3400 Yankee Dr - Electrical Permits This requeat voltl ~~7
tB months Ir
81V 42
Request D e Fire No. pouph-in InsV ,:tion
(J-~ / Reqi Irod7 ~ROady N. / Will Noltly, InsPec-
V ?Ves 'r When qe.ady
Li nsed Electr4~al Crn~trac or I hereby'requzst insPection ot above
? Owner V elec[rical work installed at:
Street AAdress, B r Route No. D Citv
3 4-Do ?.~D
ecuon o. 7ownship Name or No. Banye Nu. nunty
Or,~PRINTI Phone No.
'071
P unUlier Address
~LJ7?I
Ele ' al Contractor l u.~ny Namel Co racro s Licen~e No.
~~y-
Mafling AdJress (ConVacinr or Owner Making Insh~' a[ionl
a2 7~• /L.c.. UJP.~.- vr. • A4c.. .J O
Auffionied SiGnamr onVac r Owner ki g Ins[allatiun) Phone Number~/
MINNESOTA STqTE BOARD OF ELE IGITV THIS INSPECTION NEQUEST WILL NOT
Grie9s-Midwey Bldg. - floom N-191 - BE ACCEPTED BV THE STATE BOAftD
7821 UniversityAVe., $t Peul, MN 56104 . LNLESS PPOPEF INSPECTION FEE IS
o.___ 1.1111.1 o'l• ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
Sae instructlons ior completing this turm on back of yellow copy. "
7' 81642 -
""X;" ael'ow Work Covered bil ""~s Request ~
r--'ntline Appliancns Wired
ew Add A V. • TVOe,^ R~ItyE EO°inment Wiied
. Temporary Service
~°u~eX Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commerciai Bldg. Fumace Silo Unloader
Industrial Bldy. Air Conditioner 6ulk Milk Tank
Ferm Olner neufv otnn,rlsunr.ifyl
Iinr ISpeci(v Other
Compute lnspection Fee Below ~
k Fea Service EnfranceSize p Fe Fnaders/Subfextlers p
~ t01~0 /am S Fea Circoi[s
0 to 30 qm s ~ 0 tn 30 Am s
707 to 200 m s 31 to 100 Amps 31 to 700
Am
Abgv _ mps Above 100_Amps Above 100_Amps
torr s 1~ Remote Control Circ.
0 partial/Other
ks . Spedal Inspection S "r-
~ TOTAL FE (,1Y,
db-i
( oate
~.7~ I, Iha Electrical
nspectoq heraby
Final ~ certily tfiat the ebove
nspection has been
mida.
This 41 request wid
18 months from ~ -
Thisrequestvoid lSmonthsfrom ~~'lvt~'~Y/ S1 ys
_ ? !O i Ob
Date of this Regy,est °°7 /g/ /d) 5 s 6807
I, as 9I,icensed Electrical Contractor 11 Owner, do hereby request~inspection of the above electri-
cal wiring installed at: c3q[o t/ b~- L~
Street Address or Route No. l4k 64JG't,4 J3d`9dr.4LI~lz dr-VeZity
~
Section Townshi Range County
Which is occupied by 1S hS ~.Ic. it A/
(Name oi Occupant)
Is a roughin inspection cequired on this job? N(0 Yes ? Ready Now ? Will Call ?
Power Supplier J) SF) Address
~J 3'7 $ ~
Electrical Contractor C/ Contractor's ~cense9No. _
mpany Nam~ ~
Mailing Address 7 .~J J
/(6Ctfical ontfaCtOf p Ow f Making This Installatlon) ~ ~Authorized Signature ! ~ l~~~i Phone No.~~•~a-~~~
(Elac al Gontre r or Ownar Making This Installatlon)
t~~ q This inspection request will not 6e aceepted 6y ffie
~ L ti~. ~ G~,_;,S 7 ~ 1? State Board unless proper inspeetion fee is enclosed.
Minnesota State Board of Electricity S2->
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REt1UEST FOR ELECTRICAL INSPECTION ~
CHECK BELOW WORK COVERED BY THIS REQUEST 6807
Type ot Buildin3 -New Add. Rep. Check Appliancea Wired For Check Fquipmeat Wired Foi
Home ? ? ? Range ? Tempocary Wixing ?
Duplex ? 0 ? Water Heacet ? Lighting Fixtuces ?
Apt. Bldg. Dryei ? Electric Heating ?
Commeccial Bldg. Fumace ? Silo UNoadei ?
Industrial Bldg. A'¢ Conditioner ? Bulk Milk Tank ?
List List
Farm ? ? ?
Other ? 0 0 Wthei4 Rtheis
ere ere
COMPUTE INSPECTION FEE BELOW '
Seevice Entrance Size: # Fee Feeders& Subteedeis: n Pee C'ucuits:
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres /
101 to 200 Amps. 31 ta res 31 to 100 Am eres
Above200_Amps. Ab e.j00\ Amps. AbovelOQ_Am s.
Transformecs R 6entrolCvc. Partialorotherfee'
Si s . ec'aTins ution Minimum fee $5.00
Remazks ~
TOTALFEE .
I, the Electrical Inspector~ \rgby ertify that the above,inspection has been made.
(Rough-in) - ' n,, ~ `1Date ~
(Final) Date
This request void 18 months from
~ CJ
s ;d(-( o 61i Cow~s~r~
tn iiF. r:od 43512
Reqv Date Pire No. flouqh-in Insuection
p Reyvued7 E]ReadY Now~Will Notify Insueo-
~.q / J ~Ves ?Nu mr When FeatlY
Lic ~ d Elec[rical Con[raclor I heraby request insoaction oi ebove
? Owner electrical work installed at:
Stree[ Adtlress x or oute No. City
3 , ~f U ~ ~AC»4t)
ecuon o. Township Nama or No. eanye No. C°~+~_U4KOT~4
Occu IPRINTI Phone No.
sde v kP
Power upplier - Atldress
Ele Vi a on c or IC npan amel I Conhar,mr"s License No.
?
MailinB.4 dress (COnt tor cr Owner ekine lnstallation)
q
/ o~e~'~'• -C3 SS'//8
Authoriz nature fC nVaclor~0 ner Makiny Insfalla[ionl Pho e Number
S~ -S'? 90
MINNESO qTE BOAflC) OF ELECTflICI THISCINSPECTION NEQUEST WILL NOT
Griggs-Midwey BIdO• - poam N-191 8E ACEPTEO BY TME STATE BOARD
1821 UniveroitY Ave.. St Peul, MN 66709 U UNLESS PROPER INSPECTION FEE IS
P~....o Ifi1J1 19L211t ENCLOSED. .
REQUEST FOR ELECTRICAL INSPECTION es-ooom-os
' Soo instructions tor completing this form on back of Vetlow copy. - -
%4~12 w
~
"X" Below,Work Covered by This Request`' 7v 3$qs~
Ne% Add Nep. TypO of Builtling ApplienCas Wi,eA Equipment Wired`
Home Range . Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt Building Dryer Electric Heatin
Commercial Bldg. Fomace Silo Unloader
Industrial Bidg. Air-Conditioner Bulk Milk Tank
Farm oine. 18pecify)
t er Spenfy- O[ er. Other
Campute Inspection Fee 8elow
k Fea Service EntrenceSize q Fee Faetlers/Subfeeders k Pax Circuite
0 to 100 Am s 0 to 30 qm s 0 to 30 Am p
101 to 200 Amps 31 to 100 Amps 31 to 700 Am
Above 200 Am s A6ove 100-Am s Above 100_Amps
Transformers 9 , Remote Control Circ. J~~ Partial'Other Fee
Signs Special Inspection -
TO L ja,.p ~
flerti s
Pough-in Date
the ectrical
~ I speher
A-i
arht the nboveFinnl spection has heen
ade.
This request void
18 months from
This repuesl wiA
V - 1 l/
07W s from. '
L
Nequest Oata Pire No. Rough-in Irepection ReQUired7 ~Readv N. Q Will NotifY. Inspec-
1 - ?Yes Na mT When p¢adv
RLicensed Electriwl Contrdctor 1 herebv repusst :nspection ot abova
DPer n elechical wrork :'ctalleA at:
S reet dress, ~ox or uteNo. Ciry
No c t.4? ej 6 V?
.on w TownshiD Name or No. I Nange No. Cw^nry L
`V ~ ^ C f iq
Occupanl (PlIINT) Phone No.
G~vvi -5 eP^ L) e-
Power SupplipJ Address
EI trical Contractor ICOnmany Namel Co raclor's License No.
fl e 0~'
Mailing Address (Contraclw w Owner Making Iretailation)
T= . F' 1 wL eo e-
Authatized Sip [ure ICo tractm r ki g Instalia iwl ~M1one Nwnber
YINNFSOTq STp7E 80ppO OF ELECTI11CfT' r TNIS INSPECTION NEUUEST W1LL NOT
Griqps~lidweY 81dg. - R. N-191 BE ACGEP7ED BY THE STATE BOARD
1827 UniversitY Ave., 5[. Paui, MN 55106 VNLESS PIIOPEN INSPECT70N FEE IS
ENCL0.SED. '
p..~ 1612129~2111
~ I~QUEST FOR aECTIpCAL IN~ECTION " ee1......
