1765 Yankee Doodle Rd - Electrical Permits
~~5 907 : A~6 9~
9 a3 ~~-,G/ / ~~9D ~
Rea st Date Fire No. Rough-in Inspection '
p Requiretl? ? Reetly Now KWill NobFj Inspeclor
~eq- y' 7 ?Yes No WWnReadY?
Ix licensed contractor O owner hereby request inspection of above electrical work at:
Job Address (SVaet Box or Rome Na) Ciry
/'7G YRn,kee ,llcVAW€ e4V.s F"9 Iiiirr/
Seclion No. Township Name or No. Renge No. CouMy
.~B~oTi3
Occupant (PPMT) Phone No. y~l7'
2, Power Suppller Atltlress
NPui oP~
Elecvical ConVazlor (COmpany Name) ConVactor5 License No.
~ ;C. /90
Mailing Atleres5lConlraclor or Owner Making Ins1311ation)
. 0
AWhOr22tl iqnaWrelConhadonQHnerMakin Installationj PhoneNUmber
302- Ge~?-l rr
MINNESOTA STATE BOANO OF ELECTRICITV THIS INSPECTION FEOl1E5T WILL NOT
Griggs'Mitlway BIEg. - Room S173 BE AGGEPTEO BV THE STATE 60AFD
1821 Univenity Ave.. St. Faul. MN 55100 UNLESS PFOPER INSPECTION FEE IS
Plwne (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 1~% ee-oo m-oe
~ ~ See inslm~tions lor cOmpleting ihi4lorm on back of yellow copy. z~",`,x!/~
5~ 907 X" Below Work Covered by This Request gy~ w.•~~
w Add Rep. TypeofBuiltling AppliancesWired EquipmentWired
Ho e Range Temporary Service
qupiex Waler Heater Electric Heating
Apt. Builtling Dryer Other-.(Specify)
Comm./InduStrial Furnace
Farm Air Conditioner
01her (specityl Comrador's Pemarks'. I~OOb !}I~Jp Se.C?vt'jr
l-fOO ~fmP Sexev:rcE ~
Compute Inspection Fee Below: TS - ie VclTS 0, 00
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Of7 HO 0 to Amps i, b
Transformers Above 200 _ Amps , GYwe 100 _ Amps Y,vp
Signs Inspecmr'suseooty: 'J,- • b'TOAL /a.o0
Irriqation Booms a
Special Inspection 7 U
Aiarm/Communication THIS INSTALLATIO MAV 9E OR DISCONNECTED IF NOT
Other Pee COMPLETED WITHI S. / f
1, the Electrical Inspector, hereby Rough-in
certiy that the above inspection has F;nai oeie /
been made. ~ -7
OFFICE USE'JNLY
Thls mQUest witl 18 months Irom
Thi5 lY,qUCSI W Id
18 momhs irom
E 36497 13a J." "P.k). +~~~pso
RequestI Date ' Fire No. qou h-in?Inspeclion
~-9ea irBA I ~ReaCy Nuw Will No.ify.InsPe[-
~l Ycs ?No Ior When R¢aAy
LicenseA Elecvical Convactor 1 herebY requestinsoaction of above
- wner elactrical work installed at
tQreet Adfress, Box ar Route No. City
u rv Q~~l l~ ~r• ~
6,,5
.tECtion o. Township Nam or No. flange No. Coun
%
Oecupnnl P INT) Phona Ne.
Power Supplier Address
/V.6 ivo'
Electric Contract (Companv CoMr ctor's~ ense No.
3
Mailing AdJress IConvacior or O er akmg Instaila[' nl
.f.Q ~[•Y' ~ a ,
Author' ature lContmctor/ ner Making In allalionl Phone Number
6:5"
MINNESOTA STATE eOARD OF ELECTRICI TNIS INSPECTION NEQUEST WILL NOT
Griggs-Midwey Bldg. - Room N•191 BE ACCEPTEO BY THE S7ATE BOAND
UNLESS PNOPEfl INSPECTION FEE IS
1821 Universitv Ave.. St. Paul. MN 55104
ew,...e ~w~~~ wnznnnn ENCLOSED.
" REQUEST FOR ELECTRICAL INSPECTION es-ooooi-os
Il, See instructions lor complatrdq this form on back of vellow copy. w 400,;q
E 36497 "X" Below Work Covered by 7his Request
eve FAtl Heo. TyDe ot Builtin0 Aaplucea Wiretl EquiUniem MireA
Home Ranye Temporary Service
Duplex Water Heater Ligh[iny Fiztures
Apt. Building Dryer Electrii; Heatin
lompute Cortunecial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ome~ aenN n1her (snecirv)
M u,r yeci/V ther Other
lnspection Fee Below
p Fee SarviceEn[mnceSize b Fea Feetle,s/Subfenders b Fex Circuits
0 to 200 qm s 0 to 30 Am ps 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swinvning Pool A6ove 100_Amps Above 100_AmPy
Transiormer5 Irrigation Booms Partial.'Other Fee
Signs SUecial Inspection
DO TOTAL FEE
1 RouBh-in c1(.1~e ~ the ElecVical
(L;;11 Inspector, heraby
~r certily that the above
final inspection hes been
C • ~
Thia request voiE 18 monthe irom
~ f
76 om `"cY'95~i ~J
9 ~ q so
Requesl Da Fire No. Rough-in Inspection
ReQarted? eaAy Naw Will Notity, Inspec-
~or When Reatly
11 ?Yes ?No R
Lictnsetl ElecVical Conlractor I hereby raquest inspection ot above
? wner elactrical work installed al:
Sheet AtlAress. Boa or Route No. Gtv
ecLOn o. Townshi0 Na e or No. Rangc No. County
Ocwpant IMi1NT1 Phoie No. . ` t~3 4a
Power $applier AAdress
N- 5 3000
EleCVic Coniractorcomvany Na Contr tor's licen. e No.
