3130 Lexington Ave - Electrical PermitsThi • reque4 void 18 months from G--??{f?lawil¢k'' 13? _+
. 4jr ? v
.-5°?S '?338Q?5
Date of this Request 7 ? ?
I, as E;Icensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 11 30 SO, /( XX ( ?tt 6-7'0 KoAv(;;?ity PrC9'Al?.1
Section Township Range County
Which is occupied by C?J
' (Name of Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
?
Power Supplier /? E/l'? 1C.K?'t? CcI- '? OPAddress
Electrical Contractor (?e i"I ?
(co
Mailing Address
fE? ec
Authorized Signature - t'? ?
(Eleetrieal Conh:
2uWvE DoM
or
or
Contractor's License 'NTo'.?y ?
... 5 1- _ K'"^ V t
Phone No.-?aq'" (kS' 4
inspection requesi will not be accepted by the
i Board unless proper inspectian fee is enclosed.
Minnesota State Board of Electricity
19??+?niversity Ave., St. Paul, Minn. 55104-Phone 645-7703
? REQUEST FOR ELECTRICAL INSPECTION
CH BELOW WORK COVERED BY THIS REOUEST
??as?
? 33805
Type of $uilding New Add. Rep. Ch¢ck Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bidg. ? ? ? Dryer ? Electtic Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
lndustrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List . List
Othec ? ? ? p
Heiejs? ?=' " ihers?
CnMPIITF, fNSPRCT1l1N FFF RF.t (1W ? ?R?1? .??
Secvice Entrance Size: # Fee Feeders& Su Circuits: # Fee
0 to 100 Am s. 0 to 30 Am 0 ta 30 Am eres
101 to 200 Amps. 31 to ]00 Amp s 31 to 100 Am eres :eW
Above 200_Amps. Above lOD A ps. Above 100 Amps.
Ttansfotmers Remo[e Cont?ol Circ. Partial or other fee
Si ns Speciai lnspection Minimum fee $5
Remazks J Q?_? O V,Z -?6 ? TOTAL F , O U yr ?
I, the Electrical Inspector, hereby certify that the above inspection has been m?e:
(Rough-in) Date
(Final) ? Date - / ?./- ? ?
This request void 18 months from T`?-?
st void -?}jt ( ?
s from . /
> %
PDate of this Request Fire No. T 8138
I, as 0 Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. ? ??? .i?!ETi P h tv X!'f+r fr` ? o nd Aq(&y rz A(-?'?h-I
Section - Township
Range County?t)%o
Which is occupied by ! - -0 ;?j
, (Name of Occupant)
!s a roughin inspection required on this job? No ? Yes ? Ready Now 0 Will Call ?
Power Supplier Address
Electrical Contractor C-61/y"7 Contractor's License W-S&
ICOmpanY Name)
Mailing Address
Authorized Signature_
?
or Owner Maki
a4 "'W3
Th" in3Qection request will not be accepted by the
STAITE BOARD COPY 5t e Board unless proper inspection fee. is enslosed.
_ m111nn5uLa alaltl Wdru OL G 9GIfICILy Griggs Midway Bldg. - Room N791
`7! 1$1rUniversity Ave., St. Paul. Minn. 55104 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK CnVF.RRn RY TH1S RF.CIIIFCTEBs?t 302
T 8138
Type ot Buitding New Add. ReP• Check Applian ces Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporazy Wving ?
Duplex ? ? ? Water Heater ? Lighting Fixmres ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commetcial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bidg. ? ? ? Au Conditione: ? Bulk Milk Tank ?
Fazm E] ? D List List
If
Other
?
?
? pthets
Hete ? Others
Here ?
COMPUTE INSPECTION FEE BELOW
Service Enttance Size: # Fee 1 1 Feeders&Subfeeders: # Fee Cucuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am e:es
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee t
Signs Special lns ection Minimum fee . Ea
Remazks/? L L, 7 - L. ?t/
? TOTAL FE
?
l,the
(Final)
This iequest void
18 months from
certify that the above
has been ma? WaST-16
Date
bate Q ?' ( ;Z-k
„, electricity ? . aUl, Minn. 55404-Phone 645•7703 y
TH S R Q EST INSPECTION 5421
..a:LUW WORK CO ERED BYRICAL
6.
[ype oC Building New Add. Rep. Check Appliav_ces W'ved For Check Equipment Wued For
Home - ? ? ? Range ? Temporaiy W'ving ?
