3755 Denmark Tr - Electrical PermitsC/ I 0 REQUEST FOR ELECTRICAL INSPECTION
o1 u , See instructions for completing this form on back of yellow copy.
f
1 1 A Q 7 ? 7 "i"Relow Work Covered by This Request )
FB-00001.04
jj% .)A .R?
ll4awlRddl Rep.I Type of Building I . Appliances Wired I Equipment Wired
I I I I Duplex I I Water Heater L< I Lighting Fixtures I
ce
Mi
fl Fee Service Entrance Size p Fee Feeders /Subfeeders 4 Fee Circuits
0 to 200 Amps - 0to 30 Amps 0to 30 Amps
Above 200 Amps 31 to 100 Amps 31 to 100 Amps
Swimming Pool Above 100_Am s Above I00_Amps
Transformers Irrigation Booms Q Partial,'Other Fee
Si
Final
5-lo') 5 vI TOTAL
1. the Electnoa l/
InspectottJtereby
certify that the aboy
enspection has been
this request void / ?
18 months from^ ^L7^ YU
1 1 r Q/ S/
R.
t sl?- -/ 4-n
.PO • rb
uuHn-iV ??MrV t,V o
&/) --? Required AN?Reatly NowA loWill t Notify Inspec-
>(, Vas AN. for When Ready
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!11O Licensed Electrical Contractor 1 hereby request inspection of above
1° Owner electrical work installed at:
Street Address. Be. or Route No. City
action No. Township Name or No. Range No. Count/yx]
C, 'r In
J?
1/7
Oct ant IPRINTI
A 1+
R ?vFr??C Phone No.
tf '.
Power Supplier Address
Electrical Contractor (Company Name) Comrrctor's Lroense No.
Mailing Address (Contractor or Owner Making InstaNation)
A Au razed S priature (Vkulltmolor/Owner kung Installetton) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSED.
L? y a(? 5 REQUEST FOR ELECTRICF INSPECTION B-00001-a4
' See instructions for comple+is form oe back of Yellow Copy. / V Y
A-- h' R Q "X" Below Work Covered by This Request
Ne, A d Re D. - Type of Building Appliances Wired Equipment Wired
Home Range Temporal ry Se rv i ce
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Hearin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other (Specify) Other (Specify)
Cher Specify Other Other
Compute Inspection Fee Below
q Fee Service Entrance Size g Fee Feeders LSUbie»dere H Fee Circuits
2, 0 to 200 Amps 0 to 30 Amps 0 to 30 Am s
Above 200 Amps 31 to 100 Amps f 31 to 100 Amps
Swimming Pool Above 100Arnps Above 100_Am s
Transformers Irrigation Booms Partial/Other Fee
Signs Special Inspection $ ^ dr/ -
T A
Remarks ?(f L FEE
[ G _ T7'1
Rough-in r Dnate I, the rica
0 Z Inspector, hereby
4q I l
rL fy th»t the above
final Lo, 7)7 .1 7, 1 - //1 11404 sdpetion has been
emae.
This recuest void 18 months from
This request void rl
18 months from U `h0-D
1 R
45
V3/S'/
P ?t 4-T 65' 5-0
Request Date Fire No.
g Rough-in Inspection
11 red?
[]Ready Nuw III NoLty, Inspec-
r Wh
R
,- Yes ? No en
eatly
icensed Electrical Contractor I hereby request inspeptton of above
? Owner electrical work installed at
Street Address, Bo or Route No.
?
a Qty
2 si YA&
3
ecvoa No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
wer uppl er Addre .
E etr¢a Contractor (Company Name) Contractor's Lmense No.