3~a
Mailinp AdJress (COnhacmr or Owne aPinB lnstailatioN IS 6
Authorized awre ICOnttaclod wner Maki e Installationl Phone Number
MINNESOTA STATE BOARD OF ELECTRICIi THIS INSPECTION pEQUEST WILL NOT
Grigps-Midwey Bldg. - Noam N•797 BE ACCEPTED eY THE STATE 90AflO
1821 Universitv Ave.. 51. Peul. MN 55104 UNLESS PflOPEH INSiECTION FEE IS
PFnnnlfil~1562-0AOO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~ es-oQOOi-os
}
III,
See instructiens lor comDletinq this form on back of yellow copy. ~q7/
E'3649 4 "X" Below Wwl«.Covered by lhrs Requesf
Add Rep. TyOe ol Building ApDliancaa WireA EquiUmanl WireA
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixhues
Apt Building Dryer Electnc Heaun
Commercial Bldg. Fumace Silo Unlonder
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Ferm Otbe.r par,r y) 01h¢, ISnnc~lyl
t er UecIfy Other
ompute lnspection Fee Below
p Fee ServiceEnlrenceSiza tl Fee Feeders/5ubleederx b Fae Cir uits
U to 200 qm s 0 to 30 Am s 0 tn 30 Am s
Above 200 Amps. 31 to 100 Ainps 31 to 100 A s
Swimming Pool Above 100_Am s Abave 100_Amps
Transtormers Irngation Booms Partial.0ther Fee
Signs Special Inspection TOTAL FEE ?~'1/D~Y1e-
Remarks 4 10 0 V S/oO~ ~ I • ~ 'K~iIOw
~
NouBh-in D,,t tha Elacttical
r 7- spector, heraby
~ cartily that the above
Final D.^)1" ^ ins0eclion has baen
/ , L meda.
LE, i P
RilereQueatvoltli8monihafrom ~'~~S (J
a0019051, ~,~Z/o2 ~ . ~3arsa(;f 99, o
Request Data ' Fire No. Fough-in Inspection
9 ~f ReQuired? Reatly Now W II Notiy Inspactor
? Yes No an Ready?
/
Ii~licensed contractor p owner hereby request inspectioo oflehove electrical wo a,rK"~,~5 ~ UU
Job Adtlress (Siree6 Box or Route No.) Ciry `~I L
I'7!~ ~.JuR-(zz"
SecNion No. • Township Name No. Rarge No. County
V./
Occupent (PRIN Phone No.
e S-I- tS .
Power Sup0lier AdGress
. W . ~ .
ElecVical C nlrac~or (CO pany Name) C license No.
Mailing AOdress (COnVactor or Owner Making Installatbn)
soa n /-l a ~
Authorizetl pCaalura onVaMOrlOwner Mak tallalio Phone Number
S3 '-lo U 2-O
MINNESOiA STATE BOARD OF EIECTRICITY THI$ INSPECTION REQUEST WILL NOT
Grlpgs-MlEwey BIEg. - flaom S1]3 BE ACCEPTEO BYTHE STATE BOARD
1821 Unlvenlty Aw., St. Paul, MN 55104 UNLE$$ PROPER INSPECTION FEE IS
Phone (612) 6C2A800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? E&00001-OB
,
See inslmcbons Wr completing Ihis fom on Oack of yellow mpy. 89
0 9 0 51 "X" Below Work Covered by This Request /Q ,7j .7,j~
ew~dd Re~.' Typeoi8uilding AppliancesWiretl EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
' Ap~. Building Dryer,. Other (Specify)
Comm./Indusirial Fwnace - '
Farm Air Conditioaer Olher(specify) Comrecbr4Remarks:
Compute Inspecfion Fee Be/ow: ~ 5+ T ~
# Other Fee # ServicaEniranceSize Fee # CircuilslFeeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
: Transformers Above 200 _ Amps Abo 0_ Amps
SignS Inspector§ Uee Only 2~7~ TOTAL ~
, Irrigation Booms /400
Special Inspection t Lp 3 7 J" )
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON S.
I, the Electrical Inspector, hereby Rougn-m oai/
certify that the above inspection has
been made.
OFFICE USE ONLY J~
This requesi voitl 18 monihs trom ~ ~
This repuesl voitl 5 b~ 5 q P`J-
~ ~
18 months from
A Q74613 3ff 93.60
Renuest D Fire
t'l uPh-in Inspection
awred~ CIAeady Now 11.h.. titY I4s0ec•
?1'es No fleady
? Lirensed Electrical ont ac or 1 he by repueat inepection ot e6ove
? Owner T RClrical r'~nt~l eOF
Stree[ AAdress, Box or Route Cit~
,5 •
ecuon o. TownsPip N e or Na. ange a. County
w
Occupant (P Phone Nc+.
- 4
Power Supptier Address
Ele~ical~Y ntracmr ICompany Name) Cnn rector"s License No.
I~OG,a'ttLpr ~
Mailin AdJress (Contrac r Owner Makin nstallationl -
0-.49,€' .
Authori p ure ICOntraci r ing Installation) Pho Number
r66--
MINNESO STATE eOAND OF EL ~ Tfl ITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BIAg. - Aoom N-19 BE ACCEPTED BV THE STATE BOARD
7827 Univarsity Ave., St. Paul, M 704 UNLESS PNOPEP INSPECTION FEE IS
Ph- 16121 297.2171 ENCIOSED.
;EQUEST FOR ELECTRICAL INSPECTION ee•ooom•oa
~J Sae instmctions for complating this brm on back o1 valiow copy, t~ r O'
A O 74 6~ 3 X" Below Work Coveaed by This Request ~
Adtl RaO. TyDa ot Huilding APOlionces Wiretl EpuipmeM ad
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm otnei peci y O1 er (suecity)
ther Veci~V t er Olhor
ompuie Inspectian Fee Below
k Fee Service EntrencaSixe p Fee Feaders/Subteetlars M Fee Circuits
0 to200Ams 0 to30Ams 7- Oto 30A s
Ahove 0 qmps 31 to 100 Amps 3 ~10qmps
Swimmin 20g Pool Above 100~12Am s ~ Am '
Trenstormers Irrigation Boons Partial,'Other Fee
Signs SNecial Inspection p
Hemarks 5 93 TOTA FEE J
e,l: P~ r~- ~ ~ _ ~ i
Pouph-in TDmu- hereby
ify that the abovfindl petian has bean
' ~~l'P rrede.
Thin request volE 18 months fram
Minnesota State Board of Electricity
1954 UniVersity Ave., St. Paul, Minn. 55104-Phone 645-7703
REO,UEST FOR ELECTRICAL INSPECTION
CHECK BEL018IVORK COVERED BY THIS REQUEST s '
Type of Building New Add. Rep. Check Appiiances W'ved For Check Fquipment W¢ed For
Home ? ? ? Range ? Temporary W'ving ?
Duplex ? ? ? Watei Heater ? Lighling Fixtuzes ?
Apt. dldg. Dryer ? Electric Heating 0
Commereial Bldg. Fumace ? Silo Unloadei ?
Industrial Bldg. ? Au Conditioner ? Buik Milk'Iank ?
Fazm ? ? ? Lpis[ pList
Other ? ? ? Hehers~ Herers~
COMPUTEINSPECTION FEE BELOW
Sexvice Enhance Size: it Fee Feeders&Subfeeders: # Fee Cucuits: # Fee
0 to 100 Am s. 0 l0 30 Am res 00
101 to 200 Amps. 31 to 100 Am eres
Above 200 Amps. Above 100 Amps.
