610 Opperman Dr - Electrical PermitsOFFICE USE ONLV This request void 18 months 6om validanon date printed in this box.
IIIII iIIiIIIIIIIIIIIiIIIIIIiIIIIIIIIIIIIIIL??? ?°?°???' ?? ?
?
,?
* 0 4 7 1 4 6 6 /?
?
3?K PLEASE PRINT OR TVPE
keqou/t ?are ?
!
G Rougbin inspsnon reqmred2 ? Yer o
Y
ll
h
h Inspxnan O?her Than RougMn ? Reody N. Will Call
,? ou must co
?
J
e inspecror w
en reody J Dafi Ready
I, licensed contmcror ? owner hereby request inspecti on of the above electricol work aY.
lob A ess (Sbeel, Bon, or RouR No ) Ciy Zip Code
Secfion Na iownship Name er No Ronge N. Fire N.
Couny^
`
Oau n Pho/ne,N?
ower Supplier Address
Elecy?cal'G?nimcbr (Compony Name? Conrcacmr Lrense N. Masrer Lic No (Plam Elecf Only)
L
Moiling Addrea (Conhaciw w er Perfaming Instullmionj
Aullmrizad SignoNre fConrcoc Ih' Phone N.
7l ?? 0 6
EBOOOOIA-I I ' BOAHO COPY - SEE INSTRUCTIONS ON BACK OF VELLOW COPY
REQUEST FOR ELECTRICAL INSPECTION
471_46r? " ? 8'21 University ABoarRm. 6-1?26,'St. Paul, MN 55104
*L-•?•"-r?-oU 1 a'7n ePCSs,z> saz-osoo
Home Du lex Apt. Bldg. Other: New Addn
Commeraal Indusirial Farm Remod Re air
I Air Cond. Htg. Equi . Warer Hh I Load Mgmf. Other:
Dryer Range Elec. Heat Temp. Service
°X" ab'o/ve the work covered fhis request. Enfer remarks in this space nd on the back of the white copy only. _ky /C7.t2 Ca /lWs
C??,,-/ /?q/Z /.C.Pc-
Calculafe Inspectron Fee - This Inspectron Request will nof be occepied withouf fhe corcect fee:
Other Fee q Servia Entrance Size Fee # Circuits/Feedere Fee
Mobile Home Park Slall 0 to 200 Amps to 100 Amps ?
Sheet Ltg./Traffic Sig. Above 200_Am s 100_Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL,J
Sign/Oudine L}g Xfmr. 7 ?'s
Alarm/Remote Confrol ?
Swimming Pool
O,Mk
?
I Mre6 ceni tlwt Iins 1 ernim - kmon deunbed herein on the daros Aated
Irrigation Boom RooghAn Date
Special Inspection '
Invesligofive Fee final Date ?
THIS INSTALLATION MAY BF O RDFRFO OISCn ECTFD IF NOT C ED WITHIN MONTHS.
?O?p ? OFFICE USE ONLY This reqoest void 18 months irom wlidofion dote pnnred m this 6ox.
CI / iyA`i'/ 7,/
IIIII IIIII IIIIIIIIII I II IIIII IIII IIII I III IIII " w?!" !Gw "' `
,?°O
'
* 0 4 7 1 4 6 5 5 ??
-
* PLEASE PRINT OR TYPE
Reqvest Do1e 4?
? Rougbin inspaction reqwred2 ? Yca ? N.
'l
1l
h
h Inspenwn O?er Thon Raghln ? Ready Now Will Call
R
d
ou must m
e ?n:pecror w
en .eadi
[
t ) Dale
eo
y.
I, licensed wntroctor El owner hereby request inspecfion of the above elechical wark at
Job Address ?Srveet, eox Roure No.?
O d ° Ciy
_ Zip Code
Section No Towmhip Name or No. Range Na. Fire N. Coony
Occu Pho No
Power Supplix Addreas
Elechi ConrocNr (Compo?y Noyme?? Conh«1or L nse No Mnzhr Lc No. (Planr Elxt Only)
Nwiling Addrsss ?Conhxlo Ownar Perbrming Ins?ollanon
_
S /??J
?t/
?f
S-J
/L?/? /L v(r/ • ??
'
Annlwrized Signarore JConhocro mian) PhoM No
E6000Q7A-11 8/96/ E BOARD COPY - SEE INSTBUC7IONS ON BACK OF YELLOW LOPY
4io/9 7
471=465
# t-?9?06, ol
REQUEST FOR ELECTRICAL INSPECTION
f 51 Mmnesota State Board of Electriciry
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55704
Phone (612) 642-0800
Home Duplex Apt. Bldg. Other: '-' New Addn
Commercial Indusfrial Farm 14 Remod Re air
Air Cond. Htg. E ui . WoMr Hh. Load Mgmf. plher;
Dryer Ran e Elea Heai Temp. Service
"X" ob?ove fhe work covered by ihis re ue nter remarks in this space ?and?j n the bock of 16e w6ite copy only.
,? ?`-aG ` ?' '" /'??OC/Z ?Gi.?
Colculale Inspection Fee - This Inspection Requesf will not be occepted wifhout the conecf ?j? /cle"'9
O[her Fee k Service Entrance Size Fee # Circuits(Feedere Fee
Mobile Home Park $tall 0 ro 200 Amps. 0 C7?
Sireet Lfg./Troffic Sig. Am s Ja C:m?
TmnsfOrmer/Generaror INS CTO 'S thsE ONLY
TOTAJ-
Sign/Out.'ine Ltg. Xfmr. I
?
Alarm/Remote Control
Swimming Pool deunbd hmefn Ihe dakx
g
Irrigolion Boom W1e/'
•
$peciollnspection y
?P
Investigative Fee F.nai 014,n o?? „( 1
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NO COMPLETED WITMIN 18 MONTHS.
21 EmUni erslty Ave., R. S-7 BASt. IPauP MNTION
I? I II II I II I I I I II III I6??III gEQ
55104 !O _Y&„?
* 0 3 0 1 8 3'9 * Phone (812) 642-0800 "?
Home Duplez Apt. Bldg.. Q7kher: , New Addn
Commerciol Indusfrial farm Remod Re mr
Air Cand. Hig. Equip. Water Htr. Load MgmT. Olher:
D er Range Elec. Heat Tem . Service
°R' above }he wo covered by fhis requesl. E te/ remarks in thrs ace ond on the ¢ack oi the whrfe <opy only
(,.
l?ivtin iYLjJPBSS, Qd ?•`?TrL?q o?O?'o'uo(-YPrt nefiwJv'e-?Ov-
heu9 ?We a4.,a( re%eaAS? exi?N?uaac?TNe -
-PL-' 97Q,-;-) 0 746 6--
Cofculofe Inspection Fee - 7his Inspechon Requesf will not be accepted withoW Ihe mrrect fee:
Olher Fee N $ervice EMrance Size Fee # Circviis/Feeders Fee
. Mo6ile Home Park Sfall O to 200 Amps 0 Io 100 Amps 16
Sireet LTg./Troffic Sig. Above 200 Amps 100 Amps
TmnSformer/(?ienerafor INSPECTOR'S USE ONLY ? TOTAL
• Sign/Outline Ltg. Wmr.
Alorm/Remote Conirol
Swimming Pool I hereb cend Ihat I ins d , e eteclnml insMlloean descnbed herein on Iha dorcs stmed
Irngohon Boom Rough-In D.b
$peaal Inspedion
Investigative Fee F?nai ?
THIS INSTALLATION MAY BE ORDERED ED IF NOT COMPLETED WITHIN 1 MONTHS.
3 01- 8 3 g OFFICE USE ONLV Thrs reqvesr mid 78 monihs fmm .oLdmion dak pnnted in Mis box O?
709
p
PLEASE PRINT OR TYPE
Reqoazl Dare Raugh?n impechon reqmrcd2 [] Yes ? N. Inspernon Olher Than Rough-In [] RaadY Now ? Will Call
(You mosr mll ?he inspMOr when rwdy) Date Rmdy.
I, Imensed conir cfor o r hereby request inspedion of }he above elechiml work at:
Jo Pddms (Slmet, Box AFU&Ao) Gh Lp Code
?Q -5,?
Sechon N. Township Name or Na. Raige N. fire No Caunry r
Oaupanl Phane No.
Pa? Suppliar ress
Eletlnml CoNraaor (Campany Na?l
W. Caniracror Lcanse No.
c.4-oo171 Mmbr Lc Nn (PIaM HM.Only)
Nwdinq Addres: (Conrraaar r Owner Pedommng Insmllmmn)
5 ) S-1-
0044
Amhonzed Signat. onkacmr a Owner Pedorming In ion) Phane No.
771 -/aoo
EB-OOOOIA-70 6/95 $ TEBOAflDCOPY AgEE
I?I I II II I I II II I I II III IIIII I?I II REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electriciry
1821 * 0 3 0 1 8_ 4 4-7 * Phone i+2)SSa2-oeoo 3?? ??aul, MN 55104
ome Duplex Apt. Bldg. OMer: New Addn
Commercial Indusfrial Farm Remod Re ir
Air Cond. Htg. Equip. Wafer Hir. Load Mgmf. Other.
D er Ran e Elec. Heot Tem . Semce
'k' bov ihe ork overe by this requ Enter remorks in fhis s e an o ?he 6a< of Ihe white copy only.
Web-`?r?.?zZio ?ms5
oo3
Calculate Inspection Fee - 7his Inspection Request wrll not 6e accepfed wifhout ihe correct iee:
OlFier Fee # Service Entrance Size Fee # Circvih/Feeders Fee
Mobile Home Park Stall 0}0 200 Amps 0 to 100 Amps Q
Sfreef L}g./Troffi< Sig. Above 200 Amps 'oL Above 100 .zmd\mps a,$-
Transformer/Generator INSPEMOH'SUSEONLY Oewfo TAL VIZ
Sign/Oufline Ltg. Xfmr.
Alarm/Remote Confrol
Swimming Pool
I hereb cani Ihat I Ins eledn ofion dezmbed hemin on the dotas startd
Irrigofion Boom RougWn Onte
S
eciol Ins
edion
p
p
Invesfigufive Fee Final ?re
URM( NECTED 6rl ED WITHIN 18 ONTHS.
THIS INSTALLATION MAY BE ORDERED DIS
3 01- 8 4 4 0 OFFIC? U EpNLY Thrs ?eqoest void 78 manthe fram.alidanon date pn^kd in this bgx?
?
? Ch7
PLEASE PRINT OR TYPE
ReQwa1 Daie Rough-in inspecnon rcqviredE ? Yee [I N. Inspecnon Other ihon Rough-Ir 0 Ready Now 0 Will Call
(Yov mwt call Ihe impecmr when ready) Dok Ready.
I licensed conirador ? owner here6y requesf inspedion of ihe above eledrical work ot:
A
Jeb Pddrcss (Streeq Box, or Roule No )
G/D A/ l City
E4 Zip Code
3sia
e -
Sedion N. Tawnship Nama or N. Range Na Fire No. Co b? ?
a a
Oaupant Phone No.
/
elS ! \ 1 LA
PowerSvpplier Addr
ElM?nm,l conlmcror Company N. ? Conwcior b«nse No
? OOl7
G Moakr Lc No (Plam HM Only)
G/ u e e /
Momn, Add.u(co?"ao, re,valo,m,nai].nnao?i SS?Q?
a ( /v
Auihonxed Si ro (Conhaclor o Oun ed I on? Phona No
EB-0001A.10 6/95 SiATEBOMDCOPY- NSTNUCTIONSONBACKOFVELLOWCOPV
. 3 01 ? Q 2 q. ?
., OFFICE USE ONLV This requml void 76 months fmm voLdanon dak pnnred in this bo?
?/-??9 l lr 9
PLEASE PRINT OR TYPE
Requesi Dale I Rough-in inspedian reqmred2 [] Ves No Inspernon Olher Than Rough-In [I Ready Naw Q Will CaII
! O y 7 (You musl wll Ihe inspecbr whe n ready) Dak Readr
I, licensed confracfor Q owner hereby request inspedion of fhe obove elecirical work a7:
Job Pddmss (Slreet, Box, or Rook No.) ,
l Gry Zip Code
3
Sec4on No To s p Name or No. Range N. Fire No / Coun ?
OaoPanlq ? . Phane No.
?- 8l -37?0
PowarSupplier PB ress
?
Eletlnml Coniracb, (Compony Nome)
'Lt " , a_ ? ,? , Conhacbr 6<ense No
C-Apo?`7 d Master 4< No (Plant Eled Only)
Mailing Addnss (Conb r or Owner PeAo )g InsMlloM1an)
1 55 t
m? 55?v1
Aulhonz ignomre Conho o% I n r Perfo mmg srolloeon) ? Ph?on}e Nor. /
EB-00001A-10 6/95 ST?A* BOAROG!PPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPV
3 01 -Q10 OFFICE USE O Y This request void IB monihs from validaM1On date pnnted in this box.
? 64?a ?
?
? :?
e-
?
PLEASE PRINT OR TYPE U 60on
Reqoeit Doro Raugh-in inspecfion reqwred2 [] Y. ? N. ImpecFon OlherThan Rough-In ? Reody No? Will Call
?Yaa must wll Ihe mspetlor when mady) Ready, ?
I, ix Lcensed confracFOr ? owner hereby request inspedion of fhe above el ?.iri<
Job Pddres: (Sheet, Boa, or Roo ot
< 10/0 Cih 2? ode
Sectian No Township Nome or o Range No. Firc No Counry
OccuPant
? Phane No.
Power $upplier Address
EIMn I Conkacmr (Company Name) Connonur Lcense No. Mastar L< N. (Planl Eled Oniy)
m. « oa
Mailing Addross (Cantrocior or Owner iming Inskllobon)
k
' -
Amhonzed Signm (Cantmaor or r??mg
a Insmll n) Phorie No.
Iwr. ? 'll
S
77?' D
EB-00001A-10 6/ 5 STATEBOAPOCOPV•3 INSTRU IONSON9ACKOFYELLOWCOPV
III II II I III I II IIII II I I?II I I I?? REQUEST FOR ELECTRICAL INSP CTI N? ?
MinnesoW State Board of Electricity
* 0 3 Q 1 8 1 8?r Pno?e (e 2? eaz V-oaoo /d??'1?OI ?/G?a'? ?
Home Duplex Apt, Bldg. Other: New Addn
mercial
m Industnal fartn Remod Re air
C
C
ond. Hfg. Equip. Water Hfr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X" above the work covered by tbis request. En}er remahs in fhis space ond on the back of 1he white wpy only.
//
Cakulote lnspecfion Fee - Thu Inspection Request wJl not be accep d wifhf€ out the correcF lee.
Other Fee # Service EMrance Size Fee # Cir '/Feeders Fee
Mobile Home Park Stall D to 200 Amps 0 to s 6
$freet L}g./fmffic Sig. Above 200 Amps *p/
Tmnsformer/Generafor INSPECTOa' sUSEONLV
w1 TOTAL p?
Sign/Outline Lig. Xfmr. ?
Alartn/Remofe Conhol ?
$wimming Pool ? Z
I here fhe eIM s Ilo4on de:rnbed herein on Ihe datc. sbtcd
Irrigation Boom
Special Inspedion
Invesfigative Fee
Final ,
o?k
THIS INSTALLATION MAY BE ORDEHED DISCONNECTED IF NOT COMPLETED WiTHIN 18 MONTHS.
I? dp REQUEST FOR ELECTRICAL INSPECTION 60 9 . ?
- I II II I? II I II II II I??I II I I I I I ? ?1I 1 ar Sc?
B . Paul, MN 55104 -? ?
21 Unesily AveRm. 128
3 0 1 8 2 4 9 s phone (612) 642-0800
Home Duplex Apf.8ldg. Other: New Addn
Commercial Indus}riol Farm Remod Re air
Air Cond. Equip. Water Hh. Load Mgmt Other.
D er Ran e Elec. Heat Tem . Service
"k' above the work covered by f is reqvesi. Enter remarks m this spoa?nd? o^n t/h?e ba?<k o/f, Me w?hite copy only.
'?"„?-Y'C?Wz lr? 111-C.l? ,
30 ?
Cakulate Inspechon Fee - This Inspedian Request will not be aC cC without fhe?cor?rect fee; ?^
Other Fee # $ervice Enfinnce 5¢e Fee # Circvits/Feeders Fee
Mobile Home Park $tall D to 200 Amps 0 to 700 Amps ". Q
5}reet L}g./Traific Sig. Above 200 Amps 0 Amps r'f
Tlans+oRnef/Genefafof INSPECTOR'SU
?^ ?TA
Sign/OWline L}g. Xfmr.
4,5
Alartn/Remote Conhol
?
K
Swimming Pool I hem mm Mm eiecn,<al m:mllafioo descnbed hmdn on the dore::mbd
i=lha
Irrigation Boom Rough-In Daie
$
ecial Ins
eclion ?
p
p
4myee6qetiwFee Fina? lP / ?a1e? ?'^
THIS INSTALLATION MAY BE ORDERED DISCON CT AF NOT COMPLETED WITHIN 78 MON HS.
3 4 2-V 0?,7 ? 0FFIC USE O LY This reqvesi void 18 moniha from volidaton dme pnmcd in is bor ? O
?
?D
wLEASE PRINT OR TYPE
Requesl Dok Raugh-in inspetlnon reqmred2 ? Yez
N. Inspecfion OTher Than Raugh-In 0 Ready Naw Will Call
(Yov most wll the mspedor when rea '
) i Da1e Ready
I, licensed mntracfor ? o ne er 1 mspedion of iFie above eledriml work af:
Jo6 Pddrtss ?Skeel, Baa, or Roule Na City Zip Code
ection No, Township Nome or?S Range No
„
. Fire No C ry
?,
O(cwy? m
` -J?j Ph+one N.
c1^'
\ - '?a
SoppLer Address
.?
A??`^N SS`!
Elecmrol Conhocror (GomOany Name) T
CanVaaon cceme Na "..her
Lc No. JPlant EIM Only)
M ':3-
.
Mailing Pddreo, IConhaclor or Owner Pedarming ImlullafionI
Awhonxed5' Nre(Cantructo r0 erfo Ins Ilotion) PhoneNo
E8-00007 0 6/95 5T 7EBOANDCOPY•SEEINSTflUCTIDN30NepCKOFYELLOWCOPY
821 Uni I Paulr, MNT55O10 4
? II II III II I I I? I I I II I? I II I I I III I II? Dessity Ave., Rm? SR c AS
B 3I91v ?
* 0 3 4 2 0 0 6 4* Phone (612) e42-0800
• Home Duplex Apt Bldg. ° "?+ New Addn
Commeraal Industriol Farm ` `
\vt+?% ? Remod Re oir
Av Cond. Hfg. Equip. Wafer Hic Load Mgmf. 01her:
D er Ran e Elec Heat Tem .$ernce zin^uv • P
"X" above ffie work covered 6y ffiis requesf. Enter remorks in this spoce and on fFe 6atk oi fhe white mpy only.
?•?or.-
'` .`.v?a?CS?'C1vdS
Colculare lnspeUion Fee - iFrs Inspedion Request wJl not be occepfed wdhouF ffie correct fee-
Other Fee Service Er?lmnce Sae Fee # Cirwils/Feeders Fce
Mobile Hame Pork $tall 0 to 200 Amps r' 1
l 0 fo 100 Amps
Sireet Lig./TraNic $ig. A6ove 200 Amps Above 100 Amps
Transformer/Generafor INSVECTOR•SUSEONLY TOTAL(
$ign/Oufline lig. Xfmr.
Alarm/Remofe Confrol
Swimming Pool I hercb cem that i ?n: ened the eleanmi in:wnoiion de:c.ibed hemin on+ne dme.:mted
Ivigahon 8oom 0.wgh-In Dn
Specwllnspedion
Investigatrve Fee
F??al oy?
/? . "L
THIS INSTALIATION MAY BE ORDERED DISCDNNECTED IF NOT COMPLETED WITHIN 8 ONTHS.
1 ss
/D /S .S /. /Od' /?/
a 0„
flequest Dale '
/O Fire No Rough-in Inspecimn '
qeqmred+
:? Ves No
U RBady Now?ll Notiry Inspecmr
hen ReaOy'+
I hcensed contracbr D owner hereby request mspection of above elechical work at:
Joe Atlyess f tmet 9ox 9{,Poule No ?
C U a/LlJ9 i
c.? c?
N
SecLon No Townsh a or No Rarge No Cou
Occ? (P INT?
? ? Phorie No
Pawer upplier AtlOress
Elec ConVactor (Company Name?
/lr ConRac?or5 Lmen/se?No )
Vcv% ?/
Maibn Atltlress iCOntrector > ner Making InstallaLon) 00,
?L
-51
AulhoT2etl SignaWre [ractor/ ing Ins Uonj Phone Nu ?r/f
r
MINNESVrA-STNTE BOAHD OF ELEC THIS INSPECTION REOUEST WILL NOT
Gtlgge-MlEway Bltlg. - Naom 5-193 BE ACCEPTED BY THE STATE BOARD
1831 Univenlly Ave, SL Peul. MN 55104 UNLES$ PROPER INSPECTION FEE IS
Phon¢(61f) 642-0800 ENCLOSED
/Q?S yr'y REOUEST FOR ELECTRICAL INSPECTION ee-00001-08
? See msl cU
mOns +?ompletmg ihi5lorm on back of yellow copy
41688
K
"X" Below Work Covered by Thrs Request
ew Atltl. Rep. ., TypeofBuilding ApptianceSWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater ElecVic Heating
Apt. Builtling Dryer Other (Specity)
4 Comm./Industrial Furnace
arm Air CondNOner
O
lher (syecdy) Convector's Remarks
Cornpute Inspection Fee Below: °`- .0 /57- "'?/'J /^ea ?•
# Other Fee # ServiceEntrance5ize Pea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ap
Trensformers Above 200 _ Amps AtZ- -
Signs rnspector5 Use Onry TOTAL
Irngation Booms l
11 S`Z. ?s7
Spectal Inspection ?
,J
Aiarm/Communication THIS INSTALLATION MAV B RD DISFONNECTED IF NOT
Othei Fee COMPLETED WITHIN 18 M t
I,' the Electrical Inspector, hereby
i Rough-m
??
cert
ry ih@t the a6ove mspection has
been made. F,nai oa
OFFICE USE ONLY
This request vatl 18 monMS Irom
M 18 A
Requesl Date ire No Rougn-in Inspec0on
R iretl'+ ?/
G Reatly Now y?Will NotTty Inspec[or
'
?
Yes E No When Reatly
I lic nsed contractor ? owner 'hereby request inspec4on of above electrical work at:
Jab ntltlress (Streef. Box Rome Na I
?O ?
5 Qry
t
N^- 2l -
4 N
/f
$edron No Tawns e or No. Range No Counry
Occup n P NTI
? Phone No
/1?
PowerSup er
? Atltlress
EiecV nlranor ICOmOany Name) CoNradore License No
'L ?O ?,O.fitso•`. L° 00/7
Matlin Address iCOnVaclor ar Mak mg Installatron)
( r
Au[honz¢tl Sign We 1 ct ing Installyl m PhonB NUeybQf??
?
MINNESOTA STrVE BOAHD OF ELECT THIS INSPECTiON REQUEST WILL N0T
GriggvMiAway BIOg. - qoom 5-1 BE ACCEPTED BV THE STATE BOARD
1921 Unrversdy Ave, SI. Paul. M 5104 UNLESS PROPER INSPECTION FEE IS
Fhone(612) 662-0800 ENCIOSED
REQUEST FOR ELECTRICAL INSPECTION
? ? See mstmcLOns br <ompletmg this form on back oi yellav ropy
J4681 "X" Be:ow Work Covered by This Request
dN.
? EB-00001-08
??o-?'?; /o?391v
ew 'Add Fep TypeoBmltling AppliancesWired EqmpmencWired
Home Range Temporary Service
Duplex Water Heater Electnc Heahng
Apt. Bwlding Dryer Ocher (Specify)
Comm /Indushial Furnace
Farm Air Conditioner
Orner (spanry) Com,acto' e? ? ?lv rJ[/?L,
/..
Compute Inspechon Fee Be/ow4-.A 1-ZL
# Other Fee # ervice ranceSize Fee # Circuits/Feetlers Fee
$wimming Pool
xl mps 0 to mps
Transtormers / Above Anibs AYwiiii100_ Amps
SignS nspecior5 Use Only ? TOTAL
Irrigation Booms
? ? s
Special Inspection
AlarmACommumcauon THIS INSTALLATION MAY BE O DER ISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MON
I, the Electncal Inspector, hereby
d
h Rouqnm
cert
y t
at the above inspection has
been made. F,T,ai ? oa?e
OFFICE USE ONLY
This reQu¢st witl 18 months imm
1
?'
K
?
o??
0,&i G&, &.
A?7 6/
0
ReQUest Date Fire No Roug?-inInspecM1On
Reqmretl>
? Reetly Now '?^/ill Notily Inspectar
? ?
?Yes WnenfieaMa
I? licensed contractor ] owner hereby request inspection of above eledrical work at:
Job Atl ress (SVeet Box or Rome No )
.dr? QTy
G "--;'
Seclion No Townshi m r No Range No Coun
07-'!5f
Occu n ?P INTI /'? Phone No
POWer Supplier Atltlre55
EIxV I Contractor IConpany Namel Con[ractor,5?l/icense No
Maihn Aatlress ICOmracror Owner Making InslellaLOn,
?/*?.
Aulnonzea Signato.e Owner ki nsialtauon? Phone Num ?erJ
MI NBBOTA STAT 0 F ELECTRIGTY THIS INSPECTION REOUEST WILL NOT
GriggsMiAway BI Poom &1]3 BE ACCEPTED BY THE STATE BOARD
1811 Oniverslly A e., SL Paul, MN 55106 UNlE55 PROPER INSPECTION FEE IS
Phone(612)6C2-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ?' eeaoom.oe
??,,/
? See insimc[ians lor completing ihis form on beck of yelbw copy ?G?V
? 1681 ? °
."X" tfelow Work Covered by This Request
ew Adtl Rep. Typeof Bmitlmg AppliancesW?red EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleanc Heating
ApL Builtling Dryer Other-(Specity)
Comm.llndustrial Furnace
Farm Av Conditioner
Olher (syEaty) Conhatlor`5 Ramarks 4. Q
Compute Mspection Fee Below:
# Other Fee # ServiceEniranceSize Fee R Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o yJ?s Zp
Transformers Above 200 _ Amps ove
SiJns Inspector9 U. Only TOTAL
Irriqation Booms ?
Special Inspection
Aiarm/Communwacion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical inspector, hereby Rough.,n oata
certitythattheabovemspectionhas
been made. F,nai oare in
.G
OFFICE USE DNLY ?7
?
This repuest voitl 18 months trom /!?
Requ st De ' Fva No, Rough-m Inspection
ReqmreV
13 yas
u Reatly Now ill NoLty Inspector
hen Reaay7
I icensed contractor ? owner hereby request inspection of above electrical work aY
Job A ress (Sireet Box oute NoJ Pry
Sectian N. Towns N e or No Range No Coun ?/?
Occu (P T)
/??fT Plroy
Pawer SupOlier Atltlress
Ele onlracbr ICOmpany Name? Conlr tor's Li<anse No.
Matlm Aotlresnt?aclor ner Makinq InstallaLOn) V ` .? . ? ?
? ///
?. ?
Aulnonzetl Siqnalure ico er Makmg stellalion Pnone mb?j /
MINNES $TATE BOARD OF E flICITY THIS INSPECTION FEQUEST WILL NOT
Grlgga.Mltlway BIEg. - Room 5- ]3 eE ACCEPTED BY THE STATE 90AFD
1821 Univerally Ave, SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(81P) 662-0600 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION an"-%'Sqr? Ee-o t-ae
6?0.
?
? See msvuctmns lor compleeng ihis form on back ot yellow copy.
d._ 23685 •"X" 8elow Work Covered by This Request
ew Add Rep. 7ypeolBwlding AppliancesWiretl EqulpmentWrted
Home Range Temporary Service
Duplex Weter Heater Eleclnc Heahng
Apt. Building Dryer Othev-(Speaty)
Comm /Industrial Furnace
Farm Air Conditioner
Other Isyei ' Contrector§ Remarks: ?//? ?? `/? G V?>?
/` /
Compute lnspection Fee Below: /f
8 Other Fee # ServiceEntrenceSae Fae # Circurts/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 t pT??v
Translormers Above 200 _ Amps AA(ps
SignS Inspactor's Use Ony' ?J^ TOTAL
Irrigation Booms
Spacial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, hereby Ri oeie
certity that the above mspection has
been made. Final oate
- ? -y
OfFICE USE ONLV
Tnis request witl 18 monMS from
11KI'3w5oa
Requ stOal
? ? Fire No ROUg?inlnspecimn
Heqwretl'+
0 Reatly Now ilI NOhfy InspecNO?
n R
n
tl
?
' G Ves o e
ea
y
IAlensed contractor D owner hereby request mspection of above electrical work at:
JoVAd ss treet x or Rou No 7 CM1y
Setlion No Townshp Name or Na Range No Count
??KoT
Occup I R T? Phone No.
Power SuoPler Atlaress
leyw
E
??
omractor IGOnpany Namel Contrattor5 Lrcense No,
/
v
?
?L
Maei Htlmpss iCOnVact Ownar Maxmq Inst aLOn?
?9
?
/
-
S
i
i
.r
z v
.
-? s r
o
<
Aumonretl SiqnaNre ?Co ?on? Pnone Nurt?pe?/ //'m
/
MINNE99f0. STATE BOqRp OF ELEC ITY THIS WSPECTION REOUEST WIIL NOT
Grlggs-MlEway BItl9, - Ri,om S-173 BE ACCEPTEp BY TME STATE BOARD
1821 Univenny Ave, St Paul MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 602-OB00 ENCLOSED.
??05--
L ,3H4
REQUEST FOR ELECTRICAL INSPECTION
? See inslmcLOns for completing tnis form on Oack o( yellow ropY.
"K" 9ei Work Covered by This Request
??? 08
0
t
e Adtl Rep. 7ypeofBwlding ApphancesWired EquipmenfWirad
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apc Bwlding Dryer Other-(Specify)
Comm /lndustnal Furnace
Farm Air Conditioner
Otlier (sVecity) CbnVactor5 Remarke.
Camqute Mspection Fee Below:
# Other Fee p ServiceEniranceSize Fee # Cvcmts/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 t
Transformers Above 200 _ Amps Abova 100 _ Amps
Signs Inspecror§ Use Only TOTAL
Irn9ation Booms ?J -m Ssv
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE O ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, the Electncal Inspector, hereby
if Rouqn-in oere
cert
y that the above inspection has
been made F,nei
' oe
7 y ?
OFFICE USE ONLY
This request mitl 18 months Irom
? 3
7 (:i?? `,?,' -: L. .?/ v
??- ? °?
Re eest ale Fire No Rougi InspetM1On
Reqwred'
0 yas o ?/?
? Reatly Now ?will Noliy Inspector
/?YJhen Featli
I icensed contractor rJ owner hereby request inspection of above elecirical work at:
Job Zss (Src? Box oOROU e No I Cit' ?
Sectmn No Township Name or No Range No Couny
Occ a I INT)
V Phona o?_ ?
Power SuppLer Atltlress
Eiecm onlractor (COmpany Name)
L Conirecror License No
MBib rg FOalp65(GOClrattOr r OwnBt Makinq Instdll9LOn)
4.*::)/
h J7'
Authantetl Si naWre IC ne aking In allatio POOne N e?j
MINNESOTA STATE BOFRD OF ELE QTY THIS INSPECTION FEOUEST WILL NOT
Gnggs-Mitlwey BIEg. - poom S- 6E ACCEPTED eV THE STATE BOARD
1621 Ilniversity pve., SL Gaul. M 55104 UNLESS PROPER INSPECTION FEE IS
Phone (BtZ) 602-0800 ENCLOSED
d 23_683
REQUE:?"FOR ELECTRICAL INSPECTION
? See instrucaons lor'completing ihis form on back of yellow copy
'X" Below Work Covered by This Request
E8.00001-08
y/170
ew Adtl Rep. TypeofBmltling ApphancesWired EqmpmeniWrted
Home Range Temporary Service
Duplex Watar Heater Electnc Hea4ng
Apt Building Dryei cify)
sp
Comm./Indushial Furnace
Farm Air Condihoner Z
aE
Other(specify) Conttactor's Remark ?` lt
/
Comput
e lnspection Fee Below: Ii
# Other Fee # ServiceEniranceS¢e Fee # ders
Circmts/Fee Fee
Swimming Pool 0 to 200 Amps o to
ZoK
Translormers Above 200 _ Amps . Abo t00 _ Amps
Signs Inspector5 use ony. TOTAL
Irrigation Booms ?0 ,
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecbr, hereby
f Rougn-in oate
cerh
y that the above mspection has
been made. F,nai oaia ? ?
OFFICE USE ONLV
T1ns requesl voitl 18 montM1S imm
4 6 2 4
Aequest Date
? z Fre No ROUgh-in Inspac?ron
Reqw ?
? Reatly Nowill Nonty Inspector
Wh
R
E
'+
- s C No en
ea
y
I licenspd contractor D owner hereby request mspection ot above elechical work at:
JoD Aa ss {Sireet. Boz or Ie No )
? ? 2lyJJ??-?i2??? Qry
? N
Seclion No' Township e N. Fange No. Coun
0
Occup 1 RI I phore No
awer Supplier pdtlress
Elecincal onlractor (COnpany Name) Cpnira 5 Lcense No
Mailin Atltlress (COnhactor or ner Making In allation)
AuthonzeC S?gnaWre 1 iac er Making instai oonq Phone yymbe?
MINNESOTA STATE BOARO OF E RICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - qoom S 3 BE ACCEPTED 0Y THE STqTE BOARD
1821 Unrversity Ave., SI Peul. MN 55104 l1NLE5S PPOPEP INSPECTION FEE IS
Phone (6R) 6C2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee.00001-?os7
? ? See insvucimns Por completing fiis torm on back oi yellax copy.
J4 6824- - "X" Below Work Covered by Thrs Request
ew Add Rep- TypeolBmlding AppliancesWnetl EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
t Apt Bwldmg Dryer Other (Speafy)
CommJindustnal Fumace
Farm Air Conditioner
Other (syeciy) CoMector's i7emeBS
Compute lnspecbon Fee Below: n
B Other Fee k ServiceEntranceSize Fee Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transtormers Above 200 _ Amps 700 _ Amps
Sgj15 Inspecmrs Use Only
° 7pTAL
IrnQanon eooms -
D 3?2, ST?
Special Inspection
Alaem/Communication THIS INSTALLATION MAY 8E ORDERED DISCONN!*BTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Elecvroal Inspector, hereby
Rou9h.m il?j y (/
l)ate
i
certityttiattheaboveinspectionhas
been made. F,,,ai r oa?e !l
--t
OFFICE USE ONLY ?
This request mitl 18 manihs imm
/
6799ap
4 so
Re4pest Dat
? Fre No Rough-in Inspeclan
Reqmretl?
? Reatly Now CI ill NoOty Inspector
l
h
R
tl
b ? Ves No en
ea
y
I licensed contractor 0 owner hereby request inspection of above elechical work aC
Job Aatlre s (Street Box or Route No ) Ciry
SecOOn No Townshi orNO Range No Cou
r?T
Occ ?P T? Phone No,
u ?
/?/1 ii?L
ower pliar Atldress
/t(rl???
Eiec omracmr (ComOany Name) Con or5 License No
L• v r-d;e??i'LSo?+-? e>O/
Mail
inJ
dres
Atl
s
Comraclor or er Making Installalion)
f
/
/
?
/
?
. I,
Authonzed5ignaWre lConVa er inqlns Pnone Numeer /'A
MINNESOTR9TATE BOARD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grrgga-MiOway Bidg - Room 5-113 8E AGGEPTED BYTHE SiATE BOAFD
1821 University Ave , St Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(012)642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °"??? ee-ooooi-?/
?, /n&??SL
- ? See instmcoons br completmq tM1is brm on back oi yelbw mpy. ?1'
14 -U• 1 J?d "X" Below Work Covered by This Request
ew d- Fep - TypeofBmltling AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. BuAtlmg Dryer Olher (Specify)
Comm./Industrial Furnace
Farm Air Condilioner
rt?f
Otner Isyecdyl Conhacbr§ RemarksA:W/T/L
Compufe Inspechon Fee Below. s "fie- TatS vp
# Other Fee # i # i Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transtormers Above 200 _ Amps ve 100 Amps
SI n5 Inspector5 Use Onty
Irnganon Booms
Spea21 Inspection
Alarm/Communication THIS INSTALLATtON MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee MPLETED WRHIN 18 MO
I, the Elecirical Inspector, hereby Roun-m
?
certif tlaat Ihe above ins ection has
Y P
been made. Final Dete ?
"
OFFICE lISE ONLY ?
Tnis request vma 18 momhs Imm
E
?
?2-
? 46823
Fequest
Dale
9
-- Fire No- Rough+n InspecM1On
Reqmretl7
? Reedy Now ?111 NoM1ly Inspeclor
r?
s
Z as o? lhen ReadyT
I icensed contractor ? owner hereby request inspection of above electrical work at,
Job Oress ISireei, Box ar Route No , City
Sect?on Nu Town e or No Range No COu
?
Occu (P INTI Plwne N.
PawerSuppLer AtlOress
Elecmc Gonrcactor(COmpany Name) Connactor'S 4cenu No
c? /f o.ti b0 /
Ma'hn AtlEress ICOnVactor or ner Makmg Ins[allatan)
Authorrzetl Srgnatur 1 rect er Ilauon) Phone Num
MINNESOTA STRTE BOARD OF ELECT THIS INSPECTION REQUEST WILL NOT
Gnggs-MiEway Bltlg. - Room S-173 , BE ACCEPTED BV TNE STATE BOARO
1821 Umversity Ave.. St. Paul. MN 55100 UNLESS PROPEF INSPECTION FEE IS
Phone(612)6I4-OBDO ENCLOSED
,j 46823
REQUEST FOR ELECTRICAL INSPECTION
? See instmcnons tor compleLng ihis iorm on back oi yellow copy
"X" Be/ow Work Covered by This Request
amE?'S EB-00001 -0e
/0773?-
e Atltl Rep. ? TypeoBmiding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt Bwldinq Dryer Other (Specify)
Comm./Industnal Fumace
Farm Air Conditioner
II Other (syecJy) Contractor's RemarksI6.J /?1 "Q`ou d?
J
Compute Inspection Fee Below: v u ?s? L
Other Fee 8 ServiceEniranceSrze Fee # Circwts/Feeders Fee
Swimming Po01 0 to 200 Amps 0 to 100 Amps
Transformers AWR 200 _ Amps 4 Amps
$I
nS Inspec?or5 U. Only
7p?
9
Irri ation Booms ??
??,0
/
Special Inspectwn
Alarm/Communicanon THIS INSTALLATION MAY BE Oung DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 78 M
I, the ElectnCal Inspector, hereby
certifythat the above inspecUon has
been made. Rough-in ,
F,nai r oa ? ?/Q
oere
/
OFFICE USE ONp
This requesl mitl 18 months Irom
•
? ?7;? rayyy
Req est Date Fire No Rough-in inspMion
Requve0? ''//
? Ready N. !?wril NoMy Inspector
_7 Yes o ? 4C?hen Reatly'+
I i IicQnsed contrector J owner hereby request mspection of above elecirical work at:
Job ress ?Slreet eoaure No ) Qty
? I'l. L/f /v
SecTOnNo Town 09 m. or No Range No Cou
? ?
/
?
Occu IP NTI
A Phony No
Power uOPlier MOress
Elef?''?!'?' ntracror (Company Name)
ConV r5 License No
?- r r /J
Q?v /
Ma?lingAtlaress (Conlracmr Owner MaRrng Installati n)
L h /
noinorrzeo SignaNr ? ner Maxmg ianauo anone Nu
m?o¢
%
MINNESOTA STATE BDAFD OF CTRICITY THIS INSPECTIDN REOUEST WILL NOT
Griggs-MlCwey BICg. - flo Sl)3 BE ACCEPTEO BY THE STATE BOARD
1821 UNVerelty Ave, 51. Paul. MN 55104 _ UNLESS PqOPER INSPECTION FEE IS
PMne (612) 66I-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-000010
?2 ?' 4 ja.9 58
? See instrucfions lor completmg Ihis lorm on batk of yellow copy 23725 6e/ow Work Cavered by This Request
ew Atld Rep TypeofBmltling AppliancesWvetl EqwpmentWired
Home Range Temporary Service
Duplex Wa[er Heater Electric Hea6ng
Apt. Building Dryer Other-(Specity)
Comm /Intlustrial Furnace
Farm Air Condihoner
Other (syeaty) Comract s ul/yC 40
S? y? a ??
Compute Inspechon Fee Below: ?
? Other Fee q ServiceEntranceSze Fee # Orcm45/Feeders Fee
Swimming Pool
Transiormers 0 to 200 Amps
Aygi%oi 0 to 100 Amps
ove 700 _ Amps
SIgnS Inspecmr's Use Only. TOTAL
Irrigation 8ooms a
Spacial Ins
ecuon s
p
Alarm/Commumcation THIS INSTALLATION M BE OR D DISCONNE
Other Fee CTED IF NOT
COMPLETED WITHIN 18 S.
I, the Electncal Inspector, hereby
cerhfy that the above inspection has
been made. R0°9"""
• w
F1Od1
?a?e ,/?( ,?/
! z
OFFICE USE DNIY
TNS repuest vme 18 monms rmm '
E( 1698 ?o?ss.3
Repuest Date . Fire NO RougM1-in Inspac00n
Reqwretl? - /
? Reatly N. ?lIII No4ry Inspeclor
? ?h
fi
tl
7
,] Ves en
ee
y
I Ijcensed contractor ?] owner hereby request inspection of above electrical work at:
Job A ress (Straet Bax or Route No I
/O Crry
Q /f /L. ?? ?/? ?- ?ILJ
SecLOn No Township e No Range No. Coun
. O
Qc a IP INTI ^ Phone No
Power SuDOher Atltlress
Elecin onVatlor (Company Namel ConlretlorS License No
L c.? /?-O/?/15V? G? dU/
MeJing AtlEress fCOntractor ner Making Ini
S
'
S S .
T ? ?- ?I
?
Amhonze0 SignaWre ICOn ori g Instalial I Phone Number
- ?r
?J ? . .
MINNESOTA STATE BOAFD OF ELECT THIS INSPEGTION PEOUEST WILL NOT
GrIggs-MlEway BIEg - Room S17 BE ACCEPTED BV THE STATE BOARD
1831 Umversl\y Ave. SL Paul. MN 551 W UNLESS PROPEP INSPECTION FEE IS
PMna (612) 642-0800 ENCLOSED-
REQUEST FOR ELECTRICAL INSPECTION
? 16 9? SeB msimc[ions for completing ths form on back of yellow copy
"X" Bebw Work Covered by This Request
E&01D001-08
?;??"'/D855 3
?.., .??
ew ehi Rep TypeolBmldmg AppliancesWrted EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other-(Specity)
Comm./Industnal Fumace
Farm Air Conditioner
Olher (syecAy) Conlrector5 iiemarks
Corrrpute Inspection Fee Below:
R Other Pee # ServiceEniranceSrze Fee # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 t E?Amps JV
Transformers
3qk
Above 200 _ Amps
/
A4?r 100
Signs mspemo.§ Use oniy TOT?AL
Irrigation Booms
?Q ? `? ".,
`v, ?$Z7
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecror, hereby Rough-in oate
certiy that the above inspection has
been made. F,nai oa?e
OFi1CE USE ONLY
Ths rpQUest voitl 18 moNhs trom
?
a 7
23 p
RepueS? Date JI've No
3 Rough-in Inspecimn
Requ'
? Ready Now ?111 Nobly Inspeclor
fl
E
'
? j?h
K
s ? N. en
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Mdreu (Stree6 Box or Rome No ) C"y
. p O ... ?.?c .?
Secuon No TOwnship m No Range No
?
?
Occup nt PR T) PhonB No
Power Supplier Atltlress
Elecmcal m
pany Name) Concraclor5 L¢ense No
?
h?, 03 9?J
Matlmq AOdress ICOnvact Owner Making InstallaLOn) ? r ^/
r
Authonzea SignaWre lCOntr aking Ins ion, Phone Numb¢r
:W i
MINNESOTIfSTATE BOARD OF ELECTHICITV THIS INSPECTION FEQUEST WILL NOT
GrlgqaMitlway BIEg. - Poom S-1T! BE ACGEPTEO BV THE STATE BOARO
1821 UNVeroiry Ave., 5L Paul, MN 551 UNLESS PROPER INSPECTION fEE IS
PMne (612) 6d1-0800 ENCLOSED
G?, REOUESFFOR ELECTRICAL INSPECTION EB-0 p?p/pi?.os /
? ? See msimcuons lor complevng ihis form on Gack oi yellow capy ?1 /D (LJi?(O
*7 0 2 13 ?'X" Bebw Work Covered by This Request '??w•? ''
ew Add Rep. TypeofBmlding AppliancesWired EqwpmemWired
Home Range Temporary Service
Duplex Water Heater ElecVic Heating
Apt. Bwlding Dryer Other (Specity)
Comm./Industrial ' FUmace
Farm Av Conditioner
Other (speniy) Con?ador§ Remarks- ii
?[i? /y
Comppte Inspechon Fee Below: fj?? S'c2
# Other Fee # ServiceEntranceSae Fee # Circuns/Faeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps ZZAD
Transformers Above 200 _ Amps AmPs
Slgns Inspector's Use Onty: 70TAL?-
Irngation Booms ?