-`-e?` c_ O 3 3
Mailing Address C ntractor or Owner Making Instailauo I
SS-3 37
Q
t3 2a ?L
e
Authorized ai (C ntracto O er M i Instal tion) Phone Number
8qa-3
MINNESOTA STATE BOARD OF ELECTRICITi(
Grlgge•MldwaY Bldg. - Room N.191
1821 University Ave., SL Paul, MN 88104
Ph- 18121 297.2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
This regoti sr void
18 moi.ths from of , ??`
D 2377 ci7 ???u fG/
Request Date Fire No. Rouph-inrlns pecLOn
Requ netl
Ready Now C] Will Notify Inspec-
?
4/21/87 f]Y.s ?No ][ for When Ready
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at.
Street Address. Box or Route No. City
3755 Denmark trail Eagan
ecl?on o. nship Name or No.
Tow Range No. County
Dakota
Occupant IPRINTI Phone No.
Ken Gillen 452-2009
Power Supplier Adtlress
n/a
Electrical Contractor (Company Name) Contractors License No.
NormanDale Electric Co. A-040529
Mailinp Address (Contractor or Owner Making lostallaLON
1948 N. Prior AVe. Ros Minn. 5511
Author; ipna LUre (Contr rr/Ow Makin tst Ilabn
Z Phone Number
644-0655
?
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -Room N-197 BE ACCEPTED BY THE STATE BOARD
PROPER INSPECTION FEE IS
1821 University Ave.. St. Paul. MN 55104 ENCMESSLOSED.
Phone (612) 642-0800 E
REQUEST FOR ELECTRICAL INSPECTION
EryB-/oaojolJ-os
Il, See instructions for completing this form on back of yellow copy.
® 2? 1 1 "X" Below Work Coveted by This Request
Novi Add Rep Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bulldmg Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm other nevi v iher ISoe,f,l
r ar Suoci Y rho, Or hor
Compute Inspection Fee Below
9 Fee Service Entrance Size H Fee Feaders/Subteeders H Fee Grcuo.
U to 200 Amps 0 to 30 Amps 0 to 30 Am S
Above 200 Amps 31 to 100 Amps 31 to 100 A
Swimming Pool Above 100_Amps Above 100 _Amps
Transformers Irrigation Booms Partlal.'Other Fee
Signs Special inspection
8 30
510
T
Rertw rks . OTAL E
) '
r ?-
RouBh-m ` Date 1. the Electr a
Inspector" hereby
certify that the above
Final qr`A n inspection has been
I !/ made.
This request void 18 months from
REQUEST FOR ELECTRICAL INSPECTION °""°a EBdpp01
I w ? See instructions for completing this form on back of yellow way, feel 7/71
J
v Y G U, ?r T "R" Below work covered by This Request V.'ll
ew Add Rep Type of Building Appliances Wired Equipment Wired
X T_ Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm /Industrial Furnace
Farm Air Conditioner
Omer ) Contractor§ Remarks
/f
Compute Inspection n Fee Fee Below - / //?ly/`}"?-/?1t_?•?•???
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 Amps
Signs Inspector§ Use Only TOTAL X-a-
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE O ERED DIS NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby
f
h Rough-in _.[O5
certi
y that t
e above inspection has
been made Final
172 r Data /
OFFICE USE ONLY
This request void 1s months from
4 2 8 2 4 g? O
Request Oate? Fro No
/_ C?
II- ugh-m Inspection
retll
? Ready Now WIII Natty Ipepeato!
,
77 yes ON. hen Ready
I E licensed contractor Owner hereby request inspection of above electrical work at:
Job ABhmss (Street Box auto No 7 City
v'755 / g7M< t-k Jr.
Sectmn No Township Name or No Range No County
([PRINT( ??"
ti
?
j Prone No
ra
rna
-
Power Supplier Address
Elemncal o tractor (Company Name) Contractor's License No
W
Mailing Address (Contractor or Owner Making Installation)
u
Aumon d &gneture ICOntracmrrOwner along Installation( Phone Number
MINNESOTA STATE BOARD OF O6CTRICIT THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED By THE STATE BOARD
1821 University Ave, St Paul, MN setD4 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED