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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 . .