Special Inspec[ion
Alarm/Communication THIS INSTALLATION MAV BE ORDERED D CONNECTED IF NOT
Other Fee
S. ?
COMPLETED WITHIN 18 MPNI)R
I, the Electrical Inspector, hereby Rough-in 1-
certify ihat the above inspection has
been made. Finai r oai
OFFICE USE ONLY ?
Tpis request roitl 18 months Irom
co /o? y d-- /D ( 3% 9
4 7 9 1 -`?.
Fequesl Dale
G Fire No.
, Roug??n Inspeclion
qeywred>
? Reatly Now ?(Will No01y Inspector
R
tl
??Wh
'
? ?Yes No en
Oa
y
I licensed contractor ? owner hereby request inspection of above electricai work at:
Job A?tl `ess ($ireet. Box or Route No.) City
Co
SecLOn No Township e a Range No Gau
?
OccuO ? PR T) Phone No
i3sr- ?
Power Suppher PdErew
Eleclr¢al ConVaclor ICompany Name? Conirec?or5 License No
L u ? Sor` ?O
Medmg Atltlress (COnVacbr or Owner Making Installatmn)
rlWhonzed SignaWre IC n N r MaWng I lanatnn) Pponye NJumber
MINN STpTE BOARD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
Grlggs-Mitlway Bltlg - Room S4)3 0E ACGEPTED BY THE SiATE 00ARD
1821 Universiry Ave., St Paul. MN 551 UNLESS PROPER INSPECTION FEE IS
Phone(61Y)602-0800 ENCLOSED
REDUEST FOR ELECTRICAL INSPECTION
See insimclions Nr camplelmg Ihis form on back of yellow copy
46791 "X" 8e/ow Work Govered by This Request
ee-00001
os
Nlew? Atltl Rep Typeol8wlding ApphancesWired EqmpmeniWired
Home Range Temporary Service
Duplea Water Heater Electnc Hea4ng
Apt Bwlding Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
ONer (specdy) Comraclor marks'
Iyz/Jr/2 ./? O ?S ?i:3S?•+F /a?r
Compute Inspec6on Fee Belaw:
# Other Fee # SBrviceEntranCeSize Fee # CirCwls/Feetlers Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Transformers Above 200 _ Amps ve 700 _ Amps
Slgns Inspector9 Use Only?. TOTAL
IrrigaUOn Booms ??
C?J ??sD
Special Inspection _
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee S-V COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in Date
F,nei oa ?Y
?
OFFICE USE ONLY ,
This request voia 18 months fmm
"I i S / UI l 73
,j 46 1 $ /.S-
ReQUesl Da}}?? R
?? ? F-No'
-" Rough-in Inspecbon
Feqmretl?
? Reatly Now ?'"i'll Noety Inspecior
h
d
4
ft
? Ves o y
en
ea
? .p
I? icensed contractor ? owner hereby request inspection of above electrical work at.
Jobress (S t. Box or$OUte No I
/ Gry
l[/21y/
Seclion N. Towns e or No Range No Cou
Occu NT) i+. Phone No
Power Supplier Aaoress
Elecm nlrectar (COmpany Name)
L?v.d/f ?J ,rJrfKS O --- Cont tor5 L¢ense N.
x o ? 7
MaiLng AtlOress ICOntractor or ¢r Making Inslallation)
S c/
Autnonzeo Signatu•e IC or, ak, allalionl PM1One Numoer
MINN A STATE BOARO OF EL THIS INSPEGTION REOUEST WILL NOT
Grlqqs-MlEway Bltlg - Room S173 BE AGGEPTED BV THE STAiE BOARD
1821 University Ave., 5[ Paul, MN 5510 UNLESS PROPER INSPECTION FEE IS
ilwne (612) 663-p800 ENCLOSED
?Z- REQUEST FOR ELECTRICAL INSPECTION E&00001-08
J Q1 (? ? See iqsbmclion5 !ar completing ihis lorm on back ot yellow copy ;
'??.r s / U I W "x" BelowA Work Covered by This Request '????y? 101173
ew Adtl Fiep TypeofBwlding AppiiancesWued EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electnc Heating
Apt. Bwlding Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other(syecJy) ConMaclorS Remarks ,-2)
Compute Mspechon Fee 8elow:
# Other Fee # ServiceEntranceSae Fee # Circwts/Feetlers Fee
Swimming Pool 0 to 200 Amps 0
Transformers Ahove 200 _ Amps A i s
Signs lnspector's Use onty / TO7AL
Irrigahon Booms ?, Uv ?j
Speaal Inspecllon V
AIarMCOmmunication TMIS INSTALLATION MAY BE ORDE ?ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if Aouyn.n f oaia
cert
y that the above inspection has
been made F,,,ai oare ?
OFFICE USE ONLV
TM1is request voitl 18 monlM1S Imm
pr
- Tl /o y3-
? ? ?13/./
Requesl Date Rre No. flough-in Inspec0on
ReqwmC?
? Reatly N. ?JI NoLty Inspecror
R
d
'
? C Ves A. When
ea
y
I hcensed contractor ? owner hereby request inspection of above electrical work at:
JobM
,jiftess S?t Bor or oule No )
Cityc
/799•?. v f- G ?
Sectson N. Townshrp No Range o coullio-N
b
Occu (P NT) Ppo No
PowBr Supplipr Atltlress
ElecVk hactor (COmpany Name) ConirectoYS License No ?J
Maib g Atltlre ss (COnha or Owner Mabng Inst abo
SS' - ?/_?
Aulnonzetl Signalur o er ing ns ron) Pnone Nu Der
MI TA STATE B011HD OF ELECT THIS INSPECTION qEQUEST WILL NOT
Gtlggs-MiOway BIEg. - Room 5-1] BE AGGEPTED 8Y THE STATE BOARO
'921 Unlverefly Ave.. 51. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
`one(612)64]-060U ENCLOSEO
po/t.??- REQUEST FOR ELECTRICAL INSPECTION ee-oaooI-oe
dY"a /
? 4.6813 • See mstmctions for compleonq this torm on back oi yellow copY /O??' r/?
"X" Below Work Covered by This Request T
e dtld Rep. Typeot8uildmg AppliancesWired EqwpmentWVetl
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Bwlding Dryer Other(Specdy)
Comm./InduStrial Furnace
Farm Air Conditioner
qne. Isyearyl Convactor5 Remarks . y.s
Compute Inspection Fee Below: Z-Y.-7
# ' 01her Fee # ServiceEmrenceS¢e Fee # Crtcuks/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 p9
Transformers Above 200 _ Amps Above 700 _ Amps
SignS Inspecror5 Use Only TpTAL
Irrigation Booms p? ?'? ??, SC7
Special Inspechon
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
O[her Fee COMPLETED WRHIN 18 MONTHS.
I, Ihe Elechical Inspector, hereby Rouyn,o oare
certity that the above inspection has
been made. Final o 1 ?
QiJ
OFFICE USE ]NLY
This repuest voitl 18 monlhs Irom
47_1-4-54
? • •REQUEST FOR ELECTRICAL INSPECTION / g
Minnesota State Board of Elec[ricify
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 642-0800
y
Home Duplex Apl. Bldg. Other: New Addn
Commercial Industrial Form Remod Re air
Air Con . Htg. Equip. Woter Htr. Load Mgmt. Other:
Dryer , Range Elec. Heat Temp. Servite
"X" above fhe work covered b fhis request. Enfer remarks in this space and on the back oF e whiFe copy only.
?/J??/L/'f //'L CJg 12" /J'taroiF
.,0WdG1 tKl - /:9?'iOG- ?7?Y0.2?
Colcolate Inspecfion Fee - ihis Inspeclion Request will not be occepfed wifhout fhe comec/ fee:
Other Fec N Service Entrance Sizc Fee # Circvits/(eeders Fee
Mobile Home Park Stall 0 to 200 Amps ro 100 Amps Gb?
Sheet Llg./Traffic Sig. Above 200_Am s v _Amps
Tlansfofm¢r/Genemfof INSPECTON'S OSE ONLY ?.1 TOTAS,.
$ign/Oudine Lfg. Xfinr.
?,^`
v
50
Alarm/Remofe Conlrol ? ? j
$wimming Pool descnbed herein on ffie daks naied
I hereb cem ele?cvl??n (ollanon
Irrigofion Boom RooqM1ln Dote
Speciallnspecfion
Investigaiive F. Final Dak '
THIS INSTALLATION MAY BE ORDE ED DISCONNEC D IF COMPLETED WITHIN 1 MONTHS.
q 70 ?aso 0 3 g??G ??F7 E USE ONLY This requev void 18 monihs Fom wLdob???? ? x
filll lilll?ll IIIII III IIIIIII III I? IIIII ?%??
* 0 4 7 1 4 5 4 9* w? ?°? ?? ?? `/??/)-?
PLEASE PRINT OR TYPE
Request Da?e
S/y 9 Roogh in mspenion reqortedB ? Yes o
no? m?s? r?ll ihe ??spxror whe? reody? Inspeclian Olher Than RougMn ? Reody Now Will Call
Dote Reody.
I, "censed confmdor 0 owner hereby request inspeclion o( the above elechical work of:
Jab Address ISneaq Box, w Rwie N. I Ciy
I Lp Coda
Seciion No Township Nome ar N. Raige N. Fre No. Cw
ronver suppiie, naa,e,s
E Canrcacta (Company NaNme)?J Conhacbr Wense No. Maekr Lk N. (Plam Elect. Only)
Mailiyq Add?Conhacror Owrsr Performing InstallWion) '
/?
ANhonzed Signamre (Contmc! mlloean) Ph yN
E600061A7 T£796 - STI1T68[)YPU COPY - SEE INSTfiOCTION3 ON BACK OF YELLOW COPY
3 01 ? 83 2 ? OFFIC USE ONLY This requeg void 18 months fram .olidofion dak prinred in this bax
CTO
PLEASE-PRINT OR TYPE r$1
Requeet Dok
Rau,h.m inapenan required2 [] Yes [3 N.
Inxpectian Other Than Rough.ln C] Ready Now Q Will Call
I (Yau must call Ihe inspedor when ready) Date Ready
I, 9 licensed contrador ? owner hereby request inspedion oi the above eleciri<al work af
lob PAdress (Sheel, Box, or Roure No.)
(0 oPPE--R GN
.
a? `? pk Zip Code
-
Secnon No. Townahip Nama or No Range N. Firc N. Cou;U
a koiG
Occuponf `? /
W
' ?
? ? Phone No
257
I r
i k
PowerSuPPlIe, 'S/_
y naa
Elennml Connacio? Compony Name? / ,
?? v . f?oCe Cammnor hmnse No Masrer 4c N. (Plant EIM. Only)
MaiL?g /ddmss (Conhodo r Owner Performing Insbllanan)
st
?/O /
S a ?r e s
Aufhanzed Si9^a??re cw or O.mer Performlrg IIv6o Phane N.
- Da6
EB-OOOOlA10 6/95 STATEB DCOPY-SEEINSTItUCTON3 BACKOFYELLOWCOVV
II I II II I? I III I II II I 11 11111 ? II? 1'??I g21QUo ess'rty FOR Ave., Rm?. SRC BA?I PaulP, MN 55O 0' ????I
* 0 3 0 Y 8 3 2 2 s Phone (612) 642-0800 ?j/?j ? ?'?
Duplex Apt. Bidg. Othei: New Addn
Commemal Industriol farm Remod Re air
Air Cond. Htg. Equip. Water Hir. Load Mgmf. OlFier:
D er Ran e Tem . Service
"X,
-qbpver? w co ered by this quest Enfer rerks in fhis space and on lhe back of the whi? capy only.
-Lu s{-? 4'oY, °-?' j??V ?re s SAraedAe?r/ g i!-aoa Ycew
? G4??'dYl . 13lI ,'1??vV ( 1-f Sd ? 6
7- ??'o° 4.,.??,
Calculaie Inspectian Fee - 7his Inspecfion Request will no} 6e accepfed wifhout fhe a6/reTTee: I
Olher Fee # Service Enirance Size Fee # Circvifs/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Streef Lfg./Traffic $ig. Abave 200 Am s 00 Amps
Transfarmer/Genemtor INSGEC7oa'sUS Y TOT?A7L p ?
Sign/OutlineLig.Xfmr.
Alarm/Remofe Conhol
Swimming Pool
I hereb that I i e e ecmml inslallahon desrn6ed herein on Poe dalm ekkd
Irrigafion Boam Rough-In
/ Dnk
Special Inspetlion
Investigafive Fee F.?ol ?
THIS INSTALLATION MAY BE ORDER D TED IF NOT COMPLETED WITHIN 8 MO THS.
3 0?_ ? 8 3 4? OFtIC SE ONLY This reques? mid 18 monihs fmm validotion doh prim d in this 6ax.
?sq
nd
D
PLEASE PRINT OR TYPE i _60,
Reqvesf Dak Rough-m kupeclion reqmred2 ? Yes ? N. Inspecnon OtherThan RoeBh-In- 7] Rmdy Now 0 Will Call
' (Yaa must mll the inspetlor when ready) Daro Ready
I; L<ensed mntracror ? owner hereby request inspedion of ihe above eledricol work at:
lob Id (Street, Box, or ooh .) ?
Gl?` o 0 ? 6 Ciry
a o Zip Code
ss?a
Setlion No
• Tavmship Name or No. RanBe Na Fire No. Cowry
Ompanl Phane N.
Pdwer SvpPlier Addres
Eledn?co?l ha ?Compan N me)
,
c-!a? G? e Conrcarn Lcense N.
C? 0017 / Mamr Lc No (Plant Elect Only)
Mailinp Addresx (Conlmdor or
er Performmg Insmll 'ont / •?}? ?
f
aL)
??5 a he V e 5
Aulhanzed SignaNre (Conl or Owner Pedarming InslollnHO Phona No
Ee-00001A-10 6/95 STA OARDCOFV-SEEINSTRU IONSONBACKOFYEILOWCOPY
IIIIIII?II I II I III I IIII II? I? I?H M2? U??State ? ee REQ SRI ASt.'PauPl, MNT55104 ??
* 0 3 0 1 8 3 4 8 * Phone (612) 642-0800 ?j e?S7
Home Duplez Apt. Bidg. 'Otner: ' New Addn
ommercial Industrial Farcn Remod Re nir
Air Cond. Hig. Equip. Water Hh. Load Mgmt Other:
D er Ron e Elec. Heot Tem .$ervice
'k' obove }he work co ered by fhis re st. Enter remarks in this spoce nd on the back af rhe white copy only.
/00,?. ?? ( ?,4-y?ea 43 3 P?'ess7
i - a??v??1 976?a ?oo /
CalcGlafe Inspechon Fee - 7his Inspedion Request wdl nat be accepfed wdhout the wrrett /ee
Olher Fee # $ervice EMrance Size rcvils/ Feeders fqe
Mobile Home Park Stall 0 to 200 Amps 2 00 Amps
L ,6
Sfreet Lig./Traffic Sig. Above 200 Amps ? 100 Amps
Transformer/Generator INSPECTON'SUSEON T TAL
$ign/Outline L}g. Xfmr. ?
? (?'0• sz?
Alarm/Remote Control '
$Wimming Pool I hereb ceei ?hat I ins IIMM ectnwl insMllanon ducnbed hemin on the do*s sMled
Irrigofion Boom Rough-In Dare
$pecial Inspedion
Inves}igative
Fee inal
F Da
THIS INSTALLATION MAY BE ORDERE NECT IF COMPLETED WITHIN 1% MONTHS.
? 11/97
4 2°-4b2 F?
-PP/3SA5
v
REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board ot Electriciry
1821 Universiry Ave., Rm. S-128, St. Paul, MN 55704
Phone (612) 642-0800
Home Duplex A t. Bld . Other: New Addn
Commerciol
I
Indushial
Form
1
41 Remod
Re air
Air Cond. HI . Equip. Water Htr. Laad Mgmt. Other:
Dryer Range Elec. Heal Tem . Service
"X" ?a?b/o?ve fhe work covered by this request. Enter remarks in rhis space and on fhe back af fhe whiFe copy only.
/??/Z/'t ?/Z ?L6C.ytTIF?„J Z7K.?'!!"¢?rsO?
Cofculofe Inspecfion Fee - 7his Inspection Requesf will nof be accepfed withoul the correct fee:
Olher Fee p Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps ro 100 Amps p
Sheef Lfg./Troflic Sig. Above 200_Am s Amps
Tmns(ormer/Genemtor INSPECTOH'S USE ONLY OTAL
Sign/Oufline Lfg. Xfmr. /
Alarm/Remote Confrol ?
Swimming Pool 1?? CeM i?t? in?W?? cal m:al ` scribed hnein on thv doles sm1 d
Iffi8alion Boom RougMln Dab
Special I?spection
T ?f1VP?1 f p Fe?
HIS INSTALLATION M
AV HE O
Finol Dote ? .
ROERFA f1L _ NFCTFD . TEO WITHIN 1 MONTH _
OFFlCE USE ONLY This request void 18 monllis 6om validafian d^ore prinred in this box
II11II II 11III IIIII III III IIII IIIII Ill
1 VVw '" - l/" - (-'- // /' I
/
?
* 0 4 7 1 4 6 2 2 * /
,?
PLEASE PRINT OR TYPE ?'?'V
Rryu I 0 Raughm inxpeaion reqmredi ? Yes ? No InsperLOn O1hrr Than RoogMn. ? Ready Now ill Cvll
? nau musrcoil?he insp«rorwhen.eady) Dam Reody.
I, licensed controcror ? owner hereby requesi inspection of the above electrical work of:
Z9 Sncet, Bo?, or RaNe No )
Q
? ? Ciy
? Zip Code
S
S'/6
ir ri
???•? . ?G?fiv .
Secnon No Taxnehip Nome or N. 6ange Na Fre No. Couny
0 ?
Occ Poone
Power SuppGer Pddress
EI hocror ?Compony Name? Conhocror pcmu No Maaier Lc No. (Plum Efect Oniy)
L- c? CY N<7?f? ?
MoiL Addres: (Connod« « r Perfarming Insmlla?on?
S
??? K srio/
-
Avthorized Sgmture (C sk ot P-Nh/ore No.
EBOEDQfhI l 8P6 pRO COPV - SEE INSTRlICf10NS ON 9YLK OF YELLOW COW
&/?69 ;?'7
47? °4"07 ?
?7-4 W 470 G' Ds
REQUEST POR ELECTRICAL INSPECTION `5
Minnesota State Board of Eledricity
1821 Universiry Ave., Rm. S428, St. Paul, MN 55104 -
Phone (612) 642-0800 '
/ -
Hame x Apl. eld . Other: New Addn
Commercial hial Farm Remod Re air
Air Cond. Equip.
g Water Hh. Load Mgmt Ofher:
Dryer Range Elec. Heof Temp. Senice
"X" obo e fhe work covered by Ihis reque jnfer remarks in fhis space and on ihe back of the whife copy only.
/?'ST?L L C?rrJd c. - T-t-GC?//Z?
/l'?s0 i j'ZY'L i vys-/ <:2-- Z--
Calculate Inspecfion Fee - Tlris Inspeclion Requesf will not be accepted withoul /he correcl fee:
Other Pee # Service Entrance Size Fee A Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheef Lig./Tmffic Sig. A6ova 20Am s Abo Amps
Transformer/Generator INSPECTOR'S USE ONLY TOT{?j
Sign/Outline Lfg. Xlmr. O?
S
Alarm/Remofe Conhol ?
$wimming Pool
I hereb ceni Iha11 fn ied eleen ' nslallotian d¢scn6ed herefn on ihe dales srorod
?ff19OfiOn Boom RougMn Dore
Specialinspecfion
nvestigative Fee
Finnl Daie
THIS INSTALLATION MAY BE ORDERED DI NECTED IF OT CANWLETE
WITHIN 1 MO S.
! C •? RFPICE USE ONLY 1144 requert void 18 monihs hwn vaLdalan dale pnnted in this 6oz.
/
I II?IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII?/??f??.t?R4.¢T'u?l-(:? o2n? ?o75
?? 4 7 1 4 6 7 L? pLEASE PRINT OR TYPE ?O
kequa Dote
? S Rwghin inspochon reyoired? Yes ? N.
?Yo? must mll Il?e inspecM whm ready?
I
InspMton Oiher Ilvn RougMln ? Oeody Now ill Call
Dure Ready
I, licensed controctor ? owner hereby request inspecfion of ihe above elechical work at:
Job dress iShret, Box Rouk No ) Gy
_ 1S7,-.0ye .--> bp Code
sri?
Secom Na_ Township Nome or No. Rarge N. Fire No. Coenry
a a ?sT /D
Power Supplier pddress
Elan onnocror ICompony Na,? n?
LiJ'ur,? /?"/?iV/J'!/Lso Conhanor Limnae No
/ Musrer Lc. No. (Plant Elxl. Onlyi
Ma ress (CoAm « Owner Perfaming Insmll
? , ? ??T?L h J
AutLorized SigmNa (Con edormi rion) c
PMr, N. /
MVb FhT[ 6OAPU COPY - SEE INSiBIICTOt15 ON BACK OF YELLOW CAPY
s/r&/s 7
471-453
? •- REOUEST FOR ELECTRICAL INSPECTION / G
Minnesota State Board of Elec[ricity
1821 Universiry Ave., Rm. S-128, St. Paul, MN 55104 Phone (612) 642-0800
Home Duplex Apt. Bldg. Other: New Addn
Commerciol Industrial Form mo
Red Re air
Air Cond. Hf . Equi . Wafer Hfr. Load mf. Ofher.
Dryer Range Elec. Heat Tem . Service
"X" a?bov ?fhe work corered is requesf.,?`'te.,r remarks in Ihis ?s qce and on the back o whde copy only.
!iv//2/? /'? /?jl,•?? UG?'C2 .viP?vu£
Colculafe Inspeclion Fee - ihis Inspection Request will not be accepfed wilbout rhe correct fee:
Other Fee # Se iee ri Circuits/Feeders Fee
Mobile Home Park Sloll 0 1 0 m YOO 0 t0 100 Amps l
Sheef Ltg./TmHic Sig. Above 200_Am s ? O°Q
Tmnskrmer/Generalor INSVECroR's UsE OrvLv OTAI?
Sign/Oudine llg. Xfmr. ' (J ? ? •
Alorm/Remote Control ?
Swimming Pool I he?a6 cem ?hai i in: aM1On descnbed here?n on Ihe doies slated
Irrigation Boom eo?yMn oak
Speciallnspection
Invesligative Fee Final Dak? y
.?
THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF COMPLETED W?THIN t MONTHS.
vt 9? OL7y//O b Z J y !/&/^ -? FFICE USE ONLY This rqueesl void 18 months fmm mlidation dare prinled m ihis bos.
`
.?
I?IIIIINIIII?lllhll IIIIIIIIIIIIIIIIIIIIIIIIII????! ? ?-?? a ? $ ?° ?
0 4 7 L 4 5 3 1 * PLEASE PflINT OR TYPE
Requen
S? RaugMin inspechon required6 ? Yes Inspecnon qher Than RougMn. O Reody Now Will Coll
y 9 (You musr coll rha inspectar when reody) Dole Reody:
I, Acensed mnfraclor ? owner hereby request inspection of the above elecirical work ot
Job Ad re ?Shcet, Box, or Ro?re No )
/O 0000oP00{2lsr.V•u
faw Ci
N
c Ti Code
Sacoon M. iownship Name w N. Range N. Fire N.
Coun
a ni Phone o.
r., si,pohe. Address
Elechi Comractor (Company Name) ConvoCOr Lcense No. Master Ltc. No (Planl Elxt Onlyl
Mai ing Addreas (Comm r Owner Perlormiy InsM onj
?
?
.
R
.
Pudwrized SignaNre a ner Perini ing Inslolla PVwne N%??
7
tl/Y6 -afA-TE BOpq0 COPY - SEE INSiBOCTION4 ON BACK OF YELLOW CDPY
75s i;&
471-?472 U
4t lA/R 7n. S'o V
REUUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Elec[nciry
1821 University Ave, Rm. 5-128, St. Paul, 55104
Phone (612) 642-0800 Q16
Home Duplex Apt. Bld . Other: New Addn
Commercial Industrial Form Remod Re air
Air Cond. Htg. Equi . Warer Htr. Load Mgmt Olher:
Dryer Ran e Elec. Heol Tem .$ervice
°X" abore /he work covered b this request. Enfer re orks in Ihis spoce and on the back of tlre w i copy only.
??
?/r
Calculale Inspeclion Fee - This Inspecfion Request wilf not be accepted wif6out the mnecl ke:
Other Fee # $ervice Entrance Size Fee # Circuits/Peeders Fee
Mobile Home Park Stall 0 to 200 Amps Amps/-49/
Sfreet ltg./Tmffic Sig. Above 200_A ,bove 100-Amps
Transformer/Generafor INSPECTOP'S USE ON TOTAL
Sign/Oudine Ltg. XFmr. n ???•
Alarm/Remofe Control ?
Swimming Pool Cl
I her lhu m e ?<al,i smllanon descnbed hemin on ihe dares smkd
Irrigaiion Boom Ro?eMn? oaie
Spxial Inspeclion ?
Investigalive Fee Fi,yt Oa
THIS INSTALLATION MAY BE O ED ISCO ECTED COMPLETED WITHIN 78 MONTHS.
QFFICE USE ONLY This reqoesf voqid 18 momhs from? idolian dq('le prin ?in fhis boz
/ l /O. ?, ?1 )nA U?Xr r •n no
. . ? ?
(IIIII III? II I I II III II II I III II III II III II
I I III
A
I ?? _/_ ? PLEASE PRINT OR TVPE
0 4 7 1 4 7 2 1
Raqvestyaie
L/ 9
I RagMn inspecnon reqw?ed2 es ? No
Y
ll
I Inspection Oiher Thon RoogMn ? Ready Now Will Call
(
oo musi w
?
re inspecior when rcadyj Dare Ready.
I, 'censed contmctor ? owner hereby request inspecBon of the above electrical work ot:
Job dress (Srcee?, B or Rou?e No )
?
? Ciy Zip Code
O
'0
Secnon No iownship Name or N. Range N. Fne No Caunty
'OOL
Occu Phan
Power Suppieer Address
Elec Conimnor ICompany Name? Cam
rod
or li
cense N. Mosiar k. N. (PIo0 Ekcl Onlyj
jof0 ???
ppp
A
NwiL?g Ad ress fConhoc rPerbrming Insmllabon)
S
400%1e-
Aal4ionzed Signanirc (Con ner Pe n?g Inslal ' %wne N.
tNOtH1U TA-I j/J96 -4pM BOppD COPY - SEE INSTHIICIIONS ON BACK OF YELLOW COPY
p
??O rr? r
01
?
?
9
b.111 /?2/7/
Req est Data
9 ? Fire o Rough-In InspeMian Reqmred
(VOU us all inspecror when reatly) Inspec?ion Olher Than ough-In
? Ready Now WAI Nottly Inspector
Ves ?NO OaleFeaa
IAicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atl ress} Sfrset Box or Roule No )
? Qly
Zj?2 i¢G.9N
Secnon No. Township Name orNO qange No Count
.? o 72V
Oc nt RINT) f/J yy??
Ph/
Power SuppOer Atltlress
Ele Contractar (Campany Name) C/oyna-?y /s License No
Meilmg atlGress (GOnireot r pWner Making InsCallatwn)
„?
Authonze0 Signawre (CO r Making tallation Phone Nur?b /
MKF ES STATE BOARD OF E TNICITY THIS INSPECTION REQUEST WILL NOT
Gdggs-MlCway Bldg - Room S-1 8 I I I I I? BE ACCEPTED 8Y THE STATE BOARD
1821 Universlly Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
WOBnnn lfi 1 642- n FNCI (1RFf1
12 OB?
/.' ? 3C)'?37G7 REQUEST FOR ELECTRICAL INSPECTION Ee-oooo?o
? 10, See mslmaions lor completin9 mis brm on back of yellow copy
X.
"X" Be/ow lNork Covered by This Request
Ne Add Rep. Type of Bwlding Appliances Wired Equipment Wired •
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm Andustnal Furnace Other (Specd )
Farm Air Condrtioner -
Oiher (spemfy) Convaclor's Remarks/V
T
Compute Inspection Fee Below: i2
# Other Fee N Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 00 Amps 3 ?
Transformers Above 200 Amps 100 _Amps
Si ns t
Inspecror's Use Only TOTAL
Irrigation eooms 3? 33 .
S ecial Inspection
Alarm/Communication TfiIS INSTALLATION MAY BE RED DISCONNECTED IF NOT
Olher Fee OMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ' Date
certrfy that the a6ove inspection has
been made. F??ai oace
OFFICE USE ONLY / 2 ?M
TM1is request voitl 18 monihs irom ` Jvw
o- o-
75 ?
?
6
s
7 ?/ ??
? 13ooa
9
Requ¢st D e Fre N Roughln Inspeclion Reqwretl Inspedlon Other Than Rough-In
(VOU must call inspeclor when ready)
? ? Reatly Now WJI NotAy InspBC?or
C] 4es ?
No Date Reatly
I)d,licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Atltlress (Stree6 Box or Roula No I Gty
/b ?
SBttion No. Towns ip Name or No Range No Coun
Occupant(PFINT) Phone No
- OOO
Pow upplier Atltlress
. ?
Elecincal Con[reclor (Company Name) Conis License No.
GAO
Maibng Address (Cantiactor or Owner MaWng Installation)
VC O/
Aulhonzed SignaWre (Con[rac wner Making Installetton) Phone Number
+
C 7C rl oO 0
RY
B IC t
o
G
1
M
v
S
g
1 1111 11 I I I I II III I I I III BO
RD
i D
B2
U
Ve sity q
e,St
Pau
MN
55104 I PER INSPECTION
UNlES
P
E
S
Phone 16121 BA2-0800 . O
E
REQUEST FOR ELECTRICAL INSPECTION awv', ,'q`? '. E&00/001-09
10. See instmqions iw com0leting tNS torm on back ol yellow copy
"X" Below Work Coi(ered by This Request
Ne Add Rep. Type of Building ,itpiiai'iceS Wiretl Equipment Wired
Home Range- Temporary Service
Duplex Water Heaier Electric Heating
Apt. 8uilding Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Contlitioner
Other (specfy) GonVacmr's Remark3? p. 3 ?• ? ?
?CIV
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A6ove 100 -Amps
SIgf1S Inspecmr's use Oniy TOTAL
Irrigation Booms V6/ O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE I5CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO T .
I, the Electrical Inspector, hereby
ti
th
th
b
i Rough-in oate
cer
ty
at
e a
ove
nspection has
been made. Final ? o e
_? _
OFFICE USE ONLY
This request voitl 18 manihs from
(?
8 REDUEST FOR ELECTHICAL INSPECTION
?
$ea instrucNrons br completing ihts lorm on back af yallow copy ee•onoo?o.,i.-os
?????
c/ ,
X" Below W6rk Coversd by This Request
?'"?•???
Ne Add Rep. Type of 8uilding Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt Building Dryer Load Mana ement
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olher (specity) Conlrect
?
Campufe Inspeclian Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am
Transformers A6ove 200_Amps e 100 -Am s
$i nS Inspectors use OnlyTOTAL
Irrigation 8ooms ? 2 .33, .S
Special Ins cNOn ?
Alarm/Communication THIS INSTALLATION MAY E OERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18
I, the Electriral Inspector, hereby
cenify that the above inspection has
been made. Rough-in
; oaief? ? ?
OFFICE USE ONLY
ThIS request voitl 18 months from • -
J
CX -7-97Y
0 0 0 6 89/i /?l .d? • ?. ?`'? ? 3 ,
Request Date Fire No Rough-ln Inspectlon Reqmretl
(Yau mu call inspaclory?en reatly) In ealon Otner Than ugh-ln
a Reetly Now WIII Notity Inspeclor
?
Ves U Na Data ReeE
?
I licensad contractor ? owner hereby request inspection ot abova electrical work at:
Jab tlOress (Street, Box or Route No.)
/O O
Q Qty
t
?
?g . v ?
2t vri ls
G?4N
Secbon No Township Nama or No. Renga No C
ou
Oc m RINT) /?
7 ? Ph a ?No
? OO O
S7/ V r3 z /S/f/K L?. ?i? (s?
Po ppber /? ? Adtlress
Elec Mrecior (COmpany Name) ConV?ac;gr's LicenSB No.
Mallln Atltlress (Con[reclor o ner Meking Installahon)
-S
Puthoraetl SigneNre ( ontract r ing Instellellon) Phona Numper
MIN BOARD OF ELECTPICITY TMIS INSPECTION REQUEST WILL NOT
GtlggaMitlway BIEg. - Foom 5128 BE ACCEPTED BY THE STATE BOARD
1827 Unlversity Ave., 5[. Peul, MN 5310i UNLESS PROPER INSPECTION FEE IS
Phona (612) 6CI-0800 ENCLOSED.
/
7/a1-719A)e ;?2 9
b 114 9 3z Gc?.,,a,t
Request Date
9
? ? ' Fre No • Rough-In InpsecLOn ReQwreE
ryou must wll inspect r hen reatly) Inspection OtM1ar Tb n ougn-In
? Reatly Now ?Will Not?fy InepMOr
? ?
/ ? Yes No Dale Ready
I hcensed contractor D owner hereby request inspection of above electrical work at
Jab Ptleress (Street Box or Route No )
41O O ??- •d,¢i?rc Qry
? G?N
Setlmn No Towns N e or No Range No Coyu ?
Occ t RINTI
-
A
(!2 POO Na.
?7 Urro
r
l 41...V1..ii
la
Power Suppher qpOress
Ele onVactor IGOnpany Name)
L v ti+J/t2so•v Co V br5license No
?f?
MaNng Atltlress ?Conhacto r Owner Making Install )
AWM1OnzeO Sgnamre wner Maki g nsia i PhonvNUmb=
MINNESpTA STATE BOAFD IECTRICITY THIS INSPECTION FEOUEST WILL NOT
Griggs-MlOwey BIOg. - m 5.1)3 BE ACCEPTED BY THE STATE BOARD
1821 UNVerslty Ave, 5 Paul. MN 55104 UNLESS PROPER MSPECTION FEE IS
Phone (612) 662-0900 ENCLOSED
ry?? (? REQUEST FOR ELECTRICAL INSPECTION
//`^ ? See mslmpions lor compleLng thrs brm on Oeck ol yallow copy
1493 "X" Belpw lNork Cavered by This Request
BMc?? ?E
$•?,oy
e Add Rep. T ApplianceSWired EqmpmentWired
nge Temporary Service
ter Heater Electric Heating
er Load Management
mace Other (Specify)
Conditioner
Other (sVeaM Comrapors Remar s-hw - /?/?'?
/.? ?i?J
Compute lnspecban Fee BelowC/2._ ?l AJ?yer-/j/t
N Ofher Pee # ServiceEnirance9ze Fea # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ro 100 Amp
Transformers Above 200 _ Amps Ab
•
Signs Inspenor5 Use only TOTAL
Irrigahon Booms ?^
Special Inspection ?
f?{ ?
AlarmiCOmmunication THIS INSTALLATION MAY B ED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
it
h ROUgn-in oete
y t
at the above inspection has
cert
been made F,nai oa?a
OFFIGE USE ONLY
This requesl roitl t8 monNS trom
REQUEST FOR ELECTRICAL INSPECTION
11488 ? Sae msnucimns Nr compleling this brtn on Oack o1 yellow copy
X' Below VYork Covered by This Request
ys
aM??ds'?
? n 6
ew A? TypeolBwltlmg ApphancesWueO EqUipmenlWired
Home Range Temporary Service
Ouplex Water Heater Electric HeaNng
Apf. Buiidmg Dryer Load Management
Comm /Industrial Fumace Other (Specify)
Farm Air Conddioner
0[her(syecdy) Coniractor5 Remar
c?/c i•. v ?tl
Compute InspecGOn Fee Below: V
# Other Fee # Service Entranc rze Fee # Cvcuits/Feeders Fee
Swimmmg Pool O to 200 Amps 0 Am jp
Transtorm Above 200 _ Amps A
Signs Inspecmr§ Use Only TOTAL
Irrigahon Booms L!O V ?T D
Speclal Inspecuon ?
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee -SIO COMPLETED WITHI MO HS.
I, the Electncal Inspector, hereby
rti
th
t th
b Rough-in oare
ty
ce
a
e a
ove inspection has
been made.
F'"ai
oa?e
OFFICE USE ONLV `
This request voitl 18 momhs imm
C3?148"8,ZI
?
RequBS? Dal
? Fire N. Rough?ln Inpsec[ro? Reqwmtl
(YOU mustcail ?rnpe r en reatly? Inspedion Ol?er t?an gM1-In
? peetly Now II Notity InsOe[[ar
? Yes No Date Featly
I licensed contractor D owner hereby request inspection of above electrical work at:
Job A ess SVeet Box ar te No )
?n Cny
SecLOn N. Townsnip me a qenge No Cou
??Kc? r?
OccuO ? P T)
OwBr SuppbEr Atltlre55
Bectn Irador ICOmpany Name) Contracmr's license No
Cvi? v-vI J
L r.?r? i...wfrtr•?-?-?
MmLn Atltl.ess (ConVacior o ner Making InstallaLOn)
.?
Aulhorrzed SignaWre I onlra Ilalion) Ppone
a?
MINNESOTA TATE BOAPVIOF ELEC TY THIS INSPECTION REOOEST WILL NOT
Grlggs-MiCway 61dg - Room 5- BE ACCEPTED BV THE STATE BOAFD
1821 Umversity Ave., SL Pa 5510G UNLESS PPOPER INSPECTION FEE IS
Vhona(81R) 6a2-0B00 ENCLOSED
11? S' REQUEST FOR ELECTRICAL INSPECTION
b ??+ , See inslmqions kr crom0leling Nis lorm on back oi yellow cupy
X" Below Work Covered by This Request
Ea.00001-0e
??.?'''3' ca?8907
ew IJd qep,' TypeofBuilding AppliancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elechic Hea6ng
Apt. Bwldmg Dryer Load Management
Comm /Industrial Fumace Other (Specify)
Farm Air Condihoner
Olner (syecry) Contracror5 Remerks. (? G•G?G,,,?? GNL ??
Compute Inspection Fee Below:
# Dther Fee # ServiceEnirance9ze Fae # Circmts/Feaders . Fee
Swimmm Pool 0 to 200 Amps 01
Transf s ? Above 200 _ Amps
J - ?
SI Jn5 Inspxtor's U. Only 7QTAL
Irrigation Booms
0C? ?
Speaal Inspection
Alarm/Communicauon THIS INSTALLATION MAY D DISCONNECTED IF PJOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electncal Inspector, hereby
h
ti R.°ugn-in oaw
ty t
cer
at the above inspection bas
been made. F??ai a? ? G
?
OFFICE USE ONLY
This request wi0 18 manlhs imm
7s?? a?s0 o
11 7 8 / A jej. ,u.?: ? 7 ?
Re0uesl Dat
O
3? Fre No. RougTln Inpsettwn ReqwreE
(YOU must ceil inspe wnen reatly) InsOe?M1On Other T? n ug?-In
? peady Now WAI Noliy mspector
/ ? Ves No Detefieedy
I licensed contractor ? owner hereby request inspection of above electrical work aC
JabAtl ess (Sheet Bor or Poute No )
n O
.-crry??- /,?il/•.•?c Qry
? c..?N
SacLOn No Townshi am r No. Range No Cau
/?Cv r7?
Occu P T)
i?sr Pnone No.
Power SupOlier AOtlreu
Elecm nlraclo? ICOmpany Name? N// ?/ CoN?/ac_? 4cense No ?J
?
` ???? / - ' n ? ?
`I
Mailin Atlra lor o,Oy?pe?aking Installalion)
?
Aulnorizee Signai om nOw g n? Pno99 Numb
MINNESOTA STATE BOARO OF ELEC 0011Y- THIS INSPECTION REOUEST WILL NOT
Griggs-MlCwey Bltlg. - Foom 5-1 BE ACCEPTED 8V THE STATE BOARD
1811 Univernity Ave. 51 PauL 5510C UNLESS PROPEfi INSPECTION FEE IS
Plrone (612) 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
W11482 • Sea in5lrvCiwns 1or compleLng Ihis brm on back oi yellow copy
"7C" Below Work Covered by This Request
?Ej&c00001?-08
7
ew AQA Re0 ? Typeo/Bwlding ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eledric Heatinq
Apt. Bwldmg Dryer Load Management
Comm /Industrial Furnace Other (Specity)
Farm Air Conditioner
Other (sVecityl
Q GI i?.?i
?
Compute Mspechon Fee 8elow:
# Other Pee # ServiceEntrance5¢e Fee # Circuits/Feeders Fee
Swimminq Poai O ta 200 Amps ro
Transformers Above 200 _ Amps Above 100 _ Amps
Sigf1S Inspecror5 Use Only I
7
TQ
Irrigahon Booms G%?') I I
L
Speciallnspection ti
Alarm/Communication THIS INSTALLATION MAY B ?D DISCONNECTED IF NOT
Other Fee COMPLETED WITHI B MO
I, the Electrical Inspector, hereby
i
h Rough-in oete
cert
ty t
at the above inspection has
been made Fnai o
?-/ - -
OFFICE USE ONLY ?
Thrs repuest void 18 monlM1S Iram
7/?-Is' ???o 7
?3114 2 °°
Repuey Oet
/ 7 4
??
? Fire No Rough-ln InW?bd Repmretl
(Vou muslcallinspB or enreaGy) InspecLOn OMer T? n uqM1-In
NOw Will NohHy InspMOr
Read,
?
?
l ? Ves No p
ate R
eatly
I fXlicensed contractor O owner hereby request inspection of a6ove electrical work at:
T?
JJob Atlf ress (Sireet 9a oute No ) ?7
Ly O /L/??
Z ciry/-++
Section No To
wnsM1 Na or No Range No Co
Occu IP I Phon No.
owerSuppLer Atloress
Eiecn ontracfor iGOmpany Name; Convacror's Lmense No.
L c..G7/t !»/IKSc•1 C.° 00/ ?f
Man?n Aoaress ?Comracmo ner Maun9lnstanalioni ?
Aulnonzetl S?gnalure IG ner Making Insta alion PM1One N /yer
?J/^r
MINNES STATE BORfiD OF EL ILITY TNIS INSPECTION REQUEST WILL NOT
Grig9s-MiEway Bldg - Poom 3 BE ACCEPTED BV THE STRTE BOARD
tBYt Umversiry Ave, St Pa N 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)6CY-0800 ENCLOSEO
: ?.: ..'?. ..
' '\\.?r' `'• .. "? ? ' .
. .
.
`
? . . .
. . . . .
. . , _.
.
?
%
..? i :. _? • . , . a
Mnrsh & McLcnnan, Incorpora[cd
3600 Norwes[ Cenrer
?. '?•-
Minneapolis, Minnesorn 554W-3932
Tel 612 371 8022 Fax 6l2 371 800I
?'i:?
'? .
/mrmef: Nkh?rdA.Ande?sn?k'maschmctom . +..
?_?S: •
? X40lMevsagmh:
/g=RithnrcUr-A/v=Andersnr?p=Murehmda=hlCUt=US
Richard A. Anderson
? Aatiistanl Vice President
• ,' `•, .'"`
! Maitsri &
' .
;?'t ?? `•• ?
w'? .- Mcl F:`n?AN
?
,-
, • c
. .
`' ' y
. . ;c?': . -- - - ---- - •.- --- - --
? REQUEST FOR ELECTRICAL INSPECTION ?
; ` ? esaooatva
? 114 7 4 See i^simcbons br completing this brm on back at yellow copy.
?&6 a?
"X"$e/ow Work Covered by This Request 0:.-. a
ew Adtl Rep. Typeofemldmg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt Building Dryer Load Manegemenl
Comm /Indusirial Furnace Other (Specify)
Farm Air Condi6oner
Other (syecify) Conhaclor's Re '
ir
i- t ?G
Compute Inspection Fee Below.
# Other Fee # ServweEntrenceSae Fee # Circuits/Feeders 4419
Swimming Pool 0 t0 200 Amps t mpg-svV
Transtormers Above 200 _ Amps /-? Above 100 _ Amps
Si90S Inspector5 Use Only.
- 7Q7 L
Irngahon Booms ??