Duplex ? ? ? Watet Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commer,cial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? % ? Air Conditioner ? Bulk Milk Tank ?
Fazm ? ? ? List List
Other ? ? ? p
I[ehersf p
Herers#
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Citcuits: # Fee
0 to 100 Am s. 1 1 0 to 30 Am eres 0 to 30 Am eres 'Z
101 to 200 Amps. 31 to 100 Am res;"` ? to 100 Am eres
Above 200 Amps. Above 100 Amps. Abov 100 Amps.
Transformers Remote Control Girc. ;,? '_? :1 r•l i P.artial or other fee
S' ns Special [ns ection ' '.3 L`l 'iGiinunum fee $5.00
Remarks J rz? d 0 TOTAL FE
S .
A
1, the Electncal lnspector, hereby certity that the'abo"ve in#'cti65
has b1eqq made.
(Final)
This request void 18 months from
e ;J ? t? ?35?c.? i 1 Nw ? ?Sz
..,,, is months from 3 7 ?
Date of this Request_ /,C7 54216
I, as a-Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
City ?J+ G-?r ??
Street Acldress or Route No. 3 ,
Section Township Range County (71--h- l,c-? ' v
Which is occupied by_ _ 3- ['-1 - C c3
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes ? Ready Now (? Will Call ?
Power Supplier t) 13 (-- (7d- 4?'d-a 1 Address
u /
Electrical ContractorCd J?n /`"'?Cl ni U1rfF ?-? l'f Contractor's License NJ??ll
(COmpany Name)
Mailing Address rs_y' /312 p qki) %.A.1 py_)_ZY_
(eie vicaI co?t,/ac[or or owrernnaKing 7nis instanaaon)
Authorized Signature - Phone No. vt a?{ -dlk
(Electrlcal Contractor or Owner Makli g his Installation)
SUt,?('? ?? ????? ? C(OPT T is i spec6on request will not be accepted by tNe
S at Board unless proper inspection fee is enclosed.
_,.eCTRICAL INSPECTION es-ooooi-os
.actions for compieting tbis Sorm on bxck of yellow copy. ?- ??Q? /
r 1 X Below Woik Cov&ed by 7his Request
. eep. TYPB of Builtlin9 APUliantan Wired E9uipmenl Wired
Home Range Temporary Service
DuPIe Water Heater Lightin,y Fixtwes
Apt. Building Dryer Etectric Heatin
Cortxnercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Faf01 Other SDeci(y iher (Sper.ify)
t er Specify Othet Other
/iG l1lJpel;!/UR fBE LSE/OW
Fee ;Above rvice EntranceSize 1? Fee feeders/5ubieei
_ to 200 qm s 0 to 30 Amps
200 Amps31 to 100 Amps
wimming Pool Above 100_
Transformers Irrigation Boon.s
Signs Speciallnspect
k5 _rD.
C
ion
$ ! 0o5 TOT LFEFa
(,b
Rouqh-in ? Da te
I, the Electrical
r ? l?j Inspector, hereby
Finai ' D
6 '1,
-`'? certify that the above
inspection has been
P ? 1 mede.
oid 18 months
-_This re9ueSt void
18 monthst (rom
D 19 ?-41
rZ
RequP?st ate
$ ?
?
?
6- ,
Fre Np. J .,.. _
h=in Inspec[ion
Rou up
Re ired? ?-
'
[]Ready Now QWill Nntity.lnspec-
C
06 v
es ? No tor When Ready
1 here6y requast insoection of abova
Owner electrical work instelled at:
atreet Atldress. Box or Route No. CitY
&Ac
nr1
d??+?
4??
ection o. Township Name or No. t Ranee No.
Ci x
? 1 Counry
-i?tq,?D+? ?t2 ?X? I?e?r^A
OccuGant (PRINT) `
???A? Phone No.
Power SupDlier Address
Electrical ConVacior (Company Name) Contrar,tor's License No.
Ci u,,.1 NO E-aLVu. E c&a- n? a ??- 348t1
Mailing AdJracc IContractor or Owner Makinp Instailavnnl
k-"t, 075T1,31
uthorized SiBn ture (Contractor/ er Maki I? II ionl ? Phone Num6er
saw?.?a ? r????-a
MINNESOiq STqTE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT
Griggs-Midway BIdO. - Room N-191 BE qCCEPTED BY THE STATE 80ARD
7821 Universitv Ave., St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
Phone(672)642-0800 ENCLOSED. -
BUILDIN'?FERMIT
Te 6e n.ed Remodel
CITY OF EAGAN
3795 Pilot Knob Road Eogcn, MN 55122
PHONls 434-8100
Site Address jl"9b1 Lex
Lor 27-37 Blxk 5
Parcel # 10 22502
ton Ave.
