlgnaWre cOnhacrou0 r Makm Instelleboni Phone Numb r
MINNESOTA STATE BOARO OF ELEGTRICITY THIS INSPECTION PEOUEST WILL NOT
Griggs-Mltlway BIEg. - Raom 5.173 BE ACGEPTEO BV THE STATE BOARD
1821 Univenity Ave.. 51. Paul. MN 55100 UNLE55 PROPEfl INSPECTION FEE IS
Phone (612) 642-0W0 ENCLOSED.
I I
C~37~2
Repuest Oate Fire No. Rough-In Inpsecfion Repuiretl Inspe ' Otherthen Raugn-in
(VOU must cell inspec~tor w/~¢n reatly) eaEy Now ? Will Notiry Inspectar
? Ves IfdHO DaleReatly.
I ~ icensed contractor ? owner hereby request inspection of above electrical work at:
Job AOtlress (SVeet. Bax or Rou1e No.) City
.a.vA5--6 r~sR-i"
Sxlion No. lownship Name or No. Range No. County
Occupant (PRINT) Phone No.
/RLCQ
PawerSUppLer Mdress
Elecmcal Contrecior ICOmpany Name) Corrtratlor's License No.
dU,eB 145679-7&A, i c C a~ /75~1~
Mailing atldress IComracwr or Owner Making Installation,
,60 77 L,¢ _ .r/. 5
Aoiborrzea Signalure IGOnhaclo,Owner Meking (nslallation) Pnone Nvmoer
, ~s~[ su! 9 - ~Yf/O
MINNESOT STATE BOARD OF ELECTPICITY THIS INSPECTION FEQUEST WILL NOT
Griggs-Mltlway Bltlg. - Roam 5-173 BE ACCEPTED 8Y TME $TATE BOARD
1921 Univercpy Ave., 51. VauL MN 55100 UNLESS PROPER INSPECTION FEE IS
Plrone (612) 6a241800 ENCL05ED.
REQUEST FOR ELECTRICAL INSPECTION EB~00001-OB
[ ? See nsVUC!ians for completing fils brm on Dack ol yellow copy.
~qq r~ a + CJr./ ~(i d"'_
aU r3 9 1G ' "X" Below Work Covered by This Request "a
ew Adtl Rep. TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Sarvice
Duplez Water Heater Eleclric HeaNng
Apt. 8uiltling Dryer Load Management
Comm./Intlustrial Furnace Othar (Specify)
Farm Air Conditioner
Other isuaciTy) Comractor's Remarks:
Compute Inspectian Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuRS/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers 3 Above 200 _ Amps III Above i0i Amps Signs - Insoecror5 Use Only: TOTAL
Itrigation Booms 2~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspectoc hereby R°°9mm oaie
Certify thal the above inspection has Finai e~e been made.
OFFlCE USE ONLY
This rapuest voitl 18 months Imm
0~ii1p~552 rJ
o ~
Requesl Date Fire N, Roughln Inspeqtion Repuiretl Inspeclion Ot~er T n RougO-In
CJS (VOU~must ctll ~peclor~~" ,hen ready) ~ Reatly Now ~Jill Notity Inspector
~ ? Yes ~J No DateRead
I~Rlicensetl contractor ? owner hereby request inspection of above el work a:
Job Atltlress (Slree6 Box or oute No.) City / 3 g OJ4+a L . ..0 s~C 1~j
SeMion No. iownshfp Name or No. Range No. Coun !
~ ~ LO~lR
Occupent RINT) Phone No.
1,?"
Power Supplier Atltlrass
Elecltlc onvacim (COmpany Nam~e) Cot~rec~to~r/'sTr~Lice~nse ~No.
v/.~ v/_J/ ia./~' C /n sO
~
Mailing tlress (COnvactor or Owner Meking Installatlon)
i~J.E
ANhorized g ature (ContractadOwner Making Installetlon) Phone Number '
03~
-5
MINNESOTA STATE BOAPD OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mldwey Bltlg.- Room S428 8E AGCEPTED BY THE STATE BOARD
7821 Univerairy Ave., St. PaN, MN 55100 II I I II I I I I I I.~.I I UNLESS PROPEF INSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED.