Special Inspecuon ?
?
Alarm/CommunicaUOn THIS INSTALlATION MA ERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. t
I, the Electrical Inspector, hereby
if
h Ri ?
• oeie `?.?
cert
y t
at the above inspection has
been made. F,,,ai
' oeie?
( 7 j-r(
OFFICE USE'JNLV S
This requesl voitl 1B montM1S irom '
alzy 5 ?f' ;`!3 s-
C? 114 7 n; aIP413
Repuest 3te Frze No Fough-In Inpseclion FeQwratl InspecM1On OMer Tha ough-ln
?
I
(YOU m cali ?ns0eaor wnen reaEy)
? qyady Now WJI No?ify Inspectar
Y. ? ,Na pate Ready
I licensed Coniractor ? owner hereby request inspection of above electrical work at:
JoD AO ess ?Slrael eox or Route No )
D O ?/7
? ?? IJI c ? City
Seclion No Townshi a r No qange No Count
bT??
2
Oc n? RINT) -
phone
4 ?/.f/,?????.
Z Ua?
PowerSupplier Atlarass
Ele Conirector (Company Nemel Con rs License N.
rt sor- ?`
9 A dress(COnIr lor or Ownar Makinq Instal uwn)
Meilr ei?
AuIDOrizeG Signature ?COn ner s?alletion Phone Numbar
MINNESOTA`SfATE BOAflD OF ELE ITV TMIS INSPECTION REOUEST WILL NOT
Grigga-Mldwey Bltlg. - ROOm SBE ACCEPTED 8V THE STATE BOARD
1821 UnWersily Ave, SI. Paul. MN 55100 UNLESS PROPEP WSPECTION FEE IS
PMne (612) 662-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION "'?"N E9-00001-08
? See instrvctions lor mmpleeng Ihis torm on back o1 yellow copy y?^??'
q ,y?C fy??
'X` 8elow Work CoDered by This Request '?--
ew Atld Rep. 7ypeolBu?ldmg AppliancesWUed EquipmeniWired
Home Ran9e Temporary Service
Duplex Watar Heater Electric Heating
Apt. Buildm9 Dryer Load Management
Comm /Industnal Furnace Olher (SpeciTy)
Farm Air Contlrtioner
Omer(sueciryl Contraaors
Compule /nspechon Fee Below:
# Olher Fee # SarwceENranceS¢e fee # Grc '/Feeders Fee
Swimming Pool 0 to 200 Amps o 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
S19n5 Inspecror5 Use ONy. TOTAL
Irnganon Booms J
71< r?
L y(? SU
Special Inspection 1
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITIiIN 18 MONTHS.
I, the Electncal Inspector, hereby
tif
th
t ih
b
i Rough-in oe?e
cer
y
a
e a
ove
nspection has
been made. F,nai oa+e ?7 /7 ?
/ ^r? r
OFFICE USE ?NLY
TM1is request mitl 18 manths tmm
a?
? 11475 ? a?43
Request 0a
?? Fire No Rough.In InpsecLOn Repwred
(VOU mus? wll ms0ect r en reaEy)
? Yea No Inspection OtM1ar Tn n ugn-In
? qea0y Now Will Nolity Inspecror
Dete ReaEy.
I icensed coniractor ? owner hereby request inspection of a6ove electrical work at:
Job AdEress (SVeet Box ar Faute No.)
O d ?•..- n?? City
Section No 1owns0i0 Name or No- Ranga No. Couniy
Oc RINT)
?vr3 cali? ? Phone No
- ovUaz?
Power Supplier Atltlress
Elegypy Conhaclor ?COmOany Namel -
(/ N/1
??'? CqnVatlws License No
Mailin Atldress ICOnhaclor ar wner Making Installahon") ( r
?? { ?' ? ?7vL' i1 JJ ?
ANhonzea Signature IC er iaVat Phone umber
MINNESOTA STRTE BOAFp OF CTRIQTY THIS INSPECTION fiEQUEST WILL NOT
Griggs-MiGway BIEg - Ro S-113 BE ACCEPTED BY THE STATE 90ARD
1821 Unlversrty Ave.. 51. Paul. MN 55100 UNLESS PROPEF INSPEGTION FEE IS
Phane(61Y)6dR-0800 ENClOSED.
REOUEST FOR ELECTRICAL INSPECTION
11467 • See instmcLOns lor compleVng this form on back ol yellow copy
? `X" Be/ow Wark CoVered by This Request
ee.00001-0e
c?7'G.S-7
'?.,m..
e Atld ep Typeol6wlding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Hea[er Eledric HBeting
Apt Bwldmg Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Av Condihoner
I Olher Isyecityl ConVact R rFS'Z?
?
Compufe Mspechon Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circu?s/Feetlers Fee
Swtmmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo Amps
Si9ns Inspectors Use Only 7p7pL
Irngation Booms 6-p
Special Inspection
AiarmlCommunication THIS INSTALLATION MAY BE RnP D DISCONNECTED IF NOT
Other Fee ? OMPLETED WITFIIN 18 MONTHS.
I, the Electrical Inspector, hereby
cartity that the above inspection has
been made RougRm ?
Fmai
, oa'a
oai p
Z
OFFICE USE ONLY
Tnis request voi0 18 monihs Imm
? ?11// y ?'/
C? 14 7 L
qequesl pale
?
? Fire No Rougn-in inpsenwn ReqwreC
?YOU must call inspectar hen ready)
? Ves No Ir?pecMn Olher TM1a2Boug?-In
0 peaay Naw g Wnl Nanly Inspedor
Oa[e Ready
I licensetl coniractor p owner hereby request inspection of above eleCtrical work et:
Job ess IS rBet Box or Route No )
?O Qly
Seclron No Townsniv Nam r Range No Cou/nry, ,A (I? ?/
Occu I(P NT) Phon No
ower Supplier Atltlress
Eiec Vaclor (COmpany Name)
L V,eJ/L /?d'?vCr?ow C. vaclors L¢ense No.
C 00/j;V
7Mammf `Aearess icomreaor or ner Makmg Installauon)
/ J S- ?h
Authorizee Si?er Nin InslallaI) Phone Nu e??-r??
MINNESOaYSiNTE 90AR0 OF EL IT
dfik THIS INSPEGTION REOUEST WILL NOT
Grigge-MlEway BIEg. - Faam S17BE ACCEPTED BV THE STATE BOARD
51 Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS
ENCLOSED
malo?
REQUEST FOR ELECTRICAL INSPECTION
/? ? See mstmMions lor pompleting ihis lorm on back ol yellow copy
1_6 8 +. X" Below Work Co'vered by This Request
"t, E&OW01.08
?' 0?70.s7
ew Adtl I qe Typeof6mltling ApphancesWiretl EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwldmg Dryer Load Management
CommJlndustnal Fumace Other (SpeCify)
Farm Air Conditioner
Other (sVentyl ConVadorS Remark.,Iiir `? ??/t??
Compute fnspection Fee Below: L„t //"
# Olher Fee ServiceEntrenceSae Fee # GircurtslFeeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A Amps
Signs InsOecm.§ Use Only. TOTAL
Irrigation Booms
Speaal Inspection ? ?
Alarm/Communicatwn THIS INSTALLATION MA BE ORDERED ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18
I, ihe Elecincal Inspector, hereby Rough-in Date
certrfy that the above inspection has
been made. Finai oate/_
?q
OFFICE USE ONLY
Tnis request vmQ 18 manIDS irom
?/rs?/s as -"-
0 11 68 ;'? p9°°
RQOUesZD te ? Fire No Roughln Inpsect?on RepwreA
(Vou must call inspeclor hen reaEy) Inspettion Otner Than ough?ln
? peaay Now WJI Notiy Inspector
? Yes No Date ReaC
I licensed contractor p owner hereby request mspectwn of above electrical work at:
Job Atly?ess (Slreet Box or oute No ) Qly
Sec4on No Township m rNO Range No Count
.?/
Occu R T' Phone
o
01
Power $upPlier AtlOress
Elgch omraclor ICompany Namel Contractor§ License No
Metlm Address IContrac?or o Owner Making InstallaUOn)
ss- ~
Aulnorrzetl SignaWr Wng In ta ati Phone bar
MINNESOTA STATE BOARD OF PIQTV THIS INSPECTION REOUEST WILL NOT
Gnggs-MiAwey Bltlg. - Poo -t]3 8E AGGEPTED BY TME $iATE BOARD
IB21 University Ave., St. P. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone (612) 6CM800 ENCLOSED
(P?ciC/?tL REQUEST FOR ELECTRICAL INSPECTION
/ ? See insimcbons for compleLng fi¢ form on back of yellow copy
N11466 - -'X° Below Work Co'vered by This Request
?.°-'•".`'? esaoaoiua
? ?
?..
e Rtl6 Aap. 7ypeofBwiding ApphancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load ManagemeM
Comm /Industrial FumaCe Othef (SpBCify)
Farm Air Condi[ioner
OUer (syeary) ConVactors Rem
l.G? ?.?lJT?/
Compute Inspection Fee Below: ?
# Other Pee # ServiceEmranceSize Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps l0 7 nj 40
Transformers Above 200 _ Amps .
' Above 100 _ Amps
Signs inspecrors Use oniy TOTAL
IrrigationBOOms 2?'?? 3Q? S
Speaallnspecnon l ,
Alarm/Communication TNIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee OMPLETED WITFiIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-m
f
Finai
? oate
e
-
OFFICE USE ONLV
Tnis repuest witl 18 monihs trom
? ?? § ? a74,w?
?
G?1 4 6
a
ReQues? Dela
G ?? Fre Na Hough-In InpsMion RepwreC
(VOU must
I spacto
r wh?
n reBEy) Inspetlwn Other Thaaaen RougM1-In
Ready Now???? WAI Notlly InspeCtOr
D
?
?
? e
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job A dress (Sbeet Box Roule No I Pry
r
n V -- Wz ,?
SecUOn No. Town PjaAe or No Range No County
Occu (P NT) ?J Phon No
?7 CTtJ?
,L/?<- L-o c
Power Suppber ptldress
Elecl ConVactor COmpany Namaj
? v 2 AV Contrector5 4cense No
Mailinq Ad?ress IGOnvactor wne, M?akmg/ gInstallation
3^• I % i ?
AuIDOnzetlSignaWre o tallaLO Phone umb?
MINNE90iP STATE BOARD OF ICITY THIS INSPEGTION REOUEST WILL NOT
Grigps-MiEway BIEg. - floom 3 BE ACCEPTEC) BV THE $TATE BOARD
1821 Ilniveniry Ave. 51. Paul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION
1? $ee msimctrons for completing this larm on pack of yellow copy
W114 6 4 , ^X" Below Work Co'vered by This Request
h; E1l-00?001-08
/
2 ° T
ew Add Rep TypeofBuilding AppliancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtric Heating
Apt Bmiding Dryer Load Management
Comm./Intlustnal Furnace Other (Specily)
Farm Av Condifloner
Olher(speciiy) Conttaclor's Remarks /71^ L r-7
` -( •
Compufe Inspection Fee Below/!'
# Oiher Fee # ServiceEntrance5rze Fee # Circmts/Peeders Fee
Swimming Pool 0 to 200 Amps a ioo Amps
TranSformers Above 200 _ Amps Above 100 _ Amps
Signs inspector's Use Only TOTA/
Irrigalion Booms p i f? v. S?
Special Inspection L
Ala rm/Communication -TiHIS INSTALLATION MAY B RED DISCONNECTED IF NOT
M
Other Fee
WITHIN 18 MONTHS.
ItOMPLE
I, the Elecincal lospector, hereby
tif
th
t th
i
b
h Rou9n-ni oaie
y
a
e a
ove inspect
cer
on
as
been made. F,nai oaia
y-
OFFICE USE aNLY
This request voitl 18 monlM1S irom
RepuesG,e ? Fire No Roughdn Inpsettmn ReqWretl
(VOU must cell mspector hen reatly)
/ Ins eqion OIM1er Than R 9h.11
? qeady Now II NoOfy InsOectar
? Ves No pate Reatly
I licensed contractor p owner hereby request inspection of above electncal work at:
JoD Atlyress (Sireet. Box or oute No ) Qry
Secoon No Townsni a or No Renge No Coun
OccuO PRI T, ? Plpne,Np ? 'A?
Power Supolier Atltlrass
Elec onhacto? ICompa ny Name? Con Lice se No
L c? ftrl-So•?..
Maili qad:ess IGOnVactor or ner Making InstaIlano"
Amnonzetl Signaiore IConV Ilation? Phone rnbel/.?
MINNESOTA STqTE BOAPD OF E ICITY THIS INSPECTION REQUEST WILL NOT
Crigga-Midwey Bltlg. - Room SOT73 BE ACCEPTED BY THE STATE BOARD
1821 Unrversty Ave.. SI. Vaul. MN 551p0 UNLE55 PROPER INSPECTION FEE IS
Vlwne (612) 642-0800 ENCLOSEO
s C/REQUEST FOR ELECTRICAL INSPECTION
?o .?
N11458 lee instro(yons lor compieting this form on back ol yellow copy
„X" Be/ow Work Covered by This Request
ew Add R^p Typeol8udding App6ancesWired EquipmBntWired
Home Range Temporary Service
Duplez water Heater Eledric Heating
Apt Butltling Dryer Load Management
Comm /lndustrrel Furnace Other (Specify)
Farm Av Conditioner
Olher ?speciry) Conhactor5 ar s??L ? wl?? r1
y ?L ?>''
Compute Inspechon Fee Below. ? ?? K-?4.Ve?-
M Other Fee t/ SerwceEnirance5rze Fee # Circwt5/Feedere Fee
Swimming Pool 0 to 200 Amps t ?j[>
Transformers Above 200 _ Amps ? Above 1 Amps
SIgnS Inspaclo05 Use OMy'
)
/ TOTAL
Irngation Booms
?
rC
?
C61
?
Special Inspection
Aiarm/Communicatwn THIS INSTALLATION MAY BE EB"61SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electncal Inspector, hereby
i
h Rough-in 6? ?_?j ry
y t
cert
at the above inspection has
been made. Data
OFFICE USE ONLY ?
This request voitl 18 monihs Irom
s/ao v?
??11 58?/ ca??/s?
ReO?es[ Data
S ? Fre N. Fough-In Inps¢ction ReqwreE
(YOU muaf call inspBClorwh en ?ea0y)
? Yes No InspecOOn Other Than augM1-ln
13 peady Now WAI NoGy Inspaclor
pate Reatly
10 licensed contractor p owner here6y request inspection of above electrical work at:
Jab Adpress ISOheet Boz or $oole No )
G O Gty
? ti
Secimn No TownsNp a r No Range No Cou
O[ t RINT) Ph Na
a
??7-
Power Suppiier Moress
Elec onlractor ICOmpany Namel
L v ?rLSV x? Con r or's lkense No
?J?
Mai g Atltlress (Conrca r Owner Makmq Installalio ?•
?
Aumonzeo SiSnawre tC er Making In tallauo Pnon ber/
/
? f ?
I
MINNESOTA STATE BOAPD OF E RICITY THIS INSPECTION FEQUEST WILL NOT
Grigge-MlOway Bltlg. - Room S 3 BE ACGEPTED BV THE STATE BOARO
1821 UNVerally qve.. SL Paul. MN 55104 UNLE55 PPOPER INSPECTION FEE IS
Phone(61Y) 6C2-0800 ENCLOSEO,
REOUEST FOR ELECTRICAL lNSPECTION
` b, See inslmcM1Ons lor wmpleling IM1is bnn on back ot yellow copy
Qj ?p S R "X" 8elow Work Cov??red by This Request
EB-00?00`1'-08
%a. .
ew Ad1,1
- R
ep
11 TypeofBwlding
? AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex water Heater Electnc Heatmg
Apt. 8wlding Dryar Other (Speaty)
Comm./Industnal Fumace
Farm Air Condi6oner
I 0[hee (syemry)
' l
Convactors Remnrks ? .?„fl? <i
, p,T f rcp Arr 1
Rt.?
Co .
mpute Inspecnon Fee Below Ufe, I
# Other Fee # ServiceEntrance Srze Fee # Graits/Feeders Fee
Swimming Pool 0 to 200 Amps s. 0 to 100 Amps
Transiormers Above 200 _ Amps Ahove 100 _ Amps
SignS Insoecrar5 Use Only TOTAL
Irngatlon Booms
Speaal Inspection
' aiarmiCommumcation THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHI 18 MONTHS
I, the Elecincal Inspector, hereby Ro?9l ? . Dale
cerhfy that ihe above inspection has
been made.
?
OPFICE IISE ONLV ?
This requestvoitl 19 manIDairom
p?63858
Request Date
i
' Fre No v Rough-in Inspewon
Feqwretl,
? Reatly Now ?j NAI NoLty Inspector
WhenFeatl
_ ? =Ves o y
I x,ucensed contractor D owner hereby request mspechomof above elecirical work at:
f'
JaD Atltlress (Sireet Box or Rome No )
?/
? G Qty
9
? ?.,A
? . i
Sectioc No Township Name o? o Pange No Counry
OccoDan;(PRINT)
, Phone N.
/s+J,e i << (
Pawer Suppher Address
Ele<Vocal ConVactor iCOnpany Namel
s/'lnv' Cantractor's License N.
MaiLng Atlcress ICONractor or Owner Makmy Installalion)
6- 'o ,V J ^ -
?;
?sr 4-41
Authonze i5^aWre /1Q]on(t{cI/t?/?V ner king t(nq/allalionl
2lL"-W?aOCSI NS?J
V??
_ _ Phone Nu ber
??..J "- 4
MINNESOTq STATE BOARO OF ELECTRIdTV ? THIS INSPECTION flEQUEST WILL NOT
GngqsMidway Blag. - qoom 5473 BE ACCEPTED Bv THE STATE 60ARD
1821 Umversiry Ave, 51 Peul. MN 55106 . UNLESS PROPEF INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
• Se ?MUCUOns ior compieting mis iortn on oack of yellow copy
11473 r
? X" Befow Befow Work CoJered by This Request
ew Adtl Rep. Typeo(Building AppliancesWued EqwpmentWire
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Bwlding Dryer Lofld Management
Comm./Indushial Furnace Othef (SpeCity)
Farm Av Condmoner
Other (,ecify) ('qnlractors Remerks . / ?e ,
/?? /?/?'? • L
Compute Inspectian Fee Below:
8 Other Fee 7k ServiceEnirenceS¢e Fee # Circuns/Feetlers Fee
Swimming Pool 0 to 200 Amps D t ps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspecror5 Use Oniy , TOTAL
Irrigation Booms
Special InspeC[ion ?J
Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED pISCONNECTED IF NOT
Other Fee 74OMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
th
ti Ro?yn-?? / ?
v / re
ty
cer
at the above mspection has
been made. Final re
OFFICE USE ONLV
This request voie 18 months Irom
EB-00001-08
-? 3
?
114 7 3a " 3?/ CJ?- /?-c,.,U.-l V tg (? a? y
ReQues ate Ftre No
??•••? Rou9M1,ln Inpseciion RequrteE
?'ou mu call inspeclor whan reaEy)
Ves ? No Inspectro^ Other Tn?ay?g? uqM1?ln
? qeatly Now ?q WIII Notlfy InspMOr
DateReetl ? ?
I licensed contrecmr ? owner hereby request inspedion of above electrical work at:
Job Atlqress IStreet Box or ma Na ?
? O Ciry ?
Seclmn No Townshi a orNO, qange No Cou/n?y,.?? ??J?
I?J /" "'OT T
Oc7 % 1 RINTI
sT ,c3us??? Phon o
??? - ?
Power Supvlier Atltlress
E?enr on[ractor IComOenY Name) CoMractor's?L/mense No
N
Matli Atltlr855ICOnVaQOr Own¢fMakmglnstallariOn -?
M
Aumonzetl Signawre 1 ner Mahin nsl n) PnoneyWmDer /
/?/ ?
MINNE98'16 STATE BOARD O CTFICITY THIS INSPECTIDN REQUEST WILL NOT
Grlggs-MlEwey BIGg. - P 5-1]3 BE ACCEPTED BY THE STqTE BOARO
1821 Universlty Ave.. SL Paul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
Phone(612)6dY-0800 ENClOSED
?O C?? REQUEST FOR ELECTRICAL INSPECTION ee-ooooi- s
00 See instructmns br compleling Ihle lorm on back ol yellow copy. jax 9
6
` X" 881ow Work Covered by This Request ??,?•+?
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other Specify
Farm Air Conditioner
Other (speclty) CoNracrors Remarks' -
Compute Mspectian Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200_Am s Abo Am
Si ns insoKtors usa oniy ' 70TAL
Irrigation Booms
S ecial Ins ection
Alerm/Communlcation THIS INS7ALLATION MAY BE ERED DISCONNE17ED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electdcal Inspector, hereby
i
h
h RovghJn oata
cert
ty t
et t
e above inspection has
been made. Finel
? 4
4
,
OFFICE USE ONLY ?
This request vOd 18 mOnths Irom
K->
9
`
0 OG6
s 2
0 / , . ? , On
Requeat Oale ire No. Pough-ln Inepection Reqwretl
(VOU must cell mspector n reetly) Ins non Oth er Than o ghdn
Reatly Now AI Nolily Inspeclor
7 ? Yes No Oete Rea
I licensed contractor ? owner hereby request inspection of abova electrical work at:
Job A tlress (Street, Box o Roule No )
v City
`
'
?
-
Gs9?
Sectlon Na Townsh or No Range No. Count
Occ (P INT) Phane
?? -
Power Supplmr AtlOress
Elect ntractor (COmpany Name) ,y
4 Conirettors L¢ense No
CJ / ° /
O /LSOO? ?.J
Mallln Atltlre ss ICOnlracto? o ner Mabng Installa0on)
S3
Authorizetl SignaNre (CO awng alallati n) Phone Nu
N
/
MINN ATE BOAHD OF ELECTRICITY THIS INSPECTION REQUEST WILL NDT
GrlggrMltlwey BItlB. - Room S128 BE ACCEPTEO BV THE STATE BOARO
7821 Univarsiry Ava., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phene (812) 602-0800 ENCLOSEO,
>J
REQUEST FOR ELECTRICAL INSPECTION a
6 51 es-oo oy;os
0 Q ' ? See insiructions lor com0leting this form on back of yellow copy 7 ?
?? ?, ? y
Be/ow Work Covered by This Requesf ?'•??
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatmg
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Speci )
Farm Air Conditioner
OthBr (specify) Conlractors RemaBS (
_ I Yp" i e I
!QkfMAIL,1
Compute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Circuits/Feeders Fee
Swimming Poal D to 200 Amps = to 100 Amps
,d
2WI
Transformers ?/,SQ Above 200 Amps . 100 _Am s
Above /r•0
SI fIS Inspecloi s Use Only TOTAL
Irngation Booms ?• 5 ,_ o o 199. 00
S ecial Ins ection
Alarm/Communication 7HIS INSTALLATION Y BE ORDERED DISCONNECTED IF NOT
Other Fee ,5 COMPLETED WITHIN 1 ONTH .
I, the Electncal Inspecior, hereby
tif
th
t th
b
ti
h Rough-in oete,
cer
y
a
e e
ove inspec
on
as
been made. Final ? Date
OFFICE USE ONLV O ?
This request voitl 18 months irom
(006051 /
Flequeat Oate
C? R' ^ r1 /?
7 -? -1
O ire No Rough-In InspMion Reqwretl
(VOU u call mspector ?en reatly) Ins acimn OthefThe? jlough-In
? Reatly Now ? Will Nolity Inspeclor
• Ves No Oale Reatl
I Xlicensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Slreet, Box or Route No.)
6 io o d9404-6 Qry
? i
Section No Township Name or No Renge No. Counry
"k?
OccuP?nt_(PQR c..r? )
LCJ -!
I / Pnon-?DOD
63?
Powb Supplier
ax?. 6??
yss
A Ore f-" t
3 oo -Z?? S? w
Eleclrical ConVactor (COmpany Neme)
Clpt(de A. AdAA-hU, aarX? ConVacmr's license No.
epr- 00,71
Mailing AOtlress (COnt tor or Owner Maki g Instailalion)
Q h1N sslo 1-3z I?
Pa
15 ?
Sf
?
.u.
tre -.
Ne
.
Aulhon Sign ure ntra d er Making InstallaUOn) Phone Number
7171-l0o d
MI OTA 3{ATE 90ARD OF ELECTRI[?IW ? 7HI5 INSPECTION REOUEST WILL NOT
G ?Mltlway Bldg. - Room 5-128 BE ACCEPTED BV THE STATE BOAFD
1 Unlverelty Ave., M. Peul, MN 5510a UNLESS PROPER INSPECTION FEE IS
Phone(812)6AR-0800 liCl , ENCLOSED.
O?O 6,l 1 REQUEST FOR ELECTRICAL INSPECTION
O 2oo, See Insimctions br completing this brm on back of yellow copy
?- ` . - "kX" Below Work Covered by This Request
es-00001-0e
5
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Ran e Tamporary Service
Duplex Water Haatar Electric Heatin
Apt. Building D er Load Management
Comm./Industnal Furnace Other (Specrty)
Farm Air Conditioner
OIDer (specily) Cantractor's Remarks
Campute Inspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee N Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100
Transformers Above 200_Amps A
$IgfIS Inspectar's Use Onty. L
Irrigation B
ooms r
S ecial Inspection
Alerm/Communication TMIS INSTALLATION MAV BE ORD IF NO7
Other Fae COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby
cenify that the ahove inspection has
been made. Rough,ln
Finai
e oata
oeta
?
- a
OFFICE USE ONLY
This request witl 18 months Irom
ao
oo6r
O 8 2
°_'
Pequest Oate rte No Rough dnlnapectmn ReqWratl
(VOU musl call inspeclor en matly) Ins ecllon OlherThan ughdn
a Reatly Naw WIII Notiry Inspector
s ? Ves No Date Rea
I,icensad contractor ?owner hereby request inspectlon of above electrical work at:
JoE A ress (5lraet, 8ox or Rouce No.)
/d Ciry
?2? /7/? ts'j
Section No. Town r No,
sh?p am
Range No.
We
Occuyy? lP? INTI
?U
? ?a PhonsN?-
?a 00 t?
/
!
s o
Power Supp6ar Atltlress
Elec ConVaclor (Company Name)
L poniredors Liten9e No
C?0(:::>/ J?
Mailin Atltlress (COnirect r Owner Making Instellation)
Authori:etl Signatur w eking In , tmn) Phone 14qmber
V v
MIN p STATE BOAPO ECTfliCITY THIS INSPECTION REOUEST WIIL NOT
Griggs-Mitlway Bldg. - p 5-716 BE ACCEPTED BV THE STATE BOARD
1821 Uniwnity Ave., . Peul, MN 55109 UNlE55 PROPER INSPECTION FEE IS
Phone(6/2)6A2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-00001-09
O 0 6 8 y See Instruclions tor complehng this form on back of yellow copy.
??b=???
- °X" Below Work Covered by This Request '?.` •^?
All ew Add7RW - 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 (S ecif
Farm Air Conditioner
Other(speclry) Convaclors s:
.,
?rz2 F'p•? G?Is sf??•
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A -
Si ns insvenors use oniy TOTAL
Irrigation Booms
S ecial Inspection
AIarMCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S. (
I, the Electdcal Inspec[or, hereby
tif
th
t th
b
i
ti
h Ro.gn.m
cer
y
a
e a
ove
nspec
on
as
been made. F??ai ( oa?e
OFFICE USE ONLY I
TMS rEquesl voitl 1 8 months Irom
rill
?
M
oO
O 81
?
Request De
/' r F e No Rough-In Inspecnon Reqwretl
(You mun call mspecbr w n reatly) Inspecimn Other Than ugh?ln
? Reatly Now Will Notity Inepecror
as? ? Vae Na ?ate Pead
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
JoG A ress (Street, Box or Roule No )
/d ? Clry
? .9.v vrf G .v
Section No Townshi a or No. Pange No Coun
?o rwA
Occup n IP IN'? Phon?e "o. /?
bd o
??-
T v G S?//?G? !o
/
Pawer Supplier Atltlress
ElecFnVaclor (COmpany NamB)
? Coniracto/s License No,
Meilin Atldress (COMractor or wner Mak,n,lnlation)
C
f
?
J
ivi L, J
Authonzed SlgnaWre er Making Ins ion) Phone N?um)ber
MINNGBi STATE BOAFD O LECTRICRV THIS INSPECTIDN REOUEST WILL NOT
Gr188%'Mltlway Bldg. - qoom 3428 BE ACCEPTED BY THE STATE BOARD
1821 Univerelly qve., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phona(612) 642-OB00 ENCLOSED
y0216y REQUEST FOR ELECTRICAL INSPECTION °?Mh Ee-oooo.¢i-os
O O 5 7, See mstmclions lar campletmg iNS lorm on betk of yallow cropy /
4"X" Below Work Covered by This Request ??d•?'?
Ne Add Rep. Type ol Bwlding Appliances Wired Equipmant Wired
Home Range Temporary Service
Du lex Water Heater Eledric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other Specif
Farm Air Conditioner
Olhpr (specity) ConVador's fle si?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps
SI nS Inspetlors use Only: TOTAL
Irrigation Booms ?/-
c
ll
?
S eaal Inspection i
-
Alarm/Communicetion 7HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby
h Rouyn-in oate
certAy t
at the above inspection has
been made. Final oa?
-
OFFlCE USE ONLY
This request vaitl 18 monihs irOm
D?p
G..
/
0 0 0 5 7ki
ReQues? Flre No, Rough-In Inapactlon Reqwred
(VOU must call inspecm n ready) In etlion Oiher T'a R ghln
a Ready Now Will Notiry Inspector
? Ves No Date Reaa
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab AG ss (Sireat, Box or Route No )
O Clty
o
,o? ???- G•??
Sadion No Township Name or No Range No, County
K?T
Octu ?IMC) Phon No
? ?
Power Supplier Atltlrees
Elect C Irector (COmpany Name)
L/?v? /?.n??i'L.?o?^-- ConVectors lkense No
?i? 7
Mailing tltlress (Conimcbr or er Making Inslsllatlon)
K sry
e-
uthonzed SignaWre r/ er ing Ins on? Phane Number
aIIaN!"IVA $TATE 60AN9,?ElECTRICITY THIS INSPECTION REOUEST WILL NOT
Gdggs-Midwey Bltlg. - Poom 5438 0E ACCEPTED BV THE STATE BOARD
1821 Unlverelry Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 644.0800 ENCLOSED,
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
0 0 0 6 0 6 0? See Insir cimns for complatmg tms form on back of yellow capy aa41
_ - 9/02/?? "X" Be/ow Work Covered by This Request
Ne Add Rep. ' T pe of Building Appliances Wired Equipment Wired
Home Range Temporary Sarvice
Du lex Water Heatar Electric Heating
Apt. Building Dryer Load Management
Comm./Intlustrial Fumace Other (5 eci(y)
Farm Air Conditioner
/?1
Other (speclty) ConVactals Remarf{????J? A?J
L/ v
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Paol 0 to 200 Amps 0 v
Transforrners Above 200_Am s A W s
SI fIS Inspector's Use Only. TOTAL
Irrigation Booms ? j
5 ecial Ins ection UV
Alarm/Communication 7HIS INSTALLATION MAY BE O E? DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h
h Roughin oate
cert
y t
at t
e above inspection has
been made. Flnal ( Dat ?-
OFFICE USE ONLV /
This requesl voltl 18 months irom
y?a0106 0Z/g/ Gc)'aj 2? 1 d-t'
Requast_?ete
9 Flre No.. - Rough-In Inspectmn Requlretl
(YOU must tall mspector n reatly)
? Ves No In xtion OlherTha?n RoJ?g?dn
? qeatly Now I]NJill Notity Inspetlor
Oate Reatl ??
I licensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltl w(Street, Box or RoNe No ) /-?
n ? ?R/ZIsJ.?'? AV ?-p2 Cnry
? ?
S¢ction No Townshlp Nama or No Range No Co/.
yn
Occuy?? t??P INT) ?7 Phon o.
Power Suppller ACtlress
Elec ontrector (COmpany Name)
L u? Nq/Z2Sa.a.. ConVactor's License No
4T? OG7??
Matling ddrespsl-COnVactor Owner Making Installauon)
SrJ ? ?I 7 C/ ?._. ?t 0
Authorae0 Signatur m wn Making Insta o Phone N m?Ee/t
MINA2SCrSTATE BOAPD OF ELEC ITV THIS INSPECTION REqUEST WILL NOT
Grig9rMltlwey eltlg, - Room S12 BE ACCEPTED BY THE STATE BOARD
7921 Univeralty Ava., St. Peul, M 5510i UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED
I?'{I REQUEST FOR ELECTRICAL INSPECTION ,-Ee-oooo?os
O V o 6 O 51? y/?j[.?r?' "S/ee nsiru ions for completmg fiis form on back of y¢Ilow copy ??I ?/ CJ
L- X" Be/ow Work Covered by This Request ?d?
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./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (speciy) Contractor's Remarks z
Campute Inspectian Fee Below: L_-, sP ! r,S
# Other Fee # Service Entrance Size Fee # Circuits/Fse ers Fee
Swimming Pool 0 to 200 Amps t 0 t
T
Transformers Above 200 Amps _
Abov 6@tD
Si OS Inspeclor's Use On1y \ TOTAL ?
Irrigation Booms e
G'
3y?
Special Ins ection
Alarm/COmmunicafion THIS INSTALLATION MAY 8E ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eledrical Inspector, hereby
cetlity that ihe above inspechon has
been made. Rouqn-in
p,nai r Date
Datey?
OFFICE USE ONLY
This request voitl 18 momhs Imm
?Z f/ s c:;Tiy?
0 6 54?/ ?? (o} h?? ? ?
Rei
7
Fire No.
R g?-In Inspection Feqwretl
(You must call mspector en reatly)
? Ves No
Inspectlon Other Then g?-In
? Reatly Now Will NMity Inspector
De[e Reetl
i licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlr s(Sheet, Box or R? ye No )
/O CJ ?g .?. ?lZiure Qy
?
Sedion No Township Na or Range No Cou/n(y.??
Occ I N?
(P
J
P?oy N?o. ?y
ower SupP
lier Atltlress
Elec trador (Gompany Name) Contractor's License No
Madmg Address (Conkadol o e, Makmy Inslailaiion)
s'.r .?. ?
Authonzetl Signa ure (COn a40Makm stalleVOn Pbone NumOe 'A
?
MINNESO?pTE e0AR0 OF ELEGTHIC THIS INSPECTION flE0UE5T WIIL NOT
Griggs-Mitlway Bldg. - Room 5728 9E ACCEPTED BY THE STATE BOARD
1821 Unlverslly Ave., $t. Paul, MN 55144 UNLESS PFOPER INSPECTION FEE IS
Phone(61P) 602-0800 ENCLOSED.
' REQUEST FOR ELECTRICAL INSPEC710N6'5
4'? '? m O`? 'I _? Atiinnesota State Board of Electriciry
?a L 1821 University Ave., Rm. S-728, St. Paul, MN 55104
/p j?/y?<o Phone Q72) 642-0800 MSb?1XCLxi3V 1
waier
"X" obove Me work covered by this requesL Enter ren
F...L F'?c-`TYZICAL SF_IZ1S??r
1PY7TRLL14TlDN 1=DR ?'?.1-
Load Mgmt. I plher.
iarks in Ihrs space and on me bock ot me wnire mpy oi
Hcolt-[-tP +- c-o?X C.A-?F
?k-Ks1JE ?tLiiP1K?JJ`f?
Calculote Inspecfion Fee - This Inspeclian Requesf will not be occepted withouf the mrrecl ke
Other Fee # Service Entrance Size iee # Circuits/Feeders Fee
Mobile Home Pork Sfall 0 fo 200 Amps ;?JDC" J 0 fo 100 Amps 14 ,D'''
Sheet lfg./TraHic Sig. Above 200_Am s
? -- AKove _Amps
Tmnsformer/Genemtor INSPECTOfl'S OSE ONLY % TOTAL
?
Sign/Oudine Ltg. X(mr. v_? ??' ?
( Alarm/Remote Conhol ?? ? D
?
Swimming Pool
I here c ' thot I i ?d ml insmllmron describ d herein on the danen sraied
Irrigafion Boom Rooghan ome
Special inspection pT+
Invesfigotive Fee Fi?ol D?K
THIS INSTALLATION MAY 8E ORDER DI CONNEC COMPLETED WITHI 1 M THS.
Y OFFlCE USE ONLY This request .roid 18 monihs Fom wlidotwn dab printed in this box
,_, , n i n_ ,r4*, i.23
??/ U.1F?N Y'uY' w"t `- `?--- ??-
III
I
II III I f I I?I II I? III ? I I II I I I I?I
* ? 4 L L 8 3 1 L?K /Q
?j
?
pLEASE PRINT OR TYPE
/
R?l D0t8 Rwghin inspeclian reqvired8 Vas ? Na InspecM1m Olher ihon Raughln ? Reody Nmv Will Call
(1'au must <all the inspecta wh r dy) Date Ready
I, licensed conkactor 0 owner hereby request inspection of the above elachical work at:
Jo6 Addreu (Shoot. Box, « Roob No ) Gry Lp Cade
Section No. Townsht Name ar R No
sP r`6, Wr_ST Fire N. Camy
i3
Ocosponl Phone No
CATtA c>r- 2- (oA i-
Powersua ia Address
Mi
? CJ.?. w.
Z
A +
?t ??
l
?
sso?-4
Eletlriml Conkocror (Company Name) Conhaclor I.ccrue No. Moskr lK. No. (PkM Elecl. OnM
?
Moiling Address (Cmhocbr or Pwner Perlorming Insmllolion)
Aanhmmd Sig?qeaqor or er Perfarming Inshllohon? Phone No.
r??Y?
EBOOOOIhI 1 8/96 Mew wnewn rnnv - vao iucTni v-mwc nu wece nc vaI I nw enov
?//?f f 5%
?y 1 4 5;v
Reyuest?a M
G
9 Fire No, RougM1•ln Inps¢tlron Peqmred
\ (YOU must call ms0eclor en reatly)
? Inspeciwn OlherTh rt ugh-In
? qeatly Now W ill NotM Ims0ecior
? Y. No Oale Reaay
I licensed c?iractor ,?] owner hereby request inspecUOn of above elech iical work at• .
JoD /Atly eess (SIreeL? Box oi Poute No )
/?
12
[a
'
Section No Town N e vr No ?n Rande N.
?
Cou
,
L ?
OcmP IPR JTI /. ? / ? ?/?-•?? Phon No. ?
Power SuoPlier pddres
s ? ? AJ
? ??
?
Ele a nvac[orlCompanyNamal CAntr §lo seNo
Mailin AtlOress (COnvanor wner Makinq Inslallation)
Fmnorvetl S?gnawre 1 a ne a4in91nstaila n) Pnone N?yn //Cer-/
1 ?
i -
MINN STATE BOARO OF ELECT THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - popm ^rt] BE ACCEPTED BY THE STATE BOARD
'? •' ? qve., gl. VauL MN 55100 UNLESS PHOPER INSPECTION FEE IS
ENGLOSEO
RE?UEST FOR ELECTRICAL INSPECTION
q ? See mshudmns for cample0ng ihi5 form on back ol yeilow wpy
? 11 ?r'1 Be/ow Work Covered by This Request
t? EB-OWVi-?..
ew Add Rep. TypeoiBmltltng AppliancesWVetl EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt Bwlding Dryer Load Management
CommJlntlustnal Furnace Other (Specify)
Farm ? Air Conddioner
01ner (sNer,NI Camractor's R
\ ?/
Compute Inspechon Fee Below: ??'?'?-? /
R Other Fee' # ServicaEn7iance Sae Fee # CircmLSlFeeders Fee
Swimming Pool ? 0 to 200 Amps to 1 s
Transformers / . Above 200 _ Amps Abo _ Amps
Signs / j inspectorg use Onry --?. TOTAL
Irngation 6oomS17 q
Speciallnspec6on
AIarMCommunication THIS INSTAILATION M?OR IS?CON CTED IF NOT
Other Fee .l?f COMPLETED WITHIN TN
7?a y C? s
& -r a-
`
b 1 g / Gc? . ?. - i'a°°
- 's
Repu D
?? Fire No. qough-In Inpgection ReQmretl
p'au must call inspect en ready) Inspecnon Other an ugh.ln
0 ReaCy NowTh Will NoUry Inspedm
? Ves NO Date Reatl
/
?
'
r\
I
y
?censetl coNr;rtor ] owne
hereby request inspection of above electrical work at: .
Jab Atl ress f5freet. 9oz or Roule No Cily
? l /? ?' /L// ??Vl? •+ J"iT1?' /??
SMion No Tox?n N e or No' Range No Cou
?/
?/?
Oc f MT) Phon No
Power SoOPlier . ? '
? AOdress
?
.
\? Z?
Ele/cty/p/? onVacior ICompany Name) ConVactor$ Lroer?s \NO.
`
Mailing Aatlre65 fCONracl r OWner Making InstallaLOnl ? ? • % / ? / ? ? ??,?,? / _ ?'
Pufianze0 SignaWre ICo ing Inste ) - ? P6oire Numhar
MINNESOTA STATE BOAPO OF ELECTR ? THIS INSPEQION REOUEST WILL NOT
Grlggs-Mlaway BIOg. - Room $-113 BE AGCEPTED 8V THE STATE 80ARD
1821 Umversity Ave , SI. GauL MN 55100 UNLESS PROPER INSPECTION FEE IS
Plwne(61]) 602-0800 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION
q ? See insVUCtions lor comple4ng tlus form on back oi yellow copy
X" Be/ow Work Covered by This Request
s1 EB-00001-08
4-4_'
ew Add Rep. TypeofBmltlmg AppliancasWired EquipmentWved
Home Range Temporary Service
Duplex 7 Water Heater Eleclric Heating
Apt Building, ` Dryer LoaA Management
Comm /Industrial Fumace ? Other (Specify)
Farm ? (Condrtwner
Otner ?ryecifyl Conttactor3 Femarks
\
Compufe Inspection Fee Below:,
?
# Other Fee # ServiceEMianceS2e Fee # Crtcuits/Feetlers Fee
Swimming Pool O to 200 Amps ? RVWTP. -f?
Transformers Above 200 _ Amps Ab ,,5
Signs Insvecmr's Use Only TOTAL
Irngalwn Booms r
? r?,,st7
Speaal Inspeclion J ?
)
Alarm/Communication THIS INSTALLATION MAY BE O$? EQ
NECTED IF NOT
Other Fee , COMPLETED WITHI?BhuION?{5 / "?,?fJ
REQUEST fOR ELECTRICAL INSPECTION ee-ooooi-os
1 See instruc[ions for comDletiny this form on back ot vellow copy.
"? 8??93
?710 o '"X" Below Work Covered 6y lhes Request
HAtl Nep. Type of Bwitling Apphonces Wnetl Equiyment Wired
Home Range Temporary Service
Duplex Water Heater Liyh[iny Rxtures
Apt. Bmlding Dryer Electn, Heatun
Cominercial Bldy. Fumace Silo Unloader
Industnal 81dg. Air Condinoner Bulk Milk Tank
Farm Otn*,, oe' v ttnc, 15ucc?tv?
[ r,r Succi y ther pthLr
Compute lnspection Fee Belaw
p Fae ServiceEniranceS.ia H ders/Subleeders t? Fnr Circurts
0 to 200 qm s to 30 Am s 0 tn 30 An+, p
Above 200 qmps O 7 to 100 Amps 31 to 100 qm s
Swimming Pool A 6T? .4mps Above 100_P.m s
Transformers Irrigation 8ooms
j
j Partial.' er
Signs SpeciallnspecLOn T
?y
OT [1iW ?
flouBh-m Da e the I
oector, herabV
certily thet the above
Final atx14 :?spection has been
?aa.
Thia reauest volE 18 montlu Irom
Thig requesl void
19 ?.,on,ns from
D 470
ftequest Ua["
3 3/
o Rre o. Rouph-in nsuect?on
q
Rewrea?
Reatly NuwXW?ll Nobty Inspec-
?
Q ?
Yes ?No ?or When Ready
LicensedlElec[ncal Contractor 1 hareby request rnspaction of above
? Owner
elactncal work instelled at.
Sv AC ess 9ox or Rav o.
.?`??J3 '9 Giv
? cs?N
ectmn o. Townsnip Narnealff No. Range No.
Occ t RINTI 42 Phone No.
Power Sup0her Address
Ele I ConVac[or (Company Na el Cont Ar,tor' Lmense o.
MaJ g AdJress (Conhactof o Makmp nstallaboN
?Z ,E° S' - S
.c? .S?"/t? 4
c
r
M
!+uthonred Sien re rac[or/Owne Inst on? yy¢
?
n
Ph"?yNU?n e
.? =_/
//? ?