Value $7,500.
_ Sec/Sub. Eag. Ind. Pk. #3
370 05
W Name -'i'' ?+vuiYauy
; Addren 3145 LexinQton Ave.
? r;ti, Eagan oti,...e 228-1122
?o Nome Loverine Assoc.
?? Address 555 Wabasha 5t.
?- r:.., 5t. Paul oL„__ 228-1122
Nome 3M Central Engineering
Addres+ Bldg. 42-900 Bush Ave.
I hereby acknowledge that I have read this npplicotion ond stote that
the information is correct and ogree to comply with oll applicoble
State of Minnewto Stotutes and City of Eagan Ordinances.
$ignoture of Pertnittee
A Building Permit is issued to: LoV2
all work sholl be done in accordcnce with
Recelpt
N° 8699
# y'3i?
Erect ? Occuponcy B-2
Aker X$ Zoning Ll
Repair p Fire Zone N/A
Enlorge ? Type of Const. N/A
Move p # Stories N/A
Demolish ? Length N/A
Grade ? Depth N/A Sq. Ft.-
Approvala Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Countil
Bldg. Off.
APC
Permit Y 00.3V
Surcharge 4.00
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Total $ 7 9 - S(1
on the express Condition thn+
ond City of Eagan Ordinances.
Building Official
??3 U
To Be Us For IL
Site Address : 3 0
LotaZL3 Block ,S
parcel #: in J
CITY OF EAGAN
BUILDING PERMIT APPLICATION
PA_ Valuation
- Le X'Nqlco1 ?,`e
Sec./Sub.
3
0 7 5 Po
nclude 2 sets of plans,
1 site plan w/elevations &
1 set of energy cal.culations.
Date /-"? 16 183
OF'FICE USE ONL,Y
Erect OccupancY -7 ` j?
Alter ? zoning
Repair Fire Zone
Enlarge Type of Const.
Move # Stories
Demolish Front ft.
Grade Depth ft.
Owner: 3N1 Co Address: 31 LIg L e x; {o.a 17v f
City/Zip Code: P-_5 R? A n???
Phone #: Z- "? 11 2,--APPROVALS FEES
Contractor: L o o e v ; ri ??J ?-, so c Assessments Pezmit b?
c? q Address: 55 5 - ? n h? s? q .?1 Water/Seaer Surcharge
` Police Plan Check-?
City/Zip Gode: JT Fire SAC
Eng, water Conn.
Phone # : ? planner Water Meter
Arch. /IIzg •: CounCil Road Unit
Bldg. Off.
AddYeSS: Pl? 7oZ..?C?O ?n5?1 /??e- APC
cxty/zip coae: !?T""
Phone #: TOTAL 71 %
CITY Of EAGAN
, 3795 Pilof Knob Rood Eagan, MN 55122 N2 5358
PHONF: 454-8100
BUILDING PERMIT APPLICATION Receipt #
To be used For Cool Edtt. Addn. Est. Value 18, 000. Date 8-14 , 19 79
Site Address
Lor 27-37
Parcel # _
W Name 3M C?anv
3 Address 3130 Lexinqton Ave. Sauth
? r;?, Eagan M.- 733-3300
p Name I?Cn72Y1riq ASSOC.
ou Addre 555 Wabasha Stz'eet
"?
i- S?t. Pau eL--- 5- 51
WW
_ iName
?z Address 00 Bush Avenue
?
?A .. R St. Paul .,.
I hereby acknowledge that I have read this application and state that
the information is correct and agree to comply with all applicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ?
oll work shall be done in acco ' ce i
Building Official ,
Block 5 Sec/Sub.Eagandale Ctr. #3
Erect ? Occupancy B2
Alter *j Zoning Lt. Indt.
Repair ? Fire Zone 3
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Aoorovals Fcea
Assessment Permit 7 ! . UU
Water & Sew. Surcharge 9.00
Police Plan check 28.50
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council
Bldg
Off
.
.
APC
Total
94 . 50
on the express condition thnt
of Minnesota Statutes and City of Eagan Ordinances.