~iJ3Sf,~REQUEST FOR ELEGTRICAL INSPECTION EB-00001-09
loo See instmdlons for completing ihis form on back oi yellow copy.
D C$
"X" Below Work Covered by This Request
Ne Add Rep. Type of Building r'lpplianbss Wired Equipment Wired
' Home Range Temporary Service
Duplex Water Heater Electri c Heatin
Apt. Building Dryer Load Management
Comm./Intlustrial Fumace Other S ecif )
Farm Conditioner o
Other(spacity) Co,ny~ clor'sRemarks: / ~FS
G-~'
Compute Inspec[ion Fee Below: lro
# Other Fee # Service Entrance Size Fee Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Am s ve 100 _Am s
Si ns inspecmrs Use Oniy: TOTAL , s'p
Irrigation Booms ~r D, D
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MONTHS. I, the Electrical Inspector, hereby Rouyn-rn Date
certify that the above inspection has
Finai
been made. ~
OFFICE USE ONLY
This requasl vqtl 18 manihs imm
d"1~~ s'2y~ , - ~
~ / . 58~
flequest Dare Fire No. Rougn-in InsOecfion
Required7 E) Reatly Now ~II No41y Inspeclor
3 - es = No Whan ReeGy9
I'% licensed contractor ~ owner hereby request inspection of above electrical work at:
Job Aaerass ISireel. Box or Route No.I n Ciry .
i n0/<£s, c~ a-~bL~ K~ G~r~FC~i•-~
Section No. To ship Name or No. Range No. Cou^n~
L1JA ,~v '~i~t
Occupant(PRINT) Ppona No.
1-ktac.o ~6~ - 9f/
Power SupOlier AtlOress
Elechic ' onvaclm IGOmpany eme~ Contrac,toyr/s License No.
~/L'/: {~~/ltit?2k, fC/,2CG/ CvJ Qa~s~
Mailing Aotlress iCOnvactor or Owner Makhg Installation) ?
. ~ s ,G'y z!(lJ/f/J
Nutno:ueC Si e IGOnVatlor~Own Making Insiallation~ p Pnone Number
~.-f~J f0
MINNESOTA STATE BOAHD OF ELECTFIQTV THIS MSPECTION REpUEST WILL NOT
GtlggrMiEway Bltlg. - floom 5473 BE ACCEPTED BV THE STHTE 60ARD
1821 Universily Ave.. St. Peul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone1612)6GY-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 'T'~~; ee-oaam.oe
p ry ? See instmctions lor compielinq this brm on Dack o1 yellow copy. ~oQQ
18925 "X" 8elow Work Covered by This Request
e, TypeofBUilding ApplianCeSWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Healing
Apt. Building Dryer Other.(Speciy)
Comm.llndustrial Furnace
Farm Air Conditioner
01her (syec.y) ConVactor's Femarks.
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Peeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ,clp
Tfanstormers AboVe 200 _ AmpS Above 100 _ Amps
SignS InspectarS Use Only: TOTAL ,$b
Irrigation eooms ~O,Sd
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby Rou9n-in t oater~/3V
certify that the above inspection has Final oey?c f,
been made. • (p ~ 'y /
OFFICE USE ONLY
TM1is request vaiE 18 monms Imm~ -
C~05876 ~
Repuest Date Fire No. RougM1-ln InOSection ReOUired Inspection Other Then Rough~ln
?
(VOU mvst c~a~1~ speclar when reetlY) eaOY Now ? Will Na1Ry~fy4petlor
_1!3- No Dete aeaey
Ilicensed contrector D owner hereby request inspection of above electrical work at:
JoD Atltlress (Street. Box or Route Noj Ciry
z~e-44 A!~V Ea6W-..?
Section No. Township Name ar No. Range No. Caun
OccuOant IPRINTI Phone No.
Powe; Suppller Atltlress
Electrical onlratlm (COmpany Name) ContraCtorS LiCenSe No.