MINNESOTA STP.TE BOARD OF ELEC CITY THIS INSPECTION HEnUEST WILI NOT
Gr.ggs-Midwey BIOg. - Hoom N4 gE ACCEPTED eV THE STATE 90qHD
1821 Universiiv qve.. SL Pnul, N 55104 UNLESS PHOPER INSPECTION FEE IS
Phone1672) 642-OBW ENCLOSEO.
Rei Date
G?? Frte No. Roughin inspection
Re ired?
ReaGy Now?ll No[ify Inspector
? ?? Ves ? No ?en Reatly?
Ixlicensed contractor ? owner hereby request inspedion of above electrical work at.
Job Address (SVeet. Box or Roule No
3 Qty
o
Sectwn No Townsbip Name or No Range No Coun
?
Occupam (PRINT? Phonp No/
Pow ppber Atltlress
&-> Z_.,2G 1 VYI 1 r? G- ?'
Ele<Ir¢al Comractor (Company I Contracbr's L¢ense No
L L? /??J??LS? r?.. ? ? ? ,
Mailinq Atltlress ( onlracior or Ownar Making InslalJayon)
T ?? -S N?
?-t
-
Autn rizetl Signature ( redon r MaMng alla?ion) ggg
Phone mb r-
? ?
MINNESOTA STATE BO/ HO OF ELECTpICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlAwey Bltlg. - floom 5413 BE NCCEPTED BV THE STATE BOARO
1831 UNVersITy Ave, SL Vaul, MN 55104 UNLESS PROPEP WSPECTION FEE IS
Phone(613)602-0900 ENCLOSED
9/a?/?O REQUEST FOR ELECTRICAL INSPECTION
? See insVUdions lor completing Ihis brm on pack ol yellow copY
C? 6 8 4 4 6 ? "X"18e/ow Work Covered by This Requesf
sm ,
98OW0,-0
ew Atld Pep TypeofBmltlmg AppliancesWued EqmpmeniWiretl
Home Range Temporery Service
Duplex Water Heater Eleciric Heating
Apt Bmlding
1 Dryer Other (Specdy)
Comm./Intlustnal Furnace
Farm 9 Air Condtlwner
Other (speGly) Cant ororY Remerks
Compute Inspection Fee Below:
Other Fee # ServiceEntranceS¢e Fee # Circ eeders Fee
Swimming Pool 0 to 200 Amps 0 to? mps
Transformers Above 200 _ Amps bove Amps
Signs Inspecmr5 Use Only TOTAL
Irngation Booms 1 /s3
Speaal Inspec[ion
AlarmiCanmunicatwn THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M H.
I, the Elecincal Inspector, hereby
tif
th
h Rouqn-m Date
cer
y
alt
e above inspection has
been made. Finei oaie,r? /?
oo-?
OFFlCE USE ONLY
This request voitl 18 montOS Irom
Q
90?3
91
.
. ? o
a• 08463 :
.
Pequest Dale
/
/d Fire No Rough-in Inspac0on
Rep red?
? Reatly Now b'r/ill Na?ty Insp¢ctor
R
?
?? Wh
(p s ? No en
eatly
I(licensed contrecror p owner hereby request inspection of above electrical work at.
Job Atldress (Sireet. Bax or qoute a ? Ciy
SedionNo Town ip ame or N Range N. Coun
GT?S?
occ vanl JPRMT) Pn?o e N/o.??J y?
Pawer Supplrer
• AOtlress
Becinc
onuador ICOmpany Name) Conlractor's Lcense No
G v ? ?Sc r? v3 0-
Matlin2Atltlre5s COn!racmr or Owner Makmg Installation, ?
S
T u r? ?
AWM1Onzee SgnaWre nlrac wn s'alla?ion? Ppone Ng?? ????j?
MIN?lS TA STATE BOAPO OF ELE ITY THIS INSPECTION REQUEST W0.L NDT
Grlggs-MlCway Bltlg - Room S BE ACCEPTEO Bv THE STATE BOARO
1821 pnivarstly Ave., 51. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Flwne (612) 642-OBDO ENCLOSEO.
6l/
REQUEST FOR ELECTRICAL INSPECTION
/,O/Y?// / ili? S. insimcnor.s''for rompleVng IDis lorm on back ol yellow copy
R•O 84„6 3 "X" Be/ow Work Covered by This Request
ee.ooooi-m
ew Adtl qep. TypeoiBwlding ApphancesWVed EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heatmg
Apt. Bwlding Dryer Other (Specily)
Comm./Industrial Furnace
Farm Air Conditioner
• Other (specity) Coniracror5 Remarks??
Compute lnspection Fee Be7ow'
# Other Fee # Service EntranceSize Fee # CircuhslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers AboVB 200 _ Amps Above 100 _ Amps
$19m5 ' InspectarS Use O '
?['f TAL
Irrigation 8ooms ??
Special Inspection ????rT
Alarm/Eommunication THIS I ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 THS /
I, the Electncal Inspector, hereby
if Rouqn-in
L
cert
y that the above inspec[ion has
been made. Finai oai
OFFICE USE ONIY
This request voitl 1B months Irom
?/$/9/ REQUEST FOR ELECTRICAL INSPECTION
? 0- $ee inshucimns for compleLng ihis lorm on batk ol yellow copy
a68462 "X" Below Work Covered by This Request
Ee-ooooi-07
/O/?
ew Add Rap TypeolBwldin.9 4 po - ApphanresWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ? Electric Heating
Apt Building Dryer Other (Speaty)
Comm./Industnal Furnace
Farm Av Condi[ioner
Other (specity) ConVactor's Ramarks -S 4af.{ d s7"' /7" rJ j?elVq
f
Compute /nspection Fee 8elow
k ` Other Fee # ServiceEnlrance5ize Fee # Circurts/Feeders Fee
Swtmming Pool 0 to 200 Amps s
Transformers Above 200 _ Amps ove 100 Amps
S19n5 ' Inspector5 Use Only / TAL /
Irngation Booms
Special InspecUOn
AiarmiCOmmunication THIS INSTALIATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NTH
I, the Electrical Inspector, hereby
f
i/
Rough-in oa? y?
??5
ceAi
y thet the above mspection has
been made. oaie
OFFICE USE ONIY
This request voi0 18 months Irom
/v/oYo
Requesl ?ate IFvB No Rough-ininspection
/"
? Re ved?
? Ready Now ?II Notnty Inspector
+
?
Yes G No nen ReaOy
•xiicgnsed contractor ? owner hereby request inspection of above electrical work aC
Job res ISIr Y or Pou[ ) !/q
w 1,97 Qty
Sacimn Nb Townshi0 Name or N. Range No Cou
OccuO t SPAINT) Pho No
Powe upplier lvldress
?
Electri I onVactor ICompany Namel Contractor5 License No
Mailin Atldress ( ConVactor or owner Makin Install
T? ?1 42
Authonze0 Srgnal or/Own ing I allali Phone mbel
?
IN SOTA STATE BOAflO OF E PICITV THIS INSPECTION FEQUEST WILL NOT
Grlggs-Mltlway Bldg. - Hoam 3 BE NGCEPTEO BY THE STATE BOARD
1821 Univerolly Ave.. SL Po, N 55106 UNLESS PFOPER INSPEGTION FEE IS
FhonaJ6/P) 642-0800 ENGLOSED
9
20 101MOZ
0
9
[iepuest Date Fire No Roughan Inspecuon
1,R
qm d9 ```??''''
? Reatly Now y[will NOLiy InspeCla
R
d
?
° ?`
'
s ? No ea
y
M1en
?
I licensed contractor ? owner hare6y request inspection ot above electrical work at:
JoJd AtltlreSS (Sheet. Box o, Route l /?
Il
3i? ?. G
Secimn No ' Township Name m Renge No Coun
Cb ?
n (PRMT) Phona No.
v L/.? 77
Power $uppLBr Adtlress
Elecylri ?onlracto? (GOmpany Name) Contractor§ Lmense No
MaiLng MGress (COnVaclor or Owner Making InstallaLOn)
.?.,2 - ?•t•• ,.$-.r/o/
Aullwnzetl $ignaNre acl r Makmg Install Phone N/u/mfber
pINNESOA ET BOARD OF ELECTPICITV THIS INSPEGTION FEQUEST WILL NOT
GtlgghNftlway Bltlg. - HOOm 5413 BE ACCEPTEO BV THE $TATE BOARD
1821 Unlverslty Ave., SL Paul, MN SSlOE UNLE55 PROPEF INSPECTION FEE IS
Plpm (612)642-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION EB-00001-OB
? /
42? C ` F, /O3? ([?
///9/1 ? Sea insimcnans lor complanng this form on Geck af yellow copy
?_
a 7 Q 2 0 9 "X" Below Work Covered by This Request '?•m•
e 'P.dO Rcjt Type of Building ApphancesWiretl EqwpmeniWired
Home Range Temporary Service '
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Specity)
Comm./Intlustnal ' Furnace
Farm Air CondRioner
' Other (spany) ConVac[or's RemeBS.
Aof
/JrJ/T/c7n-,f L
Compufe Inspeciion Fee Belaw:
# Other Fee # ServiceEntranceSize Fee # Circuils/Feeders Fee
Swhnming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps _ Amps
SignS Inspector5 Usa Onty. TOT
IrriJaUOn eooms Ofp' ??•
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED D SCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MO"HS. l
I, the Electrical Inspector, hereby
certitythattheaboveinspectionhas
been made. RO°9""'" , ;/ e`??20 fZ('
Final P oa?e.?
OFFICE USE ONLY ?
Tnis request wltl 18 monMs imm
?7zr/5y /oai?.Z
K 70237
QeQUest Date
/f ^J fire No RouBh-m Inspeclron
R ' ed?
? Reatly N.
NoM1ty InsDector
R
tl
,
Yes ? No en
ea
Y
I licensed Contracror ? owner hereby request ins tion of above
ork at
electrica ,11
:
.bb AEEress (Streel 80. or Ro C
10
Seclion No, To ame or RanBe No Coun
0
Occ 1 RINTI
/Z
Pnone o
r?
gg
Po uppher AEtlrgss
T ? I
ElMncal Conlreclor(ComOany Name) ConVacmr§ L¢ense No.
d3
-
? ?so.I 9
Mailin Atltlress (Convactor or Owner Making Installation)
- S
S
s G ?
Aumonzetl Sg atu.e 1 act r Ma nsta ) tp I_.! --
MINN A STATE 80AHD OF ELECTRICR THIS INSPECTION FEQUEST WILL NOT
Grigpa-Mldway BMq. - Naom S-113 BE AGCEPTED BV THE STATE BOARO
1831 Unlvarslly Rve., 51. Paul, MN 551 UNLES$ PFOPER INSPECTION FEE IS
Plwne (612) e@-0800 ENCLOSEO
i,•?/ ?r/ .?. REQUEST FOR ELECTRICAL INSPECTION
M 7 ? See instmctions 1w comple0ng this brm on back ol yeliow cOpy
Inl 0237 ')l' Below Work Covered by This Request
EB-00001-08
? ? ? O",1'/Se2
. e._
ew Add Rep TypeofBmltlt'ng AppliancesWired
` EquipmeniWiretl
Homa Range Temporary Service
Duplex Water Heater Electric Heann9
Apt. Bmidinq Oryer Other (Specify)
Comm./Industrial ' FUrnace
Farm Air Condrtioner
Ot CoMractor's Remarks
Compute Inspection Fee Below: If- / Fp T
# Olher Fee # Service EniranceSize Fee # Circwts/Feeders Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Transformers Above 200 _ Amps AmPz
Signs Inspecror§ Use Only TAL
Irngation Booms s151
Special Inspection
AlarmlCommumcation THIS INSTALLATION MAY BE ORD D DISCONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
1, the Electrical Inspector, hereby Rouyn-in oata .70-c41
certify that the above inspection has
been made. F,nai
• ?e/
( ??,T Q
OFFICE USE ONLY ?
Tprs repuest witl 18 moMhs fmm
Iv
?
REQUEST FOR. ELECTRICAL INSPECTION ?EB-00001-OB
41 ? 4 • S. instmchons for completing fiis brm on Oack of yellow copY f?°' ?
K
X" Below Work Covered by This ,9equest
ew Add RepTypeof8uddAg AppOancesWired E t
• Home Range Tempora 5 rvice
Duplez Water Heater Eleclnc Heating
Apt Building Dryer Other-(Speciiy)
Comm /Industnal Fumace
Farm Air CondiLOner
qner lsueaiY) convacmr's Remarks `[/i rt STyT3' /"' Ao
Compute Inspection Fee Below: ? 4. --7 11
# Other Fee # SeroiceEnlrameSze Fee # CircoRSlFeetlers Fee
Swimming Pool 0 to 200 Amps 0 5
Transbrmers Above 200 _ Amps A6ove 100 -Amps
Signs insoamork usa oniy TOTAL
Irrigation 8ooms , /1.C?j ?
Special Inspection ?-F?
AlarmlCommunication THIS INSTALLATION MAV BE DE ISCONNECTED IF NOT
Other Fee
Ail
COMPLETED WIT MO S
I, the Electncal Inspector, hereby Ro?yn,m
oate
i7
certify that the above mspection has
been made. p,nai . oste
OFFlCE 11SE ONLV
Thrs requast witl 16 monAS fro.
? 4 709 '
/ ? ?3 o?
'
6 ? a?
R uest Dale Fue No Rough-in Inspedion
Repuiretl? `?'
0 Reatly N. Ywill Notity Inspector
? a
YeS o
/ YJhen Reetli
I licerised contraCtor ? owner hereby request inspeCtion of above electrical work at:
Job?re53 (5treet Bax p qoute No I Cily
N 'V'0
Section No Towns N e orNO Range No Cou
Occu a ?PRMT) PhJo 'e No
s6? ? Z
!
v?Q G/S r?G? C_--p ?
Power upplier Adtlress
Ele ntracror?GOmpany Name)
'piwcp ConVaclor5 4cense No
->v
Maihng ADOress ICOnVaclor o ner Makmg InstallaLOn)
Nuthonzeo SignaWre IC dori er Making I a ialmn? Phone Number/
MINNESOU STATE BOARD OF ELECTRICRY / THIS INSPECTION REOUEST WILL NOT
Grlgqs-Mitlwey BIEg - Room S173 / BE ACCEPTED BV THE STATE BOAPD
1821 Unrverslry Ave. SL PeW. MN 55100 UNLESS PROPER MSPECTION FEE IS
Phona(612) 642-0800 ENCLOSEO JJ? 110 0 k
?L4 -]
REQUEST FOR ELECTRICAL INSPECTION
? See msbuclmns tor com0leting this form on back oi yellow copy
"7C" 8e/ow Work Covered by This Request
EB-00001-08
ew P.-p= rp. Typeof6wltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt 8mlding Dryer Othec (Speaty)
Comm /Industrial Fumace
Farm Air Conditioner
Other ?specAy? Conhactor's Remarks',
I `
Compute Inspection Fee Befow.
b Other Fee # ServroeEntranceSae Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps ps
Transformers Above 200 _ Amps Above 100 _ Amps
$igOS InspectorsUSaOnN' I - TOTAL
Irrigahon Booms y ?
Special Inspection
Alarm/CommunicaLOn THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee .COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h Rougn-in Date
y that t
cert
e above inspechon has
been made. Final ? o?
r
OFFICE USE ONLV
This request voitl 18 months trom
? • l0 0/U
P"I-(
Reques ?ate Fne Na. Rough-in InspBCtron
Requved7
D Reatly Now Will Notdy Inspector
? Ves o hen flaetly+
I licensed coniractor ?j owner hereby reque5l inspection of above electrical work at:
Job A dress ?Street Box Rome No )
O
? Qry
rL
?? ti?
Secton No Town N e or Na Range No 0
Oc ? PWTI /,? Phony N
?iST
PowerSUppLer Address
Elea nlractor (Company Name) Convacror5 Ucense No
MeiAng qaoress ICOnlractor r Owner Mabng Insta IaU )
S
Aulhorizec Signalure i a ner Making Install onl Phone NumC
MINNESOTA STATE BOARO OF ELECTRICITY ? THIS MSPECTION REOUEST WILI NOT
Griggs-Mitlwey Bltlg. - floam S173 BE ACGEPTEO BY THE STATE BOARO
1821 llniversry Ave., 5t. Feul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
? See m.ImcOOns for completing iNS lorm on back of yellow cropy
J46822 "X" Below Work Covered by This Request
'????'£ EB?-J00?070J1.08
ew A?1 19ep ' Typeof8wldmg AppliancesWued EqmpmenlWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heallng
Apt Builtling Dryer OMer (Specify)
Comm.Andusinal Furnace
Farm Av Conditioner
Olher (syecify) ConVactor's Remarks
/d
Compute Inspection Fee Below.
# . Other Fee k Service Entrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps 700 _ Amps ?
SiqnS Inspector's Use Onry TOTAL
Irrigation Booms r/ QQ 3? ,S?
Speaal InSpection
Alarm/Communication THIS INSTALLATION MAY BE O SCONNECTED IP NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby
if
h Roumin
iii oate
cert
y t
at the above inspechon has
heen made F?°ai r a?e _/Q ?
!
OFFICE USE ONLY
•
ThiS request voitl 18 manths irom
?/r? ya- • /
j 4 8Z2 ? ? ?
?/?
Request Date Frte N0. RougRin Inspection
Reqwretl' ..,f'
? Reatly Now ?rv?l? ??or
? 1'
? J ?
es No Jhen eatly
I?icensed contractor ? owner hereby request inspection of above electriral work at:
Job Atl ress (Slreet Box
or F
oute No 7 Ciry
/
?
O V /? J ? ? /LJ
Section No Township m r No Range No. Cou
?
Occ INT) ^ Phona N.
L? ? /? .?,- a.•r0
Power SupPlier Atltlress
El
ec?tr %? onhactor (COmpany Name) Con?rec[or5 Lmense No
/
Mailing ACdress iCOnhacto'or wner Ma ing Inslali tit
i
? _? ? ??'l T3- 16
Authonred Si5^awre i t er aai stal ai ? Phon/e?Nu)mb.?erJ
MWN O TE 90APD OF RICITV THIS INSPEQION FEOUEST WILL NOT
Griggs-Mitlway Bltlg - Roo 173 8E ACCEPTEO BY THE STATE BOARD
1821 Unrversiry Ave, St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-pB00 ENCLOSED
3/j 1
? 41719
REQUEST FOR.ELECTRICAL INSPECTION
W See insVUCtions for compleLng this form on back ol yelbw copY
J(" 8elow Work Covered by This Request
E8-00W1.08
?.?.
ew - TypeofButldmg AppliancesWired Equipmen[Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Oryer Other-(Specify)
Comm./Indushial Furnace
Farm An Conditioner
Olher (syecity) ConVacmrS Ramarks 1M?? ?L
??TJ 7 4
Compufe Inspechon Fee Below- /210 ?-?
# Other Fee # Service EntrenceSize Fee N CircuitsiFeeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Ab v _ Amps
SignS inspector9 Use Omy TOTAL
Irngation Booms
Special Inspection
AlarmlCommunicatwn THIS INSTALLATION MAY BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rooyn-m oete
certify that the above inspeaion has
been made. Fnai oa+e
3- 5'r `L 3
I ^E USE ONLY
hft,iii;lIL 18 monihs Irom
K 1719 ? ?ass
a //
Requast Oal Fire No Rough-rn Inspection
qeqwred'+
? Reetly Now WII Noury Inspeclor
_
S _ Yes hen Raedy'!
Icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 A ress fS
t Box ute No ) Qy
?
Secbon N. Township
r No
1015
qange No
Coun
Occ 1 RINTI Ph e No
?
??
Power Suppiier Atltlress
Elt?u?l Conlractor (Conpany Name) ConVeclor's L¢ensB No
MaJin?g +qtlpress IConhact Owner Making Installabon,
Awnorrzetl Signalure ICOm r Making tell I Phone Nu ber ?
MINNESOTA STATE BOAPDJ?CTqICAY THIS INSPECTION REQUEST WILL NOT
GriqgaMiEway Bltlg. - Poom 5-173 BE ACCEPTED BV THE STATE BOARD
1831 U;ive eity pve., $1 Paul. MN 551pG UNLESS PpOPER INSPECTION FEE IS
Phorie 612 642-0800 ? ?C ENCLOSED.
oZ/?o2./?y3 REQUEST FOR. ELECTAICAL INSPECTION ee-ooom-oe
? p ? See insimctions for complatmg ihis larm on back ol yellow copy ¢'????OOv.
K. 41`7 r 1o "X" Below Work Covered by This Request
ew Add. Rep. TypeofBmltling ApphanceSWired EqwpmentWued
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apl Building Dryer Other-(Specify)
Comm./Indusirial Furnace
Farm Air Contlrtioner
01her (syecity) ConVai Remarks
Campute Inspection Fee Below: %h.iz
# Oiher Fee # ServiceEnnanceSZe Fae # CircuM1S/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab Amps
Signs Inspeaors Use Only ? TOTAL
Irrigalion BoomS ? ?Q S s?U
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn-in oata
certify ihat the above mspection has
been made. F,,,ai
zz? oat7 , /`?
,
OFFICE USE ONLV
This requBSt va0 18 monlhs bom
K 41718
Req est Date ire No, Rough-m InspecLOn
Reqmredl
? Reatly Now Will NoOty Inspecior
h
R
d
'
` ] Ves o en
¢a
y
1 hcensed contractor ? owner hereby request inspection of above electrical work at:
Jab?ress ?Sireel. Box ar Rauta No )
/ U ?
?.. ?
U/r Qty
N
Section No Township e No Range N. Count
OceuM
'" Phone No
T
Pawer Suppher Adtlress
Elecn ntractor ?GOmpany Namel C/o?nVvajdor's L¢ense No
L.
Ma ng Aetlress ICmp cror or Owner Makmg Installat n?
S-
S- - s
.
. ?
Aulh? c wner Maki insla ? Phone Number
MINNESOTA STATE BOAflD O ECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-MlEwey Bldg. - H 5•1l3 BE AGCEPTED BV THE STATE BOAPO
1821 pniversily qve., SL Gaul. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Plwne(612)66R-0800 ENCLOSED
i?/A 7IA
M 30851
REQUEST FOR•ELECTRICAL INSPECTION
I? See insVUCtions tor complebng this form on back of yellow copy
`X" Below Work Covered by This Request
0 EB-00001-08
l ZG ?'7
41
ew Add Rep. 7ypeofBuilding AppliancesWued EquipmeniWVed
Home Range Temporary Service
Duplex Water Heater Electnc HeaM1ng
Apt. Building Dryer Load Managemem
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (speciry) ConVactor's
vv s?
Compute lnspechon Fee Below
# Other Fee # ServiceEmranceSrze Fee # CiraitslFeedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am
Transtortners Above 200 _ Amps Abo A
SIJfIS Inspeci0r5 Use Onty TOTAL
Inigation Booms
Speciallnspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the ElecVical Inspector, hereby Ro?qn-m oetl
certity that the above inspection has
been made.
o?-
OFFICE USE ONLY
This request void 18 monMS Irom
30851
Requast Date Fire No ough-in Inspection
Requiretl' NOTICE Vou Musl Call Electncal Inspecror
IfA Rough-In Mspection
? ? Ves o Is Requiretl
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job ess (Street, Bo RoNe No.)
/O ? Gty
1N
??G
i
Secuon No Town ip me or N. Range No- Cou v
Occup n P T)
/-v? ??s
n-? ? Ph e No
?_' ?T?
Power$uppher Atltlress
Eleclri ontrador (COmpany Name) Cqn?ra rS Lmense No
,yrt
Mail g Adtlress (COnVac r Owner Making InstallaGOn?
SS
rc - S?-?
?.? ?d. S 0/
Authorrzetl SignaWre (CO 0 er Ilanon) Phone Number
??/_r ?
MINNESOTA SvTATE BOARD OF ELE ITY ~ THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlway Bltlg. - Hoom S- eE ACCEPTED BVTHE STATE BOARD
1821 Univeralty Ave., SL Paul, MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(612)642-OB00 ENCLOSED.
RF1lUE°rFOR.ELECTRICAL INSPECTION
? See instmciions for complsOnq ihis form on back ol yellow mpy
M 3 0 8 5 3 -? "X°$elow Work Covered by This Request
4 '"` - qe?sJ-oo/ooiry-oeA
/!Y6 /
-
?
e Adtl Rep TypeofBmltlmg AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heanng
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Conha ? ark?
/1
I/VJ!.C.!
Compute Inspection Fee Below: Q?fG??l? ? Sjfp?O
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to s.?,a?(! O
Transformers /- bd `
SIgOS Inspector's Use Onty " TOT L
Ircigation eooms •?,? -UU ??? •5?
Speaal Inspection t
\
- - ?
Alarm/Communication _
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ?MJTH
I, the Electncal Inspector, hereby Rouyn-in
certify thatthe above inspection has
been made Final ` Date? (
p?.
OFFICE USE ONLV
This reQuesl voitl 18 monlhs imm
0853, ? `
Request Oa?e
/? ?
?? Flre No. Rough-in InspcwTOn
R mretl'+ NOTICE: Vou Must Cell Eleclncal Inspector
If A Rough-In Inspection
/ yes ? N. Is Reqwred
IKlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Ayle. (SVeet. Box or oute No.)
-C
? Ciry
??
?4*
Sedion No Townshi am r No Range No Coun
,CoTi¢
Occu rit RI T)
/?sr Ph e No
Power Supplier Atltlress
EI onVactor(COmpany Name)
G AP/
/?t?/?So? ConVactar?'s} menae No
G°/5f 00/ ?/
Ma/Ainy Address (Contract Owner Making Instailation
S'/O?
- ?
S
?
??
?
S
.
/ !//?
L.
i?
T
•
Au?nor¢etl SignaWre (C akm Phone Nu/mpy/?
MINNEgMg STATE BOAqD OF ELECTHIC THIS INSPECTION REQUEST WILL NOT
Grlggs-Mitlway Bitlg. - Room 5413 BE ACCEPTED BY THE STATE BOARD
1827 UnlversiTy Ave., M. Paul, MN 551 6 UNLESS PROPER INSPECTION FEE IS
Phone(612) ea2-0800 ENCLOSED
d 23723%/?? ' - Aad°?
Reovest Dete Fne No. Rougn-in Inspecuon
R
eq
wreO?
? Reatly Now ill Notity InspeClor
Wh
R
tl
'
?es
G No en
ea
y
Ix"censed contracror f] owner hereby raquest inspection of a6ove electncal work a(:
Job AO ess (SVeel Box /or R? jute No ? City
Seclion N. Township m r No Range No Goun
d
Occu IP NT) Ph0 NO,?/
Power SupOlier Atltlress
Bed ontracbr (COmOany Nbme?
L Gonir r5 Lwense No
c.?,C?/? ?s?? /'LSart? ?
MaiLng hatlress ICOnv cror o ner Makmg Installauon)
S'S
70
Authonzea Siqn ner g Installat n? Phonm?e
MINNE TA STATE B OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Gtlgga-MlEway Bld - Raom 5113 BE ACCEPTED BY THE STATE BOARE)
1811 UnrvenOy Ave.. St Paul. MN 55104 UNLESS PftOPER INSPECTION FEE IS
Phone (612) 6d2-0800 ENGLOSEO
qEQUEST FOR ELECTRICAL INSPECTION C 1/?-?5??'"`? ?• /Ee?ooo?y.g?/
? See mslmcuons ror compieting this lorm on back oi yeilow copy 9-7
-7 r
"X" Be/ow Work Covered by This Requesf '??u.•
ew Add Rep. TypeofBwlding AppliancesWired EqmpmeniWired
Home Range Temporary Service
Duplex Wafer Heater Electnc Heating
ApL Butlding Dryer Other-(Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Other (sVecAy) Contractar5 Remarks
` CJ
Compute fnspechon Fee Selow /,*0 f?¢/(. lwJlr7'C??'J??/Z
# Other Fae # ServiceEntranceSZe Fee Ciraits/Feeders Fee
SwimmingPOOI G.lC200Amps 0 mps
Tmnsformers A ps An(as
Signs Inspector5 Use o ty TAL
Irngation Booms
Speaal Inspection ?
Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED D CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 7 S.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RO°9n-'" ,c..%
F??ai -O_
oa?e -
OFFICE USE 9NLY `-
This requesl vmtl 18 months Irom
2 ? °„
to
1
1 -
Req st Dale
?? Fre No Rough-in Inspection
Reqwretl? ??/
G fleatly Now p(YVIII Notity Inspeqor
P
- 1Vh
R
d
? Yes o en
ea
y
I? licensed contrector ? owner hereby request inspection of above electrical work at:
JoG tltlress (Slreet Box ar qoule No)
l Qty
fe N
SacLOn No Tow ip ame or No Range No Coun
?
Occu n IP TI 4l.
,.r
a
Phan NO - r?
owe, Supplier Atltlress
Eiecm//?irector COmpany Name)
Contractor5 Lioense No
,
SGJ ?
?
Mailm rAddress Conlrclor or Ownar Makmg Installalion)
/+Wffior¢etl Signalure r Making slall Phone Number
T'
MINNE90rA STATE BOAHO OF CTPICITY THIS INSPECTION REQUEST WILL NOT
Gtlggs-MlOwey BIGg. - Ro 54)3 BE ACCEPTEO BV THE STATE BOARD
1821 Unrversity Ave, SL Paul. MN 55104 UNLESS PROPEF INSPECTION FEE IS
Fhone (612) 642-0800 ENLLOSED
F1>1?l"__
d 2371 6
REQUEST FOR. ELECTRICAL INSPECTION
?$ee instmcnons for completing tNS form on back oi yellow copy
"X" Be/ow Work Covered by This Request
rtx!-N,
EM0001-08
ew Add Rep. Typeof8mldrng AppliancesWiretl EquipmentWired
Home Fange Temporary Service
Duplex Water Heater Electric Heating
Apl Bwidmg Dryer Other-(Speciry)
Comm./Industrial Furnace
Farm Air Conditioner
otneropecdy) conrrachors Remar 07-
Compute Inspection Fee Below. 4s(IV?j ??LlpG ?
# Other Fee # Service EntranceSize Fee # CrtadslFeeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
$IgnS Inspecror§ Use Only /
Irrigation Booms
Special Inspection
0
Alarm/Communicanon 1
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Elecirical Inspector, hereby Rouqn-in Zrv one ?_??
certity that the a6ove inspection has
been made
OFFICE USE ONLV v ' •
This request voitl 18 moNhs Imm
8
ReQU st Da1e
? y? ? Fire No Roug?-in InSpec?ion
Required? J
? Reatly Nl Notlylnspector
owYlWil
R
? ?Wh
? ? ves o en
eel
Xlicensed coniractor ] owner hereby request inspection of above electrical work at:
Job Ad ess I/Sl.r.e?et Box or Roule No ) Qty
Seaion No Township r No Renqe N.
Counpry?/?
/? /??--?/ ?
Occ t qMT, P?y? N?o
Power Supplier Atltlress
Elecyrt'3mractor (COmpany Name)
L? Contrac?or's lmense No
Maiiiog qtltlress !Conlramor ner Making InStallaLOn)
S
S
4_
Aulhonzed SignaWre ICo ing Insla onl Phone NumOer
Y1 r i?r-J1
cl,
MINNESOTA? 5 BOARD OF ELEC;Rt TY THI$ INSPECTION REOUEST WILI. NOT
Gtlgga-Mitlway BItl9. - poom 5473 BE ACCEPTED BV THE STATE BOARO
1821 Univerelty Ave. SL Paul. MN 551D0 UNLE55 PFOPEF INSPECTION FEE IS
Phone(813)64Y-0B00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-oaom-ae
?ii,, See=nstrucLOns lor comDlelmq Ihis torm on back ol yellow copy
pr? ?e.
L 23718 "X' Below Work Covered by This Request
e Add Fle$ Typeof8utltlmg AppliancesWired EpmpmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Speaty)
Comm /Industnal Furnace
Farm Air Condnwner
Other (spemly) GonheclorS Femar
Campute lnspection Fee Befow?`
# Oiher Fee # SerwceE ranceSze Fee # Circmts/Feeders Fee
Swimming Poal. D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspector's Use Only 7p7pL
Irrigation Booms
Special Inspecnon
Alarm/Commumcahon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspectoc hereby
cerhfy that the above inspectwn has
been made RO09n-'"
OFFICE USE JNLY
This request voitl 18 monlhs Irom . '
0841 ?
1
Request oate Fire No. flough-in Inspection
Fequire tl. NOTICE: You Must Call EleIXncal Inspeclor
It A Rough-In Inspection
? ? Ves o Is Reqwratl
I license contractor ? owner here6y request inspection of above electrical work at:
Job Adtl?ss (SV?BOx or o ?
?
4,4", .di1 Clty
Seceon No Township N e aillko. Fange No. Co
?¢Ka
Occup t R i) Phane N.
Power Suppliet Atltlress
ElecVi Conhaaor (COmpany Name)
Conirector's License Na.
C__J NXJ/L/ZS on? C-%?lX?/7
Mailirig Atltlress (ConVaclor or Owner Making Inslallation)
Authonzetl SgnaN? stallal?o Phone Number
;?;?j
MINNESOTA STATE BOAFD OF EL ICRY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Raom 3 BE ACCEPTED BV THE STATE BOARD
1821 University Ave, SL Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(el2)802-0800 ENClOSED
M 3Q841
REQUEST FOR ELECTjiICAL INSPECTION
? See inshucGons for comp=eling tltis form on back ol yellow copy.
"X" Below Work Covered by Thrs Request
EB-00001-08
ew dd R Typeof8uilding AppliancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Heafing
Apt 8wlding Dryer Load Management
Comm /Industrial Furnace Other (Specdy)
Farm Air Condihoner
Olher (specity) ContrectorS Femarks // i/?? /0r_&.,lL Gy?s
Compute Inspecfion Fee Below: f„? d-X lel GA;s
# Other Fee # Servi ntrance rze Fee # CircuRS/Feeders Fee
Swimming Pool p to 200 Amps o
TranSformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr5 llse Only TOTAL
Irri gation Booms ?
e ?S?
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE OSCONNECTED IF NOT
D_ED
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rougn-in oate
certify that the above inspection has
been made. F,,,ai oaie
OFFICE USE ONLY
This request voitl 18 monlhs irom
?I'730?6?,U ° ? ?s°
ReQuest Date
3 ?j
v Fve No. Rough-in Inspecbon
Requiretl?
? Yes o NOTICE: You Must Call Electncal Inspector
If A Rough-In Inspection
Is R¢qmretl
I licensed contractor ? owner hereby request inspection of above eledrical work at:
Job A ess (Street, Bo?x orr Rou1e No
) ?7
? C.?5 'L-S2/ (.?L ?L
COy
?
Seciron No Township Name ar No Renge No Coun a
7/??
Ocw (P T) Phy^e ,N.o,?1 y?
Power Supplier Atltlress
Ele?¢ipConYraclor (COmpany Name)
i
?G c?
/?-?J/? SO?? Cont 5 ?cense No
l?t?/ ?f
Mailing Atldress (Conhactor ner Making Instellalion) ? l
J^
z-I S77O
Au[honzetl Signatura (C ner Maki Inst n) Phone N?yn/Nbe? /
// ?
MINNE9911irt STATE BOAFD ECTPICRY THIS MSPECTION REOUEST WILL NOT
Griggs-Midwey Bltlg. - m 3-1]3 BE ACCEPTED BV THE STATE BOARD
1621 Unlversiry Ave., SI. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phane (612) 862-0800 ENCLASED
/a REQUEST FOR ELECTRICAL INSPECTION
? ? ? p?6ee mstmcfiona tor complehng ihis form on back oi yellow copy
M 3.0 6 O "X" Below Work Covered by This Request
QM.t EB-00001-OB
aoe5o
aw Add Rep Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heahng
Apt Bwlding Dryer Load Management
Comm /Industrial Fumace Ofher (Specify)
Farm Air CondRioner
Other (specity) Contractor's flemarks 4O J?"Q
/C /vT
Compute lnspectian Fee Below:
/W/¢ °
# Other Fee # ServiceEmranceSize Pee # Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ s Above 100 _ Amps
Signs Inspeqors Use Ony: ?L; 50 7p7 L
Irngation Booms ?
77 ??
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee OMPLETED WITHI MONTJH&
I, [he Electncal Inspector, hereby
if Rough-in
cert
ythatthea6oveinspectionhas
been made. F,,,ai oa
?
OFFICE USE ONLY
This request voW 18 monihs irom
?0?55 REQUEST FOR ELECTRICAL INSPECTION
M ? See msWOypns for wmpleting this form on back oi yellow copy
3 0 8 6 9 ' "X" Below Work Covered by This Reques[
?
ew Add Rep. TypeofBwlding AppliancesWired EqwpmentWirad
Home Range Temporary Service
Duplex Water Heater Electnc Healing
Apt. Bwlding Dryer Load Management
Comm./Intlustrial Furnace Other (Specdy)
Farm Air Condihoner
Olher (spenfy) Contractor5 Femarks: j? V y?
l
Compute Inspection Fee Below: Clh/n 7 3.
# Other Fee # SermceEntranceSrze Fee # CircuOS/Feeders Fee
Swimming Pool 0 to 200 Amps O to 100 Amps
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspector's Use onry: TOTAL
IrrigationBOOms
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
f Rou9n-m oace
certi
y that the above inspection has
been made. Finai ?
7
oeteJ
OFFICE USE ONLY ?
This request void 18 months trom
M 30869z, ,8r .
Request Date Fire No.
` Rough-in Inspection
flequrtetl? NOTICE: You Must Ca0 ElectncalInspeclor
II A Rough-In Inspeclion
?Yes No IsReQmretl
IKlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Stmel, Bm or Route No ) Ciry
r.
SecOOn No. Townsh ame or No. Rarge No. Countvy
Occupenl(PRINT)
t i
ce, Phone No
s?- o
Power Supplier Pdtlress
Eledrical ntractor (COmpany Neme) /j
W . Contra/c1todr5 Lcense No
l.lT D?
MaAing Atltlress (COntractor Owner Mabng Ins?allaLOn)
15 I f , ?- !'awl
/hN o
Auth i¢0 n ?C ra q ner Making In lation) Phone Number
6 ?i-?avb
NESOTp STATE BOARD OF ELEaRI? THIS INSPECTION REQUEST WILL NOT
Iggs-Midway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARO
821 OnivBrsi[y Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED
29
REQUEST FOR• ELECTRICAL INSPECTION
? See ins[ruclions for comple0ng Nis form on pack oi yellow ropy
"X" Below 6NOrk Covered by This Request
?..
?:??g, EB?00001-OB
ew AOtl Rep ?- TypeofBuilding y 'ApphanceSWiretl EqwpmenlWiretl
Home Range Temporery Service
Duplex Water Heater Elednc Heating
ApL Budding Dryer Other-(Specily)
Comm llndusirial Furnace
Farm Air Conditioner
Other (suenry) Conctor5R,emark5
E`j
Compute Inspection Fee Below:
# Other Fee # ServiceEnirance5ize Fee # Cirouns/Feetlers Fee
Swimming Pool ? 0 to 200 Amps /S O 0 to 700 Amps .CIQ
hanstormers Above 200 _ Amps Above 100 _ Amps
Signs inspecmr5 use only TO
7AL q?'/'?
Irrigation Booms ?? - n
f? ?• ?J U
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD RED DISCONNECTED IF NOT
Other Fee S6 COMPLETEO WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Roci oe?e
certify that the above inspection has
6een made. F,nai oete
OiFICE USE ONp '
Thrs raquest voiE 18 months Irom
K 4 2 ? /'7 yOY
.P .?.P,- ?, •
flequest aie Fire N. Pough-in Insvection
ReqwreC'
fieatly Now 0 Wll Notity Inapector
R
E
+
Wh
71 Yes o en
ea
y
I )icansed contrector '] owner hereby request inspedion of above electncal work at:
Job Atltlress ISVeet Box or RoWe Na )
I o QAP6 2 Pty
G/fGIl¢Y-i
Seceon No Townsmp Name or No Range No Couny d? K1/ ^
?/? + ?T?4
OccuOaM IPRINT,
l,JE s-` (T?v 13 [1S cf [ t-JG-- PM1pne No.
PowTe?, suavlia,
N (c6 E(x,CzztcC naaress
?i¢yC_G?t. C N L?-T ??J
Elecmcal Conhatlor (COmOany Name)
?C..?CC"`(-l? .Lf?1C. ConVactor5 ?cense No
Q ? 4??E5
MaN/ng Aa ress ICOnIraClor or Onne, Making/ Ins?talla0on)
` ? Lv f2or
Au1M1Or ig ature ?COnlr or wne king I IlaLOn)
- Phona Number
?'
`-E
Z -
MINNESOTA $TATE BO D OF ELECTFICITV THIS INSPECTION REOUEST WILL NOT
Grigga-MlOway Bltlp. - Room S173 ri BE ACCEPTED 8Y THE STATE BOARD
1821 Universky Ave., SL Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Ghone (612) 6a2?800 ENCLOSED
REQUEST FOR ELECTRICAL WSPECTION
41713 See in9rudions tor complehng Ihis lorm on back ol yellow copy
K X" Be/ow Work Covered by This Request
k"n!4 ee-oooo,-oe
eAtltl P,ap. TypeofBuilOing ADPliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleclnc Heating
Apl Builtlmg Dryer Other-(Speaty)
Comm./Indushial Fumace
Farm Air Conditioner
Othar Ispentyi
Compufe Inspecbon Fee Below Gontrector's Remarks /A //? ? Z?
??L/ ?-?
T???n..,.?
k Other Fee 8 ServiceEntrance5rze Fee # Cirouns/Feeders Fee
Swimming Pool 0 to 200 Amps 0 mps ?7v
Transformers Above 200 _ Amps AlWe 7(LSZ#
Signs Inspeckorg use Only TOTAL
Irnganon Booms S?
Special Inspechon
AlarmiCommunicaaon THIS INSTALLATION MAY BE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hareby
t ROUgh-in Oaie ?
cer
ity lhat the above inspection has
been made. F??ai oa?a
OFFICE USE'JNLY
Tnis requast voia 18 months Irom
K 4 713 4/?
? ?/??-
Q?
f?
?
..
,?/,
?.
,-
Fequest Dare
?/ 93 Fre No. Rougn-in Inspeceon
ReqmrBtl+
X `'
? Reedy Now pp Wtll Notdy Inspector
R
tl
'+
? ?W?
a Yes
j?o en
ee
y
I licensed contractor D owner hereby request inspection of above electrical work at:
JZtlrass (Slreel 00o, or Route Na I Crry
Settion No Townsh a orNO Raege W. Cou
Occup
nt(PRINT)
A
Phon No.
" (
lln
T '-'
S ?3 l
owerSuppLer Address
Elech¢al onvactor (COmOany Namel
L u /,?A v/ /` Conlraclor's Lreense No
Malin Atldress ICOntractor wner MaMing Installation,
SS'/ - ? ?
Sr/o
/?
c.
•1
Authonzetl Signalure (G act lion) Pnona Number
MINNESOTA STATE BOARD OF ELECTP?' THIS INSPECTION REOUEST WILL NOT
Grig9a-MlOway Bltlg. - Room S173 BE r1GGEPTED 6Y THE STATE BOARD
1621 Univeraity Ave., St. Paul. MN SSIOG UNLESS PROPER INSPECTION FEE IS
Phone(61Z)60R-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION E&00001-
? See mstmcvons for com0leeng fftirs lorm on back o1 yellow copY. `?4'? ~?
? ' (oe2
K. ll
- ` ?
41715 °X" Be/ow Work Covered by This Request ??? /
e Atld Rep TypeolBwltling ApphancesWiretl EquipmenlWued
Home Range Temporary Service
Duplex Water
ater Electric Heating
Apt Bwltling Dryer Other-(Specrfy)
Comm/Industrial Ha
Fumac
Farm Air Cooner
Other(syeafy) ConlractorSPemarksS?t,C??
%Trj
Compufe Inspechon Fee Below: p?/ G O^S
8 Other Fee # SerwceEniranceSrze Fee # CircuRS/Feeders Fee
Swimminq Pool 0 to 200 Amps -F= -14
Transtormers Above 200 _ Amps A4o?& 1oo Amps
SIgnS Inspector5 Use Only. / ? TD L
Irngatwn 8ooms I ? 3 - ?3 .sa
Special Inspedion ?
Alarm/Communication TMIS IN5TALLATION MAY B ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NS. ?
I, the Electrical InspeCtor, hereby
if Rougn-m Vii
T
cert
y that ihe above inspection has
been made. Fmei ( oa?e o
OFFICE USE ONLY •
This repuest voitl 18 months hom
K 1715 ?? .2 r
a?r 9cwj!-,C/?/
RequeslDate ` Frta No RouBMm Inspecban
Repmretl'+
G ReaEy Nav ?II NaUfy Inspactor
h
R
tl
?
3 ? Yes G en
y
ea
I licensed contractor ] owner hereby request inspection oi above electrical work at:
Jo0 A ess (SVeet Box or floute No ?
/0 O u Qry
?