Transforme~s. RemoteControlCitc. ~
S' ns ~-i Special lns ection ~O
Remazks ~~+j'- Y ` " I ~ V I, the Electrical Inspector, hereby ce[fi y that e above inspection has been ma e(Rough-in) / r Date
(Final) ~ ~i ~r~ : Date ~
This request void 18 months from -
Ttds request void 18 months from L~O 1 Pj Zi'vt"b~
Date of his Request S 38784
I, as (I;icensed Electrical Contractor ? Owner, do hereby request inspection of the ahove electri-
cal wiring installed at:
Street Address or Route No. City
Section Township Range County
Which is occupied by aa/J4 ~ sl_~_
(Name ot Occuoant)
Is a roughin inspection required on this jo6? No)9- Yes ? Ready Now ? Wil] Call)K
Powei Supplier s F Address
Electrical Contractor- 36m1/
Contractor's License No. -
blailing Address 2 df (ca an ame) ~ ~ /6 ~
J
( tric antracto Owner Making This Installatlon) ~i
Authorized Signature G Phone NO;2 ~?7JJ
(ElectHCal ntia to1 or 8r Makin hls Ins[allatlon)
r, T is irepection request will not be accepted by the
~~~G u~ p O~b ~ Q~p~ State Board unless proper inspection fee is endosed.
This reque°.~*,void
] 8 rrumths Crom
t p ~ya
Date o this Request Fire No. 56019
I, as Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. CitYol
Seciion Township Range County
Which is occupied by 0-M4 ~41'1.C -
(Name oi Ottupanq
ls a roughin inspection required on this job? Nog Yes ? Ready Now~ Will Call ?
Power Supplier Address
/1'~ 3G oyi
Electrical Contractor -e l~-T/ ` Contractor's License No. _
Mailing Address cur/Al., > 6~~l0 7
/ ~ 7'" mr.G~n.re2,c. ~Y
trf Sontra or ownar Makin9 ThIS Installatlan)
Authorized Signature Phone No.;~?-'
(EI trical trector or Owner Ma ng This Installation)
This inspection request will nat be eccepted 6y Me
L. Stata Board unless proper inspection fee is enclosed.
= mmnesoca s[ata noara ot tiecvicny
Griggs Midway Bldg. - Room N191 /f ,~D EB-00001-02
1821 versity Ave., St. Paul. Minn. 55104 - Phone 297-2111
- REQUEST FOR ELECTRICAL INSPECTION
CHEW$ELOW WOitK COVERED BY THIS REQUEST 56019
Type of Building New Add. Rep. Check Appliances Wved Foc Check Equipment Wired Fox
Home ? ? ? Range ? Tempoxary Wving ?
Duplex ? ? ? WaterHeatei ? LightingPixtures ?
Apt BWg. Dryei D Elec[ric Heating ?
Commercial Bldg. ? Fumace ? Silo Unloadet ?
Industrial Bldg. A'v Conditioner ? Bulk Milk Tank ?
Fxrm ? ? ? List pList 1}
Other ? ? ? Hehels~ Here~s1
-ze COMPUTE [NSPECTION_F.$&.BF,LOW
. fce \11 Feeders&Subieeders: u Fee C'vcuits: u Fce
Semice Entrance Size-
0 to W"Ulp ~ 0 to 30 Am eres 0 to 30 Am eres
101 to P. 31 to 100 Amperes 31 to 100 Am eres
Above 2 0 A ps. Above ]00 Amps. Above lOQ_Amps,
Transfornigts Remote Control Circ. Partial oc other fee
Signs Special Inspection Minimum fee
Remazks TOTALF E8.O0 ~ S
I, the Electri~nspect~ ~by cer tify that the above inspection has been ma e. ~
(Rough-in)_ r Date
(Final) , /~ate y _ 7_ C)
This request void -
18 months from
~
This request v~d L(D I F32 f 6
18 mor,ths fto 'a
Date of his Request F;re No. S 69360
1, as Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wmng installed at:
Street Address or Route No. / 7 City f~ ~
i
Section Township Range County~t.~i
Which is occupied by V`~~~~~~
(Name of Occupant)
Is a roughin inspection required on this job? No X, Yes ? Ready Now,O Will Call ?
Power Supplier Address
,-r~-~~~ ~
Electrical Contractor ~ Contractor's L'cense No. _
y Ca ,9f ny Name)
MailingAddressrr'/ ~~~f~7't!/Z fi.~.~?~?
AA( ct~i 1 Lont~a t r or Ownar Mal(Ing This I nstallatlon)
Authorized Signature ' ! ~ N Phone No~~
(Eloctrical d aclor or Ownar MAdng TNS Installatlon)
~~'I ~ ~ This ins ection r uest will not 6e acce ted 6 ffie
n"Lo "~~~'1 ~O~ State Boerd unless praper inspection fee is enclosed.
e aoard of Electricity
-.•.ggs Midway Bldg. - Room N197 ~ EB-00001-02
university Ave., St. Paui. Minn. 55104 -pFqne 3,y7-2771 7'
~REQUEST FOR ELECTRICAL INSPECTION d`~ $ 69365
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances W¢ed Fot Check Equipment W'ved Fm
Home ? ? ? Range ? Temporaty Wiring ?
Duplex ? Watei Healer ? Lighting Fixtures ?
Apt. Bldg. Dryei ? Electric Heating O 11
Commercial Bldg. ? Furnace Silo Unloader
Industrial Bldg. El Au Conditionec ? Buik Milk Tank ?
Fgrm 0 ? ? L'iSt List
Other ? ? ? Re~els~ OHthers~
ete
COMPUTE INSPECTION FEE BELOW
Setvice Entrance Size: # Feedecs.tSubfeeders: it Fee Circuits: # Fce
0 to 30 m s 0 to 30 Am res 0 to 30 Am eres
101 to p. 31 to 100 Amperes 31 ro lOD Am eres
Above 2 A qbove 100 Amps. Above 100 Ampe.
Transfor s RemoteConUolCicc. Partialorotherfee
$igns Speciallns ection Minimumtee~ ,yi CO
Remazks
C2 t2t~%• t?~c TOTALFE J
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough•in)_ r Date
(Final) ~f~ ate S--l 6' C!