Mailing Atltlress fConttaclor or Owner Making Instellation~
~rf~ ~J?a k.F ~1tJ ~~,~0~
Autlonietl aWra lContrectoreOwner Making InstaliaLOnl Phone Number
. /"'~K- 1-
MINNESOV. STATE BOAPD OF ELECTRILITY THIS INSPECTION REOUEST WILL NOT
GrlggaMitlwey Bltlg. - Poom 5413 BE ACCEPTED BV THE STATE BOARD
1821 Univarsiry Ave., 5L Paul. MN 5510i UNLE55 PROPER INSPECTION FEE IS
Vho. (612) 86241800 ENCLOSED.
~ REQUEST FOR ELEGTRICAL• INSPECTION ~f""`°$`'4,~ EB-OOODI.OB
? SBe insVUCtions f' comvleting ihls form on back ol yellow copy.
C c `f-CJ
~ 0J8U '"X" 8elow Work Covered by This Request ~ m•
ew Adtl R
ep. . TypeolBUilding AppliancesWired EquipmeniWired
Home qange Temporery Service
Duplex Water Heater EleCiriC He9Ung
Apt. Builtling Dryer Load Manegement
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Otherlspecity, Contractor5 Remerks:
lL,~.s~~rLL /J£rJ ff,C~A t C°/~wo/d'fii L~~'~l~s
Compute Inspection Fee Below:
# Other Fee # ServiceEntrenceSize Pae # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps , 6p
Transiormers Above 200 _ Amps Abo Amps
Signs Inspecior's Use Omy: TAL '
Irrigation Booms OE!ONNECTED Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E OR IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Elearical. Inspector, hereby Rough-in Dale .
cenity that the above inspection has Firai o /
been made.
OFFICE USE ONLV /
This request voitl 18 montps Irom
0
9150 i 7 S
• ' ~/'s
Repu s~ Date 1 1 Fire No. Rough-in InspMbn
RequireC? Peady Now ? Will Notity Inspecror
2 ves 5440 When Reetly?
I,Klicensed contrector ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet Box or Route No.) Ciry
Drill s1N (ZLE Gt, a 4 9 li5*Glf-j
III SMion No. Towns ip Name or No. Rar~ge No. Couny
t) u
Occupam IPRINT7 Phone No.
e ~o cL ~e ~ %aceo~rr Lf5
PowerSuppher Atltlrass
Elec+rical Conttacror ICompany Name) Coinractor5 Litense No.
~ e- (!~~o . 19.?-
Maiiinq natlress (ConVacmr ar Owner Making Instaneiion)
AuMorizatl $ignet ComradorlOwner Making Installalionl Phone Number
a-
MINNE OTp STATE BOpHD OF E CTNICITY THIS INSPECTION REOUEST WILL NOT
GNppa-Mltlway Bltlg. - Noom S113 9E ACGEPTED BVTHE STATE BOARO
1821 llniversfly Ave., SL Vaul. MN 55104 UNLESS PqOPER INSPECTION FEE IS
PMne (612) e42-0800 ENCLOSED.
/01 P! 7 REQUEST FOR ELECTRICAI INSPECTION ~~"~1 EB~-01-OB /
instr ctiOn51or Camplefing tM1iS btm on EeCk 01 yEllow ropy. . /O /J 000~S~O
K2915n~0?~0 " Befow Work Covered by This Request ~6~~
awiltld Aep.~ TypeoBuilding ApptiancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Oryer Other-(Specity)
~C Comm.llndusirial Furnace
Farm Air Conditioner
Otherisyeciryl Contracror5 qemarks:
Compute lnspectian Fee Below:
# Other Fee # Service Enirence5ize Fee # CircuitslFaetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformer5 Above 200 _ Amps Above 100 _ Amps
Signs lnsoecmr5 Use Only: TOTA
Irrigation eooms lJ ' So
/ Special Inspection /y ~ ~
Alarm/Communication THIS INSTALLATION MAY BE ORDEf(EDAISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
L the Electrical InspectOr, hereby Rough-in Date
certify that the above inspection has F;,,ai ( oaie
been made. 7f ~r
OFFICE USE ONLV
Tbis request v0ia 18 moMhs irom
OPRCE IISE ONLY This request void 18 monllis (rom validarion date prinhd in Ihis boz
* O 4 5 0 9 2 Ia L~K PLEASE PRINT OR TYPE
Reques, Dare RougMn Inspecfon raqoiradZ No Inspection Oiher llian RoughAn: ? Ready Now 0 Wi0 Coll
~_/3 _ q 7 na, mu., ~ii ~na ~r,~b, e~ aody, oole xeanay:
I, /Vicensed conhoctor El owner hereby request inspeciion oF the a6ove elechical work ot:
Code
de
h6 Add ee~, x, or R No.~ Ciry t Zip
~ C G
Sedion No. Township Name or No. Range Na Fire No. "on
Cow~ ~
~ /1..Ci
Occ nI Phom No.