10 See irttruetionz far eovpbling this fam m back of.yellw eooY- ' I G~
~ 19.4 5 -Ix~ ~lwm wm.k qatw,ed by Th;s R~uest o< < o
04AIdIROP. TYYeolBuiWin9 AWliantesOirW EQUipmentWired
Home Range Tenporary Service
Duplex Water Hea[er Lighting Fixmres
Apt Building Dryer Elecvic Heatin
Connrercial Bidg. Furnace Silo Unloader
~ Industrial Bidg. Air Corditioner Bulk Mf Ik Tank
Farm ome. ce6 r tn.:. Isoeci+vl
t r Specify the, Other
ompute lnspection Fee Be%w
0 Pea' ServiceEn<ra.aSize p Fee Faedas~SuMeedars # Fee Circvits
Oro200 Anips oAntut; `U oto3oAm
Above 200_Am{s 31 to 100 Amps 31 to 100 A
Swilmr~irg Pool Ahove lOD_ Above 100_A~
Transiormers Irtigation Booms "Partial.'Oth¢r..Fee_
Signs Special Inspec[ion TOTALrfE `
Xenar4s S~~°~e
~a ~
Ibuph-in ~7~/{e 1. tha E '
? ~ ~f ~ Insqctor. M1erobY
mrti/V thet iM above
Firel ~'I. ~ ~ ~ ~ " pection has besn
mede.
\YU~a~M~~oW 1Bmanlluhan
This request void ~ ~ .
18 monhs from ~ D~~ I
B -67
Request Date Fire No. Rough-in InsVer,tion 3 Cf flequfred? CHeatly Now Will Notity.lnspec-
?Yes ?No r When Ready
Licensed ElecVical Con[ractor . I hereby request inspaction of above
? Owner alectrical work installad aC Street Atldress, Box or Route No. . Cit '
4-00
ecuon o. ownship Name or No. flange No. Counly
Occ t (PIiINT) Phone No.
m5-~ ti?
PoWer SupDliwS ~ Address
N
Electr" Contractor (Co^~ ny Nartrel ~ Contrecior License No.
F~lac~s ~.c~e.e. Gu. ~U~v22
Mailing A4Jress (COatractor or Owner Making Instailationl..
Au[horized Signature (Cking Installation) Phone Number
G(. Ct'_ ontr mr r Ma ~9:~7-7711
'NINNFSOTA S'fpTE BOAflD OF ElECT111 THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY TME STA7E BOARO
Gripga-Midwey Bldg. - Room NA91 .
1827 Univmsiq Ave., St. Pavl, MN 65104 UNLESS PROPER INSPECTION FEE /S
Phq. 1612) 2972111 ENCLOSED_
50 5 REQUEST FOR ELECTRICAL INSPECTION EB'0tn"'• ~
~ , See inSlfuCtiOns for comOhatieg this fwm on backat Vellow copy.
"X" Belrnv Work Coveied by This Request
AAd Rep. Type of BuilAing APOlianees Wi.eA Evuipmene Wi.ed
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Hefltia
Commercial 81dg. Furnace Silo Unloader
I~ck~strial Bldg. Air Conditioner Bulk Milk Tank
Farm ther per., y OtherlSVecifvl
t .r Suecity ther Othee
ompute lnspection Fee Below
p Fee ServiceEntreneeSixe k fee Feeders/Subfeeders # Fee Circwts
0 to 200 Am 5 0 to 30 qm 5 0 to 30 Am
Above 200 Am - 3L2m?99A~nps" 37 to 100 q
Swimming Pool Above_18B_ m s Above 100_A~s
Transfortner5 Irrigation Boorrs Partial%Other Fee
Remarks Signs Special Inspec!ion ~
TOTAL FE Uc'
~
Date 1
RouBh-in " / Z(~'- 1 the Elechical
~ 7g~~~nspectoq heraby
C IfV 1I1@ TOpVB
Final ~ D'nte nspeetion has been
, ;Z -~J insda.
thbmyueslroitllBmonlMifom
//r p I l-`,) 'ti /
Thi.i,,re9uebt void 'Xl_2>
18nonth=,frSn D
606, 6U
Request Dat Fire No. ft upn-in.lnsDection ~
~ q ~red1 Ready Now l Notity, Inspec-
Yes ?NO y~~or When Reatly
cens Eleciri ai Contrector I harebY request insoecYion of above
? Owner - electrical work installed aC
Sveet Addre,ss, Boz or Noute No. CitY
D notSE./ZI1, 61 t V°,, 5~4Al
ecuon o. Township Name or No. Ranye No. Counry
1"1 I-lc>v;q
Ocy ~yV.~nt(PRINT) Phone No.
(;.o ~n s14v R rc,n-A -7'r2s
Power Slier~ AAjczz
.4KtJtfi-~X)7-
Ele cal ConVactor ICOmVany Nemel ~l Contr lor License No.
/~ito.oc~s Gc. . '{D S.~ 2 14
Ma-ling AdJress (ConVactor or Owner MakinN Inscailation)
2~ ,au~ .u
Au[hmized Signa[u ICOntt tor/Owner king nstalla[ionl Phone Number
77//
MINNESOTA STATE BOARD OF IECTflICITY THIS iNSPECTION qEQUEST WILL NOT
Grigg's•Midwey Bldg. - Hoom N-191 BE ACCEPTED BY THE STATE BOAHD
1821 UnivarsiiY Ave., 5t. Peul, MN 56104 UNLESS PPOPEP INSPECTION FEE IS
E
Pho~w 18121197-2717 NCLOSED.
REQUEST fOR ELECTRICAL,INSPECTION J,
J['~~ Sae insRUCtions tor completiny ihis lorm on hnck of yxllow copy. -
X'' 1 _B'elo,i ork Cavered by 7his Request • . 3~ l~ ~
New Atld Neo. TYOe of e.ilding 'Apaliances Wiretl Equipmant Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. BuilAfng Dryer' ` Electric Heatin .
Commercial Bidy. Furnace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
FeYm Other Pen Y ther ISpecifyl •
t er uecifv O[hcr Oth.r
Coinpute lnspection Fee Below ~
# Fee ServiceEntranceSize M Fee Faeders~SUbfeeders b Fee Gircuits
"0 to 700 Am s- - 0 co 30'qm 5 0 to 30 AmLs
101 to400,Amj s-\ 31 to 100 qmps 31 to 100 Am s
Above~200`. 'pjmpy Above'100_TAm s Above 100_Amps
' Xransr9ir+iers, . Remote Control Circ. Partia ~ F e
~ Si 5' ' $Uecial Inspection S
Aemarks
~F"2 ~ T TAL EE
7~1jQ C. ~ierY! /lA
1 Rou911-in D»[e
al
• • ' mspector, hereby
carlify that the above
I final e ~ inspection hes Ceen
' ? ' ` mede.
This rebuest void
18 months hom
rnis,dG;T@%c ~oia lZ-l L( i~I i CowtSErV 3 3 c
ib months from ~
Z'J 3'2 a9 1-0-i (oq •,,;2 s ~
Renuest Dat re No. Rough-in Inspection
Fi sper
/ Hepuired? Ofleatly Now ~il Notify. In
?Yes ?NO tor When Ready
i
Licensed ElacVical Contrector I hereAy requast inspection of ebove
? O~ner alechical work installetl at:
Strent Atldress, Box or Route No. , City
3~co 6~jIec? D.t'r~z c't,y,ry?
ec4ofl o. Township Name or No. anBe No. Comity
Occupam (PRINT) Phone No.
CM ~ .:r.r t~.:~
Power Supplier ' Add1ress
J .
,XGG' (f, f,P. ?
. Electrical C/onVactor IComOeny Namel Contractor's License No.
MailinB Atldress gIContrecto(r o[r Owner Makine /Innstailationl
~.J
L' ~+r ~14~(K ?'}l ~a`l'~ J ~Cd S
Autnorized Signature (Comrdctor Owp4r MakinO Installation) Phone N,umber
h7 -lj'ri
MINNESOTA STATE BOARD OF ELECTflICITY THIS INSPECTION HEQUEST WILL NOT
Gri09s•Midway Bldg. - Boom Nd97 BE ACCEPTESI BY THE STATE BOAflD
UNLE53 PflOPER INSPECTION FEE IS
1821 Uoiversiry Ave., St. Paul. MN 65104
..e 1,., ENCIOSED.
w«
~~tl~1REQUEST FOfl ELECTRICAL INSPECTION
(
.e instructions for comDleting this form on beck ot Yellow copy.
X^~,./ O" Belo ~~k'Cbvered by rhis Request 3 3Z I3
N AddNep. Type of Building APPliances Wirad Equipmant Wired
' Home Bange Temporary Service
Dupiex Water Heater Lightin Fi#ures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
InduStrial Bldg. Air Conditioner Bulk Milk Tank
Farm t er Peci Y thor ISpSCify)
t er yeu y t er fOther,,~. Qe
Compuie lnspection Fee Below ca ,arz ~Coc
M Fee. ServiceEntmnceSize # Pee ' faetlers/SUbfeedars N FeeCircuits
0 to100Ams 0 to30Ams- 0 to30Ams
107 to 00 Ws,- \ 31 to 700 qmps 31 to700 Am
a~~ ~ ~~'US ~A6ove 100_Amps , Above 100_Am s
Ir61 sbrmersl I ~ Remote Control Cira ~ S. Partia!•'Ot ee
~Signp~ Special Inspection 5 Ey z
Remarks ~'p TO rFEE
Rough-in D te I, he Elecvical
. ~ 4
cmq her
i e abova
Finei Date inspectiun hes been
aa.
