2950 Lexington Ave - Electrical permitsRE?UEST FOR ELECTRICAL INSPECTION
4 2 0 6 4 Sae instlctions lor wmpleting this form on Eack oi yellow copy. p":?t f^, // ??LL
y?M:ky ?
'X" Below Wark Covered by This Request ?•W??
ew AOd Rep. TypeofButltling AppllencesWired EqulpmentWiretl
Home Ran9e Temporery Service
Duplex Water Heater Electric Heating
Apt Budding Dryer Othev-(Specity)
Comm.llndustnal Furnace
Farm Air Conditioner
Other lsyecity) Comrector's Remi
Compute Inspection Fee Below:
# Other Fae # SerwceEntrance5ize Fee # Crtcwts/Feeders Fee
Swimming Po01 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SgnS ' Inspactors Use Only. TQTAL
Irrigation Booms
Qf ?
?
?
Speaalinspecuon
AlarmlCommunication THIS INSTALLATION MAY BE_ORDER SCjIDNNECTED IF NOT
ther Fee COMPLETED WITHIN 18 M611,11HS. %
I, the Electrical Inspector, hereby A0°en-l" e
0
certRy that the above mspection has
been made.
.
OFFICE USE ONLY
This request voitl 18 monih5 hom
ii-
Reqv 5t Date Fire No ?m Inspec0on
R
d7 ??
0 Reatly Naw yQWill Nonty Inspecmr
3 wre
? es G No When Pse0y9
IVicensed contractor O owner hereby request inspection of above elechical work ah
JoD Aiftlress (SVe6t Bax or Route No l Ciry
•
• r
J//1 /! M
Secuon No Township Name or No. Fanga NO. County
?
Ottupanl (PRINT) Phone No
Powsr SuOPLer AtlOress
Eiecmcai Convactor ICOmpany me) Contr ctor5 License No.
? O
Mailing Atltlress C ntreqor or Ownar Making Instailaiioni
S
Aut mi 5 nature IC
OnvaaonOwn r aking n tallalio
Phone Number
Ti"D
•
? `//(/
AfINNE OTA STATE BOAflD OF EIEGTqICIfV v THIS INSPECiION FEOUEST WILL NOT
GriggeItlway Bltlp. - Roam S173 BE ACCEPTEO BY THE STATE 80ARD
1821 Universify Ave. 51. Vaul. MN 54109 UNLE55 PROPER INSPECTION FEE I$
Fhone(614) 662-OB00 ENCLOSEO,
. r r ? n (O
? ?,..
.5 =
0 3533U a 1- '
RlqeeS! ete F eNO RW9h-InlnpspfimnRequrteE
Q'ou mus 11 inspecfor when reatly)
Ves ? No Ins Thilp RougM1-In
? peady NawWIII Notiry Inspectar
Oete Ready
I, licensed contrector ? owner . hereby request inspaction of ehove electrical work at:
Job Adtlress ISheel. Box or Route No t
.,rI 'I ? City n
SeMron N. Townshp Name or N. Range No Counry
Occupant IPqWT?
f? Ps
?crs?«..?s Phone No
Power SupOlier ' Adtlress
Eleancal Conuacror (GOmpany Name)
O E1ecMc CompenY GonVactor's ?¢ense No
MmlingAtloresslContraeloln?WMW?wM?d?i enue ?u
? I NIN?IV
' a, MN 5
Aumm2etl Sig W i r ctou er Makmg Instailatio
` PhoneMe
-760
MINNESOTA STATE BOARO OF ELECTpICITV
Griggc-MiCwey Bltlg - Room S173
Ppane(61P) 642-0B00 THIS INSPECTION REQUEST WILL NOT
1821 Univenity Ave., St. iaul. MN 55106
BE AGGEPTED BY THE STATE BOARD
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED
rI?!/ REOUEST FOR ELECTRICAL ONSPECTION
? See insimctions lor compleling Ihis lorm on beck of yellow capy
? 5• 3 0 "X" Be/ow Wqrk Covered by This Request
?,SA a5I s v
ew Aod Rep. Typeo/Buiitlmg AppliancesWired EquipmentWired
Home Range Temporery Service
Dupiex Water Heater Electric Heating
Apt. Builtling Dryer load Menegement
Comm /Industrial Fumace Other (SpeCify)
Farm Air Condihoner
n, i? .!
