945 Yankee Doodle Rd - Electrical Permits This rgquest void 18 months from 7
P p
Date of this Request_~~/a f li J~~~ v
I, as ? Licensed Ele 'c ontractor ? Owner, do hereby request in!pection of the above electri-
cal wiring installed at: ~ 33 3y-If V 3'7~3.jl
Street Address or Route No. .J trtn A caf 0a0 eS le-~ City-IF
-J~ ~
~
Section Townsttip Range County 17.1 k.n7~
Which is occupied by ~..0!21e,.-g(.C.~t rnc-r S~ay'~tv~ r r ~
C (Name of Occupant) - / z
Is a roughin inspection required on this job? No ? Yes C~ Ready Now L5~ Will Call ?
PowerSupplier~~ ~fCod Address
Electrical Contractor~~,e i Contractor's License No. -
(Company Name)
Mailing Address /Yo I
( le rical ontractor or wner Making Thls In5ta11ation)
Authorized Signature Phone No. ,!f~.
( actrical Con[ra<tor or Owne eking ThIS Installatlon)
~Q~~~ This impection req~ Pwill nPt he aceepted 6y the
Stata Board ualess ro er ins action fee is encloaed.
Minnesota State Board of Electricity p~
i95d University Ave. St. Paul, Minn. 55104-Phone 645-7703 /
REQUEST ~O~ ELECTRICAL INSPECTION P 97766
CHECK BELOW WORK COVERED BY THIS REQUEST
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi
Hnme Li Range ? Temporary Wiring ?
Duplex. ? Water Heater ? Lighting Fixlurei ?
Apt Bldg. ~ Dryer ? Electric Hcating ?
Commercial Bldg. Fuinace ? , Silo Unloadei El
Industrial Bldg. ? Cl ? Av Conditioner ? Bulk M0k Tank ?
Farm pList List
? ? ? F{eiers~ Qehers~
Other 1 n )
COMPUTE INSPECTION FEE BELO
Selvice Entrance Size: it Fee F u rs C¢cuita: # Fee
0 to 100 Amps. 0 t; 0 A 0 to 30 Am eres .O
10 1 to 200 Am s. 31 t- 100 rdnper* 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps,
Transformers RemoteConvolCirc. Partialorotherfee
Signs Special lns ection Minimum fee
Remazks TOTAL F 6
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) f Date
(Final) Date
This request void 18 months from
This request voitl /IZ-/,a ^83 ` AnaA.(4t, \ •
18 moMhs from t(J.4
~j _39 -~1-~ ylp3
Request Date Fire No. RouBh-in Inspection
Reawred? C) Ready Nuw Will NotifInsPac-
/a" ~ ?Vas No 'or Whe-fleady
Lkensetl Elecirical Contrector 1 heraby request inspaction oi ebove "
Owrrer eleetrical work instelled at ~
SV t Address. Boz or Rotrte No. Ciry
- 4,0;eZif-
ecLOn o. ownship Nnme or No. Ranea Mo. Coun[~ ~
~
Occu n[IPRINT) Phone No.
1,~"~'lG F S Su.ainL
Power $upplier Atltl 55
Elec cal Contractor (COmpany Na Coniracmr's License No.
a c c Itis •~ecr- Cc.`sr-C'o 0 3,s" f~7 a
Mailing Address (COnVector or Owner Makiny Ins[allation)
7ge' -S7-14 t-IZ S7- Sr~ uc S~s'i~~
Aut .etl Sign ture ICo r to Own r aking Installation) Phone Number
a V -a
MINNESOTA STATE BOAND OF ELECTfliCI THIS INSPECTION PEQl1EST WIIL rypT
Griggs-Midway Bldg. - Noom N-797 BE ACCEPTED BY THE STATE BppRO
1821 Universi[Y Ave., S[. Peul, MN 55706 UN(.ESS PNOPER INSPECTION FEE IS
Phnne 18121 297.2111 ENCLOSED.