Tnis reauesi voia
, 18 mont~s from '
Tn~n ~c ~ooe~/~~Z-fS C.~ Co~SEr? #1 (
18 iunt m
T V 3la(n S~_ 7~{ i 7 S tt~,
Raque:;[ ate - Firc No. ReUUh-li InsVCrlion []keaAV Now ? 1507
Febxuary 7, 1983 ?r,:s ?N„ lo, wna aeaay
•y~y LicenseA Electrical Contraclor 1 h¢rehv repaest inspe0ion ul abov 1'
? Ownn, elechical work installed at
5 be,x nAJress, Box or Route No. CiN
rY
Y
Comserv Drive Ea an
ecdon o. Township N,me or No. F.anye No. Caunty
Ocr.upent IPRWTI ` Phone No.
€OMSERV CORPORATION 452-7700
Poner $uPpiier Adtlress
Elecvical Convactor ICompany Namel Cnnrracror's License No.
Killmer Electric Co., Inc. A 040301
Mailinq AdJress (COn[rer.tor or Owner Making Installationl
7901 Br 1 n Slvd M ls MN. 55445
Authorized Si9 at re (ConVacto Owner MakinB Installatinn) Phone Number
425-2525
MINNESOTp STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT
Grie9s-Midwoy Bldg. - Xoom N-791 BE ACCEPTE~ BV TNE STA7E BOAP~
~1827 UniversitV Ave., St. Paul, MN 65104 UNLESS PflOPEN INSPECTION FEE IS
ENCLOSEO.
o....,., 1a11i on71111
T r ,y n REQUEST fOR ELECTRICAL INSAECTION Ri
~
j~ 0 See inshuctions fr completing this form un back ot yxllow copV.
'"X' Bel ork Covered by This Request ZQ (p
New Adtl Reu: Typd oi Building AOPlionces WireA Equipnent Wired
Home Range Temporery Service ,
DuPlex Water Heater Liyhtinq Fixtures
ApL Building Dryer Eler.tric Heatinc
Commercial Bldg. Fumace Silo Unloader
MAustrial Bl(ig. Air Conditioner Bulk Milk Tank
FBrm Other SVecifv Ihar iSUecily)
T a.isu<:~~rv omo, 0 t nn, Com uter Crt.Li v
Com ute lnspection Fee Below
!t Fee Serv i ce Entra nce S iz e 4 Fee Fgadors/Subteetlers 4 Fee Circuits
0 to 700 Am s 4 to 30 Am s 0 to 30 Am>s
101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200 qmps Above 100_Amps Above 100_nm~s
Transiormers LLF 7 emoteControlCirc. Partial-~O e~ .50 R o ks Signs Speci, is
5 ~ 2 TOTAL F
niar $
•
Roueli-in 1, tha Elactrical
InsPe<tor. heroby
ertiiy that thn nbove
Final ( ~y/ nspeccion hus been
This request void
18 nionths hom , r 7~^
This re9ties[ void
18mon[h from
4,6 Q2 2
ReqJGSt Da Fire No. RouOh-in Insuec[ion
q rzed? ~ReadY Now y(~ WiII Nntify InsOec-
~ 3~ W,;?, Yas ?N~ v-tur When Reatly
144 Ele irical Contractor I hereby request inspection ol above
? Owner elecVical work installed at
Svee[ Atldress, Bo or floute No. Cit
400 ~o.w azv<
ecuon o. Township Namx or No. Range No. County
Occupa ~PflINTI Phone No.
~o v 2- ;7700
Power SupOi~ Address
/~5 /~kOzcc
Eleccrica ontracw~ ICompax\n ~Namal Conv .mr' Lic nse ~No. /
Mail/in~e Atldress (COnvactor or Owner MokinB Instai uon) A'/~/,//lJ~ 7
/~/A~
Auffiori~z 9Sipnature ( nhact r/Owner stallation) Phone Number
(X `~oZ7-7>~l
MINNESOTA STATE BOAflD OF EL CiqICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Mitlwey BItlO• - Room N-191 ' BE ACCEPTED BY THE STATE BOAND
' UNlESS PflOPEN INSPECTION fEE IS
1821 Vnivaraitv Ave., St. Peul, MN 55104 ENClOSED.
REQUEST FOR ELECTRICAL INSPEC710N
'04 O O 2 2 il, See instmctions (or comoleting this torm on back of yellow copy. X='-°~'ow lork Covered by This Request 3 3$ Z- I
hle~'4,Ckddf Hep. Type of BuilAing Appliances Wired Equipment Wired
Home Range Temporery Service
Ouplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Purnace Silo Unloader
- Industrial Bldg. Air Conditioner Bulk Milk Tank
FBffll ther pen y Other ISUecify)
t e. pen y Ot er - Other
Compute lnspection Fee Below
H Fea Sarvice Entrenee5iza k Fee Feeders/Subfeetlers tt Fee Circuits
0 tol00Am 0 to30Am s 0 to30Am
701 to 200 qmps 37 to 100 Ainps 31 to 100 qm s
Above 200 qmps Above 700_Am s Abave 100_Amps
Transformers RemoteControl Cira p, b Partial% e
- Siyns Special Inspection C^ ~
Remarks TO AL E r1.E3 ~ ;
~ ,f~
Pou9h-in / r H
I, the Elactrical
InsPec[or, hereby
cer[ify thet the above
Final r Y D~~ spection has been
r da.
,
7his reaue.st void 18 nwnths !rom o ~iCi
Thisrequestvoid.5u t Qcfj(ti(_~'jFj`J ~SD~.,
18 months,tiom 140' OQn .
:'209g
fiFrtuest Date fire No. Rouph~in Insue<tion
Required7 ~Reatly Now Q Wiil Notify, Inspac
- ?Y es ?NO tor When Readv
Licensed Elechical Contractor , I hereby raquestinspection of above
? bwnyr elaciricel work installed at:
Stree[ Atldress, Boa or Route No. CitY
3Vco Ch Se.c? ~,Gia'~ C.A 'ani
ecuon o. Township Nama or No. Range No. County
~6.~T.d- •
Occupani IPflINTI~ (Phone No.
C.OH JCQf~ e~q/1 OCC//J~
Pow¢r $upPli¢r Address
' ~U~U L-Ey Ill,-? .AC1~G
Electrica/ ConUacmr ICOmpany Namel Convacmr's License No.
. ~ts~i~o~n 3~9v,i
Maiiing Address (Contractor or Owner Meking Insta718tion) Authorized Si8^aWre (ConVactor/Owner °king Instailationl Phone fVUmbar
C~'l ° e ~Itf/
MINNESOTA STATE BOARD OP ELECTRICITY THIS INSPECTION pEQUEST WIIL NOT
Origgs-Midwey HIdB. - Aoom N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55704 UNLESS PflOPEH INSPECTION FEE I'
ow...... IR191 1A]9t11 ENCLOSED.
n~ n~r~~ REQUEST FOR ELECTRICAL INSPECTION
, See instructions for completing this form on bock af yellow copY.
"X'"P'elow Work Covered by This Request -3, S WO~
Na '~Add Pep. . Typn ot evilding Apoliances Wired Equipmant Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo UnloaderIndustrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pea v rher lSUer,ity~
t er I peu y Offior Other
Compute Inspeciion Fee Below %PC
k ._Fee ServiceEnnenceSize p Fee Faeders/Subfeeders b Fee Cirwits
0 to 100 Am 0 to 30 Am s ,Z o cl'P 0 to 30 Am
707 to 200 Amps 31 to 100 Amps 31 to 100 Anws
A6ove 200 qmn Above 100-Am s Above 100_Am s
Trans4ormers Remote Control Circ. Partial%Other Fee
Signs Special Inspection S /o no
ftematks / - ,S'p TOTAL
,GD /7e,v /C
PouOh-in Date i, ihe Ele
~ Inapactor, hereby
certify that the above
Final ~ Dat" ' spection has been
-SI ade.
~
This request void 140
'
18 months from
This request void 3'z-D ~I 1p1 l a..~~5£.rv Y"l ( -~~q
18 mon[hs/.om
1~10~6 q03 ya5, ov
Rnquest Gaie Fire No. Rauph-in Inspection
Requrted? [2(Headv Now,x] Wi11 Nutity, Inspec-
j' Q ?Yes No tor When Ready
~Licensed Elec[riwl ConVacror I hareby repuest insPection of ebove
Owner electrical work installatl at:
Stwee[ Address. Boa or Foure No. Clty
3400 Com4ew Dn. eqan. !1h.
ecuon o. Townshi0 Nama or No. Range No. Coonty
OccupentlPRINTI 7hone No.
r Jac. n - [tILFJ20(J2
Power Suovlier Address
EIeGincal Contractor (Company Name) Cumractor's License No.