This request void
18 months from
This request void
18 months from ~
Date of this Request / 1, Fire No. S 82514
I, asA Licensed Electrical ontrac or ?Owner, do hereby request inspection of the above electri-
cal wmng installed at:
Street Address or Route No. a /CG( Cit
Section Township Range County
Which is occupied by ~o01i~ rBA rnM~
(Name of Oc[u0ant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now O Will Cax
Power Supplier Addre ~
Electrical Contractor glylml Contractor's License NA 0/ 7
(CO anY Name)
MailingAddress . JO , • ~5~~ _'9i'2'so ~
lectrical Contrac of0 r Makfng 7his Installatlon
Authorized Signature 6 Phone No.s~
(EI ontractor or nOwner M ng This s atlon)
p ~jV his inspec on request will not he aceepted by ffie
(~(VnVE ~
c'1 L"~ JIIU State Board untess praper inspeetion fee is endosed.
imnnesota state noara ot tiecttwity
Griggs Midway Bldg. - Room N791 EB-00001-02
University Ave., St. Paul, Minn. 55104 -~Fhona 297-2111
REQUEST FOR ELEC7RIC€tL" INSPECTiON S 82514
CHECK BELOw WORK COVERED BY TH1S REQUEST
Type of Building New Add. Rep. Check Appliances W ued For Check Equipment Wired For
Home ? ? ? Range ? Temporary Witing ?
Duplex Watey Heater ? Lighting Fixtures ?
Apt. Bldg. Dryer ? Electric Heating 0
Commeicial Bldg. Purnace ? Sifo Unloadei ?
Industrial Bldg. Air Conditionei ? Bulk Milk Tank ?
Fatm pList FI pList
O[her
? ? ? Hehers) Hetels~
COMPUTEINSPECTION FEE BELOW
Sezvice Entrance Size: it Fee Fcedera&Subfeeders: u Fee Circuits: # Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Am s. 31 to 100 Amperes 31 ta 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Txansformers RemoteControlCiiu Partial or other fee
Signs Speciallns ection Minimum Ce
Remar TOTAL F E,5 O• D~
I, the, ctri 3p h. by erti t th e irlspection has been ma e. b-%f -A
(Rou -in) ~ . Date
(Final) . Date'-f ~r
This request void
18 months from
7,is eques vod 3-11 L(01 &Zj Si.~-~lE<C7Frm ~ 3q$l 3
Fl18 .¢ontdat:tom l~ SQ
26389
Renuest Oate Fire No. Rouph-in Insuection
Required? ReaAy Now QWiII Noti~y, Inspeo-
3 Yes ?No tor When ReatlY
~ Licensed Elecvical ConVactor ' I hereby reQUest ins0ection ot above
? Owner electricel work installetl a<:
Sveoi AAdress, Box ar Foute Na. Citv
17~0~ l~ I
eujono. Township ama or No. Ran9e No. Coanty
D,d ICOT4 .
OccuD' t~PpINTI Phone No.
• e s~F '-Be x~ s 1~5- y-.r8so
Power Supplier Address
Eley~ricalf~ ntractm (Company Name) ^T Contracmr's License No. -
l. 1~6u,12TkR ~P,..~he~ 24 / 16
Mailin AdJress ICOnvar Owner MakinO Instaila[ionl 4u /hll`$
5 c oi ,Z-sl/a
Au 2ed i re (Contractor r aki ~ nstallationl Phone Numba r
MINNESOTA STATE BOAND OF ELECT CIT TNIS INSPECTION HEQUEST WILL NOT
Griggs-Mitlway Bldg. - Noom N-191 BE ACCEPTED 6V TNE STATE BOAfiD
1821 llniveraify Ave.. St. Pauf, MN 651~ UNLESS PNOPER INSPECTION FEE IS
e~__.. 1a111 ooz1ni ENCLOSED.
REQUEST POR ELECTRIG INSPECTION ~y EB-OOOOLG3
~~&3 8 9 ' Sea insiructions tor complet g this torm on back ot Vellow copv. ~l"R" Br~Dtk Covered by This Request . 3qQ"y 3
Now Add NaP. Type oi Buildinq AOPliances WirBd Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. BuilAing ?ryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
industrial Bldg. ' Air Conditioner Bulk Miik Tank
Farm Other Peu y thcr lSpecifyl
t er SVecf1Y Othe, Olher
Compute Inspection Fee Below
p Fee SarviceEn[rance Size~ N Feo Feders/5ubfeadars N F~n Circuits
0 to 9-00 Am ~s 0 toa 30 Am s 0 tn 30 Ain s
101 ta 200 Amps 37 to 100 Amps 37 to 100 Am s
Above 200 qmps Above 100_Am s Above 700_Amps
Transfnrmers Remote Conirol Circ. I O Partial.'Other Fe
Signs Speciallnspection U
Remarks $ TOT /FE~E! ? ~
R21iYN~N7H 4'OVQ . ~ CPH
RouHh-in j/~ I, the Ele a
0~ Inspectoq hereby
cartify that the nbove
Final g^`~~~ inspection has heen
maae.
7his:repuest void - 18 months hnm
T" reauest void 18 months from 7 lpQ
Date of this Request Z~6 P 6 3 9 3 6
I, as ](Licensed Electric Contractor 13 Owner, do here6y request inspection of the aAove electri•
cal ~inng instatled at: L/ t.< • Jt c in Lk_,k, .4AAJ2,,,
Street Address or Route No. 176s City
Section Township Range County
1Vhich is occupied by ((J ~xrvk~
(Name of Occupanq
Is a roughin inspection required on this job? No`~" Yes ? Ready Now ? Will Call ?
Power Supplier / , Address~~~~~
Electrical Contractor &~Contractor's License No3 J6
(COmpany Name)
Mailing Address 2r/ 7 C~3 ylo` if. ( le rlca C ntractor or Qwner Makin9 Thls Installatlon)
Authorized Signature 49~~~ ~ Phone No/2/27 - 7
(Electrica(COntract r9 nar aking Thls lnstallstlon)
STpg UE; 0~~RD C~py This inspection request will not he accepted hy the
~ State Baard unless proper inspection fee is enclased.
Minnesota 5 ate 6oard of tlectricity
P354 University Ave., St. Paul, Minn. 55104-Phone 645•7703
{ REQUEST FOR ELECTRICAL.INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST P 6 3 9 3 6
Type of Building New Add. Rep. Check Applisnces Wired For Check Fquipment Wired Fm
Home 0 Range ? Temporazy W'ving ?
Duplex ? ? ? WaterHeater ? LightingFixmres ?
Apt. Bldg. ? ? ? ?ryei ? Electric Heating ?
Commefcial Bidg. Fumace ? Silo UNoader ?
Indusirial Bldg. ? ? A'v Condidonec ? Bulk Milk Tank ?
Faxm pList pList
Other
0 ? ? Heie15f Heie~s~
COMPUTE INSPECTION FEE BELO
Service Entnnce Size: # Fce Feed bt C'ncuits: u Fee
11 0 to Am W 0 to 30 Am eies /0
0 to 100 Am s.