Other (sVeciN) Cantrecmr's Remarkl / I o 0 .A.+?i/? ?'wi-. S/JU?K.
? •? ?.n ? ??w ? O c
Compute Inspection Fee Below: Q-00 k^'he SElGI/i <-cr
# i Other Pee # ServiceEntranceSize Fee # Circuns/Feeders Fee
Swimming Poo1 to mps 0 to 100 Amps D?
Transformers °'^^ Amps Above-190.- Amps
Signs InspactorS use Oniy '(OTAL ov
Irngation eooms
Special Inspechon L
AlarmiCommunication THIS INSTALLATION MAY BE OflD CONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MP4THS.
?
I, the Electrical Inspector,hereby Rough-in , D te?
certdy that the above inspection has
been made. F,nei oete
OFFIGE USE ONLY
This request void 18 months trom I
9a-
q 6506
REQUEST FOR ELECTRICAI INSPECTION
? See insvuctionsJor mmpiefyng flns rorm on Oack oi yeilav copy
X" Be/ow Work Covered by This Request
??`•?• ` CITY
ew Add Fep Typeoi8wldmg AppliancesWued EqaipmanlWired
Home Range Temporary Service
Duplez Water Heater Electnc Heatinq
Apt Butlding Dryer Other (Specily)
X Comm./Industnal Furnace
Farm Air Condinoner
a"e<<s,e°iryi co^'ra°'°'isRa^'a'"s C 7093 - WIRE FOR DIVIDING CONTROL
computemspectionFeeeelow: F WAREHOUSE LIGHTS/CONTROL AT EAST END.
# Other Fee # Service Entrance Size Fee # Crtcwts/Feeders Fee
Swimming Pool 0 to 200 Amps 4 0 to 700 Amps
Transformers Above 200 _ Amps Abo 00 _ Amps
SIgnS Insp¢c1orS Use Only. TOTAL
trrigation eooms 16.50
Speaalinspechon G
Aiarm/Communication THIS INSTALLATION MAY BE O DERE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOMNS.
I, the Electrical Inspector, hereby Rough-in oaie
certity that the above inspection has
been matle. F,,,ai
aIF
!p
OFFICE USE ONLV
Tnis request voia 18 moMhs tmm
j % i?.
? 6 06
??-
.iequest Dale Fie No RouBh-inlnspecaon
Reqwretl
? Ready Now 3C W AI Notity Inspedor
12/16/92 ?
Ves ip No
hen Reatly'
N/
I-t licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOdress (SireeL Box or Poute No I
2950 LEXINGTON AVENUE Cib
EAGAN
Seciion No Township Name or No Fange No Caunry
DAKOTA
Occupanl(PRINT) Phone No
FLORSTAR BLDG.
Power SuvPlier Aatlress
NSP
Eiemncal Convacror Company Name) Comracmr5 License No
MUSKA ELECTRIC COMPANY CA01287
Mamng Aatlress IGonimctor or Owner Making installation)
198 OAKCREST AVENUE ROSEVILLE, MN 55713
AuthonEe ign 4re (G ntractor/ ner aking I lahon? Phona Numb¢r
636-5820
,
MI NESOTA $TATE BOAHD OF EIECiflICITY THIS INSPECTION REQUEST WILI NOT
Griggs-Mitlway 810g - Room 5173 BE ACCEPTEO BV THE STATE BOARD
18Y1 Univerclty Ave, 5[. Paul. MN SS10C UNLESS PROPER INSPECTION FEE IS
Pho. (812) 642-OB00 ENCLOSED
.
This request void 18 months from kU - 07,)
Datrof t}iis Request i9 -90 - 79 S 34197
I, as 9 Licensed Electrical Contractor ? Owner, do hereby request inspection of the abave electri-
cal wiring installed at:
?
Street Address or Route No. o/ t ??G L-?`-' x'/h`; fC??1 /yf/L.A5,City
Section Township Range County_Dk, Iz ? 2&
Which is occapied by - ), . 4 7
rfrir ?