Seclion No Townshi0 N ,kllife o Range No CoYprl
Z% O
Occu nt PRI T) Phoy? No
ower SuppLer AGdress
Elec Contractor (ComOany Name?
?
Al Co Vector§ License No.
L
l
Malin Atltlress ICOnVaclor o? er Making Installa ionl
Nufnonze0 SgnaWrel actor%O Makr ahron Phone Number
MINNESOTA STATE 80ARD OF ELECTRICI THIS INSPECTION qE0UE5T WILL NOT
Gri99ri•Mitlway Bltlg. - Foom S-i]J BE ACCEPTED BY THE STATE 90ARD
1821 Unlvarsity Ave., SI. Veul. MN 55104 UNLESS PROPER INSPECTION FEE I$
PMne (612) 6a3-0800 ENCLOSED
REQUEST FOFI ELECTRICAL INSPECTION is="=N$ Ee-go_ooi-oe
4??^^ ? See msvudions ior compleong mis form on back o1 yellow copy ?
? L? "X" Below Work Covered by This Request ??a ?
ew Add Rep. 7ypeofBmldmg AppliancesWired EqwpmeniWvetl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Bwlding Dryer Othec(Specify)
Comm./Industrial Furnace
Farm Av Conditioner
Otherapealy) Conllacror5 Remarks
Compute Inspecfion Fae Below:
8 Other Fee # ServiceEnirenceSrze Fee # Circurts/Feeders Fee
Swimminq Pool 0 to 200 Amps
l o t Amps ?b 4-1
Transtormers Above 200 _ Amps Above i00_ Amps
SIgnS ftrspector5 Use Only TOTAL
Irriqation Booms ?
Special InspeCtion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°Bh-m oeie
certity that the above inspection has
been made F;nei G
OFFICE USE ONLY
This repuest voi0 18 months trom
K 417223 ya??
Request Date
3 ? Fire N. Rougn-in Inspection
Reqmred?
?,?s No
? Peady Now ??hen Raad???,
?Ilcensed conhactor ? owner hereby request inspechon of above electrical work at:
Job A tlreu (Street Box a Roule No I
? o O .?s?--? .?ili? Pry
.?.?G ?
Setlion No Township e No Range N.
Cou
Occ a tl INT) Pho No ?/
?c?'/ ^ lrllC?
Power Suppliar Atltlress
e7
Elecn nt?eetm ICOmparry Nam
v r,G?/f iv ConVacrork License No
OU °J/
Matlm qaaress IGomracror Owne
r Makmg InsW labon?
Aut?onie0 Srgnalur r Making I alla Phone}/?%bSe
MINNESOTA STATE 80/.FU OF E PIqTY THIS WSPECTION REQUEST WILL NOT
Grig9e-MlCaay Bldg - Poom ]3 6E ACCEPTED 9V THE STATE 00APD
1811 Univeraity Ave.. SL PouL MN 55100 I/NLESS PFOPER MSPECTIDN FEE IS
Vhone(812) 642-OB00 ENGLOSED
.3/ari
-J,,77
??_.. ? .
REQUEST FOR ELECTRICAL INSPECTION E ??. 8 p 'O 1 o
, Ses insiructwns for comple[in9 tM1is brm on Daak ol yellow copy
"X" Below Work Covered by This Request
Ne Add Rep. Typeof Building . - Appliances Wired Equipment Wired
Home Range Temporary Service
Duptex Water Heater Electnc Heating
Apt. Building Dryer Load Management
Comm./Industnal Fumace Other (Specdy) -
Farm Air Conditioner
Olher (specJy) ConVaclorsRemeMS???;
'1' ? ff?OL7//ClCN,f?
Compu[e Mspection Fee 8elow: dG?
k Other Fee # Service Entrance Size Fee !t Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 01Ki98 p610 4J
Transformers A s ?s
Si n5 spector's Usa Oniy TOTAL
Irrigation Booms J?
Special Ins ection ?
Alarm/Communication THIS iNSTALLATION MAY BE DISCONNECTED IF NOT
Other Fee COMPLETED WI7HIN 18 MONTFIS.
I, the Electrical Inspector, hereby
certify that the a6ove inspecdon has
been made. Rouynin
Finai Date? ?;7
oat
?t{
OFFICE U3E ONLV
ThiS request void 16 monihs irom
0 ? 0?727 ?
'
? ? 134 '
, ?
t al
P est p e Frte No oughdn Inspection Feqwred n pection O er h gh-In
3 [
9 (MOU mo,t a?l inspeclor when reatly)
? fleatly Now WAI Notity Inspector
..] N.
es pale Read
I hcensed contracror ? owner hereby request inspection of above electrical work at.
Jo? Atltlress (Street. Box Or /Ryo" ?eJ No ) a
?
4 Ply
?
?[Jrf
C.? O ??`
/-/aiV?//i/L+
Seciwn No. Township Name or No qanqe No Counl
vT>1
Occup t RI ) Phonep? ?. ?
Power Supplier Atltlress
Ele ontractor cOmpany Neme) C n
trnc
for s Lrcense No
??'•?Y? N.t7/?/ZSc??U ?
p
(?fi1 do?'??
Metli Aatlress (Contrador wner IAakinq Insuallation)
s?7
&
K
Authonze0 SignaWre n n king Install Phon¢ Number
MINN STATE BOARU D CTRICITY
GfIgge-MiEwey Bltlq. - Room 729 THIS WSPECTION REQUEST WILL NOi
BE ACCEPTEO BV THE STATE BOARD
1821 Unlversity Ave., St Paul, MN 55109 UNLESS PFOPEfl INSPECTION FEE IS
Phana (612) 642-0800 ENCI,OSED
0066093o. REQUEST FOR ELECTRICAL INSPECTION
See insWCtions br completing ihis lorm on back ol yellow copy
Mv ? "X" Below WoFk Covered by This Request
ea-ooooi-
s
Ne Add Rep. Type of Building Appliances Wired Equlpment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnaca Other S ecif
Farm Air Conditioner
Other (speatyj Coniractor's Remi 4 i?. Kw _ _ /"a'?? ? ?R47
/ %J? ??/ IY
Compute Inspechon Fee Below:
# Other Fee # Service Entrance Size Fee # Cvcuits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 t
Transformers Above 200 Amps Above 700 _Am s
SignS Inspectors Use Only TOTAL
Irrigation sooms y A O
S ecial Ins ection b
ommunication
t
THIS INSTALLATION MAY BE OR ERED DISCONNECTED IF NOT
ee COMPLETED WITHIN"18 MOf1TAi . f
I, the Electrical Inspector, hereby
ni
th
t th
i
b Rough-m
l Date?_?7 J
ce
ry
e a
a
ove
nspection has
been made. F,nei
- ? Date ^
OFFICE USE ONLY
This requesivoitl 18 rtronths from
?
/
0
6
093
0
0
7oa °°
Request Date ire No. Raug -In Inspection Requiretl
(YOU mu all Inspector when tly) 1ns eclion Olher TIa?n Wg0 dn
Raed
Now
WIII Notly In6pactor
/ y
?
Ves ? No ?ate Reed
I licensed contractor ?owner hereby request inspection of above electrical work et:
Job Atl ss (Streel. Box or Roule No )
/o O
?
? Qty
?
?
??.?•,.? ?c
i
r c?.
.
SecM1On No Township Nama o? No. Range No. Caunty,
?? ? / IT
PRMT)
.sr-? v.r?Us,s?,••.? ?o P?o No
?Sr7- ?cvo
Power Supplier Atltlress
Ela omraclor (Company Name) CoNractor's L¢ense No
?.o N•o.f.cs? C'?¢ «=/ I
Mailing Atltlress (COnlraclor o ner Meking Innalletwn)
/__
ANhonxetl SignaWre (ConV / aWng Ins abo Phone N
ber
um
/
j
/?-
MllilESO 1'TE BOAPD OF pICI7Y THIS INSPECTION REOUEST WILL NOT
Grigga-MlGwayBltlg. - POOe ? I3?1 //' UNLSS E RS
18Y1 Univereiry Ave., SL P, MN 55104 ?p v
PROPER NSPECTION EE
Phone(612) 6a2-0800 ENCLOSED
?11g'l Y/ /up LY Y "i
H 51226 - ? ?ao°°
Request Date Fre No Fough-in Inspection
Reqm?M?
? Ready Now X Will NotAy Inspec[or
- ,2- - ? Ves No Wlten fleetll
IXicensed contrector ? owner hereby request inspection of above electrical work at.
Job Atltlres reel Box or Route Qry
-? 3 , LJAY l9 E?A.
4Sectio nNo Townsmp Name or No qange No Counry
Q 4
Occupam (PRINT) Phone No
Stisle5rt
Power Supplrer Atltlress
brtk ?t-.?cfiRtc. FA ir.lE, D?? 1`?L?Nr/
Elecmcal Contratlor (Gompany Name) ConVactor5 License No
,e, E? I -r La +° a o
Mailing Atleress (GonVaotor or Owner Makmg Inslallatron)
j ,VEZ r-IPLs MiN! -'526411
Authorixa8 SigneNre (GO /Owner Making Installatmn) Phone Numher
' 2 - ,S
MINNESOTA STATE BOAHD OF EIECTRICiTY THIS INSPECTION REOUEST WILL NOT
Grlgga-MlGwey Blpg. - qoom 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlversly Ave.. SI Paul, MN $5100 UNLESS PROPER INSPECTION fEE IS
Plwne(612)60Y-0800 ENCLOSED ,
REDUEST FOR ELECTRICAL INSPECTION
JI Sea ms[ruc0ons for comple0ng this lorm on back ol yellow copy
a 51226 'X° Below Work Covered by This Request
-°i-Nz? Ee-ooooi-oe
14
e Add Rep Typeot8wltling AppliancesWired EquipmentWired ?
Home Range Temporary Serwce
Duplex Waler Heater Electric Heating
Apt Building Dryer Other (Specify)
CommJlndustrial ' FUrnace
Farm Air Conditioner J_ V !! ?
Olher(speciy) Conhacmr's Femarks
Compute lnspecUOn Fee Below:
S Other Fee # ServiceEntrenceSze Fee # Qrcwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Amps
? SignS Inspector5 Use Only /f a
Q TOTAL b
S
Irngaaon Booms Q?
r '`L O
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 ONTHS. Illit
I, the Electncal Inspector, hereby
certiry that the above inspection has
been made. Roug?-m
Finai oa?e
oaie?
?
OFFICE USE ONLY
ThiS reques[ voitl 18 manihs tmm
?a3 lood'Y?-
H512 2 -1 " & ,s` oo
Feduest Oete Fire No Rough-in Inspedion
Reqwretl4 `.
? Reatly Now $ WJI NoGfy Inapector
-? -?
4 1 1 1 ?] Yes No ? ? W?en Reatly'
Xlicensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 AOOres reet. 9u or Rome No ) 44- Qry
-1 3 la ? a 14 E-A U,J
Se?:tion No Township Name or No Penge No. Counly
1 ry
Occupant(PRINT) Phone No
PowerSUppirer Adtlress
,41-KDrA- EL ?G -TR AR
n/
TDn/ M114
Electncal Comractor IComOenY Namg) GonV9MOrS License No
aGF v sr R o011
Mai6ng Atltlress (Lon[ractor or Owner Makinq Installation)
l E-sT , PLS. MJA! S 41
Nu[M1Onietl Signature (ContreciodOwner Making Installation) Phane Number
a- kao, ? 59?9- 704
MINNESOTA STATE BOARO OF ELECTqICITY THIS INSPECTION REOUEST WILL NOT
GNgge-MlOway BIEg. - floom S-173 BE ACCEPTED BV THE STATE BOARD
lgTl UNVerel[y l1ve., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6,12-0800 ENCLOSED
?/.t3/91 REQUEST FOR ELECTRICAL INSPECTtON
a M? ? Sea msvuctians lor oompiebng inis bem on beck oi yeuow copy
Ir'? 51227 "X" Below Work Covered 6y This Request
•s??' EB-00001-08
ew Adtl Rep. Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. 8uilding Dryer Other (Specify)
Comm./Industrial ' FUrnace
Farm Air Condinoner
J a
E J
Tje
Omer (spenly) Contracror's Remarxs
Compute Inspecfion Fee Selow:
Other Fee # ServiceEntranceSrze Fee # Ctrcuits/Feeders Fee
Swimming Pool 0 to 200 Amps a t0 100 Amps
Transformers Above 200 _ AmpS Above 700 _ Amps
SIJfIS InspecrorSUSeOnly TOTAL 5.O
Irngahon Booms Q,
Special Inspecnon
AlarmlCommunica6on THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electrical Inspedor, hereby
certify that the above inspection has
been made. RO09n-'"
F,,,ai oaie
oa?e
OFFICE USE ONIY ?
This requesl voitl 18 monlhs fmm
1r/C9 a/91 ioo CY y a-
N 512 2 5 ?Iao°°
Repvesl Oate Frte No Fough-m Inspechon
Reqwretl9
? ReaEy Now )01Wdl Nahy Inspeclor
? Yas No When Reatly+
Alicensed contractor ? owner hereby request inspection of above electrical work at:
.bb AdOr reel, Box or Rou[e Na)
? Ciry
'
l AGA?(
E
Secuon No Township Name or No. Ranqe No Counry
' Y V'LJ -r ?
Ocippant (PRINT) PM1One NO
J l S t-E 1 hl
Power Su00lrer Pdtlress
tA rR LVLT IG nJ
ElecV¢al Comracior (COmpany Name) Conhacim§ License N.
A R v? sT M o 1
Matlmg Address IGOniredor or Owner Makmg Installabon)
l
MPr.S S?
1 ? i RJ 2 Rd - 1,
AuIDOnzetl SignaWre toNOwner Makmg Installalion) Phone Number
' Poe 5S5-7 E>4
MINNESOTA STATE BOAFD OF ELECTPICITY THIS INSPECTION REOUEST WILL NOT
Griggs-MlAway BIOg. - Hoom Sl'/9 loe- BE ACCEPTED BV THE STATE BOARD
1811 Unlveislly Ave., St. Peul, MN 55104 UNLES$ PROPER INSPECTION FEE IS
PMpe (612) 642-0800 ENCLOSED.
,??/9? REDUEST FOR ELECTRICAL INSPECTION
0, See insimc[ians for comple\ing ihis (arm on beck of yBllow copy
H 51225 X" Below Work Covered by This Request
00
??`±a 94
a, 8
ew Add Rep: ' Typeof8wlding ApplianceSWired EqwpmentWired
1
1 Home Range Temporary Service
- Duplex Water Heater Electric Heating
Apt Buildinq Dryer Other (Specify)
Comm/Intlustrial ' Furnace
Farm Air Conditioner D
01her(spenry, ConVactl Femarks 4-S
Compute Inspechon Fee Below:
# Other Fee # ServiceEntranceSize Fee # Crtcmis/Feetlers Fee
Swimming Pool 0 to 200 Amps
l 0 m 100 Amps
. Transformers Above 200 _ Amps Above 7 _ Amps
Si9nS Inspectar5 W. Only T TAL 5••0
Irrigation Booms ? ? Q
Speaal Inspection
Alarm/Commurncation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
certirythatiheaboveinspectionhas
been made. R°°9n-'"
F,nai oaie
OiFlCE USE ONLV - '
This reQUest vortl 18 montns imm
y/as?9/
? 51224
Repuest Date Fire No Faugh-in Inspeaon
Reqwre tl?
? Aeatly Now?WJl Noby Inspector
- 2 ? Ves No When ReatlY?
IXicensed coniractor ? owner hereby request inspection of above electrical work at.
Job Atltlres veet. Box or Routa No )
I ?tq City
A
Section No Township Name or No Ran9e No Counry
A D
OccUpant (PRINT) Phone No
\Aj E V IS Fl t 1.?
Power SuOPlier PAtlress
t;A kM-A L Rt C AR Dn/ M ?
Electncal Connactor (COmpany Name) Con?rac[or5 Lrcensa No
La E? v4ST GoRP oo) ?
Maihng Atltlress IConVactor or Owner Makmg Installatron)
k! ts7 ?.rE M?S M 55 ?
Au?nonze0 SignaWre or/Owner Makmg Installavon)
G PM1One ?Num•bar Q Q ?{
J O-70T
MINNESOTA STATE BOAPD OF ELECTflICRY THIS INSPECTION REpUE$T WILL NOT
GrlgpwMiCway Bltlg. - Poom 5-173 BE ACCEPTEO BV THE STATE BOAFD
1821 Unlversky Ave. SL Peul. MN 55106 UNLE55 PROPER INSPECTION FEE IS
Vhone(61Y) 612-0800 ENCLOSEO
?/aa/111
a 51224
REQUEST FOR ELECTRICAL INSPECTION
fl? $ee insimctians lor compleLng ihis form on back of yellow copy
"JC" Below Work Covered by This Request
;ri':°N_. EBOWo,.o
,° /aa g$?
ew AdFr ep - • Typeofemlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Bwlding Dryer Other (Specify)
Comm/Industrial ' Fumace
Farm Air Conditioner
Olber (specity) Contrector's Remarks
Co{npute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuns/Feeders Fee
Swimming Pool 0[0 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Abo 0_ Amps
Signs Inspecmr's use Onry TOTAL
:l,
Irrigation Booms
Special Inspec[ion
niarm/COmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 NTHS.
I, ihe Electrical Inspector, hereby Rough-in ?_ ? ,Ar oa?e
certify that ihe above mspection has
been made.
F,, ,ai ? '
OFFlCE USE ONLY '
This request wid 18 montns from
leg C7A-r.z-
?
51
223 .C/ o?D 647
Repuest Date Fre No Fougbm Inspecimn
Reqwretl?
? Reaay Now?J Will Nafry Inspector
- („ - , ? Yes No When Reetly?
I,Xlicensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlrgs et. Box or Roule No I
-k? Ciry
4
1 A A
SecLOn No Township Name or No. Range No Counry
? q 0 rA
OccuDant(PRINT) Phone No
L L ! h.?
Power Supplrer AOtlress
A. OTA LECT 1[?
1.I
7= MI GT ? ?114
Elecincal Conlraclor (Company Neme) Contrdclor's License No
.s T J S-r Co O/ I$
MaAing Atltlress (COnhactor or Owner Makinq Installation)
61 T RIVE[z F?A ?. L 5 ?. 55411
Aufionzetl SignaN cmnOwner Makmg InstallaLOn)
??..?..,_ Pbone NumOer
7
MINNESOTA STATE BOARO OF ELEGTHICITV THIS INSPECTION REQUEST WILL NOT
Grlggs-Mldway Bltlg. - Room S173 BE ACCEPTED BV THE STATE BOARD
1831 Univerolly Ave., 51 Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
PMne (612) 602-0800 ENCLOSED
?/a?/y? REQUEST FOR ELECTRICAL INSPECTION
M ? See mstruchons for completing this lorm on back ol yellow copy
IN ":,r 12 2 3 "X" Below Work Covered by This Request
?ol ee-oaom-os
`t 4 ?
w Add Rep Typeoteuddmg AppliancesWired EquipmentWired
Home IRange TemporaryService
Duplex Water Heater Eleclnc Heating
Apt. Bwlding Dryer Other (Spemiy)
Gomm/Industrial 'Fumace
Farm Au Conddioner
Otner (specify) ConLaclor's Remarks `i ?
?
Compute Inspechon Fee Below
# Other Fee # ServiceEniranceSrze Fee # Circmts/Feeders Pee
SwImming Pool D to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps A 100 _ Amps
F>IJnS InspedorSUSeOnty OTAL ?
Irngation Booms .10 • ? Q,
Speaal Inspection
Alarm/Commumcation THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspectoc hereby Rough-in oa+e
certify that the above mspection has
been made. F,nai .
( ,i
r? eZO??j
OiFICE USE ONIV
This request Witl 18 months imm C
o?y?
?os
?51219 • ? ?
i
Request Oate Fre No Fough-in Inspecnan
Requved'+
C Reatly N. XWdl NoLiy Inspecloi
1 ? Yes No When Reatly'
x hcensed contractor ? owner hereby request inspection of above electncal work at.
Job Atltlre Streed Box or Route No )
? Pry
149
3 ? E7a d?.I
Sei N Township Name orNO Range No Counry
4Ko A
Owu0anl(PPINT) Phone N.
s!5-i- P u r-is?t?.tG
Power Supplier Atltlress
oT T! M n! 7'Dn( M 1 N
Elecmcal Contractor (Company Name) Contractor's License No
ta ? ot Go P. E do n
Maihng Adtlress (ConVactor or Owner Making Inslallalion)
? ?.•J E?- RIVE12 d t2Ttl tA LS ?l 5S !
?Aujthonze?tl Sgnawre VadorlOwner Making Inslallation?)/
FDR .Ctl, , Phone Numbar
S!54; - _I S 4-
MINNFySOTA STATE 60AHD OF ELECTRICITY ' // THIS INSPECTION REOt1EST WILL NOT
Grlggs-MWway BIEg. - Room S1]3 elBE ACGEPTEO BY THE STATE BOARD
1821 Onivenlty Ave., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Vlwne(612)662-0800 ENCLOSED
Il/a39i
a 51219
REQUEST FOR ELECTRICAL INSPECTION
? See insVUCtions tor compleVng ihis form on back ot yellow copy
"X" Below Work Covered by This Request
a*s a, EB0 01..
4 8
ew Add Rep Typeof8wlding AppliancesWiretl EqmpmenlWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Bwlding Dryer Other (Specity)
Comm./Indushial ' FUrnace
Farm Air Condihoner C L E
Otber(s0acify) Convador5 Remerks
Compufe Inspection Fee Below.
# ' Olher Fee # ServiceEntranceSize Fee # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
' Signs Inspector's Use Only TOTAL
a
Irrigahon Booms G ? ? S
Special Inspecnon
` AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, ihe Electncal Inspector, hereby Rough-in
4-1 oata
certity that ihe above inspection has
been made. F,,,ai . oe
OFFICB USE ONLV
TNS request wi0 18 monfis Imm ?
1?1/a1/9/
m 51220
Request Date fire No Rough-in InspecLOn
qeeluiheav
? Reetly Now?i Will NoLty Inspector
- Z, -91 G Ves No 'h'hen Reatly?
IXlicensed contractor ? owner hereby request inspection of above electrical work at
Job AEEres reet, Box or Rou1e No )
? Pty
p ? a 141)
•
Sechon N. Townshsp Name or No. itange No Counry
A oT'A
OE6pant(PFMT) Phone No
P? ?ssN iN
Power Supplrer Atltlress
-rA L FM TD mlt4t-l
Elecencal ConVactor(COmpany Name) Conhactors Lmanse No.
A EFZ ? S GD E O 1
Meiling Atltlress IGOnirecmr or Owner Making InsWlletion)
t o F-s-r ivarz dQoaiIl MP 5 Mk S 1
Authonzetl`ignaWr o dorlOw'er MaWng Installalion) Phone Number
a2 kA - 5,19 -7 8
MINNESOTA STATE BOAPO OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT
Gtlgg!-Mitlwey Bltlg. - Room S173 BE AGCEPTEO BV THE STATE 60ARD
1821 linlvdelty Ave., 51 Paul, MN 55104 l1NLESS PROPER INSPECTION FEE IS
Plpm (612) 902•0800 ENCLOSED
,?/a3/9i
1220
REQUEST FOR ELECTRICAL INSPECTION
Oo See insVUClions for complgting Ihis lorm on batk o1 yellow copy
EB-oM,
oo'P ?--
a?'?a?'?ia, 9 48
n aelvw vvorK wvereo uy r rns neyueni .
ew , TypeoiBmlding ApphancesWired EquipmentWired
Home fiange Temporary Service
Duplez Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
Comm /lndusirial ' Furnace
Farm Air Conditioner
Other(specily) Conhactor's Remarks
Coqipute tnspection Fee 8elow:
8 Other Fee # ServiceEntranceSize Fee # DrcuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
• Transformers Above 200 _ Amps Abave Amps
Slgns Inspector5 Use Onry. TOTAL ?
Irnganon Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
OEher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certity that the above inspection has
been.made Rouqh-in t oaie
Final
OFFICE OSE ONLY I °
ThiS sequesY void 18 months trom ?
,r.,? / y/
/OfJff 9y 1
?? 51.222
ReQuest Date F.e No Rough-inlnspectio
Requnetl' ???///
? Reatly NowWill No??y Inspedor
-22?- ?Yes N. WhenReatly'+
Ilicensed contractor O owner hereby request inspection of above electrical work at:
Joo adores reet Box or Rome No )
16 ary
N? ,/_ p
14 AUAa
SecM1On No Township Name or No Fange No Counry
akcv-?o,
Occupanl(PRINT) Phone No
E T ?? LiS4?I/J
Power SvpOLer Atltlres5
op-A ?LEGT2l F ! 67bd M,,N/f-
EleclrKal Contreclv (COmOany Name? ?7 ConVector's lsense No
R w Sr l:o f ? M Do i 1°
Matlmg Adtlress (COnhactor or O.vner Making Installation)
ot agz Rws2 Z. lik/. MP W 575411
Aulhonzetl SignaWr nlractor/Owner Maknq Installation, Phone Number
rJ $- 7 53
?}'
MINNESOTA STATE BOAqp OF ELECTRICITY ?
Grlggs-NWwey BIEg - qoom Sl]]
19I1 UnlvereNy Ave., 8l. Paul, MN $5100
Phane (613) 692-0800
TMIS INSPECTION REOUEST WILL NOT
BE ACGEPTEO BY THE STATE BOAflO
UNLESS PROPER INSPECTION FEE IS
ENCLOSEI)
,//?3/?/ REQUEST FOR ELECTRICAL INSPECTION
?i? ? See msimclions for cumpleting Ihis form on Oack oi yellow mpy
a 51222 "X" Below Work Covered by This Request
6
= 9?? EBA0001-08
ew Add' Rep- "° TypeofBmldmg ApplianceSWired EquipmentWired
Home Range Temporary Service
- Dupiex Water Heatar Electric HeaOng
Apt. Building Dryer Other (Specify)
Comm./Indusinal ' FUrnace
Farm Av CondRioner
Offier (spemty) ConVaclor's Remarks
aR
Ccimpute fnspechon Fee Belaw.
8 Olher Fee # ServiceEn[ranceSrze Fee # Cvcwts/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
TranSformers Above 200 _ Amps Above 100 Amps
Signs Inspecror5 use only 'n TOTAL 4D
Irtigahon 8ooms a •V?? O ,
Special Inspection
Alarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that ihe above inspection has
been made. Rough-in
F,,,ai Date
,te 1
OFFICE USE ONLY
This request voi0 18 months Imm
?512 o ? 9?.
3 0
/ , ?
o °°
Request Date Fve No. Roug?-in Inspeclron
Raqwretl'+ ? Ready Now ?Will Nonty InspecMOr
1Yes No WhenReady?
Ixtwensed contractor O owner hereby request inspection of above electrical work at:
Job Atltlres reel. Bw or Route No )
? Qty
N.1 A t49 EA W
$ecvon No Townshp Name or N. Range No Coonry
J-Ko-T'ja
Oc<upantlPRINT) Phone No
? P06LIS4I+J4
Pl er Suppher
Ad
dress
crra L. t "F a?J. `M
Elecmcal Convac[or (Campany Name) Conttactor5 Lmense No
V 1 ST ? 60! t
Madmg AtlOress (COMrac1or or Owner Makinq InsWllation)
OI i 1Vg- . N PL 14 41
A mzetl Signalure ( ontr ror/Owner Making Installatron)
on Number
Phone
QP `
J ?? ? - -7 .0 4-4
MINNESOTA STRTE BOANO OF ELECTRICITV THIS INSPECTION REOUEST WIIL NOT
Gtlgge-MlEway BIOg. - Room S173 BE ACCEPTEO BV THE STATE 80APD
1927 Unlveralty Ave, St Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane(61P)6a2-0800 ENGLOSED
,i?/a3/9/ REQUEST FOR ELECTRICAL INSPECTION
jli? See instmctions for completmg Ihis fortn on back ol yellow copy
a 51230 "X" Be/ow Work Covered by This Request
e Ad ep. ? Typeof8wlding AppliancesWired
Home Range Temporary Ser
Duplex Water Heater Electric Hea[ing
Apt. Bwlding Dryer Other (Specdy)
Comm.llntlustrial 'Furnace
Farm Air Conditioner 1'? A{
Olher (spenly) Contradors Femarks ?y
Compute Inspechon Fee Below
# Other Fee # SermceEntrenceSize Fee # Circurts/Feeders Fee
S?4imming Pool 0 to 200 Amps 0 to 700 Amps
Transformers AbOVe 200 _ Amps Above 100 _ Amps
SignS Inspedor5 Use Only
l TOTAL ? a
, Irngahon Booms ?' d
? Za
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in r oaie
certify that the above inspection has
been made. Fin81 e
OFFICE USE ONLV
ThiS reque5l witl 18 monfis Imm
ea-ooom.oe I
<
?? ?? o0 92
eniWired
Eqwp
a 51229 •
•
Request Date fire No Rough-in Inspec4on
Reqmretl? v
GReatlyNow p Wl
?"or
?,
_??- ?' Yes No
? he
Reatly
??
?*ensed contractor ? owner hereby request inspection of above electrical work at:
JoE Atltlre Veet. Bov or ROUte No )
4 CM
3 iG - 149 F-AG nf
Section No
Townshi0 Name or No
Ranqe No.
CouMy
'
I A l<aT'A
Mcupanl(PRINT) Phone NO
'PO BLisNinl6
Power Supplier AGtlress
d
'
<F E?LZZ- ERJ6- A M rVa 1fl
n!
Elechmal ConVador (COmpany Nam?
,
CDR P_ Contraclor5 License No
Mailing AOdress (GOnirecror or Owner Meking Instellation)
1801 V I-til
'
Aut onzed Signaly ICo amor/Owner Makmg InstallaLOn)
Foe. . _ 2
Phone Number
S - 7:04
MINNESOTA STATE BOARD OF ELECTflIC1TV THIS INSPECTION REQIlEST WILL NOT
Grlgga-MlEway 810g - Room S173 BE ACCEPTED BY THE $TATE BOARO
1821 Univereky Ave., 5t. iaul. MN 551 W UNLESS PROPER INSPECTION FEE IS
Plwne (612) 602-0800 ENGIOSED
0091 .ESee QUES oFOR Eo ECTRoCAo tiNSPECT1oON
M51229 "X° Below Work Covered by This Aequest
yF ? EB-00001-08 45
F? Va ? ?
e Atltl Rep. . TypeoiBmldmg AppliancesWired EquipmeniWired
Home Range Temporary Serwce
Duplex Water Heater Elecinc Heallng
Apt. Builtling Oryer O[her (Speay)
Comm./Indusinal 'Fumace
Farm Au Conddioner E
OtherspeaM ConVador's Remarks
Compufe Mspecbon Fee 8elow:
# 01her Pee # ServiceEnlranceSize Fee # Crtcuits/Feeders Fee
. Swimming Pool D to 200 Amps 0 to 100 Amps
7rensformers Above 200 _ Amps Above 100 _ Amps
S19n5 Inspecmr5 Use Onty OTAL SD
Irngation Booms 2
Special Inspedion
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rough-in ? oeie
certify ihat the a6ove mspection has
been made
[
OfFICE USE ONLV -' '
mis mcuest voia 18 monms r,om
? a3/ 9/ iao d" ya.
r51228
Request Date Fre No Rough?in Inspeceon
Reqmretl4 v
? fleaGy Now HI WAI Nority Inspetlor
?
4- 2 2- ?t o Ya= o I
When Reatly4
Xicens d contract wn r reb t inspection of above electrical work at:
JaC AdOress t t, or ou N.) # Gry
EA Ad
SeMionJJO Townshrp Name or No Range N. County
oT4
OccupaN (PRINT) Phone No
Cs?- Pu?L?s?.l??![4
Pawer Supplier Atltlress
KorR &? sG?r- lG FkM"! o?? MrNti!
Eienncal Contractor (Company Name) Convactor5 Lmense No
A s u / v?Zf' E COl1
Maihng Atltlress (Conhactor or Owner Making Installation)
?
.
1 W?SrT R,Vsrz _ IvIPC5 MI) S 1
Authanzetl SignaWre I oriOwner Making Installation)
r
- rvv-
kz? Phone Number
MINNESOTA STATE BOAflO OF ELECTHICITV THI$ INSPECTION REQUEST WILL NOT
G?Igga-MlEway Bltlq. - Hoam 5173 BE ACCEPTED 8Y THE STATE BOARD
1821 Ilnivenlty Ave., St. Peal, MN 55106 UNlES$ PROPER INSPECTION FEE IS
PMna (812) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
li, See mstmctions ior compie0ng this form on back of yellow copy
w 51228 °X" Below Work Covered by This Request
eeooa i. a
g?',f4€?? 1490 o'1-
???? /o, 49 8
e AdQ Rep -. TypeofBwltling App6ancesWrted EqwpmanlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industnal ' Furnace
Farm An Condihoner L, ? kP
Other(specity) ConVacrorS Remarks
Campute lnspecfion Fee Below:
8 Other Fee # ServiceEntranceSize Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps re 700 Amps
S19fIS aspector5 Use Only. TOTAL ja
Irrigahon Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NTHS.
I, ihe Electrical Inspector, hereby Rouqn,
? Daie
certit that ihe above ins ection ha5
y p
been made. Rnai ?
172 Date ?
OiflCE USE ONLY •
This request voitl 18 mon[hs irOm -j
///,i/?-? ; sQUESTuFOR EL?EC?TR?ICA 91NSPINC on0?ck of Ya11Dw coov. ? fo
tf?
?• ?C77 C? "Ji" Be/ow Work Covered by This Request
PYaAAddj Fep. - TYpe of BwlEing Applinncm Wrted Equiument Wire•' ?
Water Heater
ce
N Fee SarviceEnvance5ize x Fea Faxders?Subfeeders N Foe Gncaits
0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 qrnps 31 [0 100 Amps 31 to 100 Am s
Swinxning Pool Abave 100_Amps Above 100_Amps
Transiormers Irrigation Booms artial.'Other
Signs peciallnspection
$5:/ OTAL E?? B
- ,!!Vlks
f l?i?Yl? /T?bG- SYl 4I ,
Roueh-in Date
? p
?? /0'D (? I, the Ele
Insoector, nereby
c
til
th
t th
b
Final
U?ie /
b er
y
a
e a
ove
insoectwn has Deen
( me
de.
ThisrepuastvoiElBmontln(rom
r ?..???i.6tJ
repuest vaid
>n(hs from ///?/Yn/
iL679!/ A
ised ElecVical Contractor
OWr1P.,
?e,Fi ``'
spg5uon I?qeady NuwW?ll Notrty Inspec-
? N. or When Reatly
I heraby reqaest rnspectmn uf above
electrical work inslallad at:
5 et dress, Bax or Rout No.
??3 Crty
-
w? ,?
?
ecUOn o. Townshi0 Nam 0pihr No. Hange No. Co
?
Oc a .IPftINTI
A
?
?ne Nn,
!.•.Zd? !ffl
?,IJ ?-,?
Po SupDlier Atlare?
Elec al Contrac[or (COmpa Name) Contrartor's License Nn.
?
MaJ g AAdress IConhactor or wner Mekinu Instaflauonl
?'&?
Authoneed Si ur nlractot? r abn [allaLON Phony Nurt?e
?
MINNESOTq STATE BOARD OF ?,Y' CTiiICITV
Griggs-Mitlwey Bldg. - HoomJr'191
1821 Univeraitv Ave.. SL Paul. MN 55104
Phone (612) 642-0800
TMIS INSPEC ION HEQUEST WIIL NOT
BE ACCEVTEO 6Y THE STqTE BOARD
UNLESS PPOPEN INSPECTION FEE IS
ENCLOSED.
m 3(g' REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
II, SBe insGUCtionS tor complBbn9 this IOrm on beck Ot VBllow COCR
y ff6i;Z`/J
7 91 "X" 8elow Work Covered by 7his Request
wim'Plmm
Adtl R.P. Tvoe o1 Bwlaunq Aoolioncea Wirea Equiunient wved
Home Fange Temporary Service
. Duplex Water Heater Lightiny Fixtures
Apt. Bwldmg Dryei Electne Heatin
Commercial 61d,y. Fumace Silo Unloader
Industnal Bidg. Air Condrtoner Bulk Milk Tank
Farm Othe? Deci y Oth, ISnrr.i}yl
! P! SUCtII y Ol C, O,M1I;f
Comuute lnsoection Fee Below
tl Fea Sarvice EnVaneeSize N Fee Faeders/SUbfeetlers b Fne Gocwts
U to 200 qmps 0 to 30 Am s m 30 Am )s
Above 200 Amps] 37 to 100 qmps 31 to 100 Am
Swimming Pool Above 100-Amps Above 100_AmPs
Transtormers Irngatwn Booms arualO ee
SignS SpecialinspeCUOn 5
OTA
?ks
IZ [:C/ ? . ? Q
BouBh-in Oate I.the E ni
I tor, heroby
Inspec
certify that the above
Rnal r Qn)? /?/ ??ey inspection has been
made.
mis rapuest volC 18 montlis (wm
This rr.quest voiG
18 months from Gi'?(???<'
d d ??-`?
D- 9,6 7 9 1 -7?90 °`'
Fzn??es? O e'
? ue No. pouph-in Inspectaan
Reqyrted?
?Feady Nuw?,W. ll Nmrty InsPec-
?
? CS ?Nu tor When fleady
Ki-,ensetl Vctncal Conlractor 1 hereby requesi msveclion of ebove
? Ownor . electrical work installad el'
Stre Atltlress, Bon or R No.
e
?
v? /v
ecUOn o. TownsMO Na, o1 No. lianBe No. C
Oc t IPqINTI
T
Power Suppliar AAdress
EI al Comracmr ICompan? ?el
?a??? Conirar.tor's Lpc.ense Nn.
Mai ' AdJress IContraclor 'o7r? -Oiyaer Making Instailauon)
Authori?ed SiBnat r?0 er Ma ng IlaGnn Phone N mber /
MIN TA gE IS ACI STATE BOAND OF EL HICITY TH CEPTED NSPECTIOBYN THE NEQUEST STATE WILL NOT
BOAPD
Griggs-Mitlwey Bbg. - Hoom N•t i
1621 Universitv Ave.. St. Paul, MN 65104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-OBW ENCLOSED.
?/// ;71tV REQUEST FOR ELECTRICAL INSPECTION j1M EB-O0007.09
1 See instruc4pps br comolebnp this lorm on beck ol Vellow copy.
C 2 7 9 3 4 r"X" Below Work Covered by This Request
NNM Adtl Neo. Type ol Bwld,ne /1oPbantea Wired Equipmen[ Wired
Home Range Temporary Service
Duplex Water Heater lightiny Fixtures
Apt. BuilAinc7 Dryer Electrie Heatin
Commercial Bldy. Fumace Silo Unloader
Industnal Bldg. Air Condrtioner 8ulk Milk Tenk
Farm 'her oev v tncr ISner,,iyl
t er ueufy Ot er X OthL,r Q1Ev
Compute lnspectron Fee 8elow -
p Fee ServiceEnhence5ize tl Fae Fexder s/Subfeetlers b Fue Cucu?ts
' U to 200 qm s 0 to 30 qm s 0 t? 30 An? s
Above 200 Amps? 37 to 100 Amps 3 5.0(
31 to 700 A y
Swimming Pool Above 100-Am s Apove 100_Am s
' Transformers Irrigation Buoms Partial.'Other Pee
Signs SUecial Inspection S
TOT
8e`mnr^... Ar FE? ?
/ P?
I flauBh-.n J ? D"te e Ele ical
Inso q he?oby
certAy that t?e nbova
Final Dt insOacOOn has baen
. r ? mada.
Thb repuast vole 18 monitu irom
This request vaid ?/?sJ/Oi'YI
18 months from ?
'C * 27934/./° s3i i
/ ?j? 02 v2.
nenuest uate Fve No. Houph-in InsVectlo'
fleqwred7 [3Ready Now-nWill NobfY InsDec-
1'1 _1 0_A7 ?ves ?rv. ??'tor When Reany
CkLicensod Elec[ncal Contractor I herahv request insoection ot ebove
?] Owner electrical work installetl al: .
Stree[ Adtlross, Boz or Route No. CitY
14 Ea an
ection o. ownshto Name or No. R.nBe a. County
D k t
OccuVant IPRINT) Phone No.
Power Supplier Address
Elecuical Contractor ICOmpanv Nemel Confraclor's Liconse No.
Otis Elevator Company 041121-7
Mailifi0 A.dJress ICOntractor or Owner Making InstailaGOn)
2101 ha Minnea olis MN 55404
Auihonzed Slpiawre IConnac?tor? w?n?er Ma
kine Ins
tallaLOn) Phone Number
^
' 612-332-2505
MINNESOTq STATE BOAND OF ELECTRICITY TMIS INSPECTION PEQUEST WIIL NOT
Griggs-Midway Bldg. - Ronm N•791 BE ACCEPTED BY THE STATE BOANO
1827 University Ave.. 51. Peul, MN 55104 UNLESS PROPEP INSPECTION FEE IS
On....e 16121197-2111 ENCLOSED.
Jt/??/?9 REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oe
If See instructions tor completing [his form on back ol Vellow copy. 9a,;? /?-
??V%b_ 0 7 "X" Be/ow Woik Covered by This Requesf
c.dd R.P. Tvaa ot euiieiog Aooliances wire3 Enuiumeni wi.en
Home Range iertiporary Scrvwe
Duplex Water Heater Lightiny Fixtures
Apt. Bwlding Dryer Electric Heahn
Commercial Bldg. Furnace Silo Unlonder
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm oonel ne?T v 01n, Isno,=Nj
Uecify Ot er Oth,!r
Comuute lnsnection Fee Below
M . Lee Servica EnVaneeSize p Fee Faxtlers/Suhfeeders M Fe,e e Circwts
U to 200 Am s 0 to 30 qm s O to 30 Am s
Above 200 Amps 31 to 700 Amps 37 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Am)s
Transrormers Irrigation Booms drtia6'Othe ,
Signs Speclal InspecLOn „/
?( _
V
TOTAL FE ?
qe p
L' L ..??..
HouBh-in
' u1e , ehe Elactrieal
nspecmr, herebV
certdy thet tha abova
Final ?"1e nspecban has bnen
?ae.
mis repuasl void 18 monlhe Irom
Thus reauest vaitl 5'?
1
8
E- 49507
?? vaa/,?
.fi /_ /7 °-0
Now,K`W.ll Notity_ InsDer
br Wllen Ready
?ucensea cectncai Gonvacmr I hereby requeat msoection ol above
? Owner electncal work installed et:
St?Address, eoz or Ro te o. / Gry
ecuon o. Townshio Name No. Han9e No. Co
T
Oc an (PRINT)
s??- Pho ¢ No.
3 s3
P?wer Suppher
I I Atldress
EI al Connactor ICOmpany I
.? ? nd
s?? Cnntrucmr's License No.
0 0-
M. A?idress (Contract o er Maki InstailauoN
??
Author?zetl $ign e l act ?Owner M kin n IaLnnl Phone.pWm?__/?
/
MINNESOTA STqTE BOARD OF CTRICITY THIS INSPECTIDN XEQUEST WILL NOT
Griggs-Mfdwey Bldg. - Rao -181 eE ACCEPTED BY THE STATE BOpflD
1827 Universitv Avs.. St. Paul, MN 55100 UNLESS PNOPEH INSPECTION FEE IS
Phone1612I642-080a ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION pesp-ooooi-/os.
Sea instmctmns lor com leti
C 1 p nq this form on back
6 o} yellow copv.
A q j_a g j?'`7 X" Belaw Work Covered by 7his Request qZ r/
Novv aad «ao. Tvae oi euiieioe Apphoncwa wi.ae Equipmenl WireA
Home Ranye Temporary $ervice
Duplr.x Water Heater LiyhUny Fixtures
Apt. Bwldmg Dryei Electnc Heahn
Commercial 81dy. Fumace Silo Unloader
Industrial 81Ag. Air Conditmner Bulk Milk Tnnk
Farm tnre pxri y 0111cr ISneufv?
t ar Suoci y ther Othi;r
Compu[e lnspection Fee Belaw
k Fee ServiceEnVanceSize it Fae endere/5ublexders ? Fee Cucuits
U to 200 qm s MLI O 0 to 30 qm 0 to 30 Am>s
Amps? to 100 AniWAAnL 31 to 100 A s
% Swimmfng Pool
ransiortners
Signs Above 100_Amps
Irngation Booms
Speciallnspection
?j? Above 100_AmUS
Other ee
T
907'Art? - ` ??i7
?
RouBh-in
?
?.
Insoaclo , raby
CBf\IIY ?hBl the AbOVO
Final P ?'11e insoecuon hes been
mede.
Thb repuesl void 18 monlR+lrom
r? ??
I
This re0uest void C//?y/?yCy?
18 months fmm J ? Q 0/
E 49508,,?i/ izz?