0
Power Supplin Address
Ekclncal Conhackx JCom ny Name) Conkapar licenss No. Nwsfer Lic. W. (Plont EIM. Onhh
, 1 ca I
~
Mailin9 AtYJro5"onh Pxdoamin, In tia~iOn) (I,,~1 (IRAU,
AuIMn sfqnmwe (com.odor n Perf«mlig In:mlhno,) Pho e No.
zg-z6~8
EB-0 lhl l 8 6 gTSiE 90Giio COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
IWIFT REQUEST FOR ELECTRICAL INSPECTION
45O-%~ 26 ~ 8121 Univ rs ry Ave. Rm. ES7 Sc St. Paul, MN 55104
Phone (612) 642-0800
Home Duplax Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re ir
Air Cond. Htg. E ui . Woter Hh. Load Mgmt. Other.
Dryer Range Elec. Heot Tem . Service
"X" obove Ihe work corered by this request. Ertfer remarks in Ihis spam and on ihe back of 1{ie white copy only.
1-4,ok Lyo GvfG.~~fs
Calculofe Inspecfion Fee - Thrs Inspecfion Requesf will nof be accepfed wifhouf fhe cortecf iee:
Other Fee # Service Entmnce Size Fee # Circuits/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 ro 100 Amps ~80
Strcet Ltg./TraNic Sig. Above 200_Am s Amps
Tronsformer/Genemfor INSPECTOF'S USE ONLY ~i/ Oab. ~
Sign/Outline Llg. X(mr. V,1i
Alarm/Remote Conhal -
Swimming Pool I hereb cenl thol l' e alecrci n ew'6ed herein m the dotas:roted
Irrigation Boom Roughan Do~e
Specialinspection
emai o
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONN F NOT COMPLETED WITHIN ffi MONTHS.
28 aJ - 513 OFFlC OSEp NLV This request void IB monthslram.alidanon dob primed in 7 MD ~Y ry~
- 3~G/ ~ 7
PLEASEPRIN70RTYPE
Requesl Dok Rough-in inspMion reqoiredY ? Yes Rl N. Inapection OtherThan Rough-In: 0 ReadY Now ILYVJiII Call
_ s-~~ ~You most mll the inspecror when rcady~ n Dote Ready.
I, 0 licensed con}mdor ? owner hereby request inspedion of fhe above eledricol work at
lob Addass (5 t, Box, a Rovre~?{ ~ Ciry 2p Code
14W
5 lion No. ownehip Name or No. Range No. Fire No. Coun
u
Oa nl Phone No.
Powyer Sapplier Pddreu
/V)
Elecfi I Contranor (Company Name) Conhactar Limme No. Maercr bc. No. (Plam Elaa. Only)
MoilirglWdress jCOnVaclor or Qmar Per(ormin In:ronanon ~
- S L ~ c~ Ct~ m SS I D`I
AuMon ed Signalure ~ onhotlor o~ Owner P rming Inxlvllon n) Phone No.
