1428 Yankee Doodle Rd - Electrical Permits
D4 5 A6
Request Date Fir No. Rough-in Inspecfon
Raquired? ? Reatly Now ? Will Notity Inspector
- ? Ves ? No Whan ReatlY?
~
10 licensed contractor ? owner hereby request inspection ot above electrical work at:
JoD Aitlress (Stree x o Route N.~~ r / ~ Ciry
~i
Sechon No. Township Nam orNO. pange No. Counry
Occupant(PRINT) Phona No.
z Aq,,.,
Power SupPlier Atltlress
Eleclricat Contrecror (COmpany Name) ( / Co reMOrSlicense No. /
Mailin tlEress (Contr clor or Owne~ Ma i I t adbn)
l C%
Aulhorizetl $gnaWr o r or/Owner aking Installafion) P~one N mber /
a-L~Z-z
MINNESOTA STATE BOARD OF ELEC ICITY THIS INSPECTION FEQUEST WILL NOT
GAgg~MlCway Bltlg. - floom S173 BE ACCEPTEO BVTHE STATE BOARD
1821 Univnsiry Ave., SL Poul, MN 55104 UNLESS PROPER INSPECTION GEE IS
Plmne (812) fi62-0800 ENCLOSEO.
REQUEST FOR ELECTRl,CAL INSPECTION `T~g EB-00001-OB
? See instmctions for compleling Ihis lorm on back ol yellow copy. i~"~?~ /O
5 2 4 6 4 "X" Below Work Covered by This Request
ew Add Rep.' Typeof8uilding AppliancesWtretl EquipmentWired
~ Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Builtling Dryer Other (Speciry)
Comm./Industrial Fwnace
Farm Air Conditioner Other (specify) Contractor's Ramarks.; j G V~
' Compute Inspection Fee Below: #,I`° Vqf QGv
%#7 Other Fee # ServiceEnirance5ize Fee # Circuits/Feetlers Fee
Snimming Pool 0 to 200 Amps 0 to ~00 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
SignS ^ Inspector's Use Oniy: TOTAL
trrigation eooms `J ~ ~ j~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has Final a~e
been made. e WZI~
OFFICE USE ONLY
This request void 18 months trom
~ ~ ' 0 3 8 1 ioasoa--
0 293 ~ E „d yg4 S o 0
Request Da e" 9 Fire No Rougmin Inspecfion
Reqviretl4 'KAeatly Now O WIII Notily Inspeclor
? Ves Na Whan Raedy?
I V licensed contractor O owner hereby request inspection ot above electrical work at:
Job Atlaress (Street, 8w or Roure No.) Ciry
l~f~a ac~pcE tl. ~GA~
Seclwn No. Tow hip Name o~ No. Range No. Counry
DAXa-7#
Occupant (PqMT) Phone No.
rrcoc~'s
Powar SvpOlier Atltlress
Electrical ConVactor (GOmpany Name) GonVactor5 License No.
_(f uf& 6~£cTierc- DYo ~f
Mailinq nomess ICOnnacror or Owner Makinq Installation)
L9S3 -5;9WAJ1f1~6 ~s'iaz _
Au~ oryetl~Signawr¢ ~Co to I er eNing InS~allalion, Phone ber ~
V
MINNESOTA STATE BOAqD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
GriggeMlEway Bldg. - Poom $473 BE ACCEPTED BV THE STnTE BOAPD
1841 Univeraih Ave., SL Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone(612) 663-0800 ENCLOSEp.
REOUEST FOR ELECTRICAL IN~PECTION ee-00001-07
? See Instmctions for mmpleting this lorm on Oeck ol yellow copy ~QQ~JQ"A-
Q Q 3~ X" Be/ow Work Covered by 7his Request
ewA~o n .Typeof8uiltling AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other (Specity)
Comm.llndustrial Furnace
Farm qir Conditioner
O~he~ ~specily) CpnVacror's Remarks'.
Compute Inspection Fee Below:
# Other Fee # Service EntranceSize Fee # CircuitslFaeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si905 1nspector5 Use Only: TOTAL
Irrigation Booms U
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Oiher Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Aou9n-in oa~e
certity that the above inspection has oaie.~~~!/ c~
been made. / /
OFFICE USE ONtY
This reQUest voltl 18 monlhs irom
This-requesR void 18 months from )e(-D~(>
~ ' LI ~ 131 .
Date of this Request P.70999
I, as g~icensed Electrical Contracto~~Q wner, do hereby request inspection of the above electri-
cai wiring installed at: 14l.! 2 SQO ~ e
-7
Street Address or Route No. Pf A6 OpG Pr091,h4 1?i~
Section Township Range County *9,wO T~9
Which is occupied by C l^PI-T ( J e ,,g~2 S%~L~srs ~~zcxatco's
(Name ot Occupa ) •
Is a roughin inspection required on this job? No ? Yes 0<,- Ready Now.FX Will Call ?
Power Supplier Address
Electncal Contractor -5 TR-~-O 9" iFl P r e'o Contractor's License No. _
(COmpany Name) n
Mailing Address 1~-( ~i ~ CJ ~p ~.r~ F~a"+~~
(Electrical Con ~or or owner Making ThIS Installatlon)
,4uthorized Signature~sv Own-~ ~A ~.rl Phone No7/'
(Electrical Co t~a t or er akln9 ThIZ Installatlon)
This impection request will not be accepted by the
p~ ~ C State Boerd unless praper inspection fee is encloud.
Minnesota State Board of E4ectricity,
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELtCTRICAL INSPECTtON P 70999
t}ttCK BEY.OW WOAK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Eoi
Home ? ? 0 Range_ ? TempocaryWving ?
Duplex ? ? 0 Waterfl,e tei . . Lighting F"vctures ?
Apt: Bldg. Dryet~ ~ E(ecVic Heating ?
Commeroial Bldg. ? 6 ? Fumce Silo Unloadex ?
\ 1
Industrial Bldg. ? ? A"u Conditioner !LI JBulk Milk Tenk ?
Farm ? ? ? p[.ist I AlQ2 D(Z' P/ %LS pList
Otlier ? ? ? Hehers~ ~ HeieTS~
COMPUTE INSPECTION FEE BELOW
Seivice Entrance Size: # Fee Feedeis&Subfeede=s: # Fee C¢cuita: # F
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
]01 to 200 Amps. 3I to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoContcolCiic. Paztialorothertee
Signs • S ecial teInspection Minimum fee $5.00
Remarks TOTAL FEE
I, the Electrical Inspector, hereby,ce n ha s been made. (Rough-in) *4S;!-QCt1o Date ~-~~?y
r
(Final) ` Date /b - Z~
This request void 18 months from
~rsVs/ . , e/a~~~
9 69116 r~~ a ~
spection
Request Date Fire No. Rot-dl'o4
_ Q Re? Reetly N. ill Notity Inspector
~ / I] . o Whan Ready?
I L
licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOdress Sh Box o Route o.j n , pity
~ •~i
Seclion No. Township Name or No. Range No. Counry
Occupant( INT~ p ne ryo.
Pow Supplier Atltlress
I
Electnr„31 Coniraqor (y pany ame) ConVector's Llcense No.