101 to 200 Amps. 31 to 0 A eres 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. i A6ove 100 Amps.
Transformers RemoteControlC¢c. Paztixlorotherfee O
Si ns Special Ins ection Minimum C .00
Remarks 6 pph 5Y/( b,'t t/ 14p.4 TOTAL E43 • ~
I, the Electrical Inspector, hereby certif the ~ specti has been ma . ^~7-
(Rough-in)_ ~ ~ Date -d/- ?e ,
(Final) ~ ate/r1- 7 ~
This request void 18 months from
This,e4,iest void /vI Zq /-(U/ ~ S~ 7f (~y?1 i ~.n~ ~ ~F 1 ~De ~}Q
Q.}8 months fron
60382
°
He[IUest Date Pire No. Rouqh-in Ins'Ue.r.tion
~~~Q1 I flN4wretl? . IVIHendy Ninv Q Will Notify Inspev-
Q ?Yes No j~ lor When Reatly
Licensed ElecVic;+l Cuntractor I hereb
y requast insnPCtion al ebove
? Owner elecvicel work installed ac Street AdJress, eax or Route No. ' Y
j 110 S n ee ~
ect~nn o. Townshi Name or Nn. Nange No. Coun
O c 1-nt (NRI T) r Phone Ne.
r v. o o ~
Power Supplier Atldress
r
Etecvicai CnnvacrorlCamP~~t LAKE~STREET ~1 a,~,«.~,:ioc.~.'s l.icense No.
6~un ~
MailingAAJresslCor~Sl,vyty{~.3WpA10Stdila[ion) ' .
YVLfa IVII~ CI.ryQ'f,0
829 J88i
Au i rized S nature ICO raclor ur Makinu-In, all tionl Phonc Nwn~er
MINNESOTA STpTE BOAAD OF ELECTRICITY TMIS INSPECTION REQUEST WIIL NOT
GrigAs-Midway 81dg. - Raom Nd91 - - BE ACCEPTED BV THE STATE BOAFD
1827 Univarsity Ave., Si. Peul, MN 66104 . UNLESS PROPEH INSPECTION FEE IS
e~___ 1a11, oo, v'll ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooaoi_oa
'6 8 3 8 2? Sea mstruc<ians lor completing this form on back of yellow mpv. q~
"X" Belaw Work Covered by 7his Request 2-750 0
N. AOr- Fep. " Type o1 BuilAinp Appliances WireA Equipmen< Wired
Home Range Temporary Service
Duplez Water Heater Lightiny fixtwes
g Dryer Electric Heatin
Commerci Idg. Furnace Silo Unloader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
F2Ypl Othnr peel 1 Othar (SUecity)
t er Speci(y Other Other
Compute lnspection Fee Below
N Pee ServiceEnfrancaSiia d Fae Feeders/SubfeeAers M Fee Circuits
0 to 100 Amps 0 to 30 Am s 0 to 30 Am s
101. m 200 qmps 31 to 100 Amps 31 to 100 Ams
ve " A6ove 100_Am s Abave 100_.4inps
si rs RemoteControl Circ. PartiaVOther Fee
:Siyn Speciai lns S~
~TOTAL FEE
Remarks . !6 Of)
{
Rouph-in I, the Elecvicel
Insoectoq nereby
certity that the above
Final inspaction has baen
made.
This request void ~ O - 9£"~
18 monNS fiom
This rcA~uest void 18 months from
Date of this Request~a~ P 63957
I, as ~Licensed Ele tncal Contractor 0 Owner, do hereby request inspection oC the above electri-
cal wiring installed at:
Street Address or Route No. /71~~~2&xal, Cijty
Sectjon Township Range Countyo~=x?e~
Which is occupied by bz~_'?)
(N ma of Occupant)
Is a roughin inspection required on this job? No'W Yes ? Ready Now ? Will Call J7-
Power Supplier ^f / Address
Electrical Contract~.~// Contractor's License G~
(Campany Name)
Mailing Address 7 `7 _ _
( lactriw Contract ar Owner Making This Installatlon)
Authorized Signature ~ " - Phone No..;.7 7- 2 7~ ~
(ElectNcal Co ractor ar Owner M n9 Thls Installatlon)
D(DA90 COPY This impection request will not he accepted by the
State Boerd unless praper inspection fee is endosed.
mmnesota state tsoara oi tiectncity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION P63957
G'rIECK BELOW WORK COVERED•BY THIS REQUEST
Type oi Building New Add. Rep. Check Appiiances Wired Foi Check Fquipment Wired For
Home ? ? ? Range ? 'Iemporary W'ving ?
Dupiex Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? Dryec ? Electric Heating ?
Commercial Bldg. ?~0? Furnace ? 50o Unloader ?
Industrial Bldg. ? Aic Conditioner ? Bulk M0k Tank Q ?
Farm ? pList List y~ r
O[he[ ? ? ? Herels~ Qehets~
) n
COMPUTE INSPECTION FEE BELOVV%
Se~itt Entrance Size: # Fee Fced b f ~ Fee Circuits: u Fce
0 to 100 Am s. 0 to m es 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am eres r 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above I00 Amps.
Transfortne[s RemoteControlCirc. Pa[tialorotherfee d
Signs Special lns ction Minimum fee
Remazks TOTAL E
o0 16.
I, the Electrical Inspector, hereby certifyf~ e a e iction has been .
(Rough-in) ate 19-/-7 ~
(Final) ate ~-lS- ~ 9
This request void 18 months from
~anX41C~.
E1EC' ~ (-o r
Ct
sCL n.,Is
Pe r n,, c~4-
YL7,~~r
~~~'v`c~`~ ~~~c ~ S ~ r?~~c~ ~ ~
c ~A--~~ ~.?Sas,
ReQUest Date Fire No. ougM1~in Inspetlion •
~ Requiretl? ~ ReatlV Now , Will Noti~ nspector
lql
_ ves ?ryo~ wne eatlY?
~
censed contractor ] owner hereby request inspection of a ove elec uGHLwark at:
Job Fatlress iStmeL Bpwer Route oJ - Ci ~
Secii p N Townsnip N me or No. Fange Na G n
I
Occu a IPfiINTi P ne N
a-
Power Suppiler Atltl ss
Eiecvi ai C vacmr (COmo,a,ny Name) 4Phone cense No.
aJmq Atl ess ICOnhaclor a r Making I IIaU )
Aut rrzeo tract o Ownking nst l ?
