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3691 Denmark Ave - Electrical PermitsL54953 i. ??..?,,? his Request Defe l Q .y "L/' Fire No. Rough-in Inspection Requiretl? - edy Now G Will Natty Inspector Wh R d ? a =; Yes o en ea y I licensed contractor ] owner hereby request inspection of above electrical work at: Job Addres ss (Street. Box or Route No ) City ss 44,,fl 1w e ' :? r? Section No. Tawnshlp Name or No. Range No. County Occupant(PRINT) Phone No. ; ? Q Power Supplier !7! A Electrical Contractor (Company Namel L' r-- « Contractor's License No, . UG C /.,fiC l, O Mailing Address IC. ctor or Owner Making Installation( G2 rG r ss? Aul it Signature IC, trac Owner Making (nstallabon) Phone Number MINNESOTA STATE BVBRD OF ELECTRICITW v f Griggs-Midway Bldg. - Room 8-173 1821 University Ave.. St. Paul. MN 55100 Phone (612) 642-0800 P 77 go d 54953 THIS INSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request e Add}gep. " Typeof Building Appliances Wiretl EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks: Compute Inspection Fee Below: G,???/?/?/¢'? -'/? # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 t1 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 -Amps Signs Inspe ctor's Use Only -" TOTAL Irri ation B g ooms S S e i l I I O p c a nspection Alarm/Communication THIS INSTALLATION MAY BE OR Other Fee D DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Final been made. If oat. l OFFICE USE ONLY e This request void 18 months from J Thi<raquesl void 7// l L' I D l t (l ?F.r ??. ??C 30,75T - ?8 months from 8 65 ?? 06 Request Dato Fpe No. Rautlh-in Inspection Req? red? gady Nnw ? W'ill NoGty_ Inspac- ?^? Q ?yes No for When Ready Licensed Electrical Cotinacu+r I hereby request inspect'no of above ? Owner electrical work installed at: Street Address, Box c out" No. p't Ci S er.uon No. Tnwn ip Nvrne or No. Rangy No. County Oc p t (PRINT) b Phoi t No. 6 lz_?- 0 M - Power Supplier 'IN Address El .tr cal Contrast., IGoi ny Nani /y ConI actors Licnnsa No. a'ili Address (COntL?t r or Owi Making In ailati Authorized Signa ure (Contractor/O 'Iki 'tallatlmil Phone ar , mb , R a - J MINNESOTA STATE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 1821 University Ave., St. Paul, MN 55104 Phone 16121 29].2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. '1,l REQUEST FOR ELECTRICAL INSPECTION EB-00001-03 8,?G rr See instructions for completing this form on back of yellow cnpy. O ?i below work'Covered by This Request 30 1 S 0 New Add Rep. Type of Building APPI...... Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Uoloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm other Specify other ISpeclfyl iher (Specify Other Othni (.OtnoorB N).SOPCrion FPP HPIRW P e size d Fee Feeders/Subf.ed. rs # Frt. Circuits Art U to 30 AnIs 0 to 30 Ant s ps 31 to 100 Amps 31 to 100 Ant s =Ahove Amps Above I00 Arnps Above 100_Amps Remote Control Cite. Partial/Other Fee Special Inspection S TOTAL E R.Ina rks l.. .. n. n A ma 9ouglrvln Datn I, the Electrical Inspector, hereby certify that the above Final Data Ins pec[i.n has been This mque5l void r d v?- ' ' 7 k UV 0 8 _ 0 ?4 n T 3 (1(10 O 69 R Repue<_I Dete Fire No. Rough-In ease lion Repuire0 (You must call inspector when rea0yl Inspectipn Other Thlavn.Rough-In ? Ready Now ts( Will Notify Inspector dW Yes ? N. Date Ready I eicensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street Box or Route Np.l City Section No. Township Name or No. Range No. County Occupant lPRINTI C Ncas c:ac.®?,?r,?? cc Phone No. Power Suppler Address EIecVl Conlraclor (Compeny Name) .vE•?, ? E? CpnVactor9 License No. CA ll 7?' Mailing Address (Contractor or Owner Making Inslellatlonl [? 3 f/ ? e ??yj coc t ?. Tdt.O L W 4, , E; S.SS? Z f Autnonieo Signature IContra[IOnOwner M?stall>) r? Phone Number _ 7S/ - or?67 C oVRHUOr ELECTRICITY Griggs-Midway Bldg. - Room S-173 1821 University Ave.. SL Paul. MN 55100 Phone (612) 662-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. 5 y REQUEST FOR ELECTRICAL INSPECTION ? See "sImctions for completing this torn on back at yellow cop, r ES-0000108 C? 0 0 810»_ "X" Below Work Covered by This Request , . VI -FA- ? V lral Isuealyl Inspection Fee Below: Other Fee [ling pool Other Be Fr- I, the Electrical Inspector, hereby certify that the above inspection has been made. IFFICE USE DNLy his request void 18 Tarim, Idea lAir Conditioner Contractor's Remarks'. IwEzt y. THIS INSTALLATION MAY BE COMPLETED WITHIN 18 MOB Fee # Circuits/Feeders -F-ea 0 to 100 Amps '"p p Above 100 _ Amps 70TgL IF NOT