I~IN L 8
LAoth.,Zed g tlress ~COn tlor o Own Makinq Ins Ilation~
o~NS ~6,/ z
S' aW x(COnVactor:Owner Ma' ing Insullation) Plone Number
MINNESOT ATE BOARD OF ELE'TqICITY THIS INSPECTION REOUEST WILI NOT
Grlggn-Mitlway BI09, - Room 5473 BE ACCEPTED BV THE STATE BOARO
1821 Universlty Ave., SL Paul, MN 55100 UNLESS PROPER WSPECTION FEE IS
Vhone(612) 66241800 ENGLOSED.
J/,//C~~ REQUEST FOR ELECTRICAL INSPECTION es-ooom 07 I
tSee insVUi for completing fiis lorzn on back of yellow copy.
69116 "X" Below Work Covered by This Request w ~
ew Atltl Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Buildmg Dryer Other (Speciry)
Comm./Industrial Furnace
Farm Air Contlitionar
Oiher(specify) Convactor9 Remarks:
Compufe Inspection Fee Below:
8 - Other Fee # ServiceEMranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 10o Amps
Transformers Above 200 _ Amps Above 700 _ Amps
S1gnS Inspector§ Use Omy. TOTA O
Irrigation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE O ED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro.qn-m oaie
certify fhat the above inspection has Final oa
been made.
OFFICE USE ONLY
This request voitl 18 monlhs Irom
25 1- 3 51i[71 USE NLY This reqvexf vaid 18 manths from validafion dme pdnted in Mis box.
~3I9~ 5300-~_11
PLEASE PRINT OR TYPE 61 I •
Requeai Dok Rough-in inspection requir 12 ~ Yu ~ No Inspecfion 01her Thon Aough-In: Q Rmdy Now ~ Wtll Call
2-8-96 ('~oo most coll the inspecror whm rmdo wro aeaay:
I, z$ licensed <onhador 0 owner hereby requesf inspedion of 1Fie above electrical work at:
Jo6 Mdrese (Skeel, Box, or Rouk No.) Clry Zip Code
1444 ee Doodle Road Ea an
Secfion No. Township Nome or No. Rvnge No. Fire No. County Dakota
Occvpvm Phone No.
Kennys Liquors
Power Supplier Pddress
Eleclnml Convaaor (Company Nome) Conlrodor liceme No. Maskr 6c. Na (Plant Eled. Only)
Heartland Electrical Contractin CA-02593
Moiling ALdress (Conhacbr ar Owner Pedorming Insallorion)
8365 Courthouse Blvd. Ct. Inver Grove Hei hts Minnesota 55077
AuMorixed5ignoNre(Conkacioro, Own Performinglnsbllafionl PlwnaNa.
457-5024
EB-OWOI 10 6/95 9TA7EBOANUCOPV-SEEINSTNVCTIONSONBACKOFYF110WCOVY
~IIIIIII I I~vl ~i REOUEST FOR ELECTRICAL INSPECTION
I~I I MinnesoW State Board of Elechicity
1821 University Ave., Rm. S-7 8, S Paul, MN 55104
* 2 57 3 5 1 7 x„ anone (612) saaoeoo
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indusfrial Form Remod Re air
Air Cond. Hig. Equip. Wafer Htr. Load Mgmf. Other:
D er Ran e Elec. Heat Tem . Service
"X" a6ove the work covered by this reqvest. Enter remarks in this spate and an ihe back of the white copy only.
Calculate Inspxfion Fee - This Inspectian Request wili nof be accepted withouf Ihe maect lee:
ONher Fee # Service Enirance S'ae Fee # Cirwih/Feeders Fee
Mobile Hame Park Stoll 0 t0 200 Amps 0 to 100 Amps 125.00
Sireet Ltg./TraHic Sig. A6ove 200 Amps Above 100 Amps
Tronsfortner/Generafor INSPECTOR'S USE ONLY TOTAL ,50
Sign/Ou}line Lfg. Xfmr. ~ 25.50
Alorm/Remote Conhol ,T-4~v
Swimming Pool
I hereb mT ~hal l ins ectad Ihe elMriml ins Ila~io ' pd n the dofs~ aafed
Irrigofion Boam Rough-In Dak
Special Inspeciion ~
:F:jF,7.T- 27
InvesNgafive Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
This r equest void 18 months from
Date of this Request aa 7~ 26510
I, as ~,icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at: ~J -(,°enTen n~ m~ ~W,:iW h
Street Address or Route No. 006104o"/I? City~r//Ml.A.t-'
Section Township /D 111QaE7 D/d D/ Range County .L7.o,U>Xo
Which is occupied by
(Name of Occupant)
Is a roughin inspection required on this job? No FAr Yes ? Ready Now ~r Wffi Call ?
Power Suppliec Address
Electrical Contractal~.-.4 ~Lwt 2!~Z~s (~27 Contractor's License Na~7~33~
(GOmpany Name)
Mailing Address _;a -7g~ t
(Electrical Controctor or Ow e Making This Installatlon)
AuthorizedSignature_/f •/P/. p~~PhoneNo.Z~~-~~.~3
(Electrical Conttactor or Owner ! Ing hls Installation)
STATE BOARD COPY
Minnesota State Board of Electricity ~~7-
`J~54,University Ave., St. Paul, Minn. 55104-Phone 645-7703 ~c
R€QUEST FOR ELECTRICAL INSPECTION 26510
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appdances Wired Foc Check I!quipment Wi[ed Foi
Home ? ? ? Range ? Temporary Wuing ?
Dupiex Watet Heater ? Lighting Fixtures ?
Apt. Bldg. Dryer ? Electric Heating ?
Commeicial Bldg. Fumace ? Silo Unloadec ?
lndustrial Bldg. 0 A'v Conditioner ? Buik Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? I ~ . Ee~ers~
COMPUTE INSPECTION FEE BE
Secvice Entrance Size: # Fee e Sub Fce Circuks: # Fce
0 to 100 Am s. ;tRemote 30 Am res 0 to 30 Am eres
]Ol to 200 Am s. 100 Am res 31 to 100 Am tes ?
Above 200 Amps. e 100 Amps. Above 100 Amps.
Tansformers ConttolCi:c. Par tialocotherfees al Insection Minimum fee $5.00 So~
Remarks 13 S.cr T. C3f '?'pTAL FE ~
Sc9, s do~j,..Js S'0
I, the Electncal Ins(Sector, hereby certify that the above inspection has been made.
(Rough-in) f Date
(Final)
This request void 18 months from
J6 0 7 7 Q ~ l ~ S
Request Date Fii9 No. Rough-in Inspecfion NOTICE: Vou Must Call ElecMncal Inspeclor
f ~ RequireE? / 1! A Foughdn Inspection
- ? ~/B6 ar~ao Is ReQuirea.
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SIreH. Box or Raute Na.) City
[-r 6 "It/
Section No. owns~ip Name ar No. Range No. Counly
/o~-'07
Occupant(PRINT) Phone No.
8
Paver Suppiier Atltlress
Electrlcal Comracror (COmparry Name) Coniractor5 License No.