MINNES TA STATE BOARO OP ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GHgga-Wtlway Bldg. - Room S173 BE ACCEPTEO BV THE STNTE BOARD
1621 Univeraity Ave., SL Paul, MN 55104 UNLE55 PiiOPER INSPEGTION FEE IS
Phone(612)692-0800 ENCLOSEO.
rteqUEST FOR ELECTRICAL lNSPECTION ~ ee-oooo, oe
y/ ? See insimcnons lor compleling Ihis lorm on 5ack oi yellow copy
084 q "X" Below Work Covered by This Request
_ Y-- -
ew Add Rep. Typeofeuiltling AppliancesWiretl EquipmemWired
Home i Fange Temporary Service
-~-1-
~ I Ouplex Water Heater ElecVic Heating
~ Apt. Building Dryer Other (Specity)
E 11 CommJlndusirial Fumace
Farm Air Conditioner
I Olhe~ Ispecity) Contractor's Remarks:
VF~ ~'T
Campute Inspecfion Fee Below,
# i Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
;Swimming Pool ~ 0 to 200 Amps O l0 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S19n5 InsOectors Use Only. TOTAL ~
Vrigation Booms Si-
Special Inspedion ~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby R°u9n-io oate
certify that the above inspection has F,,,ai oate
been made.
OFFICE USE 9NLV
Tbis request voia 18 montns Iram
3^~~~~~/~ ~ OFFlCE USE OGNLY This rcqoest void IB monihs from validofion dote prinred in this 6ox.
J ~37 ( /
I
PLEASE PRINT OR TYPE
Requast Date Rough-1n inspection requiredY 0 Yes Q[No Inepaqton Olhar Than Rough.lre Q Ready Now ~ WIII Call
8_2 g_ g 6 (You m.sl mll ~he inspedor when ready) Dak Reody:
I, licensed coniroctor ? owner hereby request inspection of fhe a6ove electrical work af:
hblddms (Strcep Box, or Rook No ) Ciry Zip Code
1771 YANRSE DOODLE ROAD EAGAN 55121
Sedion No. Townehip Nome or No. Ronga No. Fire No. Counry
EAGAN DAROTA
Ompvnl Phone No.
GRSSSSR INC. 454-5976
Pewer Suppllar Addreas
EI«friml Comraaor ICompony Name) Conkaaor lianse No. Master Lia No. IPlom Elec1. Only)
TRANS-ALARM INC. CCOO111
Mailiig Pddrtss (Conhocbr or Ownar Perfarming Insbllotion)
50 . TRAVELERS T L BDRNS MN 55337
Au rized ' naNro hador or O er P rm~ romllanon) Phone No.
894-1700
EB-00001h10 6/95 BOARDCOPY-SEEINSTRUCiIONSONBACKOPYELLOWCOPY
Minnes EQUm ers,iry FOR Ave Rm S-~i1 8A~ PauI P,MN /
IIIIIIIIIIII~IIIIII I~ IIIIIII~II III I IIII g
5 10a 13 3 4 9 3 5 3 3 Phone (812) 642-0800
Home Duple: Apt. Bldg. Other'.- New g Addn
X Commercial Indusfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hfr. Lood Mgmt. Other:
Dryer Ran e Elec. Heat Tem . Service
"X" o6ove the work cwered by this request Enter remarks in this space and on fhe back of t6e white copy only.
INSTALL NEW FIRS/BIIRGLARY ALARM SYSTEM
(FIRE EiAS 20 OPENINGS)
Calcolate Inspection Fee - 7his Inspecfion Request will not be occepted without the correct fee:
Olher Fee # Service Enhance Sixe Fee # Ciraits/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Sireef Lfg./IraNic $ig. Above 200 Amps ove 700 Amps
Tronsformer/Generafor INSPECTON'SUS Y TOTAL
Sign/OutlineLtg.Xfmr. 25.50
X Alartn/Remote Control rj
Swimming Pool ~ h.. me eckd ~h~ dean~oi m,wllmion descnbed hereln on Ihe daMS slokd
6rigefion Boom ao,h-in oa~e
Special Inspection
Final
Imestigative Fee - - '
TNIS INSTALLATION MAY BE ORDERED DISCONNECTED If OT COMPLETED WITHIN flffiOWNTHS.
`s,ix'°
618 X So lk 'n
st Da~e ~ Fire No. Ibuph-in I~rspection
O ire~~ ~ ~flcady Nuw NOtity Inspec-
Q:~ Y¢s lur When Ready
p :...om„¢d Elechical Contrac[or I beFepy reyuest inspecflon of above
? Own¢r eNeViol rrdk incialled at:
Street Aadress. Box or iioute No CiW
'7 / 12c:?
ection o. Tow shi0 Name or o. npe o. Counly
J
Occu m IRi1NT) Phone No.
~ 12 C:SSC Y'~ G c c 19 ! /-y
Power SuPPlier pdd~¢s,s .
Elec[ri¢~ I Contracta ICOmpany Namel C~on/tracm/i~s License No.
Msilinp Address (Conv cto~ or Owner Making 1j~ :la[ionl
IJYi 1/Z /d1
Author' Si ~(GOnhecto~~ Wakiny Installation) Phone Number
~ 'Z - / J'Z- , ~
MINN OTA STpTE BpApD OF EIECiI11CT1 THIS INSPECTION REQUEST WILL NOT
Gripgs-Midwey Bldg. - Ibom N-191 BE ACCEPTED BY THE STATE BOAHU
UNLFSS PROPER INSPECTION FEE IS
1821 UnivarsitY Ave., SL Paul, NN 55100
Phom 1812) 2972111 ENCLOSEO.
EB-00001-04
y ek of rellow e opy.
F-:7bh-
U LLI 3~4~~~
is Request
Adtl Bep. lup~ Equipment Wired '
Temporary Service
Lightiny Fixtures '
Apt. Building Dryer Electric Heatin
Conmercial Bidg. Furn,ace Silo Unloader
Irnlustrial Bidg. Air Conditioner Bulk Milk Tank
Farm ther (SUecity)
t .r uecify Ot Otnar
ompufe lnspection Fee Below
p Fee SarvieeEntrame3ize p Fee Feeders/SiLfeedars N Fae Circuita
0 to 200 Am O to 30 Affw U:31 0 0 tn 30 Am
Above 200 Am{x, 31 to 100 Amps 31 to 100 Amps
Swimnirg Pool ~ 0'L7 Atwve 100_ Above 100_Am s
Transformers Ivigation BooRS Partial-'Other Fee
Sig~s Special Invspection ~
e~rks S~~y~ TOT L FEE
DO T~v.~a/ ~a-r a.,~. eu~?z.~w I4-C/OY
Nouph-in D~'e 10,~
orhereby
tily thethe bove
Final D=1e~(` on haa bean
3 ~j" ede.
,
mroianuest watemonmsfirom . • .