?lOvi
(Nam f OccuDa t
Is a roughin inspection required on this job? No 19 Yes ? Ready Now J7 Will Call ?
Power Supplier Address
ElectricalContractor ?hGContractor'sLicenseNolZ]l1116Z
(COmpany Name)
Mailing Address
Electr j?al /CoRtr c or or Qwnet Making This Installat )
Authoriud Signature ?? Phone No. 2?1?
(Electrl C ntractor or Owner Making This Instailatlon)
STATE .?OARD COPY Thia impection request wiil not 6a accepted by the
State Baard unless proper inspection fee is endo:ed.
innesota State Board of Electricity
eisity Ave., St. Paul, Minn. 55104-Phone 645•7703
QUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WO[tK COVERED BY THIS REQUEST
/ -z ' --
$ ' 1,; ? 97
Type of Buitding New Add. Rep. Check Applisnces Wired Foc • Check Equipment Wued Foi
Home ? El ? Range ? 7emporary Witing ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Neating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? 0 A'u CondiGoner ? Bulk Milk Tank ?
List List
thec
-0 ? ? ? p
Hehers? p
Heiers
I
COMPUTE INSPECTION FEE BELOW
Service EnUance Size: # Fee Fceders&Sub[eedeta: # Fee C'vcuits: # F
0 to 300 Am s. 0 ro 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eies
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Tcansformers ;. ,RemoteControl Circ. Par[ial or othef fe
S" ns S ecial Inspection Minimum fee
Remarks
TOTALF ?
I, the Electrical Inspector, hereby certify that the above inspection has been
(Rough-in) Date
(Final) _ ? Date 41 This request void 18 months from ?
'W Jt-- Z J.7Z p
Tlus requesgP void 18 months from Q'S- 'D
?
R 28971
Date of this Request ?7_
I, asgLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: jJ,C # Z,
Street Address or Route No. City
Section Township Range County A.
Which is occupied by /,L10,n. ?I ?
IName oi Octuoantl
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Catl ?
Power Supplier _
Electrical Contractor
Mailing Address _
Authorized Sienature
o-V
Contraclor or Owner
%W Contractor's License No. _
or
No??fFf % /?
S?j' ? 1?? G O/? ?D?} ?0?? This inspection request will not be accapted 6y the
?J /,=? ?f W Stete Board unless proper inspection fee is enclosed.
-' Minnesota State Board of Electricity
?19,54 Oniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
GHECK BELOW WOAK COVERED BY THIS REOUEST
R ?R971
Tyye oi Building New Add. Rep. Check Appliances Wired For Check Fquipment ' ed oi
Home ? ? ? Range 13 Temporary Witing
Duplex ? ? ? Watex Heatei ? Ligh[ing Fixtutes d
-Apt. Bldg. ?
( ? ? Dryer ? Elec[iic Heating ?
Commetcial Bldg. ,
,
??L ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? El Au Conditioner ? Bulk Milk Tank ?
Fazm Lift List
Other
?
?
? p
Hehe15? p
Heheis?
COMPUTE INSPECTION FEE BELQIY_ _
Service Entrance Size: # Fce F S e ce C'ucuits: u Fce
0 to 100 Am s.
101 to 200 Amps.
A6ove 200_Amps. 1
1 1 0
1 31 10
Above 10 _Amps. 0 to 30 Am eies
31 to 100 Am eres
Above 100 Am s.
Tronsformexs 1 1 RemoteControlCirc. Partialorotherfee °
$' ns 1 1 Special Ins ection Minimum fee $
Remarks
TOTAL E ?,3 .fro
/5l.
I, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) Date
(Final) Date
This cequest void 18 months from
?
void ] 8 months from
request P
-
' 85118
Da, of this Request
I, as)4 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ?/ t?:g?;??; ?(?? -?-
Sireet Address or Route No
Section Township,
1Khich is occupied by
a
Is a roughin inspection required on this job? No)k Yes ?
Power Supplier Address _
Electrical Contractor aI e-C ('!h s e us e,051,ej! C
/ mpany Nra e?) ?? )
Mailing Address sd /T/ ??/ air /
Authorized
Ready Now ? Will Calln
i4 a9o?'6
Contractor's License No. _
or ownfr Making This
Phone
4
(Electrlcal Conltactor or Owner Makln9 This Installatlon)
?? p? Q??? ? ???? This inspection request will not be a¢cepted by Me
(???