C/[7 Cl.G /f/c~ s C/T (J ~ 7 ~
Mailing Aatlress (COntracbr or Owner Making Inslallation)
OJ' - N ?~~7LG SSD$Z
ANhorizeG Synature (Contracmr/Owner Making Inslallatian) Phone Number
~ ~r / v,C '3 _ 7 svy o
MINNESOT TATE BOAPD OF ELECTii1CITY THIS INSPECTION REQUEST WILL NOT
Grlggs-Mltlway Bldg. - Room S173 9EACCEPTEO BYTHE STATE BOARD
1821 Univeroity Ave., $1. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phana (612) 602-0800 ENCLOSEO.
aa 9~. REQUEST FpR ELECTRICAL INSPECTION ee oooo,-oe
6D 7 f See Instrvctions !or completing ihls lorm on back of yellow copy. /~D g S
_ "X" Below Work Covered by This Request
ewAtltl Rep. TypeofBuildiny AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heafing
- ApL Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condi[ioner
Other (speCify) Contraclor5 RemeBS:
Compufe Inspection Fee Below:
# Olher Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps / 0 to 700 Amps
Transformers AbOVe 200 _ Amps Above 100 _ Amps
'Z SignS Inspector5 Use Onry: TOTAL
Irrigation Booms
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE O ERED ONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS. -
I, fhe Electrical Inspector, hereby Rough-in , / ~ oa~a
certify that the above inspection has
been made.
OFFICE USE ONLY
This request witl 18 manths irom
~770
M 7 0 5y 7,* g/, s
Fequesl Date Fire No. Rough-in Inspection iO"fAP
~ NOTICE: You Must Call Elechicel InspecMOr
R uire~?
eq M A Raugh-In InspeNOn
Q-~ C Ves x No /IYapJ Is Requiretl.
IV licensed contractor ? owner hereby request inspection of above electrical work at:
Joh AtlCreas (Street, Box Or Rovle No.) CHy
'Da!~P4c !2 0.0o E.~vY
Section No. Township Name or No. Range No. County
D.~Alovv
Occupant(PRINn Phone FJa.
o..a T k.rrA
PowerSupplier qtl ess
ElecMCal ConVacbr (COmpany Nama) ConVaclor~ Llcewe No.
Mailirg Atldress (COnirectoi or Owner Making Instaliation)
AuUOnzed Signatu~ (COnUectoqOwner Making Inslallatlon) Phone Numbet
~ FFe 'S
MINNES TA STATE BOARD OF EL TFlICRY THIS INSPECTION qEQUEST WILL NOT
Gdgga-Mitlway Bltlg. - Raom 5473 BE ACCEPTED BV THE STATE BOARD
1821 Universky Ave., SL Paul, MN 55104 UNLESS PROPER MSPECTION FEE IS
Phone(812)694-0800 ENCLOSED.
/-i REQUEST FOR ELECTRICAL INSPECTION - es.ooam-oe /
? See' stv ons for completing ihis form on back W yelbw copy.
//Y11D [,L
M" 7 Q55 71Below`Work Covered by This Request
e Add Rep. TypeofBUil ing AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heaier Electric Heating
Apt. Building Dryer Load Management
CommJlndustrial Fumace Ofher (Specity)
Farm Air Conditioner
Othar (specify) Conbacbr§ Remarks~
Compute Inspection Fee Below: ~~RE &mey/
# Other Fee # ServiceEniranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers AbOVe 200 _ Amps Above_100 _ Amps
Signs Inspecror§ Use Onry: ~ TOTAL
Irrigation Booms _ u~i (S Sd
/ Speciallnspection $'a
Alarm/Communication THIS INSTALLATION MAY BE O ERED DISCONNECTED IF NOT
Other Fee 5ugAW 3b COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-m oate
ceAify that the above inspection has F;,,ai o te
been made.
OPFICE USE ONLY
This request void 18 months from
DOb501ol~,61, Reppst Oate 'I Fire No. RouBh'in Inspeclion = NOTICE: Vou Must Call Eleclncal Inspeclor
/ flequired? Ii A Rough-In Inspection
` O - z0 ~ 4 ?Yes %No Is ReQUiretl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Adtlress (Slreet, Box or RoWe NaJ Ciry
cEE L A4'j
Section No. Township Name or No. Range No. Counry
V71-
Occupant(PRINn Phone No.
O S ( A7 Zva
PowerSupplier Adtlress -
Eleclrical Contracwr (Company Name) Contractor5 License No.
ff ~
Mailing Adtlress (Comraclor or Owner Meking Inste(lation) .
AYG 54 Authoriaed Syna re (Conhapor/Owner Making I stallaGOn Phone NumEer
MINNES A STATE BOAND OF ELECTPI THIS INSPECTION REQUEST WILL NOT
GrlggsMldway Bltlg. - Room S-173 BE ACCEPTEO BY THE STATE BOAFiO
1821 Unlversity Ave., SL Peul, MN 55100 UNLESS PROPEF INSPECTION FEE IS
Phone(61])6C2-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E13,00001 d
e,~
p~ p~See ~itor completing ~his krm on back o( yellow Wpy.
Iq. 0-8 5 l~~ Below Work Covered by This Request CRO
e Add Rep. Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waler Heater Electric Heatin
Apt. Building Dryer Load Management
Comm.Antlustrial Furnace Other (Specity)
Farm Air Conditioner
Other (specity) Conirector's Remarks:
W!/1,~ ei4'sff-MAce~f/N~
Compute Inspec6on Fee Below:
# Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Trensformers A6ove 200 _ Amps Ahove 700 - Amps
Signs inspector5 Use Ony: TOTAL
Irrigation Booms eJ, /S ~
( Special Inspection (
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DI5CONNECTED IF NOT
Other Fee Pje.t/1Ghf COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspedor, hereby Raugh-in oa~e
certify that the above inspection has F;nal Date G
been made.
OFFICE USE ONLV
This requesivoitl 18 months from
2~ ' n Oi/SEydN~ TfAs rquest volU 18 momhs from wlidocon doh prinled In t4is baa.
~ii ~ ~ O~J V
,
ENi-
Q,, izy78 ~
PL2AS@ PRINT OR TYPE
Reqoesl Dare Rough-in inzpedian required2 ? Yes 10 N. Inspectian Other Than Roogh.ln: Of Ready N. 0 Will Call
(Yov muat call tha inspedorwhen reody) Dme Ready: 1-7-9,&
I, CO licensed conhacfor Q owner hereby request inspection of ihe above eledricol work al:
Job Mdress (Sheet, Bax, or Raum No.) Cih Zp Code
/ y & y40i K~ PeowLe
5«Nan No: Township Nome or No. Ronge No. Fire No. 1 Covnry
~ ?v
OcapaTf Phone Na.
r# ryc,msrb.d IAV s
Power Supplier lddnss
r
ElecMml Conhacror (Compony Name) Conhanor License No. Maskr Lic. No. (Plom EI«I. Only)
Moiling Addrees (Conlrocror or Owner Pahorming Insmllafion)
2 5a
Aulhonzed Signamr (CoMmcror or Oxnm Peiformin nsMlbtian) Phone No.
pri EB-00001 0 6/95 3T 90MDCOPY-SEEINSTilUCT10N50NB11CKOFVELLOWCOPY
IIIIII~II III II ~IIII II AEGilIL"5T FOR ELECTRICAL INSPECTION S-NTM~
Minnesota State Board of Electricity
. , ~ aui, MN 55104
* 0 2 3 s 1,82,1 e (a±e~ saz v-0eoo
Flomr Duplex Apt. Bldg. Other: New X Addn
Commercial Industrial Form Remod Re oir
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Ofher.