,A .1,1, n REQUEST FOR ELECTRICAL INSPECTION E6-0 0001-0 4
4 , See instructions for comolatinp this form on back af yallow copy.
Q ` ~ "'X"" Below Work Covered by This Request 4~
FAd flap- Type of 8uittling APOiiances Wired EOuiPment Wired
Home Range Temporary Service
~ Duplex Water Heater Ligh[iny Fixtures
Apt. BuilAing Dryer Electric Heatin
TL Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tank
Parm Other peufy Other ISPCr,ilyl
~ 9~ pCCi(y O[ pr 0111Cr
Compute nspectia7 Fee Below -
M Pee Servica Enhance5ize p Fea Fexdars/5ubteetlers # Fee Gircuits
0 to 200 qm s 0 to 30 qm s 0 t~ 30 Am s
Above 200 qmps 31 to 100 qmps 31 to 100 q
Swimming Pool Ahove 100_Amps Above 100_Amps
Transiormers Irrigation Booms Partial'Other Pee
' Signs Special lnspection S s~
Remerks TO AL FEE
0.
Nough-in Oate 1, Ahe Elecvi
ln=oec[oq hemby
carutv ibe~ tha above
Final Dale insDec[ian has been
f' rt~de.
Tie repueat voiE 18 months tmm
This,eouast vo,d (D-'Z L33,Bq~Ft~..~dPk,#Y <3`t 0`tZ
18 mon[hs fmm
p°a 77799 Io~ o0
eques~t` Fire Na. Rou ? gh-In Insoer,tion
ReQmred? ~Reatly Nuw Will Notiiy InsOec-
i V yes No Ior When Peady
;icensed Elecvical Gonuactor I heraby request inspection ol ebove A
~Owner electrical work installed et:
Street A ress Boa or Route N. Ci<Y ~
..f" .u,~~°/£
ectmn o. Township me or Na. Range No. County
OccupxntlPRINTI Phone No.
D CA GC e, Su pl°L,
Power Supplier Atldress
Electr Contractor IComVeny Name Contraclor'S License No.
ica, •~/S ~~GT
/ f Y ~
Mailin9 dJresS (Contr ctor or Owner MakinB InstallatioN
~ s'ja
thorized Sign re (Contract n Mak' 1 iallation) PhoneN br
THIS INSPECTION qEQUEST WIIL NOT
MINNESOTA STATE BOAND OF ELECTHICITV
Grig9s-Midway Bldg. - Xoom N-797 BE ACCEPTEO BV THE STATE BOAHD
UNLESS PflOPEfl INSPECTION FEE IS
1821 Univarsity Ave., Si. Paul, MN 66106
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' Sea inalructions for comOletin9 this torm on beck ot Vellow copy.
lw 077799 3qoaz
"'X" Be/ow Work Covered by This Request x
AAtl Nap. TyOe oi 8uilding Appliuncns WireO EquiUment Wired
Home Range Temporary Service
Duplex Water Heater Lightinp Fixtures
Apt. Buildinq Dryer Electric Heatin
Commercial Bidy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner BW k Mi Ik Tank
F2f Other Peu y Other l5oenify~
t .i t cr Othi,r
ompute lnspec[!on ee Below
k Fea ServiceEMrenceSize a Fea feeders/Subfeeders q Pee Circuits
0 to 200 Am 4Amps 0 to 30 Am s 0 to 30 Am s
Above 200 31 to 100 Ainps 31 to 7D0 Am
wimmin PA6ove 100_Am s Above 100_P,mps
TransioeIrrigation Booms %iPartial,'Other Fee
Signs Special Inspection $S
Rema.ks TOT E
Rough-in 0;i[e the ectrical
Inspeetar, hi
cartify thnt the above
Final Dxte L ' spacfion has bean
~•~p'p aaa.
4122
TM1lareauesiveid 18montlulrom ,