1075 Diffley Rd - Electrical PermitsREQUEST FOR ELECTRICAL INSPECTION
0 0 6 0 14 5e inslmdions for completing Ihis form on back oi yellow copy.
",+(" 8elow Work.,qjvereo' by This Request
Ee-ooooi-as
Ne Add Rep. Type of Builtling Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Fumace Other (Specify)
Farm Air Conditioner
Other (speciy) Conlr¢dofs Remerks:
Compute Mspection Fee Below: p?
# Other Fee # Service Entrance Size Fee # Circuits/Feeder ,-Vee
Swimming Pool D to 200 Amps 0 to 100 Amps
•
Transformers Above 200 Amps Above 100 -Amps 1
Signs inspecmr's U :
? TOTAL
Irrigation Booms Ta
o
,
372.50
Special Inspection ? ?
px ?
p0
Alarm/Communication ,
T LLATION MAY B ORDER DISCO F OT
Other Fee COMPLETED WITHIN 78 MONTHS
I, the Electrical Inspector, hereby Rouqn-m o?e
certity ihat the above inspection has
been made. F;nai o
?-
OFFICE USE ONLY ?
This tequest void 18 manihs irom .
41 S5 0 7?71 Job #1947 0 060 145 .Q?vvyaNLx.. , Q -7,-=
Rzquest Cale
4/16/96 Fire o. ough-In Inspeclion Fequired
ryou must call inspeqor when ready
? Yes ? No Inspection Olher Than Rough-In '
? Reatly Now ? Will NoUfy InspexloGb
Date eaay "f
I[Xlicensed contractor ?owner hereby request inspection of above el rical work at -.o
Jab Atltlress (Slree6 Box or qoute No.) City
1075 Diffley Rd. Eag ?
Section No. TownsM1ip Name or No. Rznge No. Counly 0
pccupant (PPWT) Phone No.
1
Power Supplier Adtlress
Dakota Electric
Eleclncal GonVacror (COmpany Name) Con[rac[ors lloense No.
Comm Tech Electric CA00412
M1lailing Adtlress (COnVactororOwneridaking Mstallation)
AV . No. P outh MN 55447
Aulhodz I.neWre oN?a dOw r Meking I allati ? Phone Numba?
, 612/559-7019
A 1CITV THIS I T
ooe (612) 642-0BOOS P 30M SMN 5B 104 ?I II? IIIII ?'^ ?? ?III Nn' II? ? NI? UNLESS DPER INSPECTION FOEE 15
+ ?? ? u ??? W? NNI w
Ph
'/ /' ?? /,`/nq REQUEST FOR ELECTRICAL INSPECTION
010 See ins'tmclions for completing this farm an back ol yellow copy.
060 14 6'°X" Below Work C&ered by This Request
q EB-00001-09
55?v7?-
?_??° S5lv 74
Nev. Add Rep. Type of Building "ApF ...nces Wired Equipment Wired
Home Range '- X Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
X Comm./lndustrial Furnace Othar (Specify
Farm Air Conditioner
Olher(specify) ConVaclor's Rematlcs:
Compute Inspection Fee Belaw: Tei17pOT'&Py pOweT'
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool ? 0 to 200 Amps l.OC) 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
'sj9p5 Inspecmr's Use Oniy: TOTAL
Iriigation Booms
Special Inspection Q ?C
Alarm/Communication THIS INSTALLATION MAY B DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe° Electrical Inspector, hereby Rou9n-m Date
certify _that the above inspection has
beert?rAade. Final oayt???
?
OFFlC6VSE ONLY '
Thrs request vottl t8 months Irom
1114,5196, 55,6o 7.;7-
060 14 6- 8avi??
Job #1947 SS?O 7476
'*T-15 -l
Feyuest Date Fire No. Roughin Inspection Required ction Ofher Than Rough-in
4/ 16/96 (/ou most can inspector nen reatly
? Ready Now ? Wi0 NotiNlicpecmr
?
0 Yes
N. Featl
4Dte
IC?licensed contractor ?owner hereby request inspection of a6o ?
rical aC ?
Job Address (Street. Box or qoute No.) Ciry
1075 Diffle Road an
Secdon No. Townshlp Name o: No. Ranqe No. Cou l
Occupant(PRINT) Phone No.
McDonald's
Power Supplier Adtlress
Dakota Electric
Elacirical Contraclor (COmpany Name) Conlractors Gcense No.
Comm Tech Electric CA00412
Idalling Atltlress (COnVador or Ownor Meking Installatlon)
1 16 2 Ave. No. P1 th 55447
Hu[hor nelur (Conl?a rlOvvn aking Insl tlo ?
ZL Ppone Number
61z/559-7019
Phone f612 58ity 6 A e00s oPm S?NB SCT0RICITV ?I ?!N ? a? N? 1111111
ENICLOSED.OP ER INSPECTION FOEE IDS