D er Ran e Elec. Heot Tem .$ervice
"X" above the work covered by fhis request. Enter remarks in fhis space and on the ba<k of the white copy only.
w[ee "~P~SS.r~ru.
Calcuhte Inspection Fee - This Inspection Request will not be occepted without }he corred fee:
Olher Fee S Service Entranae 5¢e Fee +M Crcvih/Feeders Fee
- Mobile Home Park Stall 0 to 200 Amps 0 to 7 00 Amps
Sireet Lig./Traffic Sig. Above 200 Amps Above 100 Amps
TmnsformedGenerotor INSPECTOp'SUSEONLV TOTAL
$ign/Outline Lig. Xfmr. , Q
Alarm/Remote Confrol O `
Swimming Pool i ne.eb mm Mm i ir: ~d m<<lean .+.,rtd
Irtiguiion Boom Rough-In ~
Speciallnspedion ~jp°O
~ Invacfigelive Fee ~Sa Fi~l ~
THIS INSTALLATION MAY BE ORDERED DISCONNECTED I O L ED THI 18 MONTHS.
ihor 00
Request Date ire No. Poughin Inspecfion
y~ Requiretl? ? Reatly Now ~ Wili Notily Inspector
? Ves hen Reatly9
I J.L'censed coniractor O owner hereby request inspection of above elecirical work at
Job natlress (Stre , Box or ome No.) Ciry
I ~ ~ Fv~('C- 6~aod l-~ ~ ~ r9-+~
Section No. Town hip Name or No. Range No. Couny
f} o ( f}
Occuoant(PRINT) Pnone No.
Ur• l
Power upplier Adaress
Elecvic3l Conlractor (COmpany Nama) Co rac~or's License No.
t 2 i nf ~ (L.
li~ 0
Mai~inI Adtlress IC hactor or Own Makin/g~nsta~lla
~,io,n~/ r
- O O N !LI ?T~/ /v 7 7,7
AulM1Orizetl S a re IConvaqon wner aking Installation) Phonyy,NN'~ u' /be~r]
J~-?-z-~
MINNESOTA $TATE BOAflO OF ELECTNIdTV THIS WSPECTION REOUEST WILL NOT
Grlggs-MlCwey Bltlg. - Raom S173 BE ACCEPTEO BV THE STATE BOARD
1821 UniveraHy Ave., SL Paul. MN 551pd UNLESS PROPER INSPECTION FEE IS
Phane161Y) 662-080(, ENGLOSEL).
REQUEST FOR ELECTRiCAL INSPECTION ~es ooom 07
r See Insimctions for rqmpletin9lhis lorm on back ol yellow copy.
6-9115 X" Below Work Covered by This Aequest
ewAOU Rep. TypeofBUilding ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olner(specay) Comraaor's Remarks:
Compute Inspecfion Fee Below:
u Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to i00 Amps
Transformers Above200-Amps Abovei00_Amps
Signs Inspecmrb Use Oniy: TOTA ~
Irrigation Booms
Speciallnspection -
Aiarm/Communication TNIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
bther Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough.in oaie
certify that the above inspection has F;nai ( oace
been made.
OFFICE USE ONLY •
This request voitl 18 months irom
~ /6/0 D l l ' n9 ~ a o `f
~524684~
Raquesi Date Fi Na. Rovgh-in Inspeclian
Q Required? EjIlWiMOw ? Will Natily Inspedar
? Ve5 6rM~ When Ready?
I icensed contractor O owner hereby request inspection of above elecvical work at:
Jo0 Atltlress (SVeet, Box or Route No.) Ciry
E'' 6^
Settion No. Township Name ar No. Fange No. County
Occupanl(PRINT) Phona No.
Power Supplier AtlGress
ElecVical Comraclor ompany Neme GonV clor§ License No.
• ~ .rs~ ~ ~
Mailing FtlCress (ConV tor or Owner Makinq Insta fion)
Avthonred $I re onVactor/Own r Making InsWllalion) Phone Number ^
~ c)
MI ESOTA STATE BOAR OF ELECTflIdTV THI$ INSPECTION REOUEST WILL NOi
GrlggsMWwey BIGg. - oam S173 BE ACGEPTEO BY THE STATE BOARO
1821 Unlvenlry Ave., St. Paul, MN 55104 UNLESS PROPER INSPEGTION FEE IS
PMne (612) 602-0800 ENCLOSED.
311811YI REQUEST FOR ELECTRICAL IN$PECTION ee.ooom-~~
See inslructions lor completing this (orm on back oi yellow copy _
.
?M ~
In1 52468 ? "X" Below Work Covered by This Request ~~J ~
ew Adtl Rep. „ TypeotBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specity)
Comm./Industrial 'FUrnace
Farm Air Conditione.
Omer (speciy) Comractor's Remarks:
Compu[e Inspection Fee Below:
# Other Pee # ServiceEntranceSize Fee # Circuits/Feeders Fee
wimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers bove 200 _ Amps e Amps
~ SignS InspectorSUSeOnly: TOTAL
Irrigation Booms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oa~e
certiry that lhe a6ove inspection has F;nai ~a
been made.
OFFlCE USE ONLY
This raquest voitl 18 months irom
3 a/ S/ • /oas3/
~ 4 043 ora ~i i3l,
Request Date Firth No. Rough-ln Inspecfion
Requirea? r'~'2ewdyl,ow 'v Will Nati(y Inspector
Q ? Ves No When R¢atly?
I X licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Shaet 8ox or Route No.) Ciry
14~50 ~fK£Z 1~oaDcE M6lt111
Section Na. Towns p Neme ar No. qange No. CounryMbee7W
Occupant(PRINT) Ppone No.
0 1£ f ,OEt.1
Powar SvOplier pAtlress
Elxlrical Comracror (Company Name'i Contrecmr's ~icense No.
u rE &~crn ic- D~~ys
Mailing Aatlress (Comracror or Owper Maknq Installation)
~ S3 Sr~itlit!'E£ ~0. dG)K
NuffiOri g tature c.oqtrVd naj M' nq Installalion, Phona Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GlIggn-Mldway Bldg. - Foom S-173 BE NCCEPTED BY THE STATE BOARD
1821 Univerafry Ave., SL VeuL MN 55104 tINLE55 PROPER MSPEGTION FEE IS
Plqne(614) 662-0800 ENCLOSEO.
REOUEST FOR ELECTFMCAL IMSPECTION y~'~~, ee-ooo01-07
Po See insVUCtions lor compleling [his lorzn On back of yellow cnpy.
k
a043 X" Be/ow Work Covered by This Request
e' ~ 1 TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Sarvice
Duplez Water Heater Electric Heating
ApL Building Dryer Other (Specify)
CommJlnduslrial Furnace
Farm Air Conditioner
Olher (specify) Contracror5 Remarks:
Compute Inspection Fee Below:
k Olher Fee # ServicaEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's Use Only: 'ITOTAL
Irrigation Booms / J - 0 v /,,r
Special Inspection
AIarMCOmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elechical Inspector, hereby R°u9n-m oete
certify that ihe above inspection has o _f
been made.
