3828 Denmark Ave - Electrical PermitsE
REQUEST FOR ELECTRICAL INSPECTION B-ooo?o/l-os
See 'nstrvctions for campletirg this form on beck of Yellow cope y ?p
7 2 8 2 A*Ao- "X"" Below Work Covered by This Request
Add Rep. I Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Talc
Farm trier peci v Olhor (Speoily)
t r.r ISpcd ly Other Other
Compote Inspection Fee Below ` 4" -
N Fee Service Entrance Size h Fee Feaders/Subfeeders d Fee Circuits
-ti 0 to 200 Amps 0 to 30 Amts h G 0 to 30 Am s
Above 200 Amts 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amp, Above 100 MPs
Transformers Irrigation Booms Partial.' er Fee
Signs Special Inspection S
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Hough-in 1e
" the E cal
p Inspector, hereby
certily that the above
Final
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7 ms pection has been
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This reamed void 18 months from
This request void 8/??/p p
18 nwnths from O O
Owner
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Electrical Contractor
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- Ready Now ? Will Notify Incpec-
?NO for When Ready
1 hereby request inspection of above
electrical work installed at:
Street Address. Boa or Route No.
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3 City
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ect No.
Township Name or No.
"e.g. No,
County
Occupant IPRIN//T
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Power Supplier
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I Address SSd:lL
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Electrical Contractor Company NameI
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E/ Contractor's License No.
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Mailing Address (C ontractor or Owner Makin
Installation)
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Authorize Signat a ICgntra nstallation) Phone Number
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THIS INSPECTION REQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STATE BOARD
1821 y Bldg. - Room N--1191 91
1821 University itv Ave_ S[. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
7281
REQUEST FOR ELECTRICAL INSPECTION EEBB 000/01-06
1 Sea instructions for completing this form on back of yellow cop, 1M1.t%yy (/
"X" Below Work Covered by This Request
Add Rep. TVVB of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm me, pn.:, v .mqr Isnn,:?fvl
t nr peu fy Omer Otho,
ompute Inspection Fee Below
Of Fee Service Entrance Size h Fee Fenders/Subfeeders P Fee Circuits
0 to 200 Amu 0 to 30 Am 5 0 to 30 Am s
Above 200 Amps
. 31 to 100 Amps st' 31 to 100 Am s
SWimming Pool Above 100_Am s Above 100_Am)s
Transformers Irrigation Booms ,p Partial."Othe
Signs Special Inspection
s
TOTAL
Remarks ,Sj j$ C o
Rough-in the Electrica
r Q ??tp Inapactnr. hereby
certify that the above L/ 1, LIN Final inspection has been
r ?v /V YQ made.
This request void 18 months from
s from Iy/lo/O r !J (ri y "/ V
Renuest Date Fire No. Ho ugh-in Inspection
q r/ ?j Required? ?pady Now O W111 Notify Inspec-
/ - p ;J 'Eyes [-J No for When Ready
40 Licensed Electrical Contractor t hereby request inspection of above
? Owner electrical work installed et:
Street Address, Box or Route No. City
3eaF ZSCI
Section No. Township Name or No. Range No. count,
L) J' C-L
Occu gaol (PRINTI Phone No.
Power Supplier Address
" e+j'dxy
300
5 -
Electrical Contractor (Company Name) Crnrtraclor's License No.
d f? i t i W,. t l ?f « r, b 1-16 ?
Mailing Address IC ontrac for or Owner Making Instailationl
- 7 L SS376
Aut 'zed Signature (Contractor/O nbr eking listallation) Phone Number
s G
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bldg. - Be.. N•191 BE ACCEPTED BY THE STATE BOARD
1021 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 642-0800 ENCLOSED.