Mailine Adress o a tor or w e MakinB Instailationl
2404 Lao S.ta.ti.on... R . I77n. 55402
'AVthHPild Sipnamre 1 onhnctor Owner M.iking InslallatioN Phone Numbar
5 2aG
MINNESOTA S A E BOARD OF EIECTRICITY THIS INSPECTION flEQUEST WILL NOT
Griggs•Midwey Bldg. - Room N-181 BE ACCEPTED BY THE STATE 80AHD
1827 University Ave., St. Paul, MN 55106 UNLESS PHOPEN INSPECTION FEE IS
. ,e.,,, - ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ' EB-00001-04
SBe inavuctions 1or comoietiiq this Torm on back ot yellow mpV. 05v~03 'rf, Z
""X" Below Work Covered by This Request ~`t_1. Q4
AAd Aap. TvPe oi 8uiltling Aooliancas Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner BWk Milk Tank
Farm Other oecr y .the,ISner.ifyl
t ~r SVecify [hor . B~~~(,Ge U7Q,Z,L
Compute Inspeciion Fee Below
p Fae SBrviceEntreneeSiza p Fee Feetlars/Subfeeders # Fae Gircuits
0 to 200 qm s 0 to 30 qm s 0 to 30 Am u
Above 200 qmps 31 to 100 Amps 11 31 to 700 Am s
Swimming Pool Above 100_Amps Abave 100_Amps
Transiormers Irrigation Booms Partial'Other Fee
Signs SpeciallnsUection 4.c~ .~c..is g~
Rerna~ks 0 TOT F E
.
Rough-in I, the echicel
Inspector, he~eby
• certify that tha nbove
Finel ~ Dxte i~spection hes been
/4r ~de.
iM~..n..n.a~vnltltamnnlMfmm ?
?~~/S o 9 7O9i
R~.-5 6 7 9 5La~a S°10
ReQUest ale Fire No. Rough-in lnspedion
O Requiretl? ? Reatly Now Will NMiy Inspactor
?Ves No K'henReady?
Ix, icensed contractor ? owner hereby request inspection of above electrical work at:
I r5ob dtlre s ~Street eoe or ome No.) City
Stttion o. Town Ip Neme ar Na. Range No. unly
~ O72-
cupaM (PRWT) ..ff1,~~ ~ Phone No.
/ V
Power Sup0lier tlre
ncal Contrac or(Cantpa~m%) Gonha r5 Lic nse yq.
/Q
M linq A rass 1' ractor / Z071 Making ins~on
/ a
u rizea Signawre ICOmro roN0 er Maki I sla~~aiion, ~ Phpy¢~ber ~
C
MI NESOTA STATE BOARD OF LECTpICITY THIS INSPECTION REQUEST WIIL NOT
Gri s-Mlawey Bleg. - Room 1l3 BE NCCEPTED BV THE STATE BOARD
1821 nlverolty Ave., SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Pnone16t2)BGR-0B00 ENCLOSED.
REQUEST FOR ELE 'RICAL INSPECTION °'y~,
? ~ ee-oaam.m
ee instmclions for cyn0leling~ lorm on back of yellow copy. ~
~
5 6 7 9 5 000'X" Below Work Covered by This Request
ew Atltl fiep. Type of Building ApplianceSWired EquipmeniWired
Home Range 7emporary Service
Duplez Water Heater Electric Heating
Apt Builtling Oryer Other (Specity)
Comm./Industrial Furnace
Farm . Air Conditioner ,~~y lJ{
0!her(specity) ComractorSRemarks: ~J~~ ~~'~.Tl O/tJ5 A'Lg ~/{~C-e
Compufe Inspection Fee Below:
Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Poo) 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ave,100 _ Amps
SIgOS Inspeclar's Use Only: ~ TOTAL rn
Irrigalion Booms
Speciallnspection
t
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO NEC ED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
1, the Electrical Inspector, hereby Ro~yn~~ oa~e
certity that the above inspection has F;nai o Q
been made. 33
OFFIGE USE ONLV
TM1iS rBpu¢5t vDitl 18 rt10nth5 IfOm
rao/~'/ ` ~ J-r
6 , 6738,~oi~ ~j o0
Requ ate Fire No. Roughin InspecGon
/ Requiretl? ? Reatly Now Af!WJI Notih• Inspector
Ve5 _ 0 / Yhen Reatly?
Ilicensed contracfor ? owner hereby request inspection of above electrical work at:
J 0 tltlre s (Street ¢oa Foute No., Ci
W-66
Sectio No. T ns ip Name or No. Range No. ~~y
I-A-)
c ant IPRINT) Phone No.
P. er SuOpw Atltlress
ai ConVacforlGOmpany Name) ConVactor's License No.
~ 1 C'/I ~T~, '
M hn d s ICOmraclor or Owner Meking InstallaGOn]
2 ~
Zllll h e0 S~ natva ner Manin O P Number
~~OTA STATE BOl RDOF E CTPIQTTHIS INSPECTION REOUEST WILL NOT
ggs iCway Bltlq. - Room 5-173 ~ BE ACCEPTED BV THE STATE BOARD
1821 Umversity Ave.. SL Paul, MN 55106 UNLESS PROPER INSPEGTION FEE IS
Phone (612) 642-0800 ENGLOSEO.
e~^y/ REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe i
~ • ? See mstmcuons (or completing thls form dn back ol jellow copy
167,38 'X" Below Work Covered by This Request
I
ew~Atltl~Rep. Typeof8uilding AppliancesWired EquipmenlWiratl
11ome Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
~ Farm Air Contli[ioner
IOtherlsyecilyi Gomractor'sRemarks: ~T'.47/u r~i~%/ /Y11/reL~
_~l
Compute Inspecfion Fee Below:
Other Fee # Service EntranceSize Fee # Circuits/Feetlers Fee
Swimming Pool O to 200 Amps ~ 0 to 700 Amps
Transformers Above 200 _ Amps ve 100 _ Amps
_$i9lIS ~ Inspecror's Use Only: T T L a
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED If NOT
Other Fee „S COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspectoc hereby Rough-in oste
certify that the above inspection has F;nai oa~e ry 0
been made. fd
OFFICE USE JNLY
his reGUest voitl 18 monfis Irom
'
J8458 D/ /
Requgsl Date Flre Na. Aau9h-in Inspeclion (((444
9uiieU? ? Ready Now y~ Will Notity Inspector
s c r~ro When ReaEY9
.
I'Picensed contrector O owner heraby request inspection of above electrical work af: .
Jo6 AtlJress ISUeat, Boz « Route NoJ cM
3400 AA.)KrF,. 2t uec, E RG,OJ
'wn No. Township Name or No. R9nge No. Cou ~A/<pTA
Occupant (PPINT) Phone No.
, Dwtil -
Power Supplbr Atltlress
Eiectrkal CoMracbr (Canparry Name) 6o0aztaB Lke^se No. '
~IaGQ S G G' 711i ~i2< ¢U 8~2;~+
Msiling Ftltlress (C.O!niraclor or Owner Makirg Installalan)
7 ~//AJ~ ,/f/J)
f~.
AutlwrizeE ' alu ~CO ctm/Owner /a/}I~g ~nstali 'on~ J . Phone N/u~rMe~
N . I,yG~? ~I~7 -77 l 1
MINNESOTA TE BOAPD OF ELEGTPICITY TMIS INSPECTION REOUEST WILL NOT
Grqp?Glawry Bley. - Noom &173 9EACCEPTEO BV THE STATE BOARD
1851 UnW<nHy l1ve. SI. Pwl, MN 55104 UNLE55 PHOPEF MSPECTON FEE IS -
PMm (612) 6I2-0B00 ' ENCLOSED. ' -
REQUEST FOFI ELEG3RICAL INSPECTION ~ ~4, ee-0ooo,ae
¢ ? Sea instmctpns fw wmpletin9 this form on back of yellow copy. < lbil,
'X° Be/ow Work Covered by This ReQuest
38458 ~
ew Ad Rep: TypeoiBuilding AppliencesWired EquipmeniWired
Home Ran9e Tamporary Service
= Duplex Water Heater Electric HeaUng
Apt. Building Dryer Other (Specify)
Comm./Industrial 'Furnace
Farm Air Conditioner
ONer (specity) CanVactw9 Ramarks:
3A.
~ 4- 2unr 177v CicrS C~ B,~J. ~q
Compute Inspection Fee Below: /,.~Oq / 7.,C v GKT$' P~J' Q~.
q Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
' Swimming Pool 0 ro 200 Amps a to 100 Amps
Transformers Above 200 _ Amps Ab _ Amps
Signs inspecmr's Uu On1y: w~ TOTAL
Inigation Booms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee 5:Cj46., COMPLETED WITHIN 78 MONTX
1, the Electrical Inspector, hereby Reugh-in oe~e//_/ )
certiry that the above inspection has Finai
been made.
OFFICE USE ONLY
TniS repYB9t witl 18 monuts Irom '
~ry3/3872 o j ~~2°~
Feq~st ate Fire No. Requough-in Inspectbn
Riretl? ? Reatly Now ill Nolity Inspector
G Vas No When Reatly9
1 licensed contractor O owner hereby requesf inspection of above elecirical work at:
b tltlre (Sireet, Box or Raite No.) Gi
l~ .Jk l I~~ ~
Section No. Tow ip Name or Na Fange No. Counry 7^/;~
ccupant(PPINT) i ~ Phone No.
~ ~ G O~.Xa. .5rr~.~
Powar SupPlier AOtlress
EXthcei Conhector (Company Name) ' Co actor -licen e N. .
~
Maing ess(COnttactor Making Installation)
: ~
t tl Sig,at~e ICo o~lOwne, aking Inst u n) Ph9pe Number
i , i/~~Fi, ~
MINNE OTq STATE BOAPO OF ELEC ICITY THIS INSPECTION REOUEST WIIL NOT
Gripgtr ay Bltlp. - Room 5-173 BE ACCEPTED BY THE STATE BOARO
IBYt Univentty Ave., St. Faul, MN 651W UNLESS PROPER INSPECTiON FEE IS
V1aae(BtY) 642-0800 ENCLOSED.
REDUEST FOR EL-ECTRICAL INSPECTION ~,¢~"'~'q EB-00001-08
' ? See insimctions br completing ihis torm on back ot yellow copy.
w, 3.3872 "X" Below Work Covered by This Request
e Add Rep. TypeofBuiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial 'Fumace
Farm Air Conditioner
Other (specity) ConV9dar5 Remerks:
Compute Inspection Fee Be/ow:
/t Other Fee # ServiceEmranceSize Fae # Circuits/Feeders Fee
, Swimming Pool 0 to 200 Amps " 0 ta 100 Amps ~
Transformers Above 200 _ Amps LAbove 10o _ Amps
SignS Inspector5 Use OnlyTOTAL
Irrigation Booms ~ Ot9
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby RO°a"'" oa~a
cerlify that the above inspection has F;,,ai ~ IRN oaie z7~ if
been matle. < <
OFFICE USE ONLV
m z
This request witl 18 mont~s fro
(0~02539 zoll al.
R~t ate Fire N. ?Rougt-in Inspeclion
U Requiretl4 ? Ready Now Will Notity InsOector
Ves No / WhenReatly?
I licensed contractor ? owner hereby request inspection of above electrical work at:
J ress (Street Bo ute NoJ \ Ci ~
an~c~c yr
Sedion No. Townshlp Name or No. Range No. C unty
~ !~Kv ~
n~ PRINT Phop'~I O
~ /Ln/V, Jl
Power Suppiier AO ress
Ela i Con`ramor (Compan Name/e ` /7 Conhact 5 License No.
U c' ?-P-
Mailin Adtlre i IConVacror or Owner Making nslallalion~
r,77 E. Fi/J~O~QE ~L CSl,~~/~.
NutM1Orizea SignaNre (Con acrori wnar Aakinq Inslallation) Phone Number
MINN SOTA STATE BOAPO OF ELECTPIQTV THIS INSPECTION REOUESi WILL NOT
GriggtrMldway Bldg. - Room 5-t13 BE ACCEPTEO BY THE STAiE BOARD
1921 University Ave., SL Vaul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phom (612) 6C14800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee 00001
-0~
~ ~O? $ee insimctions lor completmg this fortn on back ol yellow c»py nG ~SD
"X" Below Work Covered by This Request
02539 ~
ew Add Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl. Buileinq Dryer Other (Specity)
Comm./Intlustrial Furnace
Farm Air Conditioner
Other(specify) Contractor§ Remarks:
Compute Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeetlers Fee
5wimming Pool 0 l0 200 AmpS 0 m 100 Amps
Transiormers Above 200 _ Amps Above 100 Amps
Sig05 Inspecror5 Use Onty: /~,f6 J TOTAL ~
Irrigation Booms s,
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Electrical Inspector, hereby Rough-in oa~e
cerlify that the above inspection has Finai oet9
been made.
OFFICE USE ONLV
This request vuitl 18 monlhs irom
~03430 I-Oell * s°`' Ir
Reauuueeeyyyt Date Fir No. Rough-in Insp n
Require0? ? Reatly N. ~I WII Notlty InspacYOr
~F `V ? Yes No / ~ wnen Ready?
I licensetl contra to ? ow er hereby request inspection of above electrical work at:
JM Atltlress ASlreep or o e . ~i City
L "
b0
Section No. Township Name or No. Range No. C unty
1
pryr~~ nSPR~~U~~~/ ~ Phone No.
Power Svppfer Ad ss
EI rical Gomractor 1COmpany N e CclorSOnsQJJO~
~
~C~~ ~
Mailing Atltl ss (COmraytor or Qwner Making Installation)
'AV~~ sTI,~~ mA.I65/0
A t iz¢tl $IgnaWre ConVapo IOw er Maki I tallaUOn) Phone um0er
{ 7711
MINN OTA STATE BOAflD OF ECTRICITY THIS INSPECTION REOUEST WILL NOT
GrIpgs- ~ way BIOp. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1931 Unlversity Ave., 51. Poul, MN SS1pC UNLESS PROPER INSPECTION FEE IS
PMne (812) 642-0800 ENCLOSED.
-0~
4j9/9 fj REOUMOR ELECTRICAL INSPECTION ~ ee-oo001
t_ ~ ~ Se~e inshuclions for completing Mis form on back oi yellow copy. ~j ~~~p2 ~
C~ 0 3 4 3 0 ~~X" Below Work Covered by This Request W`.~~
ew Adtl Rep. TypeofBuiltling AppliancesWired EquiOmentWired
Home Range 7emporary Service
Duplex Waier Heater Eledric Heating
Apt. Building Dryer OMer (Specify)
Comm./Intlustrial Fumace
Farm Air Conditioner
Other (speciry) ConUactor§ Re arks:
c
'4
Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # CircuiislFaeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above200-Amps Above100_Amps
Sig05 Inspector§ Use Only: TOTAL
Irtigation 8ooms
Speciallnspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rou9n-ro oate
certifythattheaboveinspectionhas Finai ~ ~ oa~a/! uJ
been made. ` \ ~7 J AlJ
OFFICE USE ONLY
This request voitl 18 manths from
38485 / ~/o //oo
0 2 ?
RBpuest De~9_ ' " Fire No. Rouph-in 1 ion
4 ? Aestly Now Will Noiiy Inspecfor
o l991' uireGT ONO ~n ReWy,
I licensed contrector ? owner hereby request inspection oT above electricai.work at
JoE AOtlrecs (Slreet, Box ar Route NoJ Ciy "
3 ~l«i ~i2~?~. ~~tG-Arril/
Sectian No. Town¢INO Neme or No. Range W. Coun y~p~
[.i I ri
t (PflINTI PMnO W.
UC.i-c io, '
rowm suowier naaress
Elecni onvactor (Canpanry Name) Gomracror3 License No.
m G`e.
MaiNng MtlraSS (GOnirector or:Owrer Mekiig InsWlWtion) ~ .
2,77 E-. .zrnsGC /~11,J j 10 `7
AuMOriz g re Mractarl kirp IWUOn) %rorro Number -
227~ 77l
MINNE R STATE BORRD OFELECTRICITY TMIS INSPECTION REOUEST WILL NOT
Gtlpge•Mltlwsy BIEg. - Room S177 BE ACCEPTED BV TME STATE BOARD .
IBYf Univenlry Ava., SL Paul, MR5510C 'UNLESS PROPER MSPECTION FEE IS
Phpy (MZ) 642.0900 ENCLOSED.
a~ REQUEST FOR ELECTRICAL INSPECTION EB-OOODI-OB
M /g/ ? See inslructions lor completing this form on back ot yellow copy /QQ v b~
~ry 38485 . 'X" Below Work Covered by This Request
e Adtl Rep. Typeot8uiltling AppliancesWired EquipmentWired
Homa Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Oryer Other (Specily)
Comm./Industrial 'FUrnace
Farm Air Conditioner
OMar (specify) Contracror5 Remadr e~
- '7 -m277v ;.G/~
Eompute lnspection Fee Below: i's".. /.?OV ;ZO/a eKT 0
k Other Fee # ServiceENrenceSize Fee # Circuits/Feeders Fea
Swimriiing Pool 0 to 200 Amps o to 100 Amps • Transformers A6ove 200 _ Amps Above 700 _ Amps
Signs Inspeaa5 Use Onry~ TOTAL / t^
Irn9ation Booms
Special Inspection
Alarm/Communication . THIS INSTALLATION MAY BE O DISCONNECTED IF NOT
Other Fee l(j COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspeclor, hereby ROW"""
certity thattheaboveinspectiorchas Fin81 oare
been made.
OFFICE u5E ONLV
This requasl witl 18 monm5 M1om
77
4.~?A-Z ~3/ Fire No. Fough-in inspeclion `
_ ~ Requ~retl7 ? Ready Now ~`lill Nolity Inspedor
Yes G No ~~When Reatly7
Alicensed contrector ? owner hereby request inspection of above electrical work at
Job Atltlress (Slreel. BoM or Rouie No.) City
3z;"~v E ,a.J
Setlion No. Townshi0 N e or No. Fanga No. Counry ' .
Occup tfPRIN77 Phone No.
4425 Sf{tN~J lo- Cmt7
Power Suppher Atlmess
Eiect e Convactm cOmpany Name,
Con[ractor5 License No.
/
Mapiing ntlaress iCOntrecror or Owner Makinq Installation7. ~
~3'1r, f'•out ~(A.,..~ SS/O'
nze0 SiSnaWre ~COnvadoriOwner Maa p Instal lion~ Phone Number
2Z -7 /
MINNESOTA STATE BOARD OCALECTRICITY tHI51NSPECTION REQUEST WILL NOT
Griggs-MlGway Bldg. - Room 5-113 BE AGGEPTEO BY THE STATE BOPRD
1821 Universiry Ave.. 51. Vaul. MN 551Oa UNLESS PROPEF MSPECTION FEE IS
Phone (612) 642-0800 ENCIOSED.
513 93 REQUESI' F,QR ELECTRICAL INSPECTION ~F6~=~'Q,~
? eanooooi./ae-
tI o SeeThshuctions lor completing Ihis form on back ot y911ow copy.