Ofi1CE USE ONLV
TM1is rEquest vOitl 18 months imm
This Wuest void 18 months from r)~~~~G~~~i
54749
Date of this Request <~S- 's I D
I, as ;X,icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal'wiring installed at: •
Street Address or Route No. I~I S~ Yqn kz2, DaoJ1@ pisity5~-on.
Section Township Range County D, k"
Which is occupied by Vnn~ 5
' (Name f ccupant)
Is a roughin inspection cequired on this job? No ? Yes ? Ready Now O Will Call ?
Power Suppiier Address
3~laod
ElectricalContractor 44 Pl nt., F- 1'vL}ri-c_-InC._ _ Contractor'sLcenseNo._
, (COmpany Name)
Mailing Address i U
(Eiectric C trxtor or Ow er aking TOIS Inztaliatlon)
Authorized Signature Phone No. 0"-5-5 ~e~3 ~
_ (EI tr al C r ctor or Owner Makin9 Thls Installation)
This impection requesi will nat 6e accepted 6y ffie, STATE. OARD;-'Copy-:,, State Boerd dnless propei inspec4ion.fee is enclased.
tnctty ~ L L 4
. ~ 7954Uaw~Mt-AR7rn-55fi64-- one645-7703
RE~QUEST FOR ELECTRICAL INSPECTION P 54749
CH~CK BCLOW WORK COVERED BY THIS REQUEST
Typer5f Building New Add. Rep. Check Appiiances W'ved For Check Fq'uipment Wired For
Home 1:1 Range ? TemporarY Wiiing ?
Duplex Water Heate: ? Lighting Fixmres ?
Apt. Bldg. ? Dryei ? Electric Heating ?
Commeicial Bldg. Fumace El Silo Unioader ?
Industrial Bldg. Air Conditioner El Butk Milk Tank ?
Fazm ? ? ? pList pLis[
Other ? ? ? Heieis) Heiers~
COMPUTE INSPECTION FEE BELOW
Seivice Enhance Size: Fee Fceders eCA FFMI~ CI[CUi26: # Ea
0 to 100 Am s. 0 to 3 re . 0 to 30 Am eres
101 to 200 Amps. 31 to 1 p& 31 !0 100 Am eres
Above 200_Amps. Above 10 ps. Above 100 Amps.
T sfoimers Remote Conttol C'vc. Partial or other fee
5' ns 11 Special lns ection Minimum fee E5.00 Remazks '33(
.0 V.+~ ~ TOTAL FEE
I, the Electrical [nspector, hereby certify t they}o}~ ir~spection has been made. ~p~
(Rough-in) /l~j~ Date
(Final) ' Date 10 - / a - 7 ~
This request void 18 months from
OFFlCE USE ONLY 7Fiiz reqveel vaid 18 monihs fian wlidalion dak /primeCd in Ihis bmc.
. I
IIIII III III~II III I~IIIIIIII III III IIIIIIIIII~oii,ai' ,Qu~~.;,.Q 7a~° o
* ~ 4 2 8 4 7.1 7* pLEASE PRINT OR TYPE
R Dare RouglNn inspetlion requimd8 ? Yes ? No Inspaclion Oiher ihon RougMn: ? Ready Now WII Call
a~ ~You must call Ihe I~speclor when ready) Da1e rndy:
I, licensed conhactor ? owner hereby requesl inspectiori of the above e ical work ot: Q.p
oure Na.~ - Ci i C
lob ddress `7
Secllon No. -hip Name a No. Ro~ge No. Fire No. Cw
~ C I Phone No.
. ? ~
Add.u
C~ `rirr r~•ri
EI cnl CoM <wr I Nama~ • nk«br Lcan» No. Mastx li . No. (%nm Ekv.v. Only)
iling Addreu ~Conhacror w er Perfo`ming Inslallvlion)
Q
oriz SignaNre lCanh w w ner Pe Ilanon) Pho No.
~
1 zBODGA-11 8/96 STATE BOAPD COPY - SEE INSiIiUCiIONS ON BACKOF YELLOW COPY
QUEST.FOR ELECTRICAL INSPECTION
428-/~71 ~ r~esota State Board of Electriciry
~ ~ 78e1 Universiry Ave., Rm. 5-128, St. Paul, M^l 55104
Phone t,4 642-0800
Home Duplex Apt. Bldg. Other: ew Addn
Commercial Industriol Form 11R.mod Re ir
Aii Cond. Htg. E ui . Woter Hh. Load MgmL Ofher:
D er Range Elec. Heat Tem .$ervice
above fhe work covered by Ihis request. Enfer remarks in this spoce ond on the ck f Ihe whiie copy only.
r8't~u~/'~~' ~G~u~~:,t~rrf' G~'a~ff i~ ~G~?~."s; ~c~r~.~r~'
Calculale Inspecfion Fee - This Inspec„on Request wrll nof be accepkd wifhout fhe correcf fee:
Other Fee # Service Enhance Size Fee A Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 io 100 Amps . 6)
Sireet Ltg./TwHic Sig. Above 200_Am s Above 1 Amps
Tmnsformer/Genemtor tti5PEC7oR's u5E oNLr TOTA
Sign/Outline Ltg. Xfmr.
Alarm/Remote Conhol
Swimming Pool A
i ne,e ~r th~ i iion descri6ed herein on Me dates s
Irrigofion8oom R«pMZn
Dare
Speciollnspection
Fi~~
Imestigalive Fee ~
THIS INSTALLATION MAY BE ORD E DISCONNEC b I OT COMPLEfED WITHIN 18 NTHS.
/O a
o 23a7 a/l,el (X 5°''7
Request Oate Fre No. Rough-in Mspection
~ Requiretll eady Now " Will NNity Inspector
'Ves o Wpen Ready?
Ilicensed contractor ? owner hereby request inspection of above electrical work aC ob Atltlress (Streat Box or R.W. No-~
Seclion No. Tow hip Name rn No. Fange No. C ry
Occ PRI P ane N
CLCQV)
Pawer Supplier Adtlrass
I. e-~
E I Comractor Company Na Conhaclor's Lb ~ense No
~
~
L ~ `
Mailing A lConlracYOr or Ownar Meking InStelld9on) ~
s~35 Pl~f ~ 1~ SSl2C~
aut~orizetl IgnaWre iComre r~Ow Maki Installalion) Ph Number
MINNESOTA STItE BOAflD OF ELECTRICITV THIS INSPWTION FEQUESt WfLL NOT '
Griggs-Mitlway BIEg. - Hoom S,113 - BE ACCEPTED BV THE STHTE BOARD
1921 Ilniversity Ave.. SL Paul. MN 55104 . UNLESS PROPER INSPECTION FEE IS .
Phone(61E)69Y-OB00 ENGLOSED.
/g~ REOUEST FOR ELEC7RICAL lNSPECTION ee-00001-0errr~~-~
r`i ~ See inslmcuons for complelinq M51orm an tetM oi yellow copy, t'~"'
~ "X" Below Work Covered by This Request i~.•~
~ ' =3~) `
ew Agd ep. TypeolBuilding ApplianceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Buildinq Dryer O[her (Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other(syecily) CaniraclorsRemarks:'5Crou W`~v~ w'G QACL
wll"V fv
Compute Inspection Fee Below: J C, wrl
# Other Fee # ServiceEniranceSize Fee # CircuitsiFeeders Fee ~
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
$I9115- Mfjr~13 x Inspector's Use Only: TOTAL ~Q
Irrigation eooms (/:r~
Special Inspection
niarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS. -
I, the Elecirical Inspector hereby Rouyn-m r oace
certity ihat the above inspection has F;,,ai os~e ,
beenmade. 2-Q
OFFICE USE ONLY , -
This requesl voitl IB months imm
p~5a0 o~l X-0
Request Oate Fire No. Foughin Inspeclion
Fequiretl? ? Reatly Now XWill Notdy Inspeclor
Nes C No When Reatly?
I~ licensed coniractor ? owner hereby request inspection of above electrical work at:
Jab Natlress (Street. Box or Rome No-) Clry
% o2 0i7eee L9occl/e Woad gQ Gr??
Section No. Township Name or No. Range No. Counry
Occupanl(PRINT) PhOnE N0.
13lu- er,s'
Powe, suooirer naaress lt 3 c:0 aZ,20W16 $T I+J.
od4,ui-a. 9 1 P_cfr' Fa.m'n
EieC.ncal Gonvacbr (COmOany Name) Convactors License No.
N lcl : Trt c. 0 Va 3.;2 3-~l
Mailing qtltliess ICOmreclor or Owner Making Inslallalion, 02 Ce~n-Q/ s~r.te O~"',Iee , rrr.J 55369
Autnor tl ::=Or:Owner Mahing Instailauon7 Pho~e Number
yas-s/Os
MINNESOTA STATE B RD OF ELECTNICITV THIS INSPECTION REOUEST WILL NOT
Grigge-Mitlway BIEg. - Room 5-173 . BE ACCEPTED BV THE STATE BOARD
1821 University Ave., 51 Peul. MN 55106 ' UNLESS PROPER INSPECTION FEE IS
Vhone1612)6CP-0800 ENGLOSEO.
REQUEST FOR ELECTRICAL INSPECTION r,y' ; es-ooooI-oa
? See instmctions lor complxting ;Nis lonn on back oi yellow copy y~y'4(°
• . $_.1~,`Y~? (/(Aa~"
~ 51-800 "X" BEiow Work Covered by This Request ~
ew /{'dd Rep.~" Typeofeuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
~ X Comm./Industrial Furnace
Farm Air Conditioner
pmer (syeary) Convactors Remarks:
• ~Q/~'1'iOL.~tX.. ^%"QW~~~
Compute Mspection Fee 8elaw:
M Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 co 700 Amps
Transformers / Above 200 4dV Amps ;Xrj A6ove 100 _ Amps
Signs insoector's Use oniy: 7gTA45-1
Irrigation Booms J $
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Ro°9n-'" . oee
certify that the above inspection has F,,,ai oa~e
been made.
OFFICE USE JNLY
This request voitl 18 maNhs Irom '
J~ 0 68~.0,~ a~ ~ ~ ~s
ReqLes~ ~ate Fire No. Rough-in Inspec~ion
R?aYa a' o l~aeatly Now O Wiil Nrniy lnspecror
y,~~ l~ lqa L When
Reatly?
I Llicensed contractor ? owner hereby request inspection of above elecirical work at:
Jati Address (Sheet. Box or Routa Noj Ciry
141% "'(Q.,rku doop,~Q Q-d-• ~
SectionNo. Township Name or No. Range No. Counry
Occupant(PqINT) Ptione No.
~ •
Powar SupApl,ier Adtlress
1VS~
ElecVical Convactor ICompany Name) pontractor§ License No.
N1Rl~vA 5kecA'viC, c/}ozo32
Meiling Addren (COnvactor or Ownec Making Installation)
0, k (3 cb~ aA M.urd.6l,u.,M+~ 55~50
Aulhorized Slgnawre nlradovOwner aq Installation) Phone Number
~15'1,- b5U y
MINNE STATE BOAPD O lE C THIS INSPECTION REQUEST WILL NOT
Grigga-MiEway Blpg. - qoom 5-173 BE AGGEPTED BY THE STATE BOARD
1821 Ilniversity Ave.. St Paul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone(ii 642-0800 ENCLOSED
.
REQUEST FOR ELECTRICAL,rINSPECTION
o
J50668 Seein5tmctions !or com0ietiny` this form on bek ol yellow mpµ g
,
"X" Below Work Covered by This Request ew Adtl Rep:, TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specity)
X' Comm./lnduslrial Furnace K
Farm Air Conditioner
- Otner (sVeclty) Comrador's Remarks:
Compute Inspectian Fee Below:
Girwits/Feeders Fee
# Other Fee 8 ServiceEntranceSize Fee 1iAboVS-J1M--/AmpS_
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps X Signs t,pp InspectorS Use ONy: / OTAL
Irriqation Booms L) ~ \c~ , Fj Q
Special Inspection
Alarm/Communication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee 60 COMPLETED WITHIN 18 MONTHS.
I, the Elearical Inspector, hereby Rough-in oate
certiy that the a6ove inspection has F,„ai oe
6een made. -
OiFICE USE ONLY ~
This requesi mi0 1B months fmm
a
, J
Req st Da1e Fire No. Rough-in Inspection
~ Raqulred? ? ReaEy Now f] Will Natity Inspector
/441 •,i . P G Yes G No When Featly?
Icensed contractor ? owner hereby request inspection of above electrical work aC
Job Atltlress veet. BoK or Pome Ciry
D E aa o D LE e~
Section No, Township me or No. Range No. Counry
Oc~nt~PRWi) ~ ~ q No.
~ v
Power Supplier Atltlress ~
Elecvi al onhacmr ompany ma) ConVacla's License N.
9
-ios Mailing Mdress (COnlracMOr or Making Inslalla~ion~
5
Author a Signawre iGontractonOw"r Making Installalion)
MINN 0 STATE BOAHD OF ELE ICtTY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway BIOg. - Poom St73 BE ACLEPTEO 9Y THE SiATE BOARO
1621 Unlversity pve., St. Vaul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)6CY-0B00 ENCLOSED.
~ REQUEST FOR ELECTRICAI~ INSPECTION y°~~, ee.ooomue
,q ? See instmclions lor completirQf Ihis lorm on Dack ol yellow copµ
01 8 m- v ,r
J "X" Below Work Covered by This Request
ewAtltl Rep. TypeafBUilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Olher (sVeciyj Contracmr5 RemaBS'.
Compute Inspection Fee Below: geev~ p4j2Ci .
# . Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders fee
Swimminq Poo) 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs Inwecm.a use oofy: 70TAL 1 7
Irrigation Booms ~ (~(J 5
Special Inspec[ion
AlarmlCommunication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, tha Electrical Inspector, hereby Rou9n-m oam
certify that the above inspection has Fnal oa~e
been made.
OFiICE USE ONLY
IDis request void 18 monihs Iro.
lozlo? a 719 9 2 ~ I~. s~- ~~O s~s
~
Reqoest Dele Fire No. Rough-in Inspedion
q iretl? l Reetly Now ? Will NoHty Inspector
I f-~'^~' _ • 1 s ? No When Reedy7
I)(licensed contractor O owner hereby request inspectionof above electrical work at:
Job ArMress (Street. Box or floNe Na.) Ciry .