? State Baard unless proper inspectian fee is endosed.
minnesota state noara ot tiectnctty
; 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ?? 9-7 7
? REQUEST FOR ELECTRICAL INSPECTION ? 85118
CH.4CK BELOW WOKK COVERED BY THIS REQUEST
Typg of Building New Add. Rep. Check Appliances Wved For Check Equipment W'ved Fo[
Home ? ? ? Range ? Temporaxy Wiring ?
Duplex ? ? ? Watec Heater ? Lighting Fiumies D
Ap,t. Bldg. ? ? ? Dryer ? Elec[ric Heating D
-Commercial didg. ? ? ? Furnace ? Silo Unloadei ?
In9ustrial Bldg. ? ? ? Air Conditioner ? Bu]k M$k Tank ?
Fatm ? ? ? Lvs[ List _
Other ? ? ? p
Heiers? p
Heier
s?
U
COMPUTE INSPECTION FEE BELOW
Service Enuance Size: # Fee Feeders& Subfeeders: # Fee Circuits: # Fce
0[0 100 Am s. 0 to 30 Am eces 0 to 30 Am eres
101 to 200 Amps. 37 to 100 Amperes $ to 100 Am exes
Above 200_Amps. Above 100 Amps. Abave 100 Amps.
T[ansformers Remote Control Circ. Partialor otherfee
Signs Special lns ection Minimum fee
Remazks /
TOTAL FE t?Q -o t?
?
I, the Electrical Inspector;.hereby cerf t at ? inspe n has been madr?
(Rough•in) Date . 1 3" 7q
/,
(Final) Date 13
This request void 18 months from
?.. ,
TSus requesb void i'<'?-G"'?,•. ? ?'" l1.?4?`'""K-]c_ • ?? / 7?
18 mon+'-aiirom
Date of this Request may 15, 1980 Fire No. S 58274
? as ?t,icensed Electrical Contractor ? Owner, do hereby cequest inspection of the above electri-
cal wiring installed at:
2950? Lexington Ea§an
Street Address or Route No. City
Section Township Range County Dakota
Which is occupied by Kelly Transfer
(Name of O<cupant)
Is a roughin inspection required on this job? No 0 Yes ? Ready Now EY Will Call ?
Power Supplier J Y-? + Address
Electrical Contractor Corrigan Electric Co. Contractor's License A37673
(COmpany Name)
MailingAddress 3065 145th St. W. Rosemount, tflinn. 55068
- (Elec ric I Co actor or Owper Making Thls f nstallation)
Authorized Signature Phone No. 423-1131
(Elettrical Contract d,owner Makl g nls Installatlon)
?? a?? o?Q?? Q?p? Thi ' spection request will not be accepted hy the
Stete Board unless proper inspeetion fee is enclosed.
• minnesoca awce noaro or tiec[nci[y
Griggs Midway Bldg. - Room N791
1821 U?iyersity Ave., St. Paul. Minn. 55104 - Phone 297-2117
RtiQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY TH15 REQUEST
?Y7_7_?0--EB-00001-02
$ 58274
Type of Building New Add. Rep. Ch¢ck Appliances Wved Foi Check Equipment Wired For
.Home ? ? ? Range ? Temporary W'ving ?
Duplex ? ? ? Wa
r LightingFucmres ?
Ap[. Bldg. ? ? ? Dry
?
P Electric Hea[ing
Commeccial Bldg, ? ? ? -?
? Silo Unloader ?
- Industrial Bldg. ? ? ? U er
hd,4 Bulk Milk Tank ?
Farm ? ? ? List C]25 pumps List
Other $?hers?
ere ) Q[heis?
nere
1
COMPUTE INSPECTION FEE BELOW
Secvice Entrance Size: # Fee Fcedecs&Subfeedets: # Fee C¢cuita: # Fce
0 ro 100 Am s.