4,3228 ~
L~ 'X" Below Work Covered by This Request ~~~f
ew Add Rep. TypeofBUilding AppliancesWired EquipmeniWired
Temporary Service
Duplez ter Electric Heating
Apt.Building Other-(Specify)
Home tAirConditioner
Comm./Industrial Farm ~
Other (syeoy~ ConVac~orS R
emarks: 17~--~•O,,,it2 7~ rLbO/4
~~Cir
Compufe Inspection Fee Below: U 7` e ,BLi.y.
# Other Fee # ServiceEntrenceSize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ~
Transtormers Above 200 _ Amps ve 100 _ Amps
SignS inspacwr§ Use Only: TOJAL
IrrigaNOn BOOms 0
Special Inspection
Alarm/Communication THI5 INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fe$4/,QC/M 7 p COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn-in oa~a
S-v-a3
certify that the above inspection has Finai ~ oale
been made.
OFFICE USE ONLV
Thls repuesl voitl 18 monihs Irom
~ S ~i ~ 5 '-X
Reque ~ ~ Fire No. Rough-in InSpBdion
3 Reduiretl? ~ ? Reatly Now Will Notity Inspecror
?Yas No W~enRee0y7
Iiicensed coMractor 0 owner hereby iequest insp ction of above electrical work at:
o~tlre s (SVaeL Box o Roule No.) Ciry~) _
1 CyZ~ ~ ~
$eMion No. To+ ns 1p NBme or No. Range No. Coun f-
~ 7~~v
O u m IP~qjMT~ Pnone No,
Power SupOlier Atltlress
EI ric Contractor ompanyth mb 1 Co ectpr'sLicenSe o
1i7
aiAtlar siGO ractor wne{.~inqln~IlationJ e-. `
i ~
7 ! ~ UG '1 ~ !
uSto Phone Nu er
~ -~l//
A STATE BOARD OF ELEC HICITY THIS INSPECTION REQUEST WILI NOT
Grlggs~Midwey Bltlg. - Room St]3 ( ~P BE ACCEPTED BV THE STNTE BOAFO
1821 Unlverai\y Ave., SL Peul. MN 55100 UNLE55 PPOPER INSPECTION FEE.IS
PMne (612) 64P-OB00 ~ ENClOSEO.
~/C~~ REQUEST F(f4 ELECTRICAL INSPECTION
? See insVUCtions for crynpleting tM1is form on back ol yellow cnpy. .~f ~
22105 -`X° 8elow Work Covered by This Request
ewQtld Rap.' TypeoiBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
OWater Heater Electric Heating
Building Dryer Other(Specify)
F omm./Industrial Furnace
arm Air Conditioner
Olhet (syeclty) ConVatlark RBmarks:
Compute Inspecfion Fee Below:
# Other Fee 8 ServicaEnirenceSize Fee # CircAuits/Feaders Fee
Swimming Pooi 0 ro 200 Amps 0 to t00 mps ~
Transformer5 Above 200 _ Amps va 700 _ Amps
SIgnS InspactorS Use Only: x~ TO AL C~
Irrigation Booms
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
!
Other Fee COMPLETED WITHIN 18 MPtff
I, the Electrical Inspactor, hereby Rough-in ,
certify that the above inspection has oeie
beenmade. , ~ `
OiFICE USE ONLY
This reques[ void 18 monihs trom
CC~P/Q3422 ms rv
Request Oete Fire No. Rough-in Inspection L,
Requiretl? ? Ready Now ~Will Notity Inspector
Yes ? No en Reatly?
I1licensed contrector O owner hereby request inspection of above electrical work at:
Job Ntltlress ($ireel. Box ar RaNe No.) T City /
^'C ~ Yh~
Sepion No. I Townsnip Name or No. Range No. CToumy
W /-(,j
(PRINT) Phone No.
oOccu an1
- (..~A.T. L
Power Sup0lier AOtlress
Ele al ConUacIDr (GOmpany Name) Coniractor's 'cense No.
' rGPC~ lr~c'rlCte.,.~ ,-IiVQ,¢cRa+ft~ ;~2-
Maril~ing Atltlress (COnhactor or Owner Making Ins~allaiion)
a7L?7 r~~-HtORC ST.
Aulhori 51 onhacto n r ki g Installabon) Phone Numbar aa~-~~~r
MINNESO A STA E BOARD OF ELECTPICITY THI$ INSPECTION REOUEST WILL NOT
Griggs-MWway Bltlp. - Noom S1]] BE ACCEPTEO BV THE STATE BDARD
1821 UnlverbHy Ave., SL Paul, MN %104 UNLESS PROPEfl INSPECTION FEE I$
Vhone(812) 642-0800 ENCLOSEO.
o REQUEST FOR ELECTRICAL INSPECTION ~TM•"`'~~ ea ooom.,,
See inshuclions br completing lhis torm on back oi yeiiow copy ~ 9 ~a ~9
?
C~j 03 X" Be/ow Work Covered by This Request ~
ew Atltl Rep. TypeotBuiltling AppliancesWired EquipmentWiretl
nge 7empor
ary Service
Duplex ter Heater Eleccric Heating
Home IF
Apt. Building er Other (Specify)
Commllndustrial mace
Farm Conditioner ~ p
Olher (speciy) Convactor9 Remarks:
/S' ;.77 V, %lC1A T G O - $4~' •p..
Compute /nspection Fee Be/ow: Ao.• /Aa V, ;wj'4 # Other Fee # ServiceEnlrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Tre.nsformers Above 200 _ Amps Amps
Signs Inspector5 Use Only: TOTAL 4
Irrigaiion Booms ~ 0'~~ p~ I•'
Special Inspection
Alarm/Communication TMIS INSTALLATION MAV BE ORDERE9 DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN ONTHSG / f
1, the Electrical Inspecior, hereby Poagh"" iie,{ oate
ceriify that ihe above inspection has F111el i~ . oare
been made.
OFFICE USE ONIY
TMS requast miE 18 monlhs trOm
'i~ 13i. 7er ~a y
Repue D a ~ Flre o. Rough-in Inspactian A
y7 RBpuiretl? ? Reatly Now m Will Notity Inspetror
J VB6 1Mien Reatly.
I licensed contractor ? owner hereby request inspection of above electrical work at:
J b Atldreu1Sireel. x Route CI ~
Section No. Tow sh Name or No. Fenge No. Coyu~1/^/'^M,
Phone No.
A ~'Jivs a !
iK•CT,.~ ~iL
Power 6uppeer AtlOrese
Ei t icai Comracror /ICom N mel Con ctor5license No
W
Ma g Atl ress (C vactor o w r Making installation) }
in, i ~ ~ J L v
one umber
Ihon Slgnalure IGonrta n01 a'yng Inst e ~ Fyh
7-?7
MINNES TA STATE BOANO OF ELEC RICITY THIS INSPEGTION PEOUEST WILL NOT
Griggs- wey BIOg. - Room 5-113 6E ACCEPTED BY THE STATE BOAPO
1821 UNVeraHy Ave_ 5t. Peul. MN $510< UNLESS PROPER INSPEGTION FEE IS
PhOne (612) 6424800 ENCLOSED.
rCf8/y'~i REQU~S~i FOR ELECTRICAL INSPECTION F~~' /
? ~~~i.o~
f ~See insVUnions lor compleling Ihis brm on back ot yellow copg F
d 43286
"X" Be/o'w Work Covered by This Request .
ew Add Fep. ~ 7ypeofBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt.Building Dryer Other-(Specity)
Comm.llndustrial Fumace
Farm Air Conditioner
Oiner Isyecity) ntracmr5 Ramerks: ~?1 Y49Q i o /
fDrOpeJ7 O ~iCG,. /p.lUC ~ t fz2fS~ /2~0
Campute lnspection Fee Below: °A~ =,A' WA)
=Transformers Fee # SarviceEniranceSize Fee # CisuiislFeeders Fae
0 to 200 Amps 0 to 100 Amps
Above 200 Amps P.bove 10D- Amps
Inspector§ Ilsa Only: TOTAL
(~ion l
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ~ COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ROUgh-in - Dale
certify that the above inspection has F;nai
been made.
OFFICE USE'JNLY
This reqoest voitl 18 months Irom
/S// loseo ~fy
0 58286 a°
Requ~ t ate Fire No. Rouqh-in Inspection
Requirea? ? Aeady Now :~ewlll NoLTy Inspecbr
('lJ _ves o ~"when ReatlY?
IKlicensed contractor ? owner hereby request inspection of a6ove electrical work at:
Jab Aadress f$tree;. Box or Raute i
~D ~'`+`c'`. t ~
Seciion No. Tow hlp ame or No. Range No.
(J/~
pant (PRIryT) Phone No.
`C~ll.l,tIOY1 f2-US 1
Pa e, Supplier Atlaress
E Ir al ConVaclor ICompany rgierneu Cont actor'SLice990
N0~
Mei g AOtl ss (COnVacmr or Owner-Makinq Insytal~la,l~io-n)
u nza 51g6 Wre ICOn i Meking sl Ilalion) Pho umber
t~ /
MINN TA STATE BOAHD OF E CTfliCITY - THIS INSPEGTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Hoom 5493 - BE ACCEPTED BY THE STATE BOARD
iBRt UNVersity Ave.. 51. Paul. MN 55106 - UNLESS PROPER INSPECTION FEE IS
Phone(612)66]-Mp0 ENCLOSED. -
REQUEST FQR ELECTRICAL INSPECTION °~3 es-aooo,-oa
( ? See Inslr~~fions lormmoleting this form on nack oi yellow copy.