?Re,mies? D? Fire
i-in
reA
os
W-J;r
i 3A4/ `so
NuwA'd411 NotIN InsOec-
lar WherJiaTdv
ekLiCensetl Elec[ncal Conuaciw I M1areby request msPami11 P? a O 1
? Owner elecbical work instellatl ' 3??5
St AdCress BOZ or Rou o. /
3 Ci C.
ecLOn o. TownsAi D Name o o. FnnBN No. C.
?/
(> /?
Occ nt INT) Phorye No. - ?
Po Supplier ?f Address
EI I Cnnuactor ICOmpanv Na 1
?
? Conuar.?ur's License No.
?
? C::?K-
Maili Address ICOnt ractor orUWO? MakinO Installrvonl
?
^
AuNorized Si tu Lunl
??ct wner ?kinB I Phon?,N
%J /C/ -
« ^?
MINNESOTA STATE BOAflD OF CTNICITY T^?? ?""rc?.? ???• ???.???• .?
GriB9%-Midwey Blde. - poo 191 BE ACCEPTED BY THE STATE BOApD
1821 Univarsitv Ava.. St. Peul. MN 55'IOC UNLESS PNOPEN INSPECTION PEE IS
Phona (612) 642-0800 ENCIOSE?.
?.'a; REQUEST FOR ELECTRICAL INSPECTION Ee-o?qi-oa
? ?n7 ?b"o
/ b ?'g'( ? Sea inatruclions lor comoletinB this form on back of yellow copy.
'.C 3.26 5 4 "X' ' eeloW Work Covered by 7his Request 73
AAJ Rep. TvOa o1 BwWng APPbnncen Wved Equipmenl WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt Bwldmg Dryer Electnc Heatin
Commercial Bldy. Fumace Silo Uf110ACJP,!
Industrial BIAg. Air Condrtioner Bulk Milk Tank
Farm omrr, oe.:i v om.,r (sn,n,v)
t ar Succ, y iher 01hi;r
Compute inspecLOn fee Below
N Fee ServicaEntrence5ize 0 Fea Feeder s/5ubleeders b Fee Circwts
0 to 200 qm s to 30 Am 5 7i3 S' 0 to 30 Am
A6ove 200 qmps 31 to 100 qmps C? 31 to 100 Am
Swimming Pool G A AAAZ
7ransrormers IrrigaLOn Booms ertfal-'Other ee
$igns Special Inspection S OT
l' _ .? / . /7_ . I ? 1
? AL FEE?y
._Js -t I D:D, ?PJ /. ??
"F `
I, the ElecLicel
Inspector, hereby
certitv that the above
insoection hes been
mede.
feduest
,
rz `ti`i t-/W ? el
This repuest void
18 rtqnlFs from
? -?2654 $=?-?2
A,
6 57 9 3 ?r-
672 F{U
Request Date
GG
? Fire No. Rouph- n Inspecuon
Reqv' tl?
e
? ?/
?ROatly NuwY1W?l1 Not,fy Insuec-
???or Wh
q
d
Q ?
s N.
( en
ea
y
DQ Licensed Electncal Contractor ? ?? !la D'?
?{ff st inspectiOn Of 8bOV0
Q10wner 1 Y?.,i 0`(-?ISCtrical work ins[alle0 at
Siree Add?ess, Box or Pau a No. Cit -
$
Sb
- /?a
.y2G??
ecUOn o. Township Name o o. an9e o. Cow?
i/-
Occ t I PINTI Phone No.
Power SupDher Address
EI tncal ConVactor ICOmpany Namel Contrar.lor's Lmense No.
Ma'ImA Atldress ICOnvacior or Owner Makinp Instailauonl
/? ?` T- ?
?. /?!/i??'S.?v
Au[horaetl 9g ure t wner me Installatio
n//l ? Ph e Number
-?1
_ -
MINNESOTA STATE BOARt)/ar cLECTRICITY TMIS INSPECTIDN REQUEST WILL NOT
Gri09s-Midwey Bltlg. - Noom N•791 BE ACCEPTED BY THE STATE BOAND
1821 Univers,ty Ave., St. Paul, MN 65104 UNLE55 PHOPEN INSPECTIDN FEE IS
, Vhone 18121297-2111 ENCLOSEO.
,h REQUEST FO,R ELECTRICAL INSPECTION 010M eemooi-07
? See insimdions (or compleLng Ihis farm on back oi yellrnv mpy 'J e7,,111,;_?
? 39404 `X" Below, Work Covered by This Request
e Add Rep. TypeoiButltling AppliancesWired EquipmentWretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. euildmg Dryer O[her (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Other (speGfy) CoMraqor8 Remarks:
iy
Compute lnspectian Fee Below:
# Other Fee # ServiceEniranceSize Fee # Cncuits/Faetlers Fee
Swimmmg Pool 0 to 200 Amps o to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs InspectoB use Ony: /
3 TpTpL
Ircigation Booms 12137 8.OQ
Special Inspechon
Alarm/Communication
Other Fee ? t
I, the EIBCIdCaI InSpeCtof, hereby
h
tif Aough-in
? Date ?
yt
cer
at the above inspection has
been made. Fnai oeie
G-?f-
FFlCE USE ONLV
This ?equeat witl iB monihs Irom
€t
?-
P 3 9 4 0 4 /p
flequeto ?
?) Q
a? Fire No Rough-in Inspectan
7
es ? No
Ready Naw iIINO?M I?pector
Xlicense con ractor ? own her? r uest inspection of above elecirical work at
.b tree Box nwleNOJ ` Ciry
?
Seclwn No Township Name a No.
/11 Range No Coun
,?CoT/P
PhoZo
Power lier AEdress /?
Electrical racto? ?COmpeny Name) (`,pn(fac.yorS LWense N.
Mailuig ress (Cqnvacta or Owner n lyetron
?? ? 'J -' - ST ifT? ?-?//? ?• S.J %?Co
ANhonzed Signatu r Makirg I on Phoire umber? /
MINNESOTA STAiE BOAND OF ELECiqICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bitlp. - Noom S113 BE ACCEPTED BY THE STATE BOAFiD
1821 UnWersNy Ava., SL Paul, MN 551OV' UNLESS PROPER INSPECTION FEE IS
Phom (812) 662-0800 ENCl0.SED.
?f /??v
C?3= 8440
REQUEST FOR ELECTRICAL INSPECTION
?$ee mstmctions lor completing this brm on back of yellow copy
"X" Below Work Covered by This Request
?6 ?
ew Add Rep TypeoiBwlding ApphancesWired EqmpmentWiretl
Homa Fange Temporary Service
Duplax Water Heater Electric Heating
Apt. 8wlding Dryer Other (Specify)
Comm /Indusirial Fumace
• Farm Air Conditioner
Other (spenty) ContractarS Remarks
v?s
Compute Inspechon Fee Belaw?w
# Other Fee # Souwae46wisaacaSuo- Fee # Circuits/Feeders Fee
Swimming PoW 0 to 200 Amps 01 mps
Transformers 20 ? 466ya 100 _ Amps
SIQris Inspectors Use Only, TOTAL
Irrigahon Booms
Special InspecUOn
AlgrmlCommuntcation THIS INSTALLATION MAY BE OR ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, Ihe Electrical Inspector, hereby
certity that the above mspection has
been made. Rough-in
F,nai t oat
oa?e
-?
OFFICE USE ONLY
Tnis request voitl 18 months Irom
9/:2/90 • ?„? 9v 6 y
?
?
.g
C? 6 8 4 4 Q. ?
Request Date Flre No Rough-snlnspection
Re iretl9
? Ready Now II Notity Inspector
R
d
'
U Ves G No hen
ea
y
Xicensed contraaor ? owner hereby request inspection of above elactrical work at
JoE Adaress (SVeet. Box or Route N. Ciry
Secnon No Township Name orNO Range No Coun7
' Q.
Ottu a 1 (P
NT Pho-neNo .
?
C?
ower Supplrer Address
EIecV?ntractor(Company Name) CanVactor's License No
in"
_
Matlmg tlress Conhactor or Owner Ma ng Inst lanon
.?
/??L Iv J J
Authonzetl Sign (C cton ner a Install PhorJBN b /
MINNESOTA STATE BOARD O AII?C-TRICITY THIS INSGECTION REQUEST WILL NOT
Grlgge-MiOway Bltlg. - R 5193 8E AGCEPTED BY THE STATE BOARD
1821 Onlv¢rslty Ave., St. Veul. MN SStOi UNLESS PROPEq WSPECTION FEE IS
Phone (61I) 642-0800 ENCLOSED
3 939 5
RequeatUate - fire No RougRm Inspecnon
Repumed>
? Yes ? No
eadY No+' ? WiII Notily Inspe r
When Ready?
10 tcensed contractor ? owner hereby request inspection of above electrical work at.
Job Mdress ee( Box or Ro te No.) ?, Qry
?
Sedion N. Townshiq' e or NO RangB W. CooMy
Q.?a f?F
OccuVen? P / Phane No.
PowerSU " r qdtlress ?
EI icel (COm iry N ? ('qrriraqor5 Licen:e /NJo.
Mai4nglWdress (COntrector or Owner Makirg I?tellal" 1 ?JL/
t'J?r/• ?l' ?
??
AuHanz naNre (C ntramor/Owne M Wn Installatbn) ? Phonre Numoer
oa
MINNESOTA $TATE BOARD OF ELECTRICRY? THIS INSPECTION REQUEST WILL NOT
Griggs-MWwey BMg. - poom S173 BE ACCEPTED BY 7HE STATE BOARO
18Y1 Univenity Ave., St. Poul, MN 55106 UNIFSS PROPER INSPECTION FEE IS
Pnaro(612) 802-0800 ENCl.OSED.
REQUEST FOR ELECTRICAL INSPECTION Eeaoooio7
?
See inslrudions for complBling this torm on back al yellow copy ?
39395 . '7C" Below Wark Covered by This Request
Ne% Aatl Rep. - TypeofBuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Eleciric Heating
Apl Building Dryer Other (Specity)
Comm./lndustrial Furnace
Farm Air Conddioner
Other (specity) ConVactork Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEnlrance Size Fee # Circw[s/Feetlers Fee
SwimmingPOOI Olo A Oloi00Amps ?O.
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeciwk Use Only TAL
Irrigation Booms
Speciallnspection ? ??
SQ
Alarm/Communiration `
OtherFee
I, the Electrical Inspector, hereby
tif
th
t th
i
b aau9n,m
-
?
!+
y
cer
a
e a
ove
nspection has
been made. F,
nai
?
42 oate
,2G+P
1,2
OFFICE USE ONLV /
This requeet witl 18 months bam
///if? ?i 7 J SS«?%
3 3 9 2 1'a?-Gc.??
Req?est Oate Fre No. Rough-in Inspeclion
Feq d'+
? Peatly NOw Will No01y Inspeclw
es ? No hen ReatlY7
I p licensed contractor ? owner hereby request inspection of above electrical work at:
Jobprj? ?(S ar Roule No.)
L
S 3 C?y
L
GC. ? /
?
SecOOn Np Township Name or No Renge No Cw
Occu n PR NT) ?
s ?.r.slin?. Phone No
wer pliar AEtlress
Electn mracta (Campairy Name)
17 r.? C'--' CaMraIXaS L,cen9e No
Meih tl ss (CoMradw or Uvrier gWyeln
AutMr¢etl Signetu on Ming In ipn) PMne N f9per?/
/
NINNESOTA STATE BOARD OF?ITV ?THIS INSPECTION REQUEST WILL NOT
Grigge-MlEway Bltlg. - Raom BE ACCEPTED BY THE STATE BOARO
1821 UnlversRy Ara., SY. Paul, MN 55106 UNLESS PROPEq INSPECTION FEE IS
PMnre (612) 642-0800 ENCLQSED
/0,/dq REQUEST FOR ELECTRICAL INSPECTION eaooom-07
'f 0? ? See instrucAOrs br cnmpiGng this krm on back af yellow copg ?• 9?/?? ?
?• 3 9 3 9 2 X" 8elaw Work Covered by This Request f
Adtl Fep. TypeotBUiltling AppliancesWired EquipmemWrted
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Conditioner
Olher(apealy) ContractorSFemarks? f/ ?/? ?[ , y>uJ ??rj .7i-!
?IV /?/L ???•••IZU`J
Compute Inspection Fee Below:
# • OMer Fee # ServiceEn[ranceSize Fee # Circuils/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps <
Signs firspector5 Use Onty. 7OTA
IrrigaUOn Booms
Special Inspection
AIarMCommunication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Roogh?n
Final ? oaie??
oeie
_ (f
OFFICE IISE ONLY ?
This repuesi witl 18 monVis fmm
a/dIlso 9
0 68436,G/. /
fiequest Date Fre N. qough-rn Inspection
Reqmred4 ...???///
? Reetly Now 1?4Vill Notify Inspector
R
9
??W
? Ves No hen
eatly
I licensed contractor p owner hereby request inspection of above electrical woik at:
Jo0 Atltlress (Sireet, Box or Raute No ? Clry
7 GV , L
Seclmn No Township Name or qenge No Gounry
U
Occupant(PRI T) Phone No
-?773
Power Sup her qtltlres y L
Elecmc o cto (GOmp Name) onirector's L¢ens
No
e
J
?
U / -
MaiLnq AtlCress (Contractor or Owner Ma ?[
7 2 7 allation? ?? ?
5t
AAuthorrzea aNre IC Vac r/Owner Makinq Insta? /Iron/?/
?/?i/?!ZLi /???' / Lr/9!/ w' V Pbone Num?b/er
? E
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOT
Gtlgge-Mlpwey Bltlg - Hoom St]] BF. ACCEPTED BV THE STATE BOARD
1821 pniverolty Ave, SL Peul, MN 55104 UNIESS PqOPEfi INSPECTION FEE IS
Phune (612) 642-0800 ENGLOSED
?/?/ CD REQUEST FOR ELECTRICAL INSPECTION
? ? See insimcbons for compleLng ihis brm an back ol yellow copy
(4j 6?4 3 6 "X` Below Work Covered by This Request
rff^??? ?; EB00001-0] ?.?...
ew Aatl Rep. rypeoBwiding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heahng
Apt. Bmidmg Dryer Other (Specity)
Comm./Industnal Fumace
Fafm Air Conditi0ner
Otner (spi GonVactor's Remarks.
Compufe lnspection Fee Below:
# Other Fee # ServiceEnirenceSize Fee # Circwls/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps Q
Transtormers Above 200 _ Amps A6ove 100 = Amps
Si905 Inspactor5 Use Oniy
pL
I
Irngation Booms D
?
? ?
Special Inspec6on ?(J`
?
't
Alarm/Commurncauon THIS INSTALLATION Mr
ORDERED DIS NECf?`I?NO
AY
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
tif
th
t th Rough-in
y
cer
a
e above mspection has
been made. Fai
OFFICE USE ONLY
This request voi0 18 months Irom
L(? ?(? Q REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
?"1 ? ' See instructiona lor comple4ng lhis form on back ot Vellow cooV.
A "'X" Below Work Covered by This Request
Nft4 Addl BaD• Typa ol BwlCing Appliancee Wrted Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
? Apt. Bmlding Dryer Electnc Heatm
Commercial Bldy.
? Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bitlk Milk Tnnk
Farm Qther Pev v otne, 15ucciNl
L P.I SVEGI Y O1hCf 01h1:f
Comnute lnspecilon Fee 8elow
p Fae BervicaEntrenceSize g Fae Feadere/Subtenders k Fee Crtmrts
U•to 200 qm s 0 to 30 Am s 0 tn 30 Am
A6ove 200 qmpy 31 to 100 Amps 31 to 100 Amps
Swimming Pool A6ove 700_Am s Above 100_Am 5
Transiormers Irrigation Booms Partial%
Other
Fee
r Signs SUecial Inspection 5.7m ?
?
TOT
F
Fe?
/ /?I AIl
EE
L??ti s?V ?/i li•. ti/c?S r
Pough-in ou10 I, the ao ical
lnsoector, nereCy
Final + Onte apty the, che ebove
7Fapaction hes baen
K ?rede.
thia request va1018 monllu Irom
This request void ? 5
18 rtpnths from
0 $ 4? 3 ? Ll ?( ?.? a?x? ?c?-f,- • 7? ?0 . 0-0
fle,ques?Date
/? ?/??? Fire Na. Roug -in Inspecbon
ReQ veA7
ll Nobfy Inspec-
?Ready NuwXi
W?o Wh
R
Yes o r
en
eetly
?Lice?nsetl Elec[nwl Con[rac[or 1 hereby request inspection of above
Owner elechicel work installed at.
Sveet AAdreslf, Box or Rout?NO. Ctty
?
,;13 w
.3 J"
E
ecbon a. Township Nnme r No. Ranyo o. Cowi
I
.
Q
Occapant (PPINT) Phane No.
v? ?6
Power Supplier Address
Ele nqal Convactor ICOmpany Namel Connactor's Liccnse No.
L, ,v se,1-. 03 c?
Mailmg AdJress iContractor or
Owner Makinq Ins[allanonl
.
. E
Auth'n tl Signawre (Contractor/OvyAai Makine InstallaLOnl Phone Number
' "
MINNESOTA STATE BOAND OF ELECTf1i4TY U „ THIS INSPECTION HEQUEST WILL NOT.
GrigBS-Midway Bldg. - Room N•791 eE ACCEPTED 8V THE STATE BOARD
1821 University Ave., 3L Peul, MN 55104 UNLESS PflOPEB INSPECTION FEE IS
??(,p? ENCLOSED.
Phone 16121 297-2111
Lq¢j5a/ ? REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-on
`P
See instrocUOns tor completiqg this foan on beck oi yellow copv- r? \[ Ig ?
A-0843Il "X" Below Work Covered by This Request ?
hisev, aa? aea Type or euiieine aooli.ncea m.aa EqufpmBpt Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bmldmg Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal 81Ag. Air Conditioner Bulk Milk Tank
Farm ' Ot e. neo y 1her (SUer.ifvl
[ rsr Vecify t er Othur
Comoute Insoectron Fee Below
p Fae ServieeEntrenceSize # Fee Faxders/Subteeders k ee Circui's
U to 200 qm s 0 to 30 qm s 0 to 30 Am s
Above 200 qm ps 31 to 100 qmps 31 to 100 Amps
Swimming Pool Above 'pAm s Above 100_Am{s
Transiormer Irngation Booms Partial•' tKe Fge,
Signs Specia?lnspection $
TOT L FEE
Remvrks
Houeh-in X
1
7 e Elecvical
I
/
'
.
ns ector, hereby
cartrty Nat [ha above
?'na'
?
1 Oate
1 h yJ nspaction has been
a
?
a.
Thla requeel voitl 18 months Irom
Th,s e4 e od 1/ QG??
18 manths from ?( (? 5 A 084377 Li Ai
ra'laI (t`{
oe't 13. g, -?b
Hequest ?ate ,e No. Rouph-in Inspection
Fepu?red>
OReatly Nuw?Wdl Noufy Inspec-
e / ?? ??es ?NO lor When Headv
? LicenseA Elec[rical Convector I hereby request inspecnon ol ebove
Owner elecnical work instellad al:
9U¢et Atldress, Bou or Foute No. C.b
3
„?-
ecUOn o. Townshio Name or No. Range No. Coun
c T.dt
Occy ?0 ?i1PNINTI
'
?
d Phune No.
?'!//1? - ? ~
? /s lr . •.
Power SupDber dtlress
/EIey?? ic I Convactor (Company Namel
A
4 Conlracptor s Lmense No.
-
•L2/oI
-4 e..ss??
Mailin Addlpyqs (C/O?nV'acmr or Owner Makin Ins[allatwnl
Auth i Si ur onvac r? er Makiny InstallaU 1
? Phone Number
??/
?
MINNESOTA STATE BOARD Of ELECTFICITY THIS INSPECTION PEQUEST WILL NOT
GrigAS-Midway Bldg. - Raom N•191 BE ACCEPTEO 9Y THE STATE BOARD
1821 UnivereitY Ave., St. Paul, MN 55104 UNLESS PNOPEH INSPECTION FEE IS
Phone I6121 297-2111 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION E8-00001-04
? Sae '?strue?ions tor comDlebng this form on back of yallow copy.
1'-s2 "X" Below Work Covered by This Requesf
Ad-J Peo- TVne of Bmltlin9 Apohances Wiroa Equipment Wired
Home Range Temporary Seryir.e - ?
Duplex Water Heater Lighting Fixtures
. Apt 8wlding Dryer Electnc Heaun
Commercial Bldg Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tanl<
F2Ym tne, Spet.i y Otherl5ucrif
1 P.! SUCCIF}? tIICf J
Compufe Inspectton Fee Below /
p Fee ServmeEmrance5ize N Fee Feetlers/Subieeders tl iee t
U 10 200 qm s to 0 to 0 Am s
Above 2U0 qmps O 1 to 100 qmps to 100 Am s
Swmming Pool Above 1 mps A6ove 100_Amts
Transiormer5 Irrigation Booms P2rtialOther Fee
Signs Special InspeCtion S OTAL$eE'-Z?
emarks
/en mo+i
1, tne elActuca+?
Inspectoq hareby
carldy thet the abov
inspecbon has been
me0e.
This raquesi voiA (/ 3x ??
,6,nootns r,om 'l
A gf11 7g
?- 5-1 5 A y
Request Daie
?
S ? Fre No. floueh-un,,Inspection
Req rteA C]?-,?!'
Ready Npw pQw?ll Notify Ins-
dPec
??orWh
nR
Yes ?NO e
Ca
y
)LicenseA Electncal Conlractor I hereby request unspecbon ol ebovg
K
? Owner . electrical work instelled et:
Sveet AtlAress, Bos or Rome No
3 3 City
ecuon o.
Township Name or N
Range No. ?[?
CIV
Or antlPfllNTI PhonP Ne.
i.r 1
Power $uppher Atldress
Ele^•.?^al C nirar.tor (C pany Na el Conh
acm
r's
L
icense No.
`? `r C
40 q
/
?
?
Madln Address (Contracl r or ?yr Maki g InstailavoN
Author Si atur onh o/ ner MakinB Instal/la uon)
iii' Pho e ?N)wnber
?/
MINNESOTA STATE 00AflD OF ELECTRICITY THIS iNSPECTION PEQUEST WILL NOT
Grie9s-Midway Blde• - poom N-191 BE ACCEPTED BV THE STATE BOARD
7821 University Ava., 51. Paul, MN 55104 UNLESS PXOPEN INSPECTION FEE IS
Phone 18121 297-2111 ENCLOSED.
NEQUEST FOR ELECTRICAL INSPECTION EB'0000104
/? ? Sea inatnc[ions (er eo?rlex:np this 4nm m beck of yollo? eoor. ^,' 118?
!?A X'" 8e/ow Work G?vered'Ey This Request va
?Add Reo. Tvw• n1 Buileina AoolieKna NirM Equipman[ Nired
Fixtures
I 1KI I Industrial Bida. 1 1 Air Corditioner 1 I Bulk Milk Tank I
p Fee SelvlceEnlrenceSize A Fee feeders/SuMeeders A Fe¢ Circuits
0 ro 200 Anips to 3Q Anips 0 to 30 Am
Above 200 Am to 100 31 to 100 Aniis
Swimmin Pool A6ove1W- Abp A
ransiormer Imgation Boars Partial•'Otlher Fee
Signs iSpecial Inspection jlJ T T?n?'??ppp
Remarks ?? 'T; -?-5y ?
? ? / U ?JL
flou0h-in Date ?. E ?i
mYaciar. lieraby
CB?'~ t?i1M1e abova
Final Date i tim has Oeon
D r '¢sy ?dO.
Thle tepuesl vdG 16 manfln Nom
18 mon hs irom'tl q 1(c, D Q a 9?5
A 084388
Nequest Date Fire No. Rnugh-in Inspection
Beauired? ?ReaM NavgwirlWAen
res ?No - io y
,?Licerreetl Elecmcal Contnc[w I hwgyy Fuy?? inspectFpr, of e0ove ? Owner 11n"icel rork imblled at
Stree Address Box or Pome P.
3; k,
- Ci?
ecuan NO.
,. Townstip Name nr o. fGiig¢ No_ C
i?n054--cl. ?
Occ n (PRINT) Phwne No.
?sT v,C3
Power SupDher Add.ess
?al Contractor ICompa'ry a 1
?
sa CQmhactar"s Lic ?NO^
39,?9
Maf I? AdJress IConimctw ar Owmer Mekinp InstailaTionl
eE: Ang ST
AuM z S' atu Co Owner /Aakinp Irenllationl /NJuuher
MINNESOTp gTATE BOAIiD OF ELECTIIICI7Y TNIS INSPEC710N IIEQUFST WILL MOT
Grigge-Midwey eldg. - Man N-191 ILE ACCEPIED BM THE STA7E BOARO
1821 Universi5y Ave., St. Peul, MN 515101 VNLE55 PPOPEp INSPECTION FEE iS
Phnm 18121 29742111 ENCLOSE0.
REQUEST FOR ELECTRICAL INSPECTION L. EB-00001-06
' Sea inshacbons lor com0lebng thig form on back of yellow copy.
E 4 ?14 y$ "X" Below Work Covered by 7his Request
sv4 Adc1j Nep. Type ol Bmltlmg Appbanceawiree EquiVmanl Wved
Home Fange Temporary $ervice
Ouplex Water Heater Liyhtiny Fiztwes
Apt. BuilAmg Dryer Electric Heabn
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Condrtioner Bulk Milk Tenk
Farm nn,.r Soet.i v Oihcr Isncutv?
1 P.! SyC[:I y Otfl(:f 0IM1(:!
omuute lnspeciion Fee Below
k Fea ServiceEnVenceS¢e H Fee fexders/5ublee N Fee C?rcwts
0 to 200 Am s 0 to 30 Am s 0 to 30 Am os
Above 200 qmps 1 to 100 Amps
d 31 to 700 Am s
Swimmfng Pool Am,
Abo
nstormers Irngatwn Boom artial.-Other Fee
ion
I Final
??isr04uesivoltl
1, the ElBcFrC-.I-
Inspector, hereby
cerbly that the above
mspectmn has bean
mede.
Th15 (Y.nUQ$I VOtd +?'???/?a
18 nqnth5 (lOm. ?
E 49A gr
Raquest Ua
3 Fire No. peqPV>Insp@, ion
etl ?Reatly Nuw?Will NntMy InsPac-
? ves
? N. When fleatly
A La4,sed EIe.Awl ConVactor 1 hereby repuest inspeeLan ol above
? Ownn.r electrical work inslalled ar.
StreBt Address. Boz or Routa o (
? 3 ? ?olc ? Citv
i9G N
ection o. Townsh.o ame or No. an0x No . Cow
Oc n (PRINT) Ph ?e Poo.
Power Supoller Address
Eleytm[al Convactor ?COmUany Nme C/nntracto,'s License No.
l7-
Maili Ad ess IConvactor or O e M mg Ins Ilal?on)
?
Author¢ed S? mr i vact king ? Ilalwn) Ph%QJj' Number
J ?/
TMIS INSPECTION FEQUEST WILL NOT
MINNESOTA STATE 60qPD OF TNICITV
GngBe-Midway Blde. - Roo 491 BE ACCEPTED BV THE STATE BOARD
1821 Universitv Ave.. St, Paul. MN 65100 U NIESS PPOPEX INSPECTION FEE IS
ENCLOSED.
Phone 1612) 642-0800
? REQUEST FOR ELECTRICAL INSPECTION ?e7s-,?o+o,o{oi-o
, See mstrucbons for completin9 1his lorm on back of Yel low copy. / y/y/
•`F'?,5 7 "J(" Below Work Covered by 7his Request
Fdd Aeo. Type ol Bmlain0 Aoot,aacea Wr.E Equipmenl Wven ?
Li
ial
I I I I Intlustnal Bldo. I I Av Condittoner I I Bidk Milk 7.nk I
rm
k Fee Service EntranceSize p Fen Faxders/Subinxders p Fec Crcuts
0 to200qm s o30qm Oto3UAm O
Above 200 qmps / p to 100 Am 31 to 100 Am
Swinvning Pool O bove 100 s Above 100 _Am s
ranstor Irngation Booms artial.'Other Fee
- Signs ? ? - Special Inspection S
^
flem3rks ? ?/, r " ? TAL ?! j
<v
/
v
I - ?--- ----• ---I-
l?spactoq hereby
? ?wrtifV <hat the nbova
I Final inspeclion has been
? 7? mede.
ues 18inwr?iQhg from'd ?`? ?/1
D 4 6 5 3' s-
Reqagy.Uale+_?? ?
/f?, Rre No. RouPh-in
'InsVeclwn()
Req rteA
C]
Aeatly Nowy?W111 Notifv hespec-
ror Whr
n Re
d
? s ?No .
a
y
ALicensed Electncal Contracmr I hereby request inspecLOn ol above
? Owner elactrical work instelled al:
Street AdOress. Boz or Hovt
3.9 3 , CitY
ecimn o.
. Township Name No. Range No. Cou
?
O??'L/ ? NTI J/614 ?y P/?.A??• J??
v?i
Z
Power SLJnoiier Atldress
Ele- ro?al Conf/ra?cto?r +(Company Num?elJ ) Conhactoebs License No.
Mai np AdJress (Con[ract wner Makmg Installatmn)
AuMorized Si [ur nlraclor/Ow ?? Phone Number
MINNESOTA STATE BOARD OF E00111116 ITY THIS INSPECTION flEQl1E5T WILL NOT
Griggs-Midwey Bldg. - Noom N- BE ACGEPTED BY THE STAiE BOARD
UNLE55 PNOPEH INSPECTION FEE IS
1821 Univereitv Ave.. SL Peul, MN 66104
Phone(612)642-0800 ENCLOSE?.
REQUEST FOR ELECTRICAL INSPECTION ea-oaooi-os
,
See inshuchons 1or comoleLng this form on back ol Vellow copV. '7
?ry 779D
D f 46 1' 1 "X'" Below Work Covered by Ihis Request
AAtl RBP. Type ol BuJeing ApOlionCm WrteO EquipmBnt Wved
Home Range iemporary Service
Duplex Water Heater Lighhny Fixtures
Apt Buflding Dryer Electnc HeTtin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Condmoner Buik Milk tenk
Farm Offie., DPCi y ther ISno. ilyl
t er Suocrtv ther Oihu.
Compute /nspection Fee 8elow '
M Fee ServieeEnNencaSiie h Fea NtlC,S/5ubleFtlelS b F e ?y Circwts
0 ro 200 qm s 0 to 30 Am " 0 tn 30 An! > ?
Above 200 qmps Am •'!;. O 1 -31 to 700 Am s
Swimming Pool
ransior
Signs - 0 s
sUe j-
y'`, 0'?
artia6 Other
AL F ?/,lj?J
R!
vr-- ?
IflouBh-in Da{e?? ?he Electncxl
? nspectaq he?eby
certdy lhat the abova
Final 0 e Lnspecbon has ?ean
maee.
TNereauestvolElBmontYnirom -" ---
Thre repuesl void /]/j? ?y/p?
18 month7 (mm q? r? d 4 n
7`7?S U'
?Z-/??04%D
Req??c=t Date ?
ur,
? fira No. RouNh-in InsVar, ion
RequrtaA?
?ReadY Nuw KWill NoLfy InsPec-
?
? ?es ?NO tor When Ready
Ak icensed Elec[ncal Contractor 1 heraby request insoecLOn ol ebove
? Owner electncel work installad aY
Sb eg?yAddr ss Box or Raare
3 3 ? Cit
-
ecLOn o. Township Name or . flnnee No. C
xnt IPAINT)) ? Phone No.
S ?+
P $upplier Atldre
Electn?al Contractor ICOm nv Name) Convar.ior's License No.
-
Mailinp AdJress IGonVacmr or O ner aNlatnonl
`
.? S -- v L /ti? .5?2
v
Authonzetl ICont rac wner Ma Installat,onl PhNu'y
MINNESOTA STATE BOAHD OECTflICITY THIS INSVECTION pEQUEST WILL NOT
Gne9s-Midwav Blda• - Roq/I N 191 BE ACCEPTED BY THE STATE BOARD
1821 Universi[v Ave.. St. 6au1, MN 65106 UNLESS PNOPER INSPECTION FEE IS
Phone(612)642-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-°°°°+-°a?
? p ' See instruct,ons for completing this form on back ot yellow copV.
X" Below WoeTc CovePed by This Request
?AAd Pao. Tvoe nl ewlaina anolianc..n W,rwd Eompmen, Wvea 1
tulU F
luer ?
? ? I I Commercial BIAg. ? I Furnace S?lo Un ad
Industnal 81do. Air Conditioner BWk Mrlk Tenl<
w
ncr
k Fee Sarvice Entrence Size k Fee Feeders/5ubteedars p Fxr C rccurts
to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above mps to 100 Amps 31 to 100 Anips
Swimmlng Pool Above 700-Amps Above 100_Amps
Tr2nsiormers frngaLOn Boonis Partial'Other Fee
signs I I IsUecial
J C M 61 (
r/?'oo
` ?`{•-- I. thAEtaepiegf
• / w ?? ¦ T? f ? Inspector. herebV
? ??I .a? V d? cart?ty lhat the xbove
Final _ ? ???? mspectian has been
. . n l??/ . i1\ made.
V14e requast voltl 18 monihs imm
ihisreqyastwid u2U44- .n..l. ?//V 10lfq06y
18 rtwnths from f?j((,(f.•
A 9 n 1 A F L( (? i
Requesl Oa
^- frte No. Pouuh-in Insuection
Reqmred7
?Readv Now?yNill-!JOUIV Insoec-
?
7
i?j ?es ?NO v tur When Ready
Alicensed Elc.ctlal ConVTC[or I hereby raquest ins0ection of ebove
? Owqer electrical work ins[alletl ar.
Stree[ Address, Box or Pwrte No. Cit
n.
ecuon, Townshi p N?pirb ur Nn. Hange No. Caur
?
Occu t IP INTI ? Phono No.
Pow SupOh Addr s
?/N
EleMnc ! Con[tar.[or (Comu V eme)
°
" Contrac s Lice:nse No.
-
d
G
e x ? ??.sG .-?
zw ?7 v
Ma?hng Address ( Con ractor or Owner Making In wil nonl
? f; ://WzS'.I
Aut r' ed ;gn r 1 nu [or/Owner Making Installatiun)
' ?L Phone ?jNu/mber
?% / ?rr/??
MINNESOTA STATE 80AN0 OF ELECTRICITY THIS INSPECTION PEQUEST WIIL NOT
Griges-Midwey Bldg. - floom N-791 BE ACCE7TED BY THE STqTE BOAND
7821 Univarsitv Ava., St. Paul, MN 55104 UNLE55 PHOPEP INSPECTION FEE IS
Phona 1612) 2972111 ENCLOSED.
yaO??J REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
See instructioms tor comnlehng tnit form on back ot vallow copy.
°4i4E ? ""X"" Below Work Covered by Thts Request
Nev4 Addj fleP. TyOe of Bmltling Appliancns Wired, Equipmenl Wired
Home Ranye Temporary Service
?uplex Water Heater Lightiny Fixtures
Apt. Bwlding Dryer Electnc HeaUn
Commercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air Condrtioner Bulk Milk Tank
Fann otn.i. peci v 1 < t
t er ISpeuly Offior Otho?
?
Compu[e lnspection fee Below
p 'Fee Service EntranceSize N Fee Fendars/Sub(eetlers # F.. Circuits
0 ta 200 qm s 0 to 30 Am s Ie> n 30 Am s
Above 200 qmpyl 0 to l U0 Ainps t 37 to 100 A s
Swmuning Pool
-
Signs J Above 100_Amps
Irnyation Booms
Special Inspection
S Above 100_Am 5
Partial.'Other Fee
TOTAL
Remn.ks ??l
' ' e 6O
Hough-in ( ?ate ?.the
Inspector, he?eby
c rtily t?et the above
Final ? x) w? D:ney ( l? soectron has been
?/CI• !)] YiJ.1'?7? maAe.
thia reaueat voi018 montha from
This request void Y l p/, ??c. '
18 manths from D? f(
A .9ni an LD(. f ol -r? (.o
Fenuest Da?e
? / Fire No. Rouph-in InspecUOn
Reqwred,
oReatly NuwWill NoUty InsPec-
tor Wh
n R
d
Ves ?NO e
ea
y
.
ALicensed Elec[ncal Convactor I hereby request mspection of above
? Ovper elecVical work installed ab
Street Ad res', B or Ro t o.
3 CrtY
w '0 .s?.?
ecuon o. Townsnip Name o. Range No. Co ?
O
Oc ? a?P?INT)?
?-?J T ? ? ? ?•,
?- ?s •r ?.-a? Phone No.
Pow¢r Suppli AAdress
?
El c ConVact
ec
? ICOmDan am C ra or's Lroense No.
3?
z? 0
Ma11g Address actor r er Ma Instail:ltio ?
~
SS/? ?
?
:
V s
f
i
Auth ed SiBna ( torfOwner Makmg Installatwn) Phonyj.Nug
=
!'!!
,?? ?
- ?q
?/ VOO
MINNESOTA STqTE BOARO OF ELECTpICITY THIS INSPECTION NEQUEST WILL NOT
Gr.99s•Midway BIdB. - Room N•791 BE ACCEPTED BY THE STATE eOAPD
1821 Unovarsity Ave., SL Peul. MN 55104 UNLE55 PNOPEfl INSPECTION FEE IS
Phona 1e12) 297-271'I ENCLOSED.
This repuest voitl O./J/p'p
78 nSomhs fmm 0 d O/
e4S..5 2 0 Y_/. Q/ ?',cl.? (214!LYwi c-P " 4?1? ?,e
fijuest D e
? Fire No. Raugh-?n Inspec a
fleq ired?
Yes ?No
?Ready NuwYY.Wi11 No1rtv InsPer
? To? When qeadv
,Yy L ens d ElecVical ConvactOr I hereby requast inspacbon ot ebove
,LJ Owner electrical work installad at.
Sveet Address, Box o ute No.
? ,
ectmn o. TownshiD 700, o. Range No. Co
&nc>T/5t
A Oc a I(PRINT) J? Pho N
P Supplier Addr
?H?
/?V??' V7 ? -
El?ygcal ConVacmr ICompan a Contractor's License No.
Mail!Xg ACJr?ess IConvactor or,(]wner Making Instailatmnl C- /
Aut onzed Si ur d ner Maki Insla ion) Phone Numl?vJ
MINNESOTA STqTE BOARD OF ELEG CITY THIS INSPECTION NEQUEST WILL NOT
Gn09s-Midwey Blde. - Aoom N•1 BE ACCEPTED BY THE STqTE BOARD
1821 Universitv Ave.. St. Paul, MN 55704 UNLESS PNOPEP INSPECTION FEE IS
Pnnne16121662OROO ENCLOSEO.
?2/dq NEQUEST FOfl ELECTRICAL INSPECTION ee-ooaoi-oe
See inslrucUOns br comolabng this form on back of yellow copy. ? 9'3??/
E 4 9 5 2 0 "X " eeloW Work Covered by 7his Request
New Fdd flep. Type of Builtling AppLancea Wired Eqmymem Wired
Home Range Temporary Scrvice
• Duplex Water Heater LiyhUny Fixtures
Apt Bmlding Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industnal BIAg. Air ondi r Bulk Milk Tank
Farm Otn ? .i v ?nrr lsnci_ifvl
1 P,! SUu-lY nII1L'!
fee Below, 7"
1 p 1 Fee I ServiceEntraneeSif I H I Fea I Fexders/Subfeeders I N I Fnx I Crtcuits I
20
.u? m?rts yi9ns Special Inspection 5/?j ??'7?,y?
(v/Q TAL FE ( T
SClZsL7 .S/?/2?/<.J?O?? ei de'd
RouBh-m ? Date ? ?
Eiectncel
?
' Insc?oq heraby
Oa
- cerUfy Ihat the abova
Final
pectmn has been
de.
thu repuest vdC 18 monflre Irom
? 010 3 6
ReqEest Dal .. Fre No. Fough-in Inspeclion
Reqwred? yyy
? Raady Now y?W?ll NoUty Inspecror
? Ves No ? ? ? ?an ReaA&J
Q?t ?
LJEU't
Ilx licensed contractor ? owner hereby request inspection of above electrical k at: tj
Jab Atldress (Streeq Box or Route No ).
?? ? City
"
I ?l.?l.
7 L ?
Sec1ion No Ta.mship Neme or No. Rarge Na Counry
%
Occupanl(PRlNI) L ?? /
I ' ,95 7-PU 61 IS/x,,'6
PMneNO.
Power Supplier AOaress
Electncel Contracror (COmpany Name) ConiraCOr9 LManse No.
Collins Electrical Construction Company 0395-47-2
Malirg Atltlress (COnfracror or Owner Malting Installatwn)
27 te Street St. Paul, MN 55107
Auth zed S n e(COn4actor/Own n tall9 ? Phone Number
NINNESOTA STA7E BOARD OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Gdg9s-MNwey Bltlg. - Hoom 5173 BE ACCEPTEO BYTHE SL4TE BOARD
1821 Unkrenky qw., SL Paul, MN 551UC UNLESS PROPER INSPECTION FEE IS
Phone (812) 842-0800 ENCL0.SE0.
REQUEST FOR ELECTRICAL INSPECTION eeooom-o?
? e in 1rucUOns for mmpleeig this lorm on back of yeuow wpy ?• ???' ??
3 6`?l' g9 J(° Below Work Covered by This Request x 9576 917.'20
e Add Rep. TypeofBwlding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner lU G /
ONer (spepfy) CoMracta$ Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnhanceSrze Fee # CirouNs/Feeders Fee
Swimming Pool 0 to 200 Amps _ r..? 0 to 100 Amps
Transformers Above 200 _ Amps - \ Above 100 _ Amps
SignS InspenoYS Use Only TOTAL
Irrigalion Booms t a
Speciallnspection
Alarm/Communication . p ?
Oiher Fee f J Of°i
I, the Electrical Inspector, hereby
certify that the above inspection has been made. RWgh-in t oa
,
OFFlCE USE ONLY
Tlus request witl 18 rtwrilhs iram
TM1IS fY.qUBSI VOId ?//???
Ia mnms l,am
E.49517 zi 131
A!X&Icensed?Electfical Contrac[or
I heraby mquesi inspection of ebove
? Owner J? ?ta 610 /n i?electrical work instalied at
I ) R..L..C/L
S?t Address. Box or o e No. Ci
ecuon o. Township Nam or No. RanBe No. Co
Occ n (PRINT)
?
Vo uoVl?er ?'/ Adtl e
b -?K ?. n
E
ley
y cal Coniractor ?Compa ame) ctor
CoM
ra
's Liccnse Nn.
/
//
1??4'/d/S /?'.V/L t7 ?
j
j
MaJinp AdJress IConVactor or Owner MakinB Instailauonl
T? -
Authonzed nat ontra r w Mak?n alla?ionl Phone Number
MINNESOTA STATE BOAPD OF ECTqICITV THIS INSPECTION REQUEST WILI NOT
Grigge-Midwey Bltle. - Roo N•797 BE ACCEPTEO BY THE STqTE BOAND
1827 Universitv Ave.. St Paul. MN 56104 UNLESS PNOPER INSPECTION fEE IS
vn.,?o ra171 an2nnnn ENClOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-oooai-os
? 1 See instructiens for comOleting tNS torm on back ot Veilow copy.
"X" Be/ow Work Covered by lhis Request
E 49517 '
New AAd ReO. TyOe oi BvtlOing ApOhnncea Wved EquiUment Wved
Home Range Temporary Service
Duplex Water Heater Light?ny Fixtu?es
Apt Bwlding Dryei Electnc Hea[m
Commeraal Bldg. Furnace Silo Unloader
InAustnal Bldg. Air Condrtioner Bulk Milk Tank
Farm Otnw SoPr.i y OtnEir Isnr.cifvl
t e ucoi7y xher Pthi,
Comnu[e /nspecilon Fee Below
p Fee Service Siz M Fea Fexders/Subieaders N Fea Crtcuits
Ut OOqm 0 to30Am s Otn30Am s
Above _qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 700_Amps
Transiorme Irngation Booms drtial.'Other Fee
$peciallnspection IS
Final
/
?J 0
the Ela icel
spectoq lenaby
j?ily that the above
sqecbon has been
TNa reduesl vo10
K
1 s04
i a?
R Fire N. Rough-in Inspection
Reqmredl
? Aefltly Now ?'??II N aOry Inspeclor
R
tl
?
??h
^ s en
ea
Y
tracto
r r D owner hereby request inspection of above electrical work at.
Job tlress (Slreel Box or Route No ) Clry
Section No Townshi a orNO Range No Cou
?
Occu IP INT? ^ ? Phone Nga
-7- S--
?
2 4 Z
?/s / w.G 1
.
