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3753 Denmark Tr - Electrical PermitsMinnesota State Board of Electricity 19rt4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 46855 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ? Farm C] (3 List ) List Other El 11 ? pp } Hcrers #- pp Heiers COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders& seders: # Fee Circuits: # Fee U to 100 Amps. 421) 1 1 ?!0 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 3l to 100 Amperes 31 to 100 Amperes Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs S ecial Ins ection Minimum f-- Remarks TOTAL FEE d I, the Electrical Inspector, hereby certify that the above (Final) This request void 18 months has been ade.& - o C.1) Date &e This request void 18 months from Date this Request R46855 1, as Icensed Elec Ical Contractor, wner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route Section Township Range Which is occupied by Is a roughin inspection required on this job? No D Yes B'? Ready Now ? Will Call 0-- 0A Power Supplier Address Electrical Contractor _ Tl R T3Ff?Fr rv , . a ftf ct ce s No. M 5 Mailing Address 145` 40 (I'AaoTNNOCK LANE APPLE FIAT T ry Authorized Signature (Electrical Contractor or Owner Making This Installation) Sh'i/? ?? MOOD ? This inspection request will not be accepted by the [j /,n? lJ WIV State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1Qri4 University Ave., St. Paul, Minn. 55104-Phone 645-7703 QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST 'R 66213 Type of Building New Add. Rep. Check Appliances Wrr p Check Equipment Wired For Home ? ? Range s Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures Q' Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace aq Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? pp Herers( Herers? COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedersBSubfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 [ m s 0 to 30 Amperes 101 to 200 Amps. , of) 31 t s 31 to 100 Amperes Above 200 Amps. Ab s Above 100 Amps. Transformers Re e C o c Partial or other fee Signs Special Inspection Minimum fee $5.00 Remarks TOTAL FEE 451 6- c I, the Electrical Inspector, hereby ce that Jl?e oye inspection has been made. Sl#-Pv (Rough4n) 6 9 Date -/ _ (Final) = Date 7-16` Y This request void 18 months from This request void 18 months from /yaa4 Q R 66213 Date of thyy'ss Request &A'i k'2 g, / 7! I, as L Licensed Electric Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route N,om?. T, Section Township- Which is occupied by? Is a roughin inspection required on this job? No ? Yes U-' Ready Now ? Will Call O/ Power Supplier nA?.t Address <? 3isi?Ntila.?i Electrical Contractor KENDRICK ELECT &10tWTacA4= No14540 (a-"m-Of"kNot?CK LANE APPLE VALL. Mailing Address f`'.,4RiT TZi larrx?ar•T? .?-r r.,-? (Flat cal nt1-$??t??'Ad3#?1 T?ils?rT3tltli?iwry?. Authorized Signature Phone No. (Electrical contractor or Owner Making This Installation) SUM BOARD ®or? yp This inspection request will not he accepted by the COPY State Board unless proper inspection fee is enclosed. REQUEST FOR ELECTRICAL INSPECTION MM ? See iVc uctons$ completing this form on back of yellow copy I!'ll 63491 "X" Below Work Covered by This Request ?•°R'§` EB-00001-08 A s /oi 3 95L New Add Rep. Type of Building AppllancesWlred EgmpmentWaed L - - ' Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Clrcuits/Feeciers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs inspectors use Only TOTAL Irrigation Booms , 1? • ?-?V Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-,n r Oat. certify that the above inspection has been made. Final El J j! OFFICE USE ONLY This %quest void 18 months from 63491 .4 r Soo Request Dale ?+ Fee No Rough-m Inspection gegpued7 ? Yea ? Reatly Now I Re Inspeptor Man en Re a6y7 'e Icensed contractor O owner hereby request inspection of above electrical work at: C&I bh A6dre ss (Street, Bov or Route No.) ' City 1 r mix r Y', Sectwn N0. Township Name or No Range No. COU`nry? 1A Ocpupanl (PRINT) Phone No. Powe[ SpP r mr Address Ekct c Mractor ICompany N e Comr orls Umnnssee No. c dung a ICuyntr or or r Makmg Installsto • ? I r^V^, „ ? ??/ • 1..1 V 1 1 1 nze gn t ore (Cony er akeg Installs n7 Phone Num r ' / MILAN A STATE BOARD OF L! ECTRICITY THIS INSPECTION REQUEST WILL NOT -ly 1_ Grigg ay 81"ll _ Room 5-173 BE ACCEPTED BY THE STATE BOARD 1621 Univere6y Ave., SL Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Pllene (612) 662-0606 ENCLOSED