18'mon~hs from1d q'x3'0 l Z~ Z~
br, 5~loloy ~.ac.'r+aM PK g
Fequest Date Fire No. RovBh-in InsReccion
L[ ~ He4uir ~ ~Reatly Now [f}ltlrfrFotity InsPec-
~ -k-V es ?No tor When Heady
censed Electrical Contraclor 1 hereb
y request inspection oi abova
? Qwner alectrical work installed at
Sv¢et AAdress, Box or Roure No. Ciry
ii1.9 ~Nvke.._ (a-~ a~/e 2, 4-"
ctwn o. Township Name or No. qange No. County
pA-+~ol-A
OccupantlPRINTI Phone Na.
GR~S~'2 ~FFic~ l.v,a.c,~ffo~r~
Power $uGOlier AAtlress
/t_ s P
Electricpl Co,nt ractOr ICompany N me) . Comracmr's License No.
YU g(/r
Mai ine Address (Contractor or Owner Makiny Instailationl
3 iae-o
Author'ze gn ur onhactor wn MakinB Instaliation) Phone Number
' 41J-2-- I?-Gi
MINNESOTq STqTE BOARD OF EIECTRIGITY THIS INSPECTION PEQUEST WILL NOT
Griggs-Midwey Bldp. - Hoom N-191 BE ACCEPTED BV THE STATE BOARO
UNLE55 PNOPEH INSPECTiON FEE IS
1821 University Ave., St. Paul, MN 55100
ch....e 16121297.2111 ENCLOSEO.
N-~~~bl REQUEST FOR ELECTRICAL INSPECTION es-oaoot-oa
' See instmetions br completinp this form on back of yallow copy.
X" Below Work Covered'by Thrs Request
A 00847 ~O
Nw4Addj Neo. TyDe o1 Builtling ApPliances Wired Equiument Wirad
ome Ranye Temporary Service
, "Ouplex Water Heater Lightiny Fixwres
Apt Buildinq Dryer Elec[ric Heatin
Commercial Bldy. Fumace Silo UnloaAer
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Orner vecifv 0ther l5ner.ltyl
[ er Vecify Other Oth(:r
ompute lnspection Fee Below
M Fee Service EnbanceSize d Fee Fenders7Subiaetlers M Fex Circuits
deG"O 0 to 00 Am s 0 to 30 Amps 2.I 0 to 30 Am s
.~5[ , pa 2D0 Amps 31 to 100 Amps 31 to 100 Am
ing Pool Atwve 100-Ams Abave 100_Am s
Transformers Irrigation 8ooms Partial-'Other F
Signs Special Inspection S
TO FEE
Re~++arks r ~ • •
Rough-in vicel
Insoactor, hereby
cenily thnt the above
I Final inypection has baen
? -(G ~v mede.
Tlds repue6t voitl 18 montlo from
This request voia "I,7 ..3-%'I 427•LI
8A008months LII~ il 61h'(eAM jyj D Pk. e-o
Request Date Fire No. RouBh-in Inspection M ~
/ Re9mre ~ I~Readv Now ~VIh NotitY Insoec-
'7 ^ 7~Q 7 es ?NO mr When fleatlY
u"censetl Elec[rical Contn+ctor 1 herebY request inspection oi above
? Owner slactrical work installed at:
Streei Atldress, Boz or Foute No. Ciry
I 7 ? ! /9-n.i,~ ~ ~ ~oo a~~e ~f}- ~ R-AJ
8cuon a. Township Name or No. A~~Be No. County
/DA-k-o % .e-
Occupant(PqlNT) ~ Phon¢ No.
~y1ZC tS~l2 ~~'Tl GL? ~ ~ ,
Power Supplier Address
s P
Elechi al onVactor ICOmpany Namel Contrer.tor's License No.
t ~ -t.o ~/1- ~ ''7i~~ -
Malling AdJress (Contracmr or Owner Makinp Installa ' nl
~j 47-e-0 Autho ' etl ip tu e ICo ra Ow r king Installationl Phone Number
Z/,T Z - / J (~j -
MINNES TA STATE BOARD OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT
GriB9s-Midwey Bldg. - Noom N•791 eE ACCEPTED BY THE STqTE BOAND
1827 Univarsity Ave., St Poul, MN 56104 UNLESS PflOPEH INSPECTION fEE IS
rn- 16121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION « ee-ooooi:oa
' See inshuctions for compleling this form on back ot yallow cooV. H Z~ 2,(p
fiOO848 "X" Below Work Covered by This Requesl
131
Add Neo. Type of Builtling Apoliancea Wired Equiument Wired
hbme Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Oryer Electric Heatin
Commercial Btdg. Fumace Silu Unloader
Industrial 61dg. Air Conditioner Bulk Milk Tank
Farm Other Vecify .ther (5uncityl
t rer SV~ufy t er Olher
ompute Inspeciion fee Below
k fee SarviceEntrance5ize N Fee Feeders/5ubfeeders d Fee Gircui[s
0 to200qm s 0 to30Am s O O..'ti 0 tn30Am s
u' i-p Above 20060qmps 37 to 100 Amps / pq 31 to 100 qm 5
Swimminq Pool Above 100_Am s Above 700_F+mPs
Transiormers Irtigation Booms Partial.'Other Fee
Signs Speciallnspection
Remrks S7J,.f'(j TO FEE
7 m
HouBh-in
11e , t e IecVicel
• ~ nspector, hareby
certily that the above
final ~ '~~R~~„(.~ inspection has been
mede.
~la repuest wi018 montM from
- ~
This request wid ~ rn// 1~ ~ It I Q5
18 nqnths trom ~77 ~ U ~
A ~~Er2 616 I ~
Requast Date Fire No. Ib~ug n Incpection
rt~~ .edz p%aav Nm pw:n Noti+r I~-
- / - ?.e= oNO
Licensetl Electrical Convactor
I herabY ro9uest :ntoee4on ot a6mie
? Owner electrical nort imtalbd ea:
SVeet Ad~ess. 6ox a~ o ~G~ Cih
lY
ection o. I T Aip Name w a 1bnge No. C v ~
Ocropmt (Pl11NT) ~ Rhu"e Na
Pow¢r $uppiier Addiegs
,U S p Z&V-V
Electri I C ntr ctor (C Namel - Gmtracfw's Lirmse No.
l'~e ya y 4~~
Mailing AdJrass IC ractor w Owner Makinp uqatioN
2
~B ~e CoMractm 1akinp Iretalla[ion) Rnne NunOer
Z - "I-Al- I
MINNESOTA $TpTE BpqpD OF ElECi81CIT11 TNLS IIiLSPECTION BEQ11F8T WILL NOT
Grigps-MidwaY eltl9. -R. a-781 BE ACGEPfED Bf lHE SiAIE BMIID
1821 UniversitY Ave.. M. Paul. MN 55700 UNIE53 PYOfEp IWSPECTION f{E 6
ENCLOSED_
oA...e 16121 z97.zttl
o, val~,.