15/3o DooaL,,f_ n.oA-a A546-A V~-j
$eaion No. Townoip Name or No. Range No. Counry
D rf ([oT~
Occupant(PRINT) Phone No.
~oPiP~S ~ i-NI< 84~f -583 r
Power suoPlier Aaaress
ElecViCal Conlractor (Company Name) ConVaclor's License No.
fflL/TFt ~Et-rtcTl2.r~ I?.rC. o"fU'F4S
Mailing Atlaress (ConVaclor or Owner Meking Installation)
/ 4s3 S H sFW x~ F~ n-4'4D E,aE G,411j
Auln r ~gnd~ure ~COnVa er kinq 0n) ~ Pho(na NumSZEer
4T ~/Q'p
O O 8 (P
MINNESOTA STATE BOAHD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT
GrIgpeMMway BI08. - poom S173 BE ACCEPTEO 9VTHE STATE BOARD
1821 UMVeralry Ave., Sl Paul. MN 55104 UNlESS PROaER INSPECiION FEE IS
PMna (613) 842-0800 ENCLOSED.
i~2/a7/9~ REQUEST FOR ELECTRICAL;INSPECTION ee-00001-08
? Sce inslmcnons for wmplenng t}ns lorm on Cack ot yellow copy.
Ini " Below Work Covered by This Request
71992~ X '
M ew Add Rep. Type of Building AppliancesWired EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heatin9
Apt. Building Dryer Other (Specify)
x Comm./Industrial 'Furnace
Farm Air Conditioner
Olher (apecAy) CanUactor5 Remark5:
Canpute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps Q
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspeclor5 Use Only: ITQTAL
Irrigation eooms ~
Special Inspection ift~a t
AiarmlCommunication THIS INSTALLATION MAY BE NECTED IF NOT
yC Other Fee .SD COMPLETED WRIiI O
~at§~
I, the Electrical Inspector, hereby Rough-in
~ t z
certify ihat the above inspection has Final Det y
been made. ~
OFFICE USE ONLY
This request void 18 rtron0is imm
REQUEST FOR ELECTRICAL JNSPECTION E&00001-08
b, See mstmctions lor compleLng IDis lorm op back ol yellow copy •"~~i' /a
~ v~
90 "X" Below Work Covered by This Requesf
ew JVdd Rep. TypeofBUiltling AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
~ Other IsUeayl Gon[racloe5 Aamarks'. C-C
1
Compute Inspection Fee Below:
rl Other Fee # ServiceEntrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0[0 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS InspectorsUSeOny: TOTAL ~
Irrigation Booms /J11 j ~'J
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rouqn-in r oaia
certify that ihe above inspection has F;,,ai oa~e
been made. i
OFFICE USE ONLV
This request void 18 months Irom
Lu I
~ , gr~ -
M 7 9/ ~
, a 2 6 5
Request Date fire o. 1 Rouqh-in Inspection
QJ ^ n/_^ Requiretl? 4eady Now ? Will Notiry Inspector
7 CJ vas No When ReaEy?
11 licensed contrector ? owner hereby request inspection of above eleclrical work at:
Job AtltlrBSS (Sireet. Bohr rle No.) ~ n Ciry
1~_ Ct
Seoion No. Township Name or No. Fange No. Coumy
OccupaM (PRINT~ /22 PhOne NO.
~
Power svPOiier noaress
EIeCVical onVacror (Company Name) CoMractor5 License No
Mailing kdtlress (COnh tor or Owner Making Installa ~ n)
e c-t lp ~.;;L- N
Authorized Syna ure o a onOwner Makinq Ins Ilalion) Phone Number
• D
MINNESOTA TATE BOARU OF ELECTflI TV THIS INSPECTION REQUEST WILL N T
Grlggs-MlCwey Bitlg. - Hoom 5-1]9 BE ACCEPTE, BV THE STATE BOAPD
1e21 UnlvewHy Ave., SL Paul, MN 55100 I/NLE55 PROPER INSVECTiON FEE IS
Phone(612) 602-0800 ENClO5E0.
4/~ rf/~~ REOUEST FOR ELECTRICAL lNSPECTION ~a, ee-ooom-oa I
°J°" ( ? See'mstmclions br comoienng tnis lorm on back of yellow copy ~ /O Q~-J~J
IM 52465 'X" Below Work Covered by This Request ~~p~"Y
e Add Rep. TypeoiBUilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heatinq
Apt. Building Dryer Other (Specity)
Comm.llndustrial ' Furnace
Farm Air Conditioner
Other apeciry) Conlractor5 RemaBS:
Compute Inspectron Fee Below:
# Other Fee # Service EnirenceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6o0_ Amps
SignS Inspacror5 Use Only: TOTAL 3"Q
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDE DISCONNECTEn IF NOT Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here 6y Rough-in oate
certify ihat the above inspection has / oa~e
been made. ~
OFFICE USE ONLV
This r¢quesl Wid 18 mOnihs IrOm ,
Waest void IS months from ~Ot Y, fJkl 8,~n7-en~~w~ 1~ o~ !,0 7 d
sd iy~oo oio o, p 49499
Date qthis Request
I, as/N Licensed Electrical Contractor DOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. j 4"56F:-~-Y A nte e D 0 ts ~ 1o_ IRS 1,_City '
Section~~ Township Range County l~ j>Qg~ .
Which is occupied by I-/P n f5 W 5
(Name of Occupa.3)
Is a roughin inspection required on this job? No ? Yes ? Ready Now 0 Will Call ?
Power Supplier Addcess
y ~A Ja~lj',
"Electrical Contractor 1'~ e-h n e~ Fit.~rY , C, Contractor's Licerise No. -
(COmpany Name) Mailing Address 'y
ect~r c C~J tractor or Owner aking Thls Installatlon) ~
Authorized Signature Phone No.
(Electrlcal Contractar or owner Making Tnls Installatlan) '
,t%4 University Ave., St. PauFMinn645-7703 '
~ - REQUEST FOR ELECTR164W
T ON O 49499
CHECK BELOW WORK COVERED BY THIS REQUES'f
Type oP Building New Add. Rep. Check Applisnces Wued F ' Check Equipment W'ved Fox
Home ? ? ? Range ? Temporary Wiring ?
Duplex . Water Heater 0 Lighting Fixtuies ?
Apt. Bldg. Dryer ? Electric Heating ? Commercial Bldg. Fumace - ? Silo Unloader ?
Industtial Bldg. ? 0 ? A'v Condidone[ ? Bulk Milk Tank ?
List List
Other ? ? ? ~[hers~ Others~ ,
ere Here
COMPUTE INSPECTION FEE BELOW
Service Enhance Size: # Fee Fceders&Subfeeders: # Fee C' 'ta: # Fee
0 to 100 Am s. . 0 to 30 Am res " eres -
101 to 200 Amps. 31 to 100 Ampeies 31 ;p 1.p0 A"" eces
Above 200 Amps. Above 100 Amps. N,b 6v~ Amps.
ormers RemoteCon[rolCticc. YFi' Yorothecfee
" ns~ ~ Speciallns ction a Min'vnum fee $5.0
emazka
TOTALFEE d
I, the Electrical [nspector, hereby c_grt}'fy thaf~thpatipve inspection has been
(Rough-in)_ //.ig .4~ Date d ,
(Final) ' - Date
This request void 18 months from
/s/9j . . d 1oo,Zs.~-
, a 246940 o R' Sr~ 0 0
. Request Oate Fire o. Rough-in Inspection
Requiretl? eatly N. ? Will Notiy Inspeclor
? Yes lLM When Reetly?