~ Jy
F; ~"X" Below Work Covered 6y This Request a~=~~'•y~
ew Add Rep. TypeofBuiltling AppliancesWiretl EquipmenlWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Healing
Apt Building Dryer Other (Specify)
Comm./Mdusifial FUmaCe
Farm Air Conditioner
OUer Ispecityl GonVectar's Remerka'. 51-a~
{~z. Cf.o iEx. ufh jc ~ eu.r~"e~fi y
Compute Inspecfion Fee Below: (q"'t f}Rt/~')D/J 0'
# Other Fee # Service Entrance Size Fee # CircuitslPeeders Fee
Swimming Pooi 0 to 200 Amps o ro too Amps
Transformers P.bove 200 _ Amps A6ove 100 _ Amps
$I(Jf15 Inspectors Use Only' TO
lirigation Booms
Speciallnspection
AIarMCommunication THIS INSTALLATION MAY BE OR ED DISCONN C ED F OT
Other Fee ~ COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby aouqn-m Da~e
certify that the above inspection has Flnal oa~a p
been made.
OFFICE USE JNLY
Tnis request void 18 hi imm
I~~o~
'
o ~
/ r~
Reque Date , Fire No. Rough-in Inspeclion
i Raquiretl? O Reetly Now ilt Notity Inspector
T ? vas o rvo wnen Raaayz
Iklicensed contractor p owner hereby request inspection of above electrical work at:
Job Atltlmss (Street. 6ax or Rome Na.l City
aa % .4.J
Sedion No. wnship Name or No. Renge No. Counly
Occupa (PRWT), ~ PhoneNO.
1
g
t Atltlress
~.actor ~Company Name) CoNrectoYS Licen9e No.
/ ~l4J 1
Meilin9 Atltlress (Conhqctor or Owner Meking Insiallallon) -
a7 7 0 ~S~o 7
Aill~pfizad Signalure IGonirecmrvOwner king Instailation, Phone Number
z z%-
MINNESOTA STATE 80AR ELECTRICITY fHfS INSPECTION REQUEST WRL NOT
Grlgge-Mitlway eldg. - R m 5473 ' BE ACCEPTED BY THE STATE BOARD
1821 IJniversi[y Ave., SL Peul. MN 55104 UNLESS PFOPEfl INSPECTION FEE IS
Phone (612) 64Y0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION "~"`~~A EB-0"""0~~,001-OB
~ ~ See lnsimc6ons lor cnl~npleting fi15 form On Oeck of yellow copy. ~ i~°'~~ /9~{{ Q S
7 /
4 3 2 6 0 '`X" Be/ow Work Covered by This Request
ewA Rep:. TypeofBuiltling AppliancesWired EquipmantWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
. Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Ofher (syecify) Conbactor§ Remarks" MQOEL J...~ .7' ~
G.GV
Compute Mspection Fee Below: .$°40 Vl7L lf7/L~
8 Other Fee 8 ServiceEmrance5ize Fee N ClrcWts/Fe er Fee
Swimming Poal 0 to 200 Amps o to 100 Amp
Trensformers Above 200 _ Amps A6ove 100 _ Amps
Sig05 Inspector§ Use Onry: TOeTKAL
Irrigation Booms ~j
Speciai lnspection / Z~
Alarm/Communication THIS INSTALLATION MAY BE D CONNECTED IF NOT
Other Fe a COMPLETED WITMIN 18 M HS.
I, the Electrical Inspector, hereby Rough-in oace
cenity ihat the a6ove inspection has
been made.
OFFICE USE ONLV
This reques[ voitl 18 momhs from
0- 93191 0 0~ ? ~
Reques Oate Fire No. Wyh,l Inspection Reyuiretl Inspecllon OtherThen Rough-In
(YOU musl ca1nspecmr when reatly) ~ Ready Now ~ WIII Notify Inspactor
-29.- 1:g ? Ves ? No Date Reatl
i licensed contractor ? owner hereby request inspection of a6ove electrical work al:
Job Ftltlress (SVeel, Box or floute No.) City
,3 45 AN/~ . . E e A,J
Seclion No. T nship Name or No. Range No, Coun
/ 1o7x1
Occupant(PRI J Phone Na.
Power Supplier Atltlress 10
!
Elect' Coniradw (COmpany Name) / ConVaclors License No.
~ ; " • • CJ/ /
Mailing Adtlress (COntraclor or Owner Making Inslailation)
277 icL o~2E T 14tl1-A- SS10
AuthorizeG SignaNre (COnVactoNOwner Ma ' g Installation) Phone NumGer
22 7- 77~~
MINNESOTA STqTE 80AHD OVLEC FICITY THIS INSPECTION FEQUEST WILL NOT
Griggs-Midway Bltlg. - Room S-128 II II I I I I I I I I I II II BE ACCEPTED BV THE STATE BOAFD
1621 Universlry Ave., St. Paul, MN 55106 IINLESS PROPER INSPECTION FEE IS
Phone (612) WY-0BOU ENCLOSED.
17 r/J/ REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
,D~~s z ~ See instructions for completinq this form on back of yellow copy.
~~60
"X" Below WoyCovered by This Request
~
Ne Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water He ter Electric Heating
Apt. Building D'r Load Management
Comm./Industrial F Other Specify
Farm d'Rioner
Other (speciry) Contra r's Remarks
- Lilr.~sTi.~ f.C F>r
Compute Inspection Fee Below: 1116E X)Akk 146/L l'
# Other Fee # Service Entrance Size Fae Circ ts/Feeders Fee
Swimming Pool 0 to 200 Amps ta 100 Amps
Transformers Above 200_Amps A6ove 100 -Am s
Si OS Inspector's use Onty: TOTAL
/
Irrigation sooms 3 „cc. 33~„JO
5 ecial Inspection J~Q
AIarMCommunication THIS INSTALLATION MAY BE BEREB` , CONNECTE~ IF NOT
Other Fe ,j ,$c7 COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
certiry that the above inspectionhas
1~C_lC
beenmade. F'"ai oa(
OFFlCE USE ONLV
This request void 18 manths iro.
013 ~411 0 oi
Fe est Date Flre No. Fough-In Inspeclion qequiretl Ins ection Olher Than fiough-In
/ q (YOU musl call inspector when reaCy) ~ Ready Nov.~ ~ Will Notify Inspuctor
/ (J :J - r ' ? Ves ? N.
~ale Reatl
I7P licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Poule No.) Cily
.3'~00 if,caii z3e,4us ~'.s~6.¢•cl
Sedion No. Township Name or No, Range No. County
~RKC T17
OcTcujpant (PRMT) ~7 Phone No.
G714E C.PCtSS L4B Jif`/6LO
Pawer Supplier Atltlress
ElecVical Contractor (COmpany Name) ConVactofs License No.
~a~ iJc,i C'ovr,r.9cro~s .,~-r . GC' ,X2a40
Mailing Atltlress (Conhaclor or Owner Making Inslallation)
/~;iiri • UZ~w- k~~c e TIo. ,u. ,/YJPCS , ss 1i/
Authorizetl SigneNre (ContractodOwner Making Inslallation) Phone Number
MIN ESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REWEST WILL NOT
Griggs-Mitlway Bltlg. - Noom 5128 II II I I I I II I I I I I BE ACCEPTED BY THE STATE BOARD
1621 Unlverslty Ava., Sl. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
,
tREQUEST FOR ELECTRICAL INSPECTION r0`°"~g, es-00001-09
~ J ~ See insiruclions tor complelinq Ihis form on O::ck of yellow copy.
1~ 3 q5 "X" Selow Work*'i,overed by This Request
Ne Add Rep. Type.of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other (Specity)
Farm Air Conditioner
Other(specity) Gontraclor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Translormers Above 200 Amps Amps
Signs InsPecmr: usa onry: TAL
Irrigation Booms 1 +b J~y;
Special Inspection J
Alarm/Communication THIS INSTALLATION MAY BE ORD ISCONNECTED IF NOT
Other Fees'?~"rE COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°9n'" j= JC oa1e~J-+~/ J
certify that the a6ove inspection has Final
been made. +vv~
OFFICE USE ONLY
This repuesl void 18 mon(hs bom
~~i~j~~3 0 6 ~ ~ a~ °
Request Dete I I Fve No. Rough-in Inspedion NOTICE: Vou Must Call Eleclrical Inspector
w~ ~C ~ Required? II A Rough-In Inspeclion
L ? Yes ? N. Is Required.
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress ($ireet, Bax ar Route No.) Ciry
Az . &s3C A,c/
Secibn No. To ship Name or No. Range No. County
i A~o~t
Occupant(PFINT) n / Phone Plo.
/
Power Supplier Pdtlress
M 'S+
Ele I Conlrador (COmpeny Neme) Contracior§ License No.
Mailing Addrass (COMreclor o^r Dwner Making Installetion)
L7~ E. r/iGC~tlo,¢6 QAclc /Zl,.J.
ANhonzetl SigneWre (COnlractodOwrrer Maki I Stallation) Phone Number
~ 227
MINNESOTA STATE BOANU ELECTRIGITV THIS INSPECTION REQUEST WILL NOT
GrIgge-Mitlway 81dg. - Poom S-113 BE ACCEPTED BVTHE STATE BOARD
1821 UnivereHy Ave., St Poui, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(812)602-0BDO ENGLOSED.
REqUEST FOR ELECTRICAL INSPECTION " ee-oaam-a
3j
? See instruclions for completing Ihis form on back of yellow copy.