b,
P1 his Fequest [vuwmmi wi..a
m
Tenpmary Service
Du er LightiFixdrttm
Apt Building ryer ElectricHeati
i Cormiercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk TaNc
Farm r (S~Ml
cr sueci v a rn~.e.
ompute lnspectian Fee Below
Y iee ServiceEntr9nceSiza p fee Faeders/5ub(eede. • Fcc Gircu)La
m 30 Aroos AO
.0'0 0 m Am 9a~ 0 w 30 Arnps CS:_0
ai co~oo n~s a1 m ioo
'ea-d A6ove2-1 q,
Swimm2cYe Above lOD A '
Tra~Sformer5 Irtigation Boo/r.Partial/.'Othp Fee
Sigis Special Inspect"
flemarks TOTAL FEE :1
37-
Rou9h-in . Date El~:ea~
• 46VKb. MebY
Final { ~/e c en~i/q tlai tM abp~ra
m 1rs beae
, A
Tlbre0u08lvdC18TOntl4hOm
Th15 rBqUBSI VOId ~ O~
18 rtwnths lram ~
A ~ 8 2 6 2. 3 L
Request Date Fira No. Ro ?qugh-in~lnspection QReedY lo
[}VRtf'~tifV.
~ ~ Q`/~ Feu~ted. ^-w~ Nuw
yes ~J-- ~or Whan PeadYspeo-
' ensed Electrical ConVacmr I Fereby repuee[ insoection ot ebove .
? Owner electrical work imstelled et:
Street Adtlress, Box or Foute No. Ciiy ,
t ~ cZ Ice,,- 1 .
, ecuon o. Towns ip Name or No. Ran e/4: Cou uY ` /
- ~ `f~-K.l
Occ ant IPRINTI hone No.
21/,21r- /
Power Supplier Address
Electrica Co rtac r (Company N mel Conttecton's liconsa No.
c '~d< < G
Mai ine Atldress IContrector or Owner Makine Inst~ai}~Jtionl
G
Authorize re 1 onttacio O ner Making Installationi Phone Number
MINNES TA STATE fi0AX0 OF ELECTAICITY TMIS INSPECTION REQUEST WILL NOT
Griges-MiEwey BIdB• - Aoom N•781 BE ACCEP7EO 9Y THE STATE BOARO
1821 UnivarsitY Ave., St. Paul, MN 66106 UNLESS PROPEX INSPECTION fEE IS
PM1nno 18121297-21i1 ENCLOSED.
~ U~ Ee
~ 0o,q„owCoo.. -~1atoa~,.0,
his Re uest
Ayfd RPp; T EquiOmen[ Wired
Home Temporery Service
u z cer Lighting Fixmres
p ui inc~. ryer Electric Heatin
meraal Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Ferm Other peci y t er ISPecityl
t er SVeci(y t or Other
Compute lnspection fee 8elow
q Pee ServicaEntmnce5iza tt Fee Faeders/Subteeders # Fee Citcuits
U to 200 Am s0 to 30 Am s O/-"I 0 to 30 Am
Above 200 qm )s O-q 31 to 100 Amps 31 to 100 A s
Swimming Poo! Above 100_Am j-V Above 700_Am Transformers Irngation Booms Partial,'Other Fee
Pemarks Signs Special Inspection TOT LFEE ~
1
2r~i~u`P
flough-in . ~ Data the gcbicel
ze. ~ ~"(J.~ Inspector, ereby
certify thot the ebova
Final ( Da'e ~pection has been
3 r.f~~ mede.
Thie repuest void 18 months imm
This reduesl void
18 months trom ~ ~ Ufl^)-~ t4 t 9
~
A 0-82649 ~f`L
Request Date Fire No. RoupRin laspe ~on .
~ G ~VUir ~aAY Nwx~] o~`~WMnfNeady~_
ai us
' Elklf-en-sed Eleciriwl Conhactor ~ hgrepy .pwst :nspaetion oi above
? Owner ebehiml rnk imL11eA at
Slreet Atldress, Box or Bovte No. Citv
/ h . a e ~•4-G' /f-n./
ection rio. ToMmship Name w Na 11a.ge o. Cw^ ~J
Occupant (PIi1N71 Phome No.
tS3 & 2~vA~~~o~~ Tn,an:l`S aee A`
Power Supplier Atldress
ractor I Name Cmtractor's License No.
EIcal an Gw~wa
J a wa
a
! ~f- ~
Mailine/A~dJress (Conbactw or Owner Mak:,q I7' tiun)
~ /1~ •6•~~
Authori ie om`actm/ iiaki.q Inspllatim) NuMer
yl'z.-is G~'
MIftlN OTA yTATE BOAND OF EIEC1111GIiY ' TNIS INSPECTION dEUUF3T wILL NOT
Grigps-Midwey Bldp. - Room N-797 BE ACCEP7ED Bt iHE STq7E BOAIiD
1821 University Ave., 51. Paul, MN 55105 UMLE55 PROPEp INSPECTION FEE 6
Db..... 1612129721111 ENCIOSED.
q ~ -3 REQUESr ws ELEcrwciu. mSPEcnrnu EB-«^^..-
w See invvuetims for eoamletiro ~is fnm m Unet ot vellow copy-
Fi ~ ""X"' Belaw Work Covered by This Request _ ° I i c l
Rdtl Rao. Type ot Bui Wing Appliawces pired Equipment 11ireA
Home Range Temporary Service
Duplex Water Heater Lighti Fixtures
Api. 8uilding Dryer Electric Heatin
Comnercial Bldg. Fumaoe Silo Untoader
IrWustrial 81dg. Air Corditioner Bulk Miik Tank
Fertn Other ceo t r(Sper.iNl
t r eca Other
ompute nspection Fee Be%w
H Fea ServiceEMrenceSiza p Fas Feeders/SuMeedsw 9 Fee G:rcu:ts
U to 200 Amps 0 m 30 AFnps f/V 0 to 30 Ammos
Above 200 Amps 31 m 100 Arrips 37 to tOQ A
Swimnirg Pool Abore 700_ AAW5 /Oeo'o -
Transfomrers Ivi tion Baort~s Partial'Other Fee
Sigis Special Inspection
Remerks $3Q, 5-11 TOTAL
flouph-in ( Date
. tha Elecbiol
~ ~Yector.IrorabY
e9pi{v-tMt thB abova
Final pection has baen
eL de.
rn~. rea~s~ vow ie~uo ~m . .