I E§Irc contractor ? owner hereby request inspection of above electrical work at:
Job AtlCress (SYreet. 9ox or RovteGity /
U
Secli n No. Townsnip Na or Nor Range No, L Coumy
OccuOant (PRINT) Phone No.
-L-:0,
Power Supplier AtlOress
Elecrri I tracfor=COmpany Nama) Com{~tor5 License N~oy. /J
77 Maiiing Adtlrass IContracmr or Ow r Making Inst ation)
0 3 J'"
Authorrzetl Sign re nVactor/Owner Making In allaIio ~ Pho
.c-~
MINNESOTA STATE BOAqD OF ELECT Y THIS INSPECTION REQUEST WIIL NOT
Grlggs-Midway BIEg. - Noom 5113 BE ACCEPTED BYTHE STATE BOARD
1821 Univeralty Ave., St. Peul, MN 55 O6 UNLESS PROPEF INSPECTION FEE IS
p~M (612) 562-pgpp ENCIOSED.
...uEST FOR ELECTRICAL.INSPECTION 6~,\ Ee-oo'oo/,-ae?
? See insM1UCtions iot completinq Ihis torm On back oi yellow copy. E` ~a ~j'~8d~
~ G 4 9 X" Below Work Covered by This Request W
e Adtl Rep. TypeofBUilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial 'Fumace
Farm Air Conditioner
Other(speciry) ConVaclor5 Remarks`
(
Compute Mspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers A100 _ Amps
Signs nspector5 Use Only~ / TOTAI
Irrigation Booms S~ UG J
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Aough-in Date
certity that ihe above inspection has F;,,ai oe
been made.
OPfICE USE ONLY
This request void 18 monihs imm
m ~9 y,s 90 -
,VC98jso .
13934 ,
Requdst Oeke Fin W. Rough-in Inspection ? No W a~'''
I, ~~I RepulreC7 ? Ready Now pwll NofiN Inepeclor
(?9 .~7 yas Mn Reatly?
1)94
icensed confractor ? ownar hereby request inspection of ahove electrical work at: .
.ioe aaeress (sneec eo. « nome Noj cay
Saction No. Townehip Name or No. Raiqe No. - Counry
Ocwpertl (PflINT) Phone No.
jqka~A
-fi , -Tt;Ui~ Yv4 Fl~ R~ ke, 4
7
C/ff
rowe, s one,
ress
u4A e-~-a 'C Q ~soc . nae ' .3i2~ , Sj, b(.eo4, 15ARrr,,~r 4%!
EleeVical Conhaclor (Cqmpsny Name) CaMreciqr4 Litense No.
..l analYtj~_
Meiling AtlOress (Conirattor or Owrer Making Irelaliation)
.25'05 Gpxu,' 4 1 NI.J, Q,,f,) nl SS~Ro__S
AuMOn3eE Signelure ~ r/pwner ek~rg Install ) Phone NumEer
i o-
NINNESOTR STpTE BOARD OF-ELECiRICffV ' THIS INSPECTION REOUEST WILL'NOi '
Grlpg?MlEway BNIg. - Poom &179 . ' BE ACCEPTED 6Y THE STFTE BOARD
1621 I1nWertily Aw.. SL Pwl. MN 55106 UNIE$$ PROPER INSPECTION FEE IS
Plnrn(811)8/3-0800. ENClOSEO..
REQUEST FOR ELECTRICAI4NSPECTION ~a, ee.aoooi-0e
/ 0. Sce instmMiOns br completing.ihis lorm mn Dack oi yellow copy
M tJ
w 13934 -"X" Bdlow Work Covered by This Request Y w-•r~
e AdC ep. - TypeoBuilding AppliancesWired EquipmemWired
- Home Range Temporery Sarvice
Duplex Weter Heater Electric Heatin9
Apt. Buildirg Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Omar (specity) COnhac[or§ flemarks.
iv/Fa_ %t
Compute lnspectian Fee Below: 5'kU12P I r, :txLs4 I ",,"1
# Other Fee # ServiceEntranceSize Fee # ircuMSiFeeders Fee
Swimminq Pool O to 200 Amps ~()ja W0 t Amps ykva
Transtormer5 Above200_Amps O,~~l')/DAhove100_Amps ' 41,.
Signs inspectms use oniy: ~ TOTAL
Irrigation Booms ~G f( • ~~j8~ ~Q
Speciallnspection PV
Alarm/Communication THIS INSTALLATION MAV BE OR D DISC NNECTED IF NOT
Other Fee (J COMPLETED WRHIN 18 MONTW
~
I, the Electricel Inspector, hereby R°'g^"n r
certity that the above inspection has F;nai ^2 ~ D
heerrmade. Z
OFFICE USE ONW
This repueat wiO 18 monNS han
This request void 18 months from Lp
~ 1- 0. 49523
Date o this Request ~ -
I, as~Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. ly g44 y~ ~p eLICnA lQ .R~ City T--h
Section Township Range County~
Which is occupied by A c.c, e)nb
(Name of OcCUpant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now O Will Call ?
Power Supplier Address
~ r; ~ays,
ElectricalConUactor ke-211 nQ .~g s ?.ne' Contractor'sUNo.- ' (COmpany Name) MailingAddress a/av un;~P~~."~~. ~?eJ S~;rq~,~ ~,~//7
(Electrica`rCOntrector r Owner Making Tnls Installatlon)
-_Authorized Signature Phone No.6z~$1
(Elactrical Contractor or Owner Making TNs Installatlon)
~ _ _
Minnesota State Board of Electricity 40a7e)4 ~O~
1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 ~ ~
REQUEST FOR ELECTRICAL INSPECTION O 49523
K BELOW WORK COVERED BY THIS REQUEST
Filrype EC
- of Building New Add. Rep. Ch¢ck Appliances Wired For Check Equipment Wired Foi
Home El Range ? Temporary Wiring ?
Duplex Water Heater ? Lighting Fixtures ?
Apt. Hldg. Dryec ? Electric Heating ?
Commercial Bldg. Fumace ? Silo Unloader ?
Industrial Bldg. A'v Conditioner ? B nk ?
parm E] E] oList }J _ (1 pLi'
Other ? ? ? Hehe~sl ~ .H r,COMPUTE INSPECTION FEE BELOW
Semice Entcance Size: # Fce Fcedas&Subfeedecs: Fee Circuits: # Fee
D to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above lOQ_Amps.
rmers Remote Conuol Cfrc. Partialor other fee
Signs 5 ecisl Inspectian Minimum fee $5.00
Remaz s QV R TOTAL FEE ¢
I, the Electrical Inspector, hereby certify t the a v nspection has been made.
(Rough-in)
r , /11Date
hj6 Date
uest void 18 months from - -