1
1 0 to 30 Am eres
0 to 30 Am exes
101 to 200 Amps. -1 1
31 to ]00 Am res
31 to 100 Am eres
Above 200_Amps. Above 100 Amps. ' Above 100 Ampa
Trxnsformers RemoteControlCixc. Paxtialorothe[fee
Signs Special Ins ection Minimum fee .
Remarks
TOTAL F ,mb 8.50
I, the Electrical Inspector, hereby certify that the abov inspection has been made
(Rough-in) _ `{ D Datate
Final
3/ FO
( ) ? e ?-
This request void
18 months from
Th,s re<IUest vmd 17-111? Ligz ? 600I C.a%, P}-?
? 15 rren[hs fspm (
[]Ready Now
J .
96i11 Noti1Y InSPec-I
[or When Ready
L-j'L?cens'ed Elecincal Cnnuactot 1 hereby reVUest inspection ui ebove
? Ownor electrical work mstalled aY
SVeet Address. Box or Rouie No. C,tv
o2`,iyt' iN -'?'?/i?-
• ection o. Townshi ame or No. Fanqe No. County
Occuoant (PRINT) Phone No.
Power $up0lier Atld,ess
Kdr?t CZc°?-:?Z ?c 41cn .1..i0 7>/ sT .c<: _/,?„r'?•-rs>?
Eleoincal Con[(acAor 1COmoany Name) Contr.ictor's Licr?nse No.
.*i ea.Wiv- rz??7e :
MeJing AdJress ICOntracmr or Owner Makinp Instailationl
Authonied ?gnnture (CoMractor Own¢r Makinp InstallaLUn) Phon(i Number
¢7£3 6s3 .;L r3
y
MINNESOTA STATE BOARO OF ELEETRICITY TMIS INSPECTION REQUEST WIIL NOT
Gri69s-Midway Bldg. - 0.oom N-197 BE ACCEPTED BV THE STATE BOARD
7821 UnivarsicY Aw.. S[. Paul, MN 55104 VNLESS PflOPEH INSPEGTION FEE IS
ENCLOSED.
Phone 1672) 297-2711
REQUEST FOR ELECTRICAL WSPECTION ,r EB-aooai-oa
&O 7 ' See instruclwns for complehng this torm on hack of vellow co0v.
4J ?e Q
X.r?@ OW ??ork Covered by This Request ` 33q 7?
Ne Ad Hep. TVPe ot 8wltliny Appliences Wved Equipmnnl Wlretl
Home Range Temporary Service
DuGlex Water Heater Lightiny Rxtures
Apt. Bwiding Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
industrial Bldq. Air Conditioner Buik Milk Tank
Farm Olher pecify ther (SUe.r?ty)
irZr Uecify Other Other
Campute Inspection Fee Be(aw
Fee ServiceEntrencaSrse d Fae Feetlers/Subfeaders N Fee Circwts
0 to 100 Am ps 0 to 30 Am s 0 m 30 Ar
s
f m
" 101 to 200 qmps 31 to 700 qmps 31 to 100 qm s
Above 200 qmps Above 100_Amps Above 100_Amps
Transiormers Remote Control Grc. 5V Partial- Other Fee
Signs Speciallnspection $t? ?
0T
Aemarks 3CJ•
r FEE
-
? 7
? -
Rough-m
pector, hnreby
cerbfy that the above
Final rsuec4on has been
mada.
This repuesi vaid
1 moMhs fmm
reqwsst void 18 months from /G `'
n R 87758
Fte of this Request_ '?-- /'4- /" f .
I„as_01,icensed Electrical Contractor Owner, do hereby request insp ction of the above electri-
cal wiring installed at: ??? ?
Street Address or Route No. 1j? Qvei Cit??
Section Township Range County J'?
Which is.occupied by 6ftR-1 z-
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier ?cr(I• Address
Electrical Contractor 5W .49a^, _A S'4 `c++'2c*.?
ontractor's License No.
Mailing Address '?' l.?o A'
Authorized Signature `?,?. ?• ??a.?? Phone No!??/5? `/3 /
(Elactrical Contractor or Owner Makfn9 This lnstalla[lon)
??j??? (?? /'? ?„Dj (p?,j?? ???? This inspection request will not 6e accepted by ffie
(f State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
54AJniversity Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
t
-
? R 87758
BELOW WOitIC COVERED BY THIS REQUEST
t
f
Building New Add. Rep. Check Appliances Wired For
'r
p
' Check Equipmen[ W'ved For
Home ? ? ? Range ? Tempotaiy Wifing ?