~ u.~.,,~ 3 !d-
EBWCOIhi 6/95 STATEBOMDCOPY-SEEINSTpUCiIONSONBACKOFVELLOWCOPY
I II I~I II~I~ II I~~I II III IIIII~ REOUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electriciry
182' Universiry Ave., Rm. 5-~8, $ ~ I, MN 55104
* 0 2 8 9 G 1 3 4* Ph~ '(612) 642-0800 3~
Home Duple: Apt. Bldg. er. ~ New Addn
Commerciol Indushial Form Remod Re oir
Air Cond. Hig. Equip. Water Hfc Load Mgmt. Ofher:
D er Ran e Elec Heot Tem . Service
'k' above the work covered by this request. Enfer remarks in this spoce and on fhe back of the white copy only.
w F .,&'~4
Calculofe Inspedion Fee - ihis Inspec/ion Request will not be vccepfed withoul fhe mrted fee:
Otfrer Fee # Service ErNrance Sae Fee 3R Circuits/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Sfreet Lig./Traffic Sig. Above 200 Am s Above 100 Amps
Trons{ormer/Generotor INSPECTOn'sUS Lv ~i.OTAL
$ign/Oufline Lfg. Xfma ~ ,/f ~ ~~~D
Alarm/Remote Conirol
Swimming Pool .
I hereb cerfi ~a1 I im etl Ihe elednml insialialion deecnbed herem an the doros s~o~ed
Irrigbtion Boom Rough-In Dnk
Speciallnspedion
Investigative Fee F~~~~ ~
THIS INSTALLATION MAY BE ORDERED DISCO ECTED IF N O ED WITHIN 78 UOWHS.
OFFlCEUSlONLVTh cq~18monIlis v (rodato~tepn ted m~hsbox
V
IIIIIIIIIII IIIII IIIIIIIIIIIIIIIII IIIIIII O n o\/ i
l ~
* 0 4 2 8 4L 7 0~K LEASE PRINT OR TYPE ~ D
R que Do/ RougMn tnspecfion requifedz ? yes N. Inspection OiMr Than RoigMn: ? Reody Now Will Gall
~ ~'/au musr coll ~he inepe ior wFen reody) Ook Ready:
I, licensed confractor ? owner hereby request inspeclion oFthe above elechical work ai:
)ab Pddress ~Slreel, n Nwre N. I Ciry Zip Code
Secnon o. T nship Nome or No. 777Nn Pire No. Coun
D
Occ nr Phone Na.
DC' r T/O/V
wer Suppller Pddress
E ml Con cror ~ y ome~) - Conhacror license No. Master Ua No. (%am Elen_ Only)
a»" naa,.. (comna ~o, o,.~ re~i~auo~i
~
.
Autbgdzed SignoNro onka 1or Ownn Pe slallonon) ~ Phon No -gm
.
800001 A17 8/96 STATE 90AND COPY - S E INSTRIICTONS ON BACK OF YELLOW COPY
~
REQUEST FOR ELECTRICAL INSPECTION - " 11
428-417 ~ Minnesota State Board of Electriciry
1827 Universiry Ave., Rm. 5-128, SL Paul, MN 55704 -
, Phone~(612) 642-0800 ~
Home Duplex t. Bld . Other: New Addn
ommerciol Industrial Farm Remod e ir
Air Cond. H. Equi . Wofer Hh. load M mf. Other:
Dryer Ran e Elec. Heot Tem . Senice
"X" above the wark covered by fhis requesf. Enter remarks in fhis space and on Ihe back oF fhe while copy only.
Colculaie Inspection Fee - This Inspecfion Requesf will nof be accepted wifhout fhe correcf fee:
Other Fee # Service Entrance Size Fee # CircuiLS/Feeden Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200_ Am s Above 100_ Amps
Tmnsformar/Generaror INSPECTOP'S USE ONLY TOTAL
Sign/Outline llg. Xfmr.
Alorm/Remofe Conhol
Swimming Pool i herecenify thm iins d ihe "roi m:b eon dettri6ed herain on the daies smted
Irrigofion Boom RwgMn ome
Speciallnspeclion ~
enoi i Dare
Investigative Fee
THIS INSTALLATIONMAY BE ORDERED DISCO CTEWF-NOT COMPLETED WITHIN 18 MONTHS.