M 2306 X" 8e/ow Work Covered by This Request
ew Adtl Rey. Typeof6uilding AppliancesWired EquipmentWired 11 Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./IndusVial Furnace Other (Speciry)
Farm Air Condi[ioner
oiher (specily) Coi Remarks: ~~EL L~~EL i/
T
Compute Inspection Fee Below:
# Other Fee # ServiceEnlrance5ize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 10o Amp
Transformers Above 200 _ Amps bove 100 mps
SIgOS Inspeclor§ Use Only: ~J OTAL
IrrigetionBooms
Special Inspedion
Alarm/COmmunication THIS INSTALLATI AY D D ONNECTED IF NOT
' Other Fee p COMPLETED W M
I, the Electrical Inspector, hereby Rouyn-in oa _
certif that the above ins ection has r /
Y P Final Date~
been made. ~ l-
OFFlCE USE ONLY
This requesl void 18 monihs Irom
c ~/~b ` ,
C~ 51_882 - ~ ~a `
Request Date Firs No. Rouqh-in Inspaction
Pequiretl? keatly Now ? Will Notify Inspactor
? Ves ' N. When Reatly?
I,flicensed contractor 0 owner hereby request inspection of above electrical work at:
Jo0 Adtlress (SVeel, Box or Rovle No.) t-Z City
~ *in> dW9%*;0'*C- Z~ Ls~A-G-e ti
Sedion No. Township Name or No. Pange No. Counry ~7 7T
~ K-~
OccupantlPRINT) Phone No.
/3 Sd ~z-~.. ~
Power Supplier Atltlress
O L~.C,
EIecVtcal Conhacmr(Comoany Name) ConVac[or5 Licanse No.
Zo~ i/oLT D~ o S'3
Mailing Atltlrass (Conhamor or Owner Making Ins[allation)
fL,~ ~ Gs ssl-
AvtM1 rizetl Slgnawre ontrac wner aki In atiop) Phone Number
sal-
MINNESOTA STATE BOAH OF EIECTqI TY THIS INSPECTION REOUEST WILL NOT
Grlgga-MiOway BIEg. - Room S173 BE ACCEPTED BY THE STATE BOPFD
1821 Univerelty Ave., St. Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
PYwne (612) 6024tW0 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooom-m
C y~~ Y ? See instmWOns lor rompleling this brm on Oack oi yellow copy.
51882 J yo`X" Below Work Covered by This Request
ew Atld Rep. TypeolBuilding AppliancesWiretl EquipmentWired
. ~ ome Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace (L~
Farm Air Conditioner
Olher (specity) Contractor5 RemaMS: '
Compute lnspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 ~0 200 Amps - 0 to 700 Amps a' e
Transtormers Above 200 _ Amps 9hqve 100 _ Amps
Signs Inspecmrs use Onty' o~ TpTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 TH .
I, the Electrical Inspecror, hereby Rough-in ~ oate
certify that the a6ove inspection has Finai
been made.
OFFICE t15E ONLY
This repuest voitl 18 months irom
d 4 3 2 9 5 10 ~ `///,t) e
Faq~t Fire No. Rough-inlnspection `,n
Requiretl? C Reetly Now S/VJill Notify Inspeclor
~ yB4 ~•~•When ReetlY?
I~Iicensed contrector ? owner hereby request insp tion of above eledrical work at:
Job Adtlress (Sfreet. Bo or Route No.) CI
-pD over de-
Sectio No. To sh' Name or No. Ranga No. Counry
Occu n IPRWTI I-V - Phone No.
!
ower Supplier Atldrass
Ei ri ai Con c r (CUmpa ) ~ ecro Licen~~j
i /
/ ~
Meiling AOtl ess iCo actor o~~ ~ eking Installatipn)
Y / ,6a~/` ~v
~ ' a Ignatu ~Co tonOwn aking I ~ ia~wn~ Pbo umbe,-
~L
-7
MINNE TA STATE BOAND OF ELE PICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-M ~y Bltlq. - Room &173 BE ACCEPTEO BY THE STATE BOARD
1821 Unlvarelry Ave., St. Veul, MN 55106 UNLE55 PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSEO.
REQUEST FOR EhECTWYCAI INSPECTION ~A, /`e~~
/ ? SeB insimdions lor complBting this lorm on batk oi yellow copµ I lf
d 4 3 2 9 5 "X" Below Work Cavered by This Request ~4~6
ew Atld Rep. Typeof8uilding AppliancesWiretl EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./Induslrial Furnace
Farm Air Conditioner
Olher(sVeciy) Convacmr§ RamaMS: 1 55-
Compute Inspecfion Fee Be/ow: &
# Othar Fee # Service ntrenceSize Fee # Cirouits/Feedere Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps
- Transiormers A6ove 200 _ Amps Abova 100 _ Amps
SignS Mspecror§ Use Onry: TOTAL
Irrlgation Booms U Special Inspection Alarm/COmmunication THIS INSTALLATION MAY B C16
DI ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MQ f
I, the Electrical Inspector, hereby Rou9n-m I
certify that the above inspection has F~nai r oe+e
been made.
OFFICE USE ONLV f... +
Tnis request vob 18 months Imm
„ J 117 0 5 o
Repues Date Fire No. Fough4n Inspection
~ Require04 ? Ready Now~ll Nofiy Inspecbr
G ves xfio wnan neaeya
Ix licensed conhdctor D owner hereby request inspection of above electrical work at:
Job Atltlre$5 ISireet. B x r Route N~ Ci
~ c..~
u/!K
Section No. T wn hlp Name or No. Range No. n ~
ia
pant (PRINT) PMne No.
Pawer $upplier Atltlress
ical Connacmr (Com n Name) Co~,'yLiunge N
7 ao
Mailinq eress (ConVacro/r~
, r r Making Installation) ~ ) L 07
W''
A ed Sgnal ICOnt tori0 aking Inst pli n) Ph Number
0~v~7-77i/
MINNE A STATE BOARO OF ELEC ICITY THIS INSPECTION REQUEST WILL NOT
Griggc-MlCway BIEg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 Univenity Rve., SI. Paul, MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone (612) BG4.0800 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION
, ~ See insimctions lor completing Ihis lorm on Oack oi yeilow -py. 4 /D 5c.~~s
"X" 8elow Work Covered by This Request
~ e Atltl Rep. Typeof@uilding appiianceswired EquipmentWired
Home Range Temporary Service
Duplgx Water Heater Electric Heating
Apt. Building Drye~ Other (Speciy)
Comm.llndustrial Furnace
Farm Air Conditioner q~
aher (syecAy) Convador's RemaMS: R. Compufe Inspection Fee Below: a-
]Other - Other Fee - u ServiceEntrance5ize Fee # CircuitsiFeetlers Fee
Swimming Pool 0[0 200 Amps 0 to 700 Amps
TranSfOrmers Above 200 _ AmpS Above 100 _ Amps
Signs Inspecmr5 use only: TO7AL
Irrigation Booms L , ~
Special Inspection Y •
Alarm/Communicalion THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Fee COMPLETED WITHIN 18 MONTHS.
, the Electrical Inspector, hereby R0°q"-'" oa+e
certity that the above inspection has Final ~e
been made. oa~
OFFICE USE'JNLY
This request voitl 18 monllr.s from
oo
0 518 60 ,G oa ,B/ ~ 1;94
1zo
Request Oel ire No. Rough-in Inapection
Reqviretl7 ? Ready Now ? Will Notiry Inspector
~ ?'ras G No When ReaOy?
' licensed contractor ? owner hereby request inspection of above electrical work aC
ltltlress Sheet, Box Route 11 1 Ciry
~ ?P~ -
n No. Town i0 Name or No. Range No. Coun
I `
= Occu a (PRINT) ~ Phone No.
Ut-
Power Supplier Atltlress
1 7
ElecM1Cal Conhactor (C m0an me) Contracbr5 License No
3
Mailing Aatl ss (COnVatlor or Owne aking InstaI~IaVOn) ~~n r1 ~ '
( f- C~ ~~f.a-~' K.~V?~l l~ il SS 1
Nutnorizea Sig e(COnhactonOwner ng Inslallalion) Phone Nv bar
5u-2451
MINNE OTA STATE BOAflO OF LECTPICITY THIS INSPEGTION REOUEST WILL NOT
GriggsMlCwey Bltlg. - Room SI73 BE ACCEPTED BY THE STATE BOARD
1821 UNVeralry Rve.. SL Peul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
PRVne(612) 602-0800 ENCLOSED.
S REQUEST FOR ELECTRICAL INSPECTION ee-ooom-m
-5-/~ lo See ins[mclions lor completing this form on back ol yellow copy
Q JC" Be/ow Work Covered by This Request r
ewAdd Rep. Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (spxity) ConUactor's Remarks: '
. Compute Inspection Fee Below:
Other Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 20D _ Amps A6ove 100 _ Amps
Signs InsOedar'sUseOnly: TOTAL c~.
Irrigation Booms ?
Special Inspection
Alarm/Communication 10 THIS INSTALLATION MAV BE ORDER D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has F;nei
been made. ~
OFFICE USE ONLY
TM1is reQUest voitl 18 monlhs tram