Uuplex 1:1 ? ? Water Heatec ? Lighting Fixmres ?
Apt. Bldg. ? ? ? Dryei ? " Electric Heating ?
Commemial Bldg. '0 ?? Furnace fu
13 Silo UNoade[ ?
Industrial Bldg. ?? ?
? ?
A"v Conditione[ Bulk Milk Tank ?
? ? ?
Farm List List. +
COMPUTE INSPECTION FEE RELfW\ 1
Seff ice Entrance Size: # Fce F
' g b
1=1 Fee ? C'ucuita: # Fce
0 to 100 Ams. 30
0 0 to 30 Am eres d /^c
101 to 200 Am s. 31 t 100 Amperes 31 to 100 Am res
Above 200 ° Amps. " Above 100 Amps. Above 100 Amps.
Transformers n RemoteControlCirc. Partialocoffiertee o
Stins O? 4ft - „ o Special lns ection Minimum fee $5.
Remaxks `
TOTAL FE -g?
'1
1, the Electrical Inspector, hereby
(Final)
This request void
hast
Date
_ ?ZJ
n
? _4x -fsd
2 6 4- 6 9 6?
_ OFFIC USE ON Y This reqaest void IB manfhslrom wlidaM1On dak pnnt?^ t/-
?-?
a7/??
PLEASE PRINT OR TYPE c.lSaZ • Y ??
Requen Dak I
- Rough-in impaM1On reuaita ? Yes ? N. Inspecnon OMer Than Rough-In Q Ready Now ? Will Call
'ao -? \/J
?.+
?Yau must call Me inspMor when ready)
Dore Reody
I, icensed <oniradar ? owner hereby requesf inspechon o( ihe a6ove electricol work a}.
Job Pd = Slreet Bo:, o RouM No ) Cip Zip Code
a b ex? ve„ E? an
Secfion No. Tovmship Name or Na. Range No. Fire N. Counh
O pant Phane No.
l?t?i S s J? 2
Povn.SevPlier Address
EI ml Conhawr (Compony Name) fonrcador Limnu N. Maakr lic. Na. (Plant Eled. Only)
l rr-v ; C 3
MailingM oe Con acbrarOwnerPedo rming romllanon)
I ? N,
AuPoonzed Signatum ncbr or e rminq Inskllan
, Phane N.
9 U?{-7 ?t o 0
EB-0000IA-10 6/95 STATEBOAR? OPY-SEEINSTRUCTIONSONBACKOFYELLOWCAPY
y 'I II?II REQUEST FOR ELECTRICAL INSPECTION ?
I?II I?I II I I?I I I I I I I II'I III ? II Minnesota State Board of ElecViciry ??
?
It 1821 Unive? ity Ave., Rm. 5?7 5SjoPaul, MN 55104
* 0 2 6 4 6 9 6 6 * PILQne, (812 642-0800 ? ? ??
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indusfrial Farm Remod Re air
Air Cond. Hlg. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem .$ervice
"X" above the work covered by this requesf Enter remorks in this space and on the back of the white copy only.
Calculafe Inspechon Fee - 7his Inspection Requesf wdl not be accepted without the corred fee:
OlFier Fee S Service EMmnce 5¢e Fee # Circvits/Feeders Fee
Mobile Home Park Stall 0 to 200 Ampa 0 to 100 Amps 70
Sheet Ltg./Tro(fic $ig. Above 200 Amps Above 100 Amps
Transformer/Genemtor INSPECTORBUSEONLY ?,y TOTAL a-s
Sign/Oufline Lig. Xfmr. w ?
Alarm/Remote Conhol ?
Swimming Pool
I hereb cem Ihar I im e e«fiml insMllWion nbed herein on ?he dates srobd
Irrigafion Boom Raugh-In Doro
Special Inspecfion
Investigative Fee Finol
THIS INSTALLA710N MAY BE ORDERED U O NE ED IP COMPLETED WITHIN 18 THS.