PowerSupploer Atltlress
Ele onKaclor(COmOany Nam?a j
? Can orS License No
L v/J /
/
Matli g Adtlress IConlrad r Qvner Makmg Installalion)
SS'
Nuthonzetl $ignaWre i act Ma'eing Insta at ? Phona Nunn
MINNE TA STATE BOARU OF ELECTRICRT ? THIS INSPECTION REOUEST WILL NOT
Grigga-MiEway 61tlg. - Raom 5-199 8E ACCEPTED BV THE STATE BOARD
1827 Unlversity Ave.. SL Gsul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(61P) 862-0800 ENCLOSEO
K 41704
REQUEST FOp ELECTRICAL INSPECTION
? See inshuctions jpr complenilg tnis form on Deck af yellow copy
"X" Below Work Covered by This Request
E6-00001-08
,-
?.,?.
ew Adtl Rep TypaofButltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Burlding
d Dryer Other{Specily)
Comm./Indusinal Fumace
Farm Air Conditioner
Other (syeciy) CoNratlor's Remarks
Compure Inspectian Fee Below.
# Other Fee # ServiceEnlrenceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ? Ab6JZMOL_ Amps
SIgnS Inspector5 Use Only TAL
Irriga4on Booms
Speciallnspecllon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electrical Inspector, here6y Rough-in oate
ceridy that the above inspection has
been made. F,nai oate
OFFICE USE JNLY
Ths request witl 18 monihs Imm
K 41706
/
1 dD. ?'•-? `?0??0?
Request De! Rre No. Rough+n InspecUOn
Reqmretl?
? Reaay N. ill Notify
YB9 O
I icensed contractor ? owner hereby request inspechon of above electrical work at:
Job Aytlress fSheet BoM ar Ne No Gry
?0 ?? ??`/? i?J/L? /?/r.'/ViL Ge?j?,?/
Section Nv Township Na e or No Range No Coun
Occu a IPRINT? Phon No
PowerSuppher Adtlress
Ele
nhaclor (Company Namel ConVactork Lwense No
?
u
L ,p/f/?soti d 0/
Maih ACtlress IConVatto
rwner Making Insta laLon?
/
S? / ?? L
Avinonze0 SgnaWre I rac ner Ma g InstallaLOn Phone Number -/
MINNESO A STATE BOARD OF ELECTRI THIS INSPECTION REOUEST WILL NOT
Gtlqgs-MlCway BIEg. - Faam S173 BE PCCEPTED BV THE STATE BOARD
1831 Umveniry Ave, St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61R)842?0 ENCLOSED.
REQUEST FOR EL "TRICAL INSPECTION i°'"`?'? /E?o
' s4
K ?? o^? See insvucuons lef io'mple this form on back of yellow copy /
V c?- il
X" Below Work Covered by This Request N• :
e Atltl Rep. TypeotBUilding AppliancesWired EqmpmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Bwlding Dryer Othea(Specity)
Comm./Industrial Fumace
Farm Av Conditioner
Olher (syec?ly? Contractor? Remarks /?? O d IY??' (?Nf
Conpute Inspection Fee Below
4, Other Fee # ServiceEniranceSize Fee # Cireuits/Feeders Fee
Swimming Pool 0 to 200 Amps t mps &01
Transformers Above 200 _ Amps 700
Signs Inspenor5 Use Only TAL
Irrigation Booms r-?
Special Inspecnon
Alarm/Communication THIS INSTALLATION MAV E ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NT t
I, the Elecincal Inspector, hereby Rough-in ? oaie
certify that the above inspection has
been made. F,,,ai
01 oa?q? c??2
! O O
OFFICE USE ONLY
This reQUest vatl 18 months Irom
J 4 6 7 96
x/a
Requesl Dgte
? ire No Rough-in Inspec0an
Repmretl? L?
? Ready Now Je?Will Notily InspeMOr
?"
Ves o
G /?hen Ready?
?licensed contractor -D owner hereby request inspection of above electrical work at:
Ja? Aqere,5street Bo/x o'r lRoute Na ) Ciry?
fl V
/`. V ?
?,
Seclion No rownsni or No Rarge No, Cou
?
Occ I (P INT) ne o
PowerSupp6er Atltlress
Elec onIractorlCompany Name) ConVactor's L¢ense No
Metling Atloress ICOntracmr or wner M kmq Ins ellaLOn
aulhonzetl &gnaWre I, er ation?- - Phone Nurppe /
7 ?
MINNE A STATE BOAflD OF ELECTqI THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway 8109 - p?m S113 BE ACGEPTED 8V THE STATE BOAFD
1821 UnlversM A+e. St Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(812) 66I-0800 ENCLOSED
T 9? ` REOUEST FOp SLECTRICAL INSPECTION
2 ? See instmceons br completmg fi?s rorm on back ol yenow copy
6a. -•,.
W "X" Below lhbrk Cwered by This Request
E&00001-08
ew Add Rep TypeoFBmlding ApplianceSWrred EqwpmenlWired
' Home Range Temporary Service
Duplex Water Heater Electric Heating
Ap! Buildmg Dryer Other (Speafy)
• Comm./Industrial Furnace
Farm Air Contlitioner
Other(sVeciN) Convactor5 Remarks
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circwts/Peeders Fee
SWimming Paol 0 to 200 Amps 0 to
T;anstormers Above 200 _ Amps Abo Amps
SignS InspecmrS Use Only
Iwigation Booms ?. ?
Special Inspection
Alarm/Communicahon THIS INSTALLATION MAY B ERE I OPlNECTED IF NOT
Other Fee COMPLETEO WITHIN 78
I, Ihe Elechical Inspector, hereby
tif
h Rough-in • kiii'll
?v
;z
cer
y t
at the above inspection has
been made. Final
. o ,?, ?
OFFICE USE ONLY
This requesl voitl 18 months from
REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-o
•?? w??? ? See insVUCtions for eomplehng this larm on back oi yellow mpy
?. ???,'" '/! u SZ ¢d
? X" Below Work Covered by This Request
ew Add Rep TypeofBwltling AppliancesWiretl EquipmentWired
Home Range Temporary Servwe
Duplex Wafer Heater Electric Heating
Apt 6wldinq Dryer Other (Specify)
GommJlndustrial Famace
Farm
r Conditioner
Ai
OtM1er (syeciy) Conhaclor5 Remarss S 90
Compute Inspechan Fee Below:
R Other Fee # SerwceEnlrance Srze Fee # Circwts/Faeders Pee
Swimming Pool mps 6 ta 100 Amps
Transformers Above 200 _ Amps A e 1 Amps
a
SIgfIS Inspeclor5 Use Onty
T
Irngation Booms ???vU ? ?fZ7
Speckallnspechon
Aiarm/Communica4on THIS INSTAlLAT10N MAY BE ORUER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspecror, here6y
tif
h
h
b R°"9^-'" `' oaie? ???L
cer
y t
at t
e a
ove inspection has
been made Finai oai
OFFICE USE ONLV ,
This requestwid t8 montbs fmm
t7
r-'/oCo2 -1-
J .4 67 76&, 6 i
e 1,1I - 169 S6 yG
a-,/ a?- ?z
Reqcesl Oate
? ? Fre No Rough-in InspecLOn
Req a? ?
s NO l/
? Feady Now ?qVlll Notdy Inspeclor
? W hen Reatly'+
I licensed contractor ? owner
K hereby request inspection of above electrical work at:
Job Atlyress (St?BOx or R ule No I
?/
A.. /a
aJ Ciry
/1?
Seclion No Township N e o Rarge No, Cou
Occ RINT) ?
/fc? ? ?-1S?/h G_ p???? `J ???
Power Stlp0lier ptltlress
EI a nvactor(Gompany Name)
G v
?,CYt?,Sa.? ConVacbrS L¢ense No
GD 00
Maih Atlaress ICOntractor wner Makinq Installation)
SS ?/ C. ?'J??0
Aolhonzetl 9gnawre ICo n IlaLOn) Phone Number
MINNE?SfA STATE BOl NO OF EIECT THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway BIEg. - qoam Sl73 BE ACGEPTEO BV THE STFTE BOARD
1821 Unrvereity Ave.. 51 Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)6<P,OB00 ENCLOSED
K -417 3 /a?y??
,
Raquesf Oate Fire No. Rough-in Inspecbon
equire
R
tl? ?r
Wor
D Ready NOw ykWW
,
? f] Yes ? \
hen
peeCYP
Ilicensed contractor O owner hereby request inspection of above electrical work at:
JoD AEWyss ISVeet Box ar Route No )
/
Qty
D
SectiOn Np TOwnship No P9n9B NO Cou
Occ IP NT] ? PhoneN??
Power SupDlier Atltlress
Ele onVacmr IGOmpany Namel
" Cmhacbrle Ucense No
?
L
G v /? o w b0 ?
Mailin 'Adaress iCOntreclor o nar Makmg Insta?l Lon)
AulM1OrizEtl SignaWra ra gg2re, M nj PhOnye NJym??/bffer
?? ? -
MIN/PESOTA STATE BOApD OF ELECTPIC THIS INSPECTION REOUEST WILL NOT
Grlgga-Midway BICg. - Hoom S173 BE ACCEPTED BY THE STATE BOARD
1821 UnlveraBy Ave., SL Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Pponl(613) 6024800 ENCLOSEO
REQUEST POR ELECTRICAL INSPECTION t?="`?9 EB-0000?1/08/
lli? See instrucimns forcompiebng [his torm on back of yellow copy
K 41703
'X" Be/ow Work Covered by This Request
e Re(S "' Typeof8uildmg AppliancesWrced EquipmentWired
Home fiange Temporary Service
Duples Water Healer Electric Heating
Apt Bmlding Oryer Other-(Specify)
Comm./Industnal Furnace
Farm Air Condinoner
Other lsuecryl Convacror§ Femarks
Compute Inspection Fee Below:
# Other Fee # Se nlranceSze Pee # Crtcurts/Feetlers Fee
Swimming Poal 0 fe4BB Amps mps
ransformer !Rj bwie 200 ps S' PLre 100 _ Amps
$ignS Inspecror's Use Only TOTAL
irrigation Booms 140
$peaallnspection < <n
Alarm/Communication THIS INSTALLATION MAY 8 ORD ONNECTED IF NOT
Other Fee COMPLETED WITHIN 7 H
I, the ElecVical Inspector, hereby Rouyn-m oatai
rf
certify that the above inspection has
been made. F,nai Date ?
"
OFFICE USE ONLY -
ThiveQUest voitl 18 months 1mm
? 46?
? l
Raqu st ate Fve No Rough-m Inspection
Repmretl9
?s
? Reatly Now ?III NoVly InspecWr
/ \VJhen ReatlY'
Ilicensed contrador ? owner hereby request inspachon of above electrical work at:
Job ress (SVeet Box or Roule No I Gry
SeCtion No, Townshi a or No Range No Counlo-I
oT?
Occu P M?
S v
L sliIl Ppone No.
Power Suppuer qEEress
Ele onvactorlGompany Name?
G v
?.Orf oti ConVacto?§ Ucense No
G°?o0/rJ/
Mailin Adtlress IGOnttaclor or O r Making Installalmn)
?
6?-2 ii. - r e-
Authonze0 SgnaWre IConhactorrpwner akmg Installation) PM1ane Number
MINNESOTA STATE BOAFO OF ELECiRICITY THIS INSPECTION REOUEST WILL NOT
GHggsMiCway BIOg. - Hoom $-1]3 BE ACCEPTEO BV THE $TNTE BOARD
1821 Unlvanity Ave, St Peul. MN 55106 UNLESS PROPEF INSPEGTION FEE IS
Vfwne (612) 642-0800 ENCLOSED
K 41691,
REQUEST FOR ELECTRICAL INSPECTION
il? Sae msimclians for completmg this form On back al yellaw copy
`7C" Belo`w Work Covered by This Request
rPr. ?? EB.OWOt-OB
?. ..
ew Add Rep Type of Building AppliancesWVetl EquipmentWvetl
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Speaty)
Comm./Industrial Fumace
Farm An Conddioner
Otner(specAy? Conrcactor'sRemarks
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Poal 0 to 200 Amps 0 to ,y...-
7rensiormers Above 200 _ Amps Above 700 _ Amps
SgnS inspacwr5 Use Only TOTAL
Irnga6on Booms
Special Inspection
' Aiarm/Communicauon THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Other fee COMVLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby
caitify that the above inspecfion has
been made. Rough-in
. oace
? y
OFFICE USE JNLY
This repuast voitl 18 months imm
K41690
Request Date Fire No Roug -in Inspection
qpQUired?
? fleady Now ill Notily Inspec[ot
Fe
tl
?
.? Ves o en
a
y
I licensed contractor !] owner hereby request inspectwn of above electrical work at.
Job Atldress (Srceet Box or Fame No )
?e G? U s?•? /.?/z r..rt Ciry
G.?-?
Sec9on No Township me No qange No Coun
?O TiSt
Occu (P INT) Phone No
Power Supplier Atltlress
Elec onlraqor ICOmOany Name) C?ontr?vt or5 Lkense No /
Mailm Atltlress ICOnVador or er Making Insiallatwn)
Aumonzetl Sgna ure ?C o?? g Instanaoo Phonye N?umber MINNESOT`J TE BOAND OF EIECTflIG TMIS INSPECTION REOl1EST WILL NOT
Griggs-MlAwey Bltlg. - Faom 5-173 BE HCCEPTED BV THE STATE BOARD
1821 Univereny Ave., SL Vaul, MN 55109 UNLES$ PROPER INSPECTION FEE IS
Phona(67P) 642-0800 ENCLOSED
?O?(e 9?- REQUEST FOR ELECTRICAL INSPECTION '°?"??. ee.oooo,-oe
i:. 'A
K 41690 , See mslmctions !ar compleM1rp Nis lorm on back ol yellow copy I??E' ?
"X" Below Work Covered by This Request ????
ew Adtl Rep. TypeolBmltlmg AppliancesWired EquipmemWiretl
Home Range 7emporary Service
Duplez Water Heater Eleciric Heating
Apt Bwlding Dryer Othec(Specity)
Comm./Industnal Fumace
Farm Air Conditioner
Other(sVecifyl Cqnlractor'sRamerks
Compute Mspechon Fee 8elow'
# Other Fee k ServiceEntranceSae Fee # Cucwts/Feetlers Fee
Swimming Pool 0 to 200 Amps to %&?rnps
Transtormers A6ove 200 _ AmpS Ahove 100 _ Amps
Signs Inspenor5 Use Only TOTA
/
Irngation Booms Z' ?
?
Special Inspeciion
' Atarm/Communication THIS INSTALLATION MAY BE OHDE NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rouqn-,n oale
certify that the above inspection has
been made. Final oare
OFFIGE USE ONLY
This request voitl 18 moNhs iram " f
REQUEST FOR ELECTRICAL INSPECTION EB-OOOOi-OB
?46808 ee insimcLOns for campleung this lorrn on back ol yellow copy ?
-
? X" BElow Work Covered by This Request
e Adtl Rep. 7ypeoi6wltling AppliancesWVed EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heahng
Apt. Buildmg Dryer Other (Specify)
Comm./Industrial Furnace
Farm Av Conddioner
Olhe, (syecily) Conl RemaMS.
Compute lnspechon Fee Below.
# Other Fee » ServiceEn[ranceSize Fee k Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 00 Amps
Tra p rt? A6ove 200 _ Amps
4*6
Signs Inspeclor's Use Only TOTAL
Irrigation Booms o ?
Special InspecLOn ?l
Alarm/COmmunicanon THIS INSTALLATION MAV BE ORD SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Eledncal Inspector, hereby
if Rougl ? aie
cert
y that the above mspection has
been made F,,,ai oale /
OiFICE USE ONLY
?
This requesl witl 18 monlhs Imm
?
y?
-
?y
%o 10707
q
g
p
?f UDCD ? 4?
/ /
Request nate Frte No Rough-in InspeWOn
Feqmred9
? Reatly Now ill Notiry Inspector
R
tl
?
VVh
? ? Ves ea
y
en
licensed contractor p owner hereby request inspection of above electrical work at:
. ?
Jo (SVeet
Box Or Fgy@NO I
z Ci
ry
O ?
/?.Y., y•' V.'C
w
^_
Sedion No Township N o qenge No Coun
0
OccuO ? PR T) Phyo ?No
PawerSupPher Adtlress
Elec omrador(COmpany Namei
c.__'.bi
/I- /G?Sow+ Gonvactor§ L¢¢nse No
L? OO??f
MaihAddle,s Icpnlr0etor or er Mabng Insiallatmn)
S S ? SJ%
Aolhonzec SignaWre I onlr M ng Installa n? PM1One Nu ber
?f ?
M JINEScyyFiaTE BOARU OF ELECT ? THIS INSPECTION FEOUEST WILL NOT
Gnggs-MlEway 81dg. - Poom 5-1 6E ACCEPTED BV THE STATE BOAPD
1921 Univers?ry Ave, St. Paul, 5510G UNLESS PROPER INSPEGTION FEE IS
Phone(612) 642-0800 ENGLOSEO
REQUEST FOR ELECTRICAL INSPECTION EB-00001-08 -/
fl? K 416 8 2 See i+stmctions lor completing Ihis lorm on back ol yellow mpy Ve/O ?7C?y
/ J 9
'X".Below Work Covered by This Requesf ?:.
e Add Rep- TypeofBmlding AppliancesWired EqmpmentWUed
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other-(Specity)
Comm./Industnal Fumace
Farm Air Condrtioner
Other(spenly) Conhaclor's Rema(ns
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Cirwits/Peeders Fee
Swimming Pool D to 200 Amps 0 t mps
Transformers A6ove 200 _ AmpS Above 100 - Amps
Signs insvector's Use Only
Irrigation Booms r
?
Special InspecLOn a
]
A
larmlCOmmunication "
THIS INSTALLATION IF NOT
2
Other Fee 5-0 COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby R°"gmin oete
certfy that the above inspection has
been made F,nei oaca
.`a
OfFICE USE ONLY
This requesl voitl 18 months Irom ?
i
41 82 ssz r
D ? 91_;l- l %/ cro
ReQU st Da?e - , Fire No. Rough-in InsO?ion
Raqw
retl' ,?/'
? Reatly Now ?will Noniy Inspeclor
? VJh
R
O
?
D ? ?
Ye
s o en
ea
y
I icensed contractor D owner hereby request inspection of above electrical work at:
Job Aytlr t BoOar Rame No,)
? Pry
? 2 ryJ?9
?i
Secnon No Towns N e or No Range W. Coun
V
Occ 1 INT? ^ phone No.
Power Supoiier Atleress
Elecm Conhacror ICompany Namel CanVeclor5 License No.
V tiO?/LsD?v G}? ?
Mailin Atltlress IConvacbr or ner Mabng InslallaLOn)
L/
Avthorrzed Signature ICon ner MaR? Ins ion) P?o?n?e/ N//umJber /??..?-?
MINNES STATE BOAFD LECTNIGITY THI$ INSPECTION qEOUEST WIIL NOT
Grigge-M10wsy Bltlg. - m S-1TJ BE ACCEPTED BV THE STATE BOARD
1821 Unlvenity Ave. SI. PaW. MN SS10E UNLESS PFOPER INSPECTION FEE IS
Plwne(611)642-0800 ENCLOSED.
K 41 80
Request Dare Fire No Rough-in Inspeciron
?
? Feqwretl'+ 111 Notdy Inspeclor
? Reatly Now
R
d
? W ?
? .? Yes A. "
en
ee
I licensed contractor ? owner hereby request inspection of above elactrical work at
Jao
Ady ress Isneec. 6ox or Route No ) ciry
/
Ce O N J N
SecUOn N. Township N e o Renge No Co n
oT
Occ 1 MT) Phone o
?
Power Supp6er AEtlress
Eledr onVaclor(COmpany Name) Conhactw5 Lkense No
v 2 /?/'LSOn? !?'t)
MaiLn AtlOress ICOnlraclor ner MaWng Installatwnl
? , 1 --c.. ,.
AuIDonz¢tl SignaWre r Makrng Ins II pon) Phone umpBa
/?
? ??../?
MINNESOTA STATE BOAflD OF ELEC
fiK THIS INSPECTION flEOUEST WILL NOT
Grlggs-MiEway BIEg. - Poom &n eE ACCEPTED BV THE STATE BOAflO
1821 UnlvenBy Ave.. 51 Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
Plwne (612) 642-OB00 ENCIOSED-
ii?l-
K 41680
REQUEST FOR ELECTRICAL INSPECTION
? See insvuclions for completmg tMS lorm on pack of yellow copy.
'X't8e/ow Work Covered by This Request
?? % I EB-OOWb08
'€?r?•
???? ?0 795?8?
ew ?Ftl Rep. Typeo/Bmlding AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heatmg
Apt Bwlding Dryer Othec(Specify)
Comm.llndustrial Furnace
Farm Air Condi4oner
Oiher(syecity) GonhacrorSRemarks w ,.r`
Compute Inspechon Fee 8elowS'°Fe ? n/T
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
i
z
Transformers Above 200 _ Amps A6ove 700 _ AmpS 7
Signs lnaPeclor5 Use Onry
i TO7AL /
Irriganon Booms /
"Du /?, S-Z>
Speaal Inspection
Alarm/Communicauon THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical tnspector, hereby ROUgh-in oeie
certify that the above inspection has
been made. F,,,ai oai
f d ' ?
OFFICE USE ONLY ?
This reQuest wb 18 monfis lrom
a?7?0 12 U - ? - ? ?. ??os??
Haquest Oate Fire No RougRin Inspeclion
Ra u e0?
G N.
? Ready Now ill Noti7ylnspector
en Ready'
I icensed contractor ? owner hereby equest inspection of above electrical work at:
.bb AtlGrBss ($treet Box or qoute No ) Gty
SecUOn No. TownsM1iO Name or o Ren9e No Couoly
/?• ? ;oe
Occu an P NT) Ph?o ^No
Power SupPLer Atltlress
El Contractor (COmpany Name)
ectnc
C?? ConVactor's License
NO
Mmlin/g AtlEress (COnVapor or .gwyr Making InstellaLon) j? //\/,? • ?/
Authoraetl SignaNre (C clor akmg Insl lion) Phone Numyer/
1?J
MINNE50 A STATE 80ARD OF ELECTflIQTY THIS INSPECTION FEOUEST WILL NOT
Grlpgs-MlOway eltlg. - Room 5493 BE ACCEPTED BV THE STATE BOARD
1821 Unlversity Ave.. SL Peul, MN 55100 UNLESS PfiOPER INSPECTION FEE I$
vhone (612) 642-0800 ENCLOSEO.
?gfqZIL-
70212
REQUEST FOR ELECTRICAL INSPECTION
J? Sae insVUCtions for wmpletmg iNS farm an back of yellow copy
'7C" Below Work Covered by This Request
e IF!i , Ea.OOOM.oa
/4-
e Add Rep. TypeofBUiltling AppliancesWrtad EquipmentWVed
Home Range Temporary Servroe
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial ' FUrnace
Farm Av Conditioner
Other(speny) ConiracWr§Remarks
?a•Il.? ??(rIt
Compute Inspecfion Fee 8elow:
# 01her Fee # Service Entrance Size Fee # GrcuRs/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 ro 700 Amps
Transformers Above 200 _ Amps ove t Amps
Signs Inspecror5 Use only TOTAL
Irrigation Booms
P c?
,?((? V -
Spe cial Inspection t
Alarm/Communication ".CION-N-l"
THIS INSTALLATION MAY BE OD CTED IF NOT
Other Fee COMPLETEO WITHIN 18 VOWHS.
f
I, the Electncal Inspector, here6y R°°qn-'" ce??,( Y
certify that the above inspection has
6een matle. rns a?e
OPFICE USE ONLY This requesl voitl 18 monihs fmm
Thi.: reUUrst void /(I l 3' L' ( !3' ( wC ? ?CLbi ?_?? [ ? 1 / 1 ( ?
18 months irom
? 63Q07sc
R??_ eques?p??]]ate _ Fire Nn. Rouqh-ied Insnectmn
? ? ?? Re?iyr? ? E]Reatlv Naw1?^%ill Notifv InsPw -
?,5 N? ??f 'r Whnn Ready
!2?1-11-11t6etl Elec[ncal CantracWr I hereby requnst mspection nl above
?Ownei electncal wurk insWlled at
Svnej Adtlres., Boa oi Route No. Ciry
eclinn o. Tuwnsnip Na ur Nn. RanNC No. Cnun?y
ll
L%
Oraq t (PRINTI /?
t ?
?
? /?
? ? Phonc No,
J K
?
C.s
•?
P6wrr Supplwr dross
O
EI ?in al Contm or lCOmpany A, ? I
L
' nv.ictors Lmunsc No.
-
03 9'?
.c
?... .,.?..? o
Mailing Adtl,ess IConvac or Owner akine [nstla V
?
`
?I
?
S
-S7
Authon 9gnaNre IConrtacwr/Owner Mokin, Ins[aliauonl Ph
nn
e Number
/
?
MINNESOTp STpTE BOARD OF ELECTRICITY c?' ,ZVE THIS INSPECTION HEQl1EST WILL NOT
Griggs-Midway Bltlg. - floom N-791 ` gE ACCEPTED BV THE SiATE BOAHp
1821 Universrty Ave.. St PeW, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phnnw 16121 2972111 tc t j? ENCLOSED.
REQUEST FOR EIECT^IC?AL INSPECTION ?.;, EP-00001-03
' See instructmns for conple4ng this form on back of yellow ropy.
Y 63007 "
;,?elOw.LVork Covered by 7hrs Request ` ?-7 (0 q
N Add Hep. Type o( Bwltling Appliances Wrte`d Bquinment Wirad
Hume Ranpe Tempoiary Service
Duplex Water Heater Lightiny Fixtures
Apt Bwldinq Dryer Electr?c Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial'Bldg: Air Conditioner - Bulk Milk Tanl<
FTrrn Other oec.fy Olher lSneofvl
.tmr ISUemfy Othur Othrr
ComFr,de Inspeetlan Fee Below ihok- c
4. Fee SerWCeEntrance5ize # iae FaeAars/SUblrrders H Fee Gvcwts
0 to 100 qm ps 0 to 30 qm >s 0 to 30 Am s
101 to 200 Amps 31 to 100 Ainps 31 tu 100 Amps
' Above 200 qmpy Above 100_Amps Above 100_Amps
Transiormers ReinoteControl Circ. PartiaVO ,r ee
Siyns SVecial Inspection
Rem;i r ?• /
?'?? \l . L/ I`•T
?
?
_ T
Rough c Doto I th EI
Final
?
n`a,
'It
??b
???st en
ihis reauNSt omd
18 nranths hom ?
,
--'P. T 'r ep' f
;,r;/, - ?z
/
;f
4 ?.?-ar
?? // '6
if -/r :?
?? ??? -?
?] 1 -^
/dp
,1-h? ?
rn,s ,en„rs? va,a 41'", CL ?/
ia ma„tnti i?om b ? t 2 a7 , CO
? 6'3019 ?
quest Uafe
Fe'f'
: Fire No. RouAh-m InvVer.uon
Aa.q
wre?P
?ReaAy Now?iil Nub}y Insper.-
Q^ /??d
t, XUS _ ?Nc_ ?orWhnnRcatlV
Xlicensed Electncal Cnntractor I herehy reques[ InsOe.cbon ot above
Lj Ownur electncol wark mstalled et.
MINNESOTA STATE eONHD OF EIECTRICITY
Grigqs-Midway Blde. - Room N-197 BE ACCEPTED 8Y TME STATE BOARD
1621 University Ave., St. Paul. MN 55104 UNLESS PROPEfl INSPECTION FEE IS
pn- (6121 297.2111 ENCLOSED.
'- ? REQUEST FOR ELECTRICAL INSPECTION ,?? EB-OUOat-03
' See inshuctions for COmOlefin9 Lhis form on back of ynllow copy.
T 63019 "
?X" Beln w Work Colnvered by This Requesi
ew Add Aep Type ot 9uilAiiiq Applinnces Wired EquiGment Wired
Home Range Tempoiary Service
Duplex Water Heater LfGhtiny Rxtures
Apt Bwldiny Dryer Electric HeaLn
Commercial Bldg. Furnace Silo Unluader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm 00111Pe??i v omo, isut,?e"
tne, I pocifyl Otnor otner
Cnmpute lnspectioii Fee Below -
Y Fee ServiceEnirenceSiEe # Fee FexAers?Sublee?ers M Fea Cvcwts
1 0 to 30 Am iy 0 tu 30 Am s
to ml 31 to 100 Amps 31 to 100 Am s
- ps
J Above 100_Amps Above 100_Amps
Transiorrncrs Remote Control Grc. Partial%Other
Signs Special Inspt;cLOn n
NPC?- _ <-_ ? / i?/ _ / l S/, TAL FE
-? c s c. c 7?v
Rough- in i. y ? D??" I, ffie Electrical
Insuector, herebv
erLfv thet the ebuve
Final D'4te aspection has becn
( J? I
This rem,st vnd
18 -- n? f-.., 'Y ?{T
.Z -1'7--P -7-
.3
?
. .7 :.
??+C-.J"'?,.-•?? ? ' - (''
, . .?? '_-..•\.
? ?? d ?
This renuesi voitll? /??? ? ? K9 7y 7
8 mo`nths trom
5?7 399 ?1- IWE s?+-i i'?.-b ,-??? ??'o0
Reauest Uate Q ,
I ? Fire No. . flRough-idnInepecLOn
'
?ReatlVNOw?
Uec-
il
r
r?-
? Id [ ?ves
?NO
cor
When
Reatly
I
.O?UcenseA.Hectncal Conlmctor . 1 hereby raquest inspection of ebove
? Owner electrical work installbd aD- Street Address. Box or Route No. Gty
3,913 // ?
u? a a.?
ecuon o. Township Name o o. -
I
Ra n g e No.
Count? 6
Or.cupani (PqINT) '
1,61ej,l- u . /
?l .{f7 / K . Phone No. •
Pawer SupPlier Adtlress '
Elec[ncal ConVactor lCOmDany Name) -
' C??ntracmr's License No.
e? ?
Mailmg? Jress•IContractor or Owne/r JMaMinA I?scaJauon)
?
? ?
? "` / 4 d>t
Authorrzetl-SiBnaNre ICOnhactor Owner MabngInatallatvowl Phowe Numb . "
?f s3 =/5 3?
'NINNESOTA 7TAT! lOAl10 OE (lFCT111GT`I - - U .. TNIS INSPECTIONYEDUfCT WIIL NOT
Glispa-MidweY Bia: - %on N-191' - - ' • SE ACCEfTlD [1'THl,STATE BOAIID
1821 University Ava.; S6 Pau1, 'MN 55104 . UNLE55 PNOP.EH INSPECTION FEE IB -P6nnn Ifil]I 797_J1H . ' - ENCLO$Ep. ,
? ?y REQUEST FOR ELECTRICAL INSPECTION ?(7 ? - e-aoooi-os
?-` 5 3 Q A See inslnictions for compleLn? this brm on back of Vellow copV?
J J ?-
"XSelaw Work Covered by This Request
Ne {\dd flep, • Tyne of Builtlin9 Appliances Wrtad Equipment Wved
Home Ranye Temporary Service
Duplex Watei Heater Lightiny Fixtures
Apt. Bwldmy Dryei Electnc Heatin
Commercial Bldg. Fumace Silo Unlnzdet
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farnt Othor necifv Othoi ISno,ivl
[ r SucafY Otheg O1her
Campute lnspectlon Fee Below
# Fea Sarvice EnVanceSiza # Fee FnedersJSubfexders V Fee' ; Grcwts
0.to 100 Am s 0 to 30 qm ps 0 to 30 Am s
101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 2D ps Above 100_Amps Above 700_Amps
Transi Remote Control Gra Partial%Otf ee
Si 5 Speaal Inspection 5 e? 90 °TJ'O
T
T
Rencirks ? ,S O
AL FE
Rouph,
? !- Data 1, ihe Electncal
Inspector, hereby
cwrhty that the above
Final Da ?
4
inspec ion has been
' ? 17 made.
This mquest void
18 nionths fiom
This repuest 1o1d
T?63020
,$"
z,j z4 Wz-_+ PuL I, ;ZK9 4?
q00,
Request Uate Firo No. Nou9h-in InsVecUnn
Z flequrzcA? ?HeedY Nuw??ll Nuuty InsPCC-
p?- _? ,?es ?NO ?r WhE;n PeatlV
Aucensod Electnr.al ConLr;3ctor ?A T I heraby request mspncM1On o( above
U Uwnnr L, / V ?dl.?""!?--1eCtncel wurk mstalled et
Streat AAtlress, 6ox or mta No. Gi
ncLan o, lOwnship r ur No. Fange No. Cou ly
d
Or,u an (PRINT / ?
L ?one No.
C-f ti
/JL?i w
P r Su Hier
3 A?Idr /
.
c? 4
EI nal Contr a tor (C panv me 's Lir,ense No.
Comrai.
mr
q
,
Mailinq AdJress (Cnntractor qr Owncr Ma`nH lristallation)
l
Aut o d Si ature oMr to I wner Makst IIat)
?CfYAi? Phpne, mbnr
/ OOd
MINNESOTA STATE BOAflD OF ELEGTRIGITY J ? THIS INSPECTION flEQUEST WILL NOT
Griggs-MiAwey Bltlg. - Aoom N491 BE ACCEPTED BV THE STATE BOAHD
l1NLE55 PROPEH INSVECTION FEE IS
1821 Umvere?ty Ava., SL Paul, MN 55104
Pnnna 16121 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION ,?-w ee-ooooi_os
..,?
y o?0' See insiructians for comnlebng this torm on back ot yellaw copR
r f?
Px- Below Work Covere?d tiy This Request ?2?J ?
New Add Rep. TVPe oi BuiiAmp Aryplie..ces Wuetl Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldmy Dryer Electric HeaLn
Commercial Bldg. Fumacc Silo Untoader
Industrial Bldy Air Conditioner Bulk MiIk Tank
Farm Orhei oecfY Oiher ISUeciM
O!her SGecTfy Othor Other
ConLoute lnspection Fee Below
Fee 5¢e # Fee Fee.des/SVblee.dem p Fee Ccwts
0 w 30 Amps to 30 Am s
ps 31 to 100 Amps ?. 31 to 100 Am s
*bOArrips Above 100_Amps
RemoteControl Circ.
Specia?lnspect
n
$ Above 100_Amps
ar[ial'Othe ee
0.
TOTAL FE
Re ?
/ z CVI ?0
c-i - v
RouGh-in /- ?.te ?i
? ?? /t O , thA Electncal
InsPPctar, hereby
r[ I f pl'?? ?_ certdV that the above
? mspecLnn has hean
V de
18 months Imni
This request void 18 months from
1
Date of this Request ?s -ZL> -r L O r Ga
I, afixicensed Electrical Contractor 13 Owner, do her equest inspection of the above electri-
cal wiring installed at: 140.1 /
t Address or Route NoJ! '
: VC
Section Township
Which is occupied by
Is a rougliln inspection required on this job? No ?
Power
Electrical Contractd
Mailing Addrea
Ready Now O Will Call)K
ri .-?-
oCF--
v Contractor s License No. _
'Authorized
(Electrical Cantractor or Owner N
ITiRUF BOARD COPY
. Minnesota State Board of Electricity
P454 University Ave., St. Paul, Minn. 55104-Phone 645-7703
? .• ? REQUEST FOR ELECTRICAL INSPECTION
LHECK BELOW WORK COVERED BY THIS REQUEST
`-5 37
p 20725
Type ot Building New Add. Rep. Check Appliancea W'ved Foi Check Fquipment Wittd Fm
Home ?? ? Range ? Temporary Wiring p,
Dup]ex' ? 0 ? Watei Heater ? Lighting Fixtu:es ?
Apt. B(dg. ?? ? Dryer 0 Electric Heating ?
C`oifimemial Bldg. ?? ? Fumace ? Silo Unloadei ?
lnddstrial Bidg. ?? ? Air Condrtioner ? Bulk Milk Tank ?
Fazm ? ? ? t
?
r pList
ls?
Ot}ier ? ? ? j e Aeie
? i, . i .
I lol to 2UU Amps. I I 1131 to 100 Amceres I 1 II 31 to 100 Amneres I. I I
{C
TOTAL
I, the Electrical Inspector, hereby certi y/that the.above has been
(Rough-in) A) Date_
(Final) ?? ,?. . . Date
This request void 18 months from
minnesota atate noara ot tiectricity
.. 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
'REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVEREB BY THIS REQUEST
'°°99
P 73983
" f BuOding New Add. Rep. Check Appliances W'ved Far Check Equipment Wired For
home ? ? ? Range ? Temporaxy Wiring
Duplex ? ? ? Water Heater ? Lighting Fixtures
Apt. BldB.
Commercial Bld .
S ?
? ?
? ?
? D
F
D Electric Heating ?
Silo Unloader
?
lnduslrial Bldg. ? ? ? A' ond' Bulk Milk Tank ?
Farm ? ? Li
) List )
Other ? El 0 h
9ters}
ete 1 Others}.
Here )
COMP.UTE INSPECTION FEE BELOW ^
Secvice Enhance Size: n Fce Feedus&Subfeeders: # -Fee C¢cuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am res 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfotmers RemoteConUO1C'uc. a ia therfee
Signs Specul Ins ection mimum fce S5.00 -
Remazks ,S ?„r• ,,,Sc ir "l.G
? ?
TOTAL FEE? r
I, t e Elee?a`f In`seCtor, hereby th ao %eovi inspection has been de3(Rough-in) Date ?
(Final) Date
This request void 18 months from r
This}equest void 18 months from '3' '=!2'0 7'?-2? e-ex'_r
Da : this Request S_ p / 7?? 3
I, L.icensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
cal wiring installed at: 'J /) 6 / n?/ r ?J' iy:
7?' p -?
r
Street Address or Route Na-? City"'-'?.,V
Section Township Range Count S?? 41
Which is occupied by A/ ? 6/J ~
(Name of c ant)
Is a rougliin inspe!c-t?ion required on this job? No ? Ye Ready Now ? Will CallK
Power Supplj?d/ 4fl '-?+? ddresS? ?'?/.• N
Electrical Conuac 4?41 ? Contractor's License No. -
?% 7 (Compa a )
Mailing Address/_S ? -? .t' ?
? /? Iec(ri o ra or Owner Ma ng This Instellation}??
Authorized Signature G[ct?Cr ? Phone Na!
(Elect?ical Cont?a to, o Ownet AR3kln9 TMSlnstalNtlon)
??? ??? ???? This impection request will not be accepted by the
???5-??
? Stete Board unless proper inspection fee is enclosed
I ??p REQUEST FOR ELECTRICAL INSPECTION o EB-00001-03
w^0.??1 80 See instructions tor completin9 this form on bnck ot yellow copY•
"X?? Below..6?ork Covered by This Request . 3?q-7 S
Ne Add Hap. Type of Building Appliancas Wired Equipment Wired
Home Range Temporary Service
? Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electnc Heatin
L mmercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air CondlUOner Bulk Miik Tank
Farm ot er aeci v ihorisueciryl
t.r SVOU y ther Other
Compute lnspection Fee Be/ow
k Fae SetviceEnhanceSixa q Fen Feadem/Subteedera 4 Fee Circuits
0 to 100 qm s 0 to 30 Am s 0 to 30 Am
. 101 to 200 Amps 37 to 100 Amps 37 to 700 Am s
A6ove 200 Amps Above 700_Am s Above 100_Am s
• Transformers RemoteControl C. Partial/Other Fee
Signs Spectal Inspection 07
Remarkr?- ? A FEE
Q
v /^ f
R Oate e Electncal
actor, heraby
'
Final
Date fy thet the above
L
r
,71
4, ection hes bean
4
This repuest oid
18 nronffis trom
This request voitl rp/lG' 0, ?I'+ ?2q7 S
16 rrnMhs trom
l1 3 0 5 1&• zo. o0
Repuest Dete fire No. RougMm Inspecbon
FeOwredl
Neatly NowWill Nntity, Inspec-
?
h
o? Yos No en q¢atly
a? W
A1cansad Elec[nLal ConVactot 1 hereby request inspectian ol above
? Owner electrical work installetl ar.
Svee[ Atldress, eox or fioute N Qty
:? 3 ' ?' ? •?
ecuon o. Township Name or No. R Be No. Coun
O Xf
Occu a IP INT)
eS Phone No.
Powe upolier )
///] / Addr .s
O N? f.r EJ4:
E1ec al ontractor ompany Na Contractor's I
K C No.
? L H ?v -
O O ?
Mailin8 Ad ss (COntra tor or Own r MaWng I s tallaLOn)
'
s?
?
Auth i d Si [ure nvact ?O r Mak,ng Insiallati nl , Phone??- ?
MINNESOTq STATE BOAPO OF ELECTIi1CITY THIS INSPECTION BEQUEST WILL NOT
Griqgs-Midway Bldg. - Room N-791 ? BE ACCEPTED BV THE STATE BOAPD
7827 University Ave., St. Paul. MN 66104 UNLESS PPOPEP INSPECTION fEE IS
Phone 161212872717 ' ENCLOSED.
HEQUEST FOR ELECTRICAL INSPECTION
3-0 62 g ' See inatrvctions for complet?this form on back of yellow, copy
"X" Belaw Work Covered by 7his Request .
EB-00001-03
3 33 ? (A
Ne Add flep. Type ol 8uilding Appliencec Wired Equipment Wirad
Home Range Temporary Service
- Duplex Water Heater Lighting Fixtures
Api. Bwlding Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Fdfm t e/ Pecr Y Other (SUecify?
[ er per,i y O[hor Other
Compute nsUectian Fee 8elaw
# Fae Service EntrenceSize p Fee Feaders/5ubfeeders # Foe Circuits
0 to 100 Am s 0 to 30 Am s ?d` to 30 Am s
101 to 200,qmps, 31 to 100 Amps YC P 4q9 to 100 Am s
Above 200 Amps Above 100-Amps Above t 00A!2RAmps
Transrormers Remote Control Gra , arLal%'Other Fee
Signs $Ueciallnspection 7
?
TA
Remarks.?„y /Z,
K, L EE???a?
I, the Ele 'ra
Inspaetor, hereby
cerlity that the ebove
mspecoon has been
?-.
,.
it VDIQ
tram . •'. ' ?, ?
?-
?'../??k°Z?%p?
fUW
\
` *
.. - ---
/ '_ _•
This request void ? z- Z (.' Ii(? Pl.l.? ;i /\CL 33 31 U,
78 nwnths imm ?
TS 3052J ?' Qaa.oo
flequest ?ate Fire No. RouPh-
?n inspection
Reqwred?
Ready Nuw ill Noufv InsPec-
?
oG'-/ es ?No r When Ready
,00fised Electncal Contractor I herebV request inapection of ebove
? Owner electrical work installed a[:
Sveei Address, Box or Rout No. '
? Geu? 9
? C ity
/?3
ecUOn o. Township Nume No. fianye No. Count
O
Occu ant IPRINT)
? . '
(... './V Phone No.
.
P/o,wpr Supp ier
o Atldress
Ele cal o vactorlCO any amel Conva nr's License No.
/
Matling Addres?s. +ICsonvactor or.Owner Ma/kinp Ins/taila ?oN
Auth ri d S(i?f amre 1 tr or Owner Makine Installationl
-f - Phone Num er
?
MINNESOTA STATE BOARO OF ELECTflICITY THIS INSPECTION XEQUEST WILL NOT
Griggs•Mitlwey Bldg. - Room N•787 BE ACCEPTED BY TME STATE BOAHU
1821 University Ave., St Peul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Pnnnw 16121 297-2711 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 0% EB-00001-03
OME O ?.
b ' See mstructions for complyi?eg Uis form on back ot yellow copR
""X?" Belaw Work Covered by This Requesl? 33 3) b
N Adtl Rep. Type of guilding Apoliances Wired Equipment Wired
hlome Range Temporary Service
Duplex Water Heater Lighting Fixtures
ApL Bwlding Dryer . Elec[ric Heatin
Commercial Bldg. Furnace Silo Unloader
Indusirial Bldg. Air Condrtioner Bulk Milk Tank
Farm omer peci v ?no. (SOecifv)
[ er Spe,fy Ot er Oihor ?
Compute lnspectian fee Below
N Fee ServlceEntranceSize d Fea Feadere/Subfeedera N Fa Cncwts
- 0 to100Am s 0 to30Am s ? Oto30Am
101 to 200 Amps 31 to 100 qmps 31 to 700 Am
Above 200 Am Above 100_Am s Above 100_q0_t)Am s
Transiormers RemoteControl Circ. Partial%Oth
Signs Special Inspection
-
Rema?ks Y/
.S TO L?E? U J,
?•
Inspactor, hereby
I Final" Date ':?}y thet the above
?? J? inspecbon hes bean
r ? e.
Inis requesi vo
18 nronlhs irom
This request void
18 rtqnttrs from
n 2;0530
SS?Ia?
Reqeee???sssDate .
/ fire No. Rough-in InsOection
Re?ired,
?Aeady Now ill Noufy, InsPec-
? J??FS ?N° r When ReadY
ALrcereed Elecumal ConVac[or 1 hareby requast inspection of ¢bove
? Owner electrical work inatelled et
Stree[ Address, Box or Route No
9
s City
^ ?r- ;
ecLOn o. Township Nama or anye No. Co y
Occ x PRINTI
?
?
/
Phone No.
L,.
6
Po ? Supp ier /?
G
?"
'
? Address
'?^'
l
p
- L?
1
D /L
?
E/lecnyical ntractor om ny N m I '
"' Contrac r's Lmense No.
Q
C-
C?- L t. ?
/?? ! d-,S d? ?
Meilin0 Address (COntractor or .OPM kp Instailatio w
Ao?amre nV or/ wner MakinB Ins Ilat on) Pvh/one Nu b
MINNESOTA STATE BOAND Of ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Gripgs•MidweY BId9. - Room N-191 BE ACCEPTED BY TME ST0.TE BOAND
1827 UniversitY Ave., SL Peul, MN 55100 UNLESS PPOPER INSPECTION FEE IS
Phone (e12) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? EB-00001-03
See instructions for COmplBtin9 thi6 fOrm on back of Yollow copy.
Ppl"uigl 0 ' ?"
"X" Below Work Covered by 7hrs Request ' 32 ZC CO
e Add Rep. Type of Building Appliencea Wirad Equipment Wirod
Home Range Temporary Service
Duplex Water Heater Ligh[in Fixtures
Apt. 8wlding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industnal Bldg. Air CondiLUner Bulk Milk Tank
Farm O[hnr vecify Ot er (SUecify)
ther Sper.rty Ot er Othur
Compute lnspection Fee Below '
1t Fen ServiceEnVenceSae # Fee Feaders/Subtantlers # Fea Circuits
0 to100Am 0 to30Am s 0 m30Am
101 to 200 Amps 31 to 100 Amps 31 to 100 Am s
Above 200 Amps Above 100-Am s Above 100_Amps
Transtormers RemoteControl Circ. artiaVOther Fee
Signs Speciallnspection
$
Rerru?
b TOT
Rouu Date
1, the Elechicel
Insoector, hereby
Final
D:ne certdy that the nbuve
? r
? inspec4on has been
?
? mede.
This repuest void -- ' - ? '?
18 nionths leo.
Y
Thi.•arequest vaiA
18 months trom
tU 30510
Pu..UL 's h?'?
,3ZZo(,o
1o.c!fo
Request Uate .
_ Fire No. Rouph-in InsVecnon
Reqmred7
Fleady Now ??ll Notity Ingpec-
?
9
?
? ?Yes ?NO .r When Peady
XlioeKSed Electncal Convactor 1 herebv request insoacnon of above .
?Owner f ?/ n 6warkinstalledet:
Stre [ Adtlres', Boa or Route o. City
ecLan o. Township Name No. flange o. Co/u?n''ty?
?CJ?
0 rcuyaP1 (PFINT)
t Phone No.
v %
/J /K
Pow Sup lier
? Addres
? 7" 14
EI n I Conva r ICOmp y Na )
? onvacmr's Lmen?e No.
F,?.-s
?- a z., d39 r?-
Maibne ?+dJress (ConVactor o Owner MakinB InsiailaUOn)
??
l
e
Authofi d/Sien,tur (Con ec r Owner Making Inst.a.lla?tion) Pha ?e JNumber
' MINNESOTp STATE BOAflD OF ELECt'RICITV TMIS INSPECTION flEQUEST WILL NOT
Griggs-Midway Bldg. - Xoom N•791 BE ACCEPTED BY TNE STqTE BOARD
1821 Univarsity Ave., St, Paul, MN 56104 UNLESS PXOPEN INSPECTION FEE IS
? e.___ iw»r eov v11i ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ouooi-oa
? p np this torm on beck of Yellow copy. l
See insLUehuns for cam IeL ??WnL
6 5 Z "X" 8elow Work Covered by 7his Reques! ° S-)'?-3
NW4 Addj flBD. TypB of 9wltlin8 APObancea Wred EQUipmen? WveA
Home Range Temporary $ervice
Duplex Water Heater Liyhhny Fixnues
Apt. Bwldmg Dryer Hectne Heatrn
Commercial Bldg. Furnace Silu Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
F2fm ther DNc:i v Iher (Sneu(y)
t - ucc?ly ther Olher
Compute lnspection Fee Below
p Fea ServiceEntrence5ixe tt Fee FeedarsZ5ubfeetlers b Fae , Cirewls
Uto200qm s 0 o30Am s 0 tn30Am s
Above 2 0 qmps
Swimming Pool
.10
Ary?ps
ve 0_Am6s
Transiormers Irngation Booms Partial. Other Fee
Signs Specialinspection $ T
pe OTAL FEE ?
RouBh, Dte
?f ?
1 e Elecbicnl
G jf6 pector, hereby
cartity thet the above
Findl q
oBCtion nas Ceen
42
thin request volG 18 monHU irom
This repuest void ? ?9
18 momhs from i
C - 3=2652 i 0
Neques? Date
?` Fire No. qouph, n InsPer,tron
Req red?
?Aeady Nuw W?II NoLfy Inspec-
?r Wh
N
I
?NO en
eady
bcensed ElecMCal ConVaclor I hargby reques[ inspecbon ol above ?-7
? wner electncak mk imtalled at: ?J °
Str et Address Boz or Route
;?' w / C?
? G N
ec"on o. Tawnehip Name or o. Range No. c
Occu?? t INT) Phone Nn.
Power Suppller Address
Ele cal Contractor (COmoany Name) '
???,oAVE fyl .??-r?.?sa,c> Co"tractoi s l1ceese No.
o3y o -5s
MailinpAdJresslConiractor Owner aki°AilatioN
Aothonzed Svac er mg Inskallalion) Phone Npryber
MINNESOTA STATE BOAflU YF ELECTflICITV THIS INSPECTION pEQUEST WILL NOT
Grie9s•Midwey Bldg. - Poom N-791 BE ACCEPTED BY THE STATE BOAND
1821 UniversitVA?e., Sc. Peul, MN 55104 UNLESS PPOPEN INSPECTION FEE IS
Pb... 16121 2972111 ENCLOSED.
5 a'?? Y REQUEST FOR ELECTRICAL INSPECTION EB'°°°°''°°
' See 7t7 iw "leti' this torm on hnck of Yellaer capY-
.,X.. Below Werk Cavercd by This Request ?i 3 0 ?`:?
C Fee ServireEn4a.eSize p F¢e F e ubeedars M Fee ' [s
0 to 200 Amps to 30 qm to 30Am
A6ove 200 Amps i - b 1 to 100 Amps 31 to IOC? A
Swimmirg Pool K Alw Mq?s A A?
Transio,mers lRigation Hoort?t Partiai."Other
Signs ' Speciallnspection S (
. / TQl FI?EE
Y 7?
Remar ?/t/b?? IQ /1' ?' t , S I /,? !
Roueh-in
? Oa[z
r 1
1. tlb EleEtrical
.t?
,{/?y IM,Yector. bY
? mnih ?hei ?he ahov
e
Final, le pe?xion Ins been
0
1
This reduest wid 5, /
aa3 3aN5
?7 W ?D?
e„_,...
r Heq ireA? []Neady Now ill Nolify. Insaec-
?J ?Ss ?Yes ?No tor When ReadY
i-
?Licensed EI ctrical Conlractor i hereby request incpection ot above
? Owner electrical vrmk imUlled alL
Street Address Box or Fbute No. G
?
3 .... ?G,?•?-?
eetion o. Township ame a N Mnge Nu. Co/unI?v?/
? i £ L?/?<J / /Y
Ot(PRINT)
fvEiS?" n
/-? v,Q
?` Phonc No.
rowe, s.ovi,e. Aadress
Ele
Coniractor (CompaM Na 1 Cm4actor s License No.
a
c? ND 2s'4 03 0-
Mailln AdJress (COntractor or Owrer Makiou Iesteilationl
Au r' ed re 1 0 /Owner Maki?i IreTallation) Mo/neJ ?uJnbef A
MINNESOTA STpTE B?OARD OF EIfCTI11CITY THIS 1lLSPECTIOM XEQUEST MILL NOT
Griqps-YiAwaY Bidp- - R. N-191 BE ACCEPfED BV 7HE bTA7E BOpRU
1821 UnivereitY Ave.. 51. Vaul, YN 56109 UMlE55 PROPEB INSIEC710N FEE 6
PI.....e 16121 29]Zttl EMCLOSED_
b NEQUEST FOR ?TtON ee-ooooi.oa,
' See inatructions for comV.. . is toi on back of yallow copv. i^V
Y
? ?
f? "J(" Below Work Covered by This Request
Nevy lAdd l Pep. Tyoe of BuJein9 Apolmnces Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Li,yhtiny Fixtures
Apt Bwldinc? Dryer Electnc Heatinp '
Commercial Bidg. Fumace Silo Unluader
i Industnal Bldg. Air CondiLOner Bulk Milk Tank
Farm omer Soe, y omn. fsonc?ivl
t er Uer,rty Ot er Oiher
Compute /nspection Fee Below - - -# Fee ServiceEntranceSae k Fee Feaders/5vblexders N Fae Qrcuits
0 to 200 Am s 0 to 30 Am s io 30 Ans
Ahove 200qmps 31 to 100 Amps 31 to 100 Am s
Swmvning Pool Above 100_Am s Above 100_Amps
Transiormers Irngation eooms Partial•'Other
Fee
Signs Special Inspection g \
TOT? \
/ - C ? ^ ( J
vi?y
Rough-in D
?
?he Elechicnl
( ?^,? I spector. hereby
Final
? cg?IJy [hat the rbova
wi<pection has been
?/? Yade.
Thia request voitl 18 montha Irom
This re0uest void (f/ ?/?
18nl?h?S 'Po t71 .?L1 ?16/
? 1?3o.av
Renaest Dare Fre No, ooph-in Inspecbon
tl>
?
?Ready Now?VJill NpLfy Inv ec-
Ves NQ
?
tor Wh¢n Revd
ALii:ensed Elecnical ConVactor I heraby request inspecbon ot abova
? Owner electrical work installed at.
Street Atldress, eoz or Foute N
3 C.1V
K1/ 74
'1
11-- a?ynship Name ur Hanpe No. 9x
/
f
10
n
Oc/v?yo? ??11PflINT) /?//? /
-
X Phone No.
/(/ '?J /
i.. D
J I-e
Powpr Suppliet tlress
E r al Contr ctor (Company'Pie me)
? Con[racJnr"s License No.
(> 3 y
- 5l
c
u o
ailin Address ?ICo*ntractor r ne?r lM1aking Instailati 1
Au[ho d SiOna e( tr r/Owne?tiing Iilation) Phnne Ninniber /
MINNESOTp STATE 90qHD OF ELECTRICITY TMIS INSPECTION REQUEST WILL NOT
Griees-Midwey Bldg. - Rnom N-191 BE ACCEPTEO BY THE STATE eOARD
7821 Univarsity Ave., SL Peul, MN 55106 UNLESS PROPEfl INSPECTION FEE IS
Phone 1612) 297-2111 ENCLOSED.
NEQUEST FOR ELECTRICAL INSPECTION EB'00001A4
? p , Sae i?[ruetions fw covpletinq this form on beck af vellow copY.
2 W`LF ,4 9 "X" Be/ow Work Covered by 7his Request ?,?_
!dd Mso. Type oT BuiMinq qpplianeea AiraA EquiOment iMired 1 1 Hame T TKa,m Temoorarv Service
Water Heatef
Bldg.
/ iee ServiceEnbance5izs k Fee FeeAers/Subteaders N Fee Circufts
Oto200 Oto30Ams 3O Oto30Am
Abmre 200 Amm 3 ZO to 100 qnros 31 to 100 qnys
RL
Ibtph-in D;itc ?
1. the Elecbieal
C/ Inspec[oq Mreby
CBfll(V ??Nt 5118 dboYB
F;mi ? gl??`I - insV?.:m b, haen
1 /'/?{ ?reee.
?s.i• -- -
tti.?*.mis,wnoefpMMI
This request witl
??'zn9
(J3?-,.t ?.-& ZD--
??-/J?_
a
Request pate -
I Pire No. Bouph-in Inspec[ion
Heq retl? r?I
?p.JYill Notily Inspec-
DNeatly N?wv
Ioo Wh
np
d
F Yes ?NO ¢
ra
Y
$,Licensrd Electrical CoMractor 1 hereby request inspection of above
? Ownee, lact?iwl work installed at.
Strcet Ad Box or Route o. Ct
cuon No.
Tmmship Nanc or o.
qanqe No.
County
I /LaT
IPitIM)
X;S 7-- Phone No.
SuWlia Address
/t/drc> Tz*
EI ?ai Contractar (Caupany N ) Conhar.ior's Ls ense No_
-
037
n
Mailinp AtlOress (COntractor p Ow??r MLakirq Insbila[ion)
??? .? L`?ST- L
.v S.r-ya ?
Aotlqriz Sf ICo mr ing Installalio?nlJ Phone Number
YINqESOTA $TpTE p(Mg OF ElECT111CIT' THIS INSPECTION pE4UE5T WILL NOT
Gri,,s-Yidrey Bldp. - Ronn N-791 BE ACCEP7ED 9V THE STq7E BOAPD
7827 UniveryityAw-. SL Paul, YN 551 M UNLE55 PNOPER INSPECT70N FEE IS
pM- 16112) 297?1111 ENCIOSED.
mmnesota state tsoard ot tiectncity
1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703
? fiEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVERED BY THIS REQUEST
P 73977
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Fm
Home ? ? ? Range ? Temporary Wiring ?
Dup1eX ? ? ? Wacer Heatec 0 Lighting Fixtures
Apt. Bldg. ? ? ? Electric Hea[ing ?
Commercial Bldg. E ? ? n" Sdo Unloader ?
IndLstrial Bldg. ' ? 0 ' 'nd joi . = Bulk Milk Tank ?
Fazm I
? ? ? t - Lis[ )
Othet ? ? ? er ers
) Oehecs}
A )
COMPUTE INSPECTION FEE BELOW
Secvice Enhance Sae: ?F Fce Subfeeders: # Fee C¢cuita: 7t Fee
0 to 100 Am s. Am res 0 to 30 Am eres
IOI to 200 Amps. 0 Amperes 31 to 100 Am eres
Above 200 Amps. 0 Amps.
L Above 100 Amps.
Transformeis ontrolCirc. azti r other fee v
:Signs pection Minimum fee 55.00
Rematks s?` L, ?, ? S c-
/f ?
L' ?J?
, ?7 ' ??
TOTAL FEE '7
??
I, t?El?ncal Ynspector, Ifere} cer ' h'at t velinspection has been made. 'Al
(Rough-in) ? Date,?f.t,? ?
(Final) ?,Q) Date % •7 ?
This request void 18 months from
%'s request void 18 months from Lq ?/ 7 45e, ?
?, _ ?? ? 73977
Date o this Request -
1, asI.icensed Electdcal Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: /,s,- -
Street Address or Route
Section Townsl
1Vhich is occupied by?
ts a roughin inspec ion ro
'Power Suvvlii4?
Electrical
Mailing Address
J
on this job? No O
_ Range CountyL_?,47i?
.me oi Occu nt)
Yey; Ready Now ? Will Caltli?
d¢ress Yl?ri.-c
°?.so-? Con actor's License No.-
_ C.L /J. X/?V e-_,_.?
- (electrical CoMractor or Owner MakTn9 ThiS Install5tl /U??
Authorized Signature Phone
, (Electrical Contractor or Owner Making TNS installatlon)
This inspectian request will not 6e accepted-hy the
J l,?1 ? State Board unless proper inspection fee is enclosed.
_I • Minnesota State 8oard of Electricity
`-• 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
GHECK BELOW WORK COVERED BY THIS REQUEST i;?9;?
;ei oG 6 941- '.
p 7 4 2,9
Type of Building New Add. Rep. Check Appliances W'ved For Chect Equipment W¢ed For
Home
Duplex ?
? 0
? ?
? Range
Watex Heater ?
? Tempocazy Witing '
Lighling Fixtures ?
?
Ap[. Bldg.
Commercia; Bldg. ?
[I ?
? ?
? Dryei
Furnace ?
? Electric Heating
Silo Unloadec 0
,?
Industrial Bldg. ? ? ? ditioner
Aic Con ? Bulk Milk Tank ?
1 t
Other ? ? 0 Hehersl ? '. ?s?
He
/`hMPi7TF iAiC1PF!`T7nU FFF RFIl1W .-t4.^a 1..?? 'CAA'r\ 1'7
ServiceEntranceSize:
x
Fee -
Fceden&.SubfeeQet`s' r .
C'ucuita:
a
Fce
D to 100 Am s.
1
1 0 ta 30 Am erd3
0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amper" 31 to 100 Am eres
Above 200 Amps. 1 1 Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCuc. Partialorothertee ?
Si ns Special Inspection Minimum fee $5.00
Rpmarks ? TOTAL FEE /
I, the Electrical Inspector, hereb c trFp a he lbov ' spection has been made.
(Rough-in) ? Date `h-a
(Final) Date 7 - 9-? 7
This request void 18 months from
Tfiis request void 18 months from ?V y ?/at ?? D ? ?P 17'
?h
Date is Request P - 7429
I, censed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal ring installed at:
???
Street Address or Route No, "¢y0 C??J? l03 Cit?
Section TownshiRange Count
.
Nhich is occupied by
,
Is a roughin inspection required on this job?
Power Supplier _
Electrical Contractor.
Mailing Address ?
,Authorized Signature
?Phone No. ae?.7
Installatlon)
37ATE BOARD COPY ,
This request void 18 months from
?- ? O 64296
Date o his Request October 20, 1977
I fas Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
csal wiring installed at:
Street Ad ress or ute No. Hi ahwav t19 and Wescott Rodd City--C?
Section ? Township Egan Range County 12r,?aa-r4
Which is occupied by West Publishing
(Name of octupant)
Is a roughin inspection required on this joh? No ? Yes ? Ready Now ? Will CallK
Power Supglier ? ? ,,iln&&JAddress
>Electrical Contractor_ Olymp7 C ElOCLP'j C C0. Contractor's License No. 32554
(COmpany Name)
Mailing Address
Richfield, Mn. 55423
(Electrlcal ract r owner Making T Installatlon)
Authorized Signature ic5r??-_, ?JPhone No. 861-4111
This
?,..., Minnesota State Board of Electricity 0
? ? 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
--SEQUEST FOR ELECTRICA`L?ECTION
CH$CK BELOW WORK COVERED BY THIS REQUEST
7 r'J 7d
O 64296
Type of Building New Add. Aep. Check Appliances Wued For Check Fquipment Wired For
Home ? ? ? Range ? Temporazy Wiring
?Duplex ? ? ? Water Heater ? Lighting Fixtuies EJ
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
' Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Induc[rial Bldg. ? ? ? A'u Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List List )
Other
?
?
? p
Heiels?
1
_
qH reersh
)
COMPUTE INSPECTION FEE SELOW - \1?11 ?. ? ?
Service Entcance Size: # Fee 1 1 Feeders&Subfee a? ??? .;? ee Circuits: # Fce,
0 to 100 Am s. 0[0 30 es 0 to 30 Am eies
401 to 200 Amps. / i 31 to 10 re 31 to 100 Am eres
Above 200 Amps. Above 100 ° mps. Above lOQ_Amps.
Transformexs RemoteCont Circ. Pa[tialoiotherfee
Signs Sp
ecial [nspection Minimum fee $5.00
r
Remazks c7
Ejq VI LE•
TOTALFEE
I, the Electrical Inspector, hereby certify that the above
(Final)
This request void 18 months
has been mad . a S??
Date
&ke
HEQUEST FOR ELECTRICAL INSPECTION ????4
y??G ??'6? , See instrucqons lor camDleLnp this torm on beck of vellow copy.
. "X" Be/ow Work Covered by 7his Request 57'F3
u C 32653
?Iew1Rdd! XeP.? Tvoe of auiiems ' APPIianCe! WifaO ' Equ?UmBnt W?red
Home Range Temporary Service ?
ce
Bulk Mi
p Fee ServiceEnhenceSize M Fee Fexde,s/5ubiaeders N Fwe Crtcoits
0 to 200 qm s 0 to 30 Am s 0 30 Am s
Above 20 _qm ps 37 to 100 Amps 31 to 100 qm
Swinun?ng Paol Above 100_Am s
n Above 100_Am s
Transiormers Irri ation Booms i arLal.'Other Fee
SpeciallnspecLOn
Final
1, the Elactrical
k???ffbbb pectoq hareby
?Lfy tMl the xbova
i
pection hes been
reQueslroidl8manihalrom '" ? ,? e J?? l ? ," ??r.
iNs renuest void ,Sj'- 30 S 7
18 mpn[hs fmm
C32653 pr e j, .-1 N l? ? Iz -221
Vequesl Date Fna No. floueh-?n Insuecuon
HeQUyedt
?Ready Nowo*11 Nouty Inspec-
Q. 2ts ?NO Lor When qeady
Dri-censed Electrical ConVaetor 1 hereby reques< inspaction of above
?'awner ?? f t) f pleancg\wqrk inslallad eL
SveaiAtlAress, Box ar pout o. C
•
ecuon 110, Township Name or No. Range No. Cow
O t (PqINT) /)
?/ U/-..3 L?.S/7`?/L?? °L?! Phone No.
Pow¢r Supplier Atldress
Ele cal Conlractor IComOany Namel
.??o.? r?l ,?,?r» Convarmr's Lmanse No.
03 y o -si
MaiImO AdJress ICOntractor or Owner aWng Instailanonl
Auffionzed 5? atur nva ar M g InslallaUOn) Pho(?mbe?
?
MINNESOTA STATE BOApD$KECTNICITY THIS INSPECTION REQUEST WILL NOT
Grigqs•Midway Blda. - Noom N-181 BE ACCEPTEO 6Y THE STqTE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Uni Ava., St. Peul, MN 66104
Phnnw 16121 297-2111 ENCLOSED.
REQUEST FOR FIECTRICAI INSPECTlON E6-00001-Oq
, See iratractions (w cornpleti,g this form on baek of yellow cooY.
87302?6 I'
""X"'_ Below Work overed by This Request `t
PiwA Add Neo. Tvoe of Buildtng Appliances 17iretl Equipment Wired
Home Range Temporaiy Service
Duplez Water Heater Lighting Fixtures
Apt. 8uilding Oryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
?ndustnal 91dg. Adr Conditioner Bulk Milk T&nk
Farm 01he, ceu ?her ISUecifvl
[ .r Soecify Other Other
Compute InspecUOn Fee Below
M . Pee SarviceEMreneeSiza p Fae FeederslSubfeeAers N Fee Circu.ts
0 to 200 A
?. to 30 qm 0 to 30 Am s
!
;Above 2?Amps to 100 Amps 31 to 700 Am
i? 1 S-Znming Pooi f mps Above 100_Am s
, r Fean57omiers" ? lRiqation Boorrs Pdrtial.' e
V igns Speciallnspection / '
S/ q?
Hemerks 4(I y?El W
"
W.1
Rough-,n Oate ?,`?
I, e Ele wel
Inspe or, hereby
Final
'
ie certify thet the above
msoachon has been
mede.
Thlarmueslvoi018mon?lairom Y! , C
i
18 nIsre`auestwid L.l t?It LV£S?- FU.10'($kCj'??
t^90h7?3026 ? -
353 V I
)Q, 06
flequest D te w?
l?
/?
r Fre No.
Ibuph-in Inspection
fleQUVed? ?
HeaAy Now?^lill Noufv Inspeo-
Wh
?? ?'es ?NO tor
en Ready
??mensed Electriwl Contractor I herob
Y rBO?st insp6clmn of abova
[? Owner eleetriwl wak iiristalled ai:
Sv¢et^AdE
ress
, Box or fl ute
4
0-
Ciry
?
)
l i 5 Q'
ection o. 7ry,nship N w No. Range No. Co?yy?
/ / ?
IL% a
Occ t ii?PRINT)
?+ /,l ?
/ K
K
Phone No.
Po $uppb Atl ess
O wf
Ele,-..:??1 ontractw iConNa N. 1 Con[ra r's License No.
C? c.. N vso D g O?y
MailinB Address ( ontrac ar ?m yOwne, Mak'nB ?u+stei atianl
? Ld' S y ?J Ga
Auffi i ed Snam ICo c ?Owner Making Imta lafionl Ph ne Number
/
YINNESOTA STqTE BOARD OF ELEC7111CITI THIS INSPECTION NEQUEST WILL NOT
Griggs•Midway Bldg. - R. N-191 BE ACCEPTED BY THE STq7E BOARD
7827 Unive.sitY Aye., St. Peul, tlN 55100 UNLESS PpOPEP INSPECTION FEE IS
e- imm vav i'll ENCLOSEO.
? -? REQUEST FOR ELECTRICAL INSPECTION
' See instructio.s for completin9 this Torm on back of yellow copy.
'X" 8elaA+D 004er6ed by This Request
- Ee-00001-04
3?-7 04W
Ninn Ad(1 ABp. 7ype O} Bulitlipy /ap011.1OC95 WvB[I Equip1118f11 Wvp,i
Home Range Temporary Service
Duplex Water Heater Lighhnq Fixtures
Apt. Buildmg Dryer Electric Heatin
"x Commercial Bidg. Fumace Silo Unloader
Industrial BIAg. Air CondiLOner Bulk Milk Tank
Farm osner soeu v Dtner ISoemfvl
Iher ucufy Other Othei
Conipute Inspection Fee Below
q Fee ServiceEnVenceSize # F.. Fexders/SUhfeeders 1t Fee Cncurts
0 to 30 Am s OO,oU 0 tn 30 Am s
31 to 100 A?nps 31 to 100 Am s
I
p10 Above 100 IVQb.mps 7. IQ'oO Above 100_ mps
Transiormers Irngation Booms Partial-'O ee
•-' Signs Special Inspection
Aemarks/// TOT FEg'
?
''o
Roueh-m r Da?
G Sj
3
,I" Ihe Elacvical
S
, y InsDectoq hereby
Final
r
D^T'° certity tAet the above
mspaction has baen
d
ma
a.
rnix reeueet vold 18 months iram
rom oS-3. L, gl , wFS-- ?pub and. 3?`to2`
IPP'3vn 4 6 iq r, oo
iq atJ Fire No. Fough-in InsPecUOn
!? Raq ? wretl? ? DReaAy Now ?Will Nollfy InSPec-
(?Ves No ,r When Ready
Lwensed Elec[ncal Contrac[or 1 herebv requast inspection ot ebove
Owner electrical work mstalled et.
Streei Atldress, B x ot ute No.
377.3 C?ty?
ecLOn o.
< To nship Nam or o. Range No. Cow»yi/? . , ,
. S ?
?+-•
Occupan?t('PgR?IN'jT.)
?C.1 /
? ? Phone No.
Po er p ier w?
C6
-?. Address
cal ontACtp[( y amel 4i
4 Contracmr's Li?sNO.
03
1
.1.
?
Mailinp Addre?-lCOntractJ or er Makinil
, ? ?^?J ' -/` i
J ?O (C
Aut ed nat (COn Owner Mpa?..k-ine ??nst/allatmnl
' ?"TG N"G?s P.+h?on^e? Numb/e"r ?y
/ // % ?[J Q I
MINNESOTq STATE 90AND OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Grie9s•Midwey Bidg. - Roam N-181 BE ACCEPTED BV THE STATE eOAND
1821 University Ave., St. Paul, MN 66104 UNLESS PROPEfl INSPECTION FEE IS
- ___ ,-' ..o-..... ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION . ee-ooaoi-os
? 1 See instruchons br complehng lhis lorm on back of Yellow coCY ?a;L`7 13
7 5 2 "X" Be/ow Work Covered by This Request
p+«4Hnal Rao.l Tvna of euiimne I ApPlioncas wi.ee ? eauivnient w„ed ?
! ? Commercial Bidy. ? ? Furnace ? ? Silo Unluader
n Industrial Blda. Air CondiLOner Bulk Milk Tenk ?
p Fee ServiceEntrenca5ae H Fee F u4Wda,s # Fea
? to 240 qm s to 30 Am s tn 30 Am s
Above 200 qnips 31 to 100 Amps 31 to 100 Am s
Swinming Pool 1 /1 A6 Amps Above 10 AmP`+
Transiormers IrnyaLOn Booms Pdrb ther Fe
Thn repueat vola
3
p????•?..?? ??c..,??.,a? ..???u...,w? I herebV repuast inspaction ol ebova
? Owner elechical work installed et
Sveet AAdress Box or Ra o.
y Cit
.?? .?
ection o. Township Name n. nnge No. Cnm
?? ?d
Oc (PflINT) Phone No.
Pawer Suppher Adtlress •
EI¢y?ical ConVac?or ICOmpany Name
C!'ZorG.loILT Cnactor's L,cense?NO^?
3
Ma?l g AtlJress (COnVactor r r Makinp Instailauon)
?S
S7"4
1 Authorizcd S? tur h r Maku stallatmN Phor???=.r /O f
? V,,>
MINNESOTA STqTE BOARD O- CTqICITV THIS INSPECTION NEQUEST WILL NOT
Grie9s-Mitlwey Blde. - No 191 BE ACCEPTEO eY THE STATE BOAflD
1821 Universitv Ave.. St. Paul, MN 65104 UNLESS PNOPEN INSPECTION FEE IS
,Phone (6121 642-0800 ENCLOSED.
A//,/Y'9
P 39384
REQUEST FOR ELECTRICAL INSPECTION
ji? See mstructl0ns tor comple[inp fhis (orm on back of yellow copy
"X" Below Work Covered by This Request
-% E&00001-0]
,,. 9s??.3?
Ne% AZd Rep. - TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElecMc Heating
Apt. Building Dryer O[her (Speciy)
Comm./Industnal Furnace
Farm Aii Conditioner
Other (speay) Conbaclor5 Remarks:
Compute Inspeclion Fee 8elow:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 00 Amp 0 to 100 Amps
Transtormers Above 2 _ Amps Abov Amps
SignS Inspeclor5 Use Only. ?j?i ?,{J OTAL
Irrigation Booms
JO (/
36. s?
Special Inspection
. Alarm/Communication
O[her Fee f
I, the Electncal Inspector, hereby
certify that the above inspection has
been made. RO,l"'"
F„w ttt ?.- ?-
os?e
A
OFFICE OSE ONLY
Thes requesi wid 18 moMhs tmm
/O?/i /8Y , B -A f l-, <f-s?,
r- 3 9 3 8 4// /-
Request Dale /
• /,ti ? ? y?./ Rre No Rough-in Inspection
Re rtetl7 y??
? ReeOY N. ?W?' R
Wh
??lor
O
V v ? es ? No ea
en
y
Xicensed coMractor ? owner hereby request inspection of above electrical work al:
Job Addrp?Slraet, BoLo«?,aN ?ity
-
SecGOn No Tawnahip Nama or Nu Renge No. Goup'l
Omupa RI T) ?
??sT Phong No
G
Paw ,pWiplier Atltlress
???/ V? ??
Electncal raaw (Company Name)
? ?,??csa,? CanVac[or5 Lcense No.
d 3 ? y? -y
Maibng Addrqss (Contraclor or Owner inq Inslellation)
,r/
IA!t-
AuUonzed SynaWr nt / eking Ins at?on) Phane ?? /
?
MINNESOTA STATE BOARD OF ELE ICITY THIS MSPECTION REQUEST WILL NOT
Griggs-MiOway Bldg. - Poom BE ACCEPTED 61' THE STATE BOARD
, 1821 UnlversXy Ave., 51. Paul, N b510J UNLESS PFOPER INSPECTION FEE IS
Pho. (612) W2-O800 ENCLOSED.
Q REOLE$T FOR ELECTRICAL INSPECTION
?XO ? See in5VUC4orvs ta completing this brm on back oi yelbw mpy.
3 9 4 0 9 'JC" Below Wark Covered by This Request
M. E&OOOtr1-07
e Rdd Rep,. Typeofeuildmg' AppliancesWired EquipmentWired
. - Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt 8uilding Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olher (specRy) CoMrador5 Fiemarks' T
Compute Inspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Cimmts/Feeders Fee
Swimming Pool 0 to 200 Amps o m 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
- Sgns Inspeclorg Use Only. TOTAL
IrrigationBooms
Special Inspec[ion
Alarm/Communicafion
Other Fee
I, the Electrical Inspector, hereby
ti
h
h Rough-in oeie
ry t
att
e above inspection has
cer
been made.
Final ?a1 j f ??•? „ ?:
Dat ???
OFFIGE USE ONLY
This mques[ wq 18 moriths Imm
9409- ° ... _
?
?
9?0e ?/
? 5
j
Requesi Dale Fire W. Rougn-in Inspedion
ReqwmE?
? ReaOy N. ill NotM Inspeclor
V ? [I Yes en Ready'
Ilicen ed c trador ? owner hereby request inspection of above electrical work at:
Jab Atltlress (SVeet, Box or Route No ) Pry
X
$eclan No. Township Neme or No, Range No. Couny
Occu (P IHI) Phpn No
r Supplier Atldress
Electr?celtl?ntraclor (Comparry Name) Contractor5 ?cense No.
AOailing tltlress (Conirector or Owner king IriylaYation)
071t
Au onzed Sgnature i Making Ins fltion) Phone N mber ?
?
MINNESOTA STATE BOARD OF ELECTpICRY THIS INSPECTION REWEST WILL NOT
GrlW-Mldway Bitlg. - Room 5173 BE ACCEPTED BYTHE STATE BOARO
1827 IlnlveeeHy Ave., St. Peul, YN 55106 UNLESS PROPER INSPECTION FEE IS
GIroM (612) 602-0800 ENCLOSED
[? 724'00
REQUEST FOR ELECTRICAL INSPECTION
? See insirudans for completing ihis lorm on back ol yellow copy
"JC" Be/ow Work Covered by This Request
EB-0OOp1-0]
?. `i 5?3
S?? f c1
e Atltl Rep TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer ' Olher (Specify) 4= va
Comm/Industrial Furnace
Farm Air CondRioner
Ot?er (specrty) Contraclor§ Remerks
Campute Inspection Fee Be/ow:
# Other Fee # SerwceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 3 0 to 100 Amps
Transformers Above 200 _ Amps Abwe 100 _ Amps
$IgnS Inspecror5 Use Onty
AL S0
TOT
Irrigalion Booms 251
a
$-0
Special Inspec[ion ,
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tii
th
t th
b R°"9n-;n ? ?pl oare
cer
y
a
e a
ove inspection has
been made. owe 7y! I
_ ? ?
OFFICE USE ONLY
This request vaid 18 months fmm
a/?./io
F?7 2400 //- - , 9.s11Yf
?'ar°V
Requesl Date
y l '1 Fre No RoupFin Inspecuon
Requiretl.
? Ves ? No
? Reatly Now O WII Notify lispeclor
When Reetly'
I icensed contractor p owner hereby requesl inspection of above electrical work at:
Job Atldfiss (Slreet, Box or Roule NaJ City
3? u.a L ??y cd
Seclloa No
. Township N9 or No Range No County
a
Occupent(PRINT)
e ? Phone No.
Poxrer Supplier Adarees
Electrical Canlraaor (Campeny Nema) Contreclor5 Ucense No
tIo
o 17 97
MaAing Adtlreu (Contraclor or Owner Malueg Installabon)
Wi, 8o
?ullwn g re( or/Ow?rer M Insfallation) Phorie Number
sory- a scs- 3oNa
AUNNESOTp STATE BOAHU OF 0.ECfPIC17Y ? THIS INSPECTION FEQUEST WILL NOT
GrigpoMldWay Bltlg. - Poom S173 BE ACCEPrEO BYTHE STPTE BOAflD
1821 UnNenlty Ave., SL Peut, MN 55104 UNLESS PROPEF INSPECTION FEE I$
Phona1612I802-0800 ENCIOSED.
?'/i6/9/
H 62460 (S,?
' /0ial
Repueet Date Fire No. Rough-in Ins n
RequireEl '
?DY Now ? Will Notdy Inspaclor
,
7 ? V¢s Whm Reatly7
I f?nsed contractor ? owner hereby request inspection ot above electrical work at:
Ja0 Atltlress (SVeet Box or Poute No.)
bjq?t U
dfrort? Ciry
F r?J
SecGLn No TownsM1ip Neme ar Rarge No.
R 0?
O[cnpant (PRIN1j? ??
?T Phffe No
P lier Ndtlress
4300 .l20t0
S'i lJi Fa?lje,j b37JaN
Elec[n Contrectm (Cwnpany Name) ,
Pftd- eli eclrrc Coniraclor4 L?ense No
4Sa -?l
Mailing AOaress (ConVac or Owicer MaW tallation)
i?laJ
F
95421
_a ?
Avlhonie ntrect Q.vner Makmg Instail an) Phon4a Numper
- - --
MINNESOTA STR'E BOARD OF,ELECii11CITV ' THI$ INSPECTION REOl1E$T WILL NOT
GriggrMlOwey Bltlg. - Room St]3 6E ACCEPTED BVTHE STATE BOARD
1821 Universiry Ave., St Fwl, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone1811) 662d800 ENCLOSED.
.7
/&/q' :ESee QUES oFORoEL ECTRaCALtiNSPEICTION
H 6 2 4 6 0 - 'W" 32/ow Work Covered by This Request
EB-00001-08 I
ew Add Rep. -, TypeofBwlding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Elecinc Heatinq
Apt. Building Dryer Other (Specity)
Comm./Industnal ' Furnace
Farm Air Conditioner
Other(specAy) Conlraclor§ Remarks
Cnmpute Inspechan Fee 8elow:
S Other Fee # ServiceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps . D to 100 Amps „1
Transformers Above 200 _ Amps Above 100 _ Amps
Sig05 Inspil Use Only 70TAL
Irngalion Booms ? ? ?/ .y(7
Special Inspechon
Alarm/Communwatian THIS INSTALLATION MAY BE ORDERED DISCONNECTEU IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. ,y
I, the Electrical Inspedor, hereby Rouyn-in F/?Fe;
certify ihat ihe above inspection has
been made. Finai .,
OFFICE OSE ONLY
This request void 18 monihs Iram
REQUEST FOR ELECTRICAL INSPECTION
lo See Nstmclmn_?r comple0nq [his form on back of yellaw copy
If?l 51221 "X" Below Work Covered by This Request
h-- ? ee-ooam-oa
? ??3; 4
??u?'`?LOO 4?
ew AdU' Rep. - Typeof8uildmg ApphancesWired EquipmentWired
, Home Range Temporary Serwce
Duplex Water Heater Electnc Heafing
Apt Buddmg Dryer Other (Specify)
CommJlndustrial 'Furnace
Farm Air Conddioner E Tb
O[her(speafy; ConVector§ Remarka ? 4-
Compute Mspechon Fee Below:
tt Other Fee # SermCeEn[rance S¢e Fee # CirCwts/Feetlers Fee
Swimming Paol 0 to 200 Amps D to 100 Amps
Transformers Above 200 Amps /+b 100 _ Amps
Signs Inspecror's Use Only a TOTAL s?
Irri9ation 6ooms D
Speciallnspeciwn
AlarmlCommumcation THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby Roul oate
certity that the above inspection has
been made F,nai
`f
,
? 0
OFFICE USE ONLY ?
This request voi0 18 monIDS irom
y/ laaa, ya-
a 51221 $aa°°
/
ReQuesl Date Fire No Rough-in inepedwn
ReQwred'+
? Ready Now?Will NoLly Inspecror
r ZOL 11' ? Ves Na When qeetly'+
X licensed coniractor ? owner hereby request inspection of above electrical work at:
Job ACtlress Lpeet Box or tioute No I
? Ciry
3 ? N A IEA a
Saq?on No Towns?ip Name or No Range No Counry
A. r-)
Oc[u0an1(PRINT) Phone No
PU LIS l
Power SupDlier
q orR E7 LELTQ lC- AOOress
F,4
tr46LTP4 ML ?44.
Elecincal Gontrector(Company Name) Contrector's L¢anse No
A ? JiST
Mailing Atltlress (Contracror or Owner Makmg InStellation)
ss-r I ,I sl2 d ti/ PL5 M 4. 5 s d
AWhorrzed SgnaWre (Co iOwner Mabng Inslallation)
h?d-?+-, ri-?-v. rDR. q Phone Number
--7 Ili .4
MINNESOTA STATE 60AHU OF ELECTRICITY ? THIS INSPECTION PEOUEST WILL NOT
Griggs-Midwey BIOg. - Hoom S-113 BE ACCEPTED 8Y THE STATE BOAFD
1821 Unlvenlty Ave.. St Peul, MN 55104 l1NLES5 PROPER INSPECTION FEE IS
VMne(613) B424800 ENCLOSED
?q?/g? ;EQUEST?FORoEP E9TRI?CALtiNSPEOTION
a 51218 'X" Below Work Covered by This Request
Eaoo };ce ?'?? ro, 4 a
e Adtl Rep. TypeofBmlding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt Building Dryer Other (Specity)
Comm./Industrial ' Furnace
Farm Air Condi6oner ?
? Olner (spel Comrec[ar's Remarks ?
Compute Inspection Fee BelowI
N Other Fee # ServiceEntranceSize Fee # Circmts/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above.100 _ Amps '
Siyns Inspactor5 Use Only 70TAL
?
Irrigation Booms ZQ .
Special Inspechon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rough-in ? Date
cenity that the above inspechon has
been made. Final ..r. te
? d
OFFICE USE ONLV
This request vaitl 18 monihs iram ?
? ivo?ya-
51218 '
H . ? ??oo
Request Oale Fre No. Rough-in InspecUo
Reqmred, ? Reatly Now ?Will Natity InSpector
2- 9 I
-14 G Ves No When Reatly?
I?licensed contractor O owner hereby iequest inspechon of above electrical work at.
Job AtlCr Sveet. Bw or Route No ) Cny
? t:F ?
SecOOn No' Township Name or No Pange No County
K a-r4
Occupam (PRINT) Phone No
Power Supplier Atltlress
aTA
ELIac rrzjc
n1 +
-
Electncal Conhaclor (Company Name) ConVacror§ Lmense No
L-AGaeRQ0(S-r
?oRP
t ao??
Mailing Atltlress (COn[rador or Owner Makmg InstallaLOn)
O 1 i .i d? ? M L 5 _ b5 ? 1
Authonzetl SignaWr/ "utactouOwner Making Inslallatmnl
Z• u-,11-4,,C??. v0 1i p Phone Number
S - 8
MINNESOTA STqTE BOAHD OF ELECTqICRY THIS INSPECTION REOUEST WILL NOT
Gtlgga-Mitlway BIOp - Noom 5193 BE ACCEPTED BV THE STATE 90ARD
1821 Univeroily Ava., St. iaul. MN 55100 UNLESS PROPEil INSPEGTION FEE IS
Phone(61]) 64]-080p ENCLOSED
/O/?5ff
? ?0??8 ? (X
Request Date Pire No Rouqh?in Inspedion
Re ui
? Reatly Now
ill NMily Inspeccor
?
s No
?
en Ready?
icensed contractor ? owner hereby request inspection of above electrical work at:
J00 Atltlress Street, floute No. Ciy
" N
Sec4on N. Townshi0 Name or No ? I O Range No Co
}?
Occu ( INT) /' Phq?e Ng. ? ?
Power lier Atltlress
?b
N* ?
rm- ' I^
EI I n actor (COmpany Name) ConVacrorS Licenae No.
v N D ?
MaNn AOGress JCAnVa or or Owner Myginplrytallalion
Aulhorrzetl Sgneture r lOwner Makm InstallaUOn) PM1 n umi
MINN?STATE BOARD OF EIEC?T? THIS INSPECTION REOUEST WILL NOT '
GtlqqsMlOwey Bldg. - Room 5493 BE ACCEPTED BV THE STATE BOARD
1B31 Univenlry Ave., SI. Paul, MN SSlOi UNLESS PROPER INSPECTION FEE IS ?
GIqM (612)802-080D ENCLOSEO ?'
5//0/5/
H 70228
REQUEST FOR ELECTRICAL INSPECTION
ll? See ?instmc[ians far completinq Ihis form on Oack of yellow copy
"X" Below Work Covered by This Request
S s, E0.00001.08 ?
? ;?
ew Amd Rep .- TypeofBmlding AppliancesWired EqwpmentWired
Home Range Temporary Serwce
Duplex Water Heater Elecinc Heating
Apt. Builtling Dryer Other (Specify)
Comm /Induslnal Fumace
Farm Av Condinoner
?f
pther (specdy) Contreclor's Rema(ks r? , l ??II
I?7
Compute Inspection Fee Befow.•
# Other
Swimmin Pool Fee # Ser iranceSize ee
0 ps # ircmts/Feeders
- Fee
Trensfo Above 200 _ Amps Amps
SignS mspectors Use onry 70TA ?.?..
Irngatwn Booms
Special Inspection 74 -JV
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S. f
I, the Electrical Inspector, here6y R°"9n-'"
certify that the above inspection has
6een made ^„
?6
OFFICE USE ONLY .
This request voi0 18 months trom
.