^K
. ZTY OF EaG'. ?J3` Include 2 sets
-' oc plans.
- 1 site plan v/e levations S
BUILDING PERMIT APPL CATION 1$et of energy calculations.
Date
f
1"
c
?
To be used for on
?e?4 Valuat
l?wi /YGU?
CC
t ? ec?
)9 OFFI E U E ONLY
Site Address ' ancy
Occu
Lot o2
7 3 7 Block v- Sec. /Sub.?0.?.?0? rect p L
. ' A1[er ? Zoning
Parcel 0 Repair. Fire Zone -3
e
l Type of Const.
{?,q
? arg
En
r
d
t
Owner:
1 1 o
m P
5
Move @ Stories
Address: L7 Demolish
ve 53 , - Front ft.
ft
Grade
Depth .
Phone #: 733'3 30 L?
Y
Contractor: 1
L t^ vp-?'?
c'
Address: ,r-55 - L?Pr ?RS ? st
ST Pn ,.i ol 55 r C?
Phone
Arch/Eng. : 3m ? e'n /ie l C si? n c?
Address: C? ?0
S7? PH.4lr ?r di V) ?
Phone 11:
Approvals Fees
Assessment Permit
Water/Seuer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner _ Water Meter
Council Road Unit_
Bldg. Off. - -7
APC /r' r0
TOTAL
70602 o??i?-
/
?
Af."
"L Nr? a ?
';? 9
Fequest D te re,NO. ough-in Inspection
Required?
Ready Now f?lWiliid0lll?ln speclor
?
::? Ves L No When Reatly?
I icensed contractor _7 owner hereby request inspection of above ele ctrical work at:
Job Atldress (Sireet Bo r Route No.) Giry
Sedion No. Township Name or No. Range No. County
Occupant (PRIM) 13 Phone No.
Power Supplier Atltlress
ElecBical Gontracto Contrac rk Lic nse No.
17928 82ND PL. N. Q s?
Mailing Addres tr r n II i
Authorize Sgnature fConiractori0 aking 1 II on)
, Phone Number
??? - 9sss
MINNESOTA STATE BOARD OF ELECTFlICITY /I THIS INSPEC7ION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-173 v BE AGCEPTED BY THE STATE BOAFD
1827 University Ave., 5t. Vaul. MN $5104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION "''?? ee-ooom-oe
0602 See insimctions for completing Ihis torm on back of yellow topy. ??
`X"'Below DVork Covered by This Request
ew .%d Rep.` TypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
. Duplex Water Heater Electric Heating
Apl. Building Dryer Other-.(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Uher (specify) Contrador'S Remarks:
Compute Inspection Fee Below: ?
# Oiher Fee # ServiceEntrance V Fea # Circuits/Feaders Fee
Swimming Poal 0 ta 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeaors Use Onry: TOT?Iyy
Irrigation Booms
l Q,? ?Q
? 7,
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date
tl? ? ?' "y
OFFICE USE ONIY ? Lor
This requesl void 18 monihs irom
I 0 n.i r-, r. rs
4_"1_;z_ 1
?
,ca??5 3lF145 . ? I '1•
A Quest Dat + Fir No. ugh-in Inspection
equired?
?
? Reatly Now t}Y?Nill Notify Inspedor
-?hen Ready?
Yes
No
I icensed contractor ? owner hereby request inspection oT above electricat work at:
Job Atldress (Street. Box or Route No,l
213v GE ?. _ Ave. Ciry
A/
Section No. Township Name or No. Range No. County
- .1)A
Occupant(PRINT) Phone No.
Power Suppiier qdaress
Elec c Contractor ICompany Name;
AlA«J ?j'cJ77ZLI-C7Z1IZ..5' Contreclor's GcenSe No,
Maiiing Atlaress (Contractor or Owner Making Installation)
277 ?. 'Ot'c C?uU/!.E ST c!L /L?,?., S?i'O
Autnor o Si nawre omrectoAvOwner Making Ins/tallation
l _.-? Phone Number
_22 -7-
MINNESOTA STATE BOARO OF ELE(7fRICITV' ?
Grlggs-MiEway Bidg. - poom S•173
7827 Unfverslty Ave., St. Paul. MN $5104 ,
Phone (612) 842-0800
THIS INSPECTION FEOUEST WILL NOT
BE ACCEPTED BY THE STATE BOAFiD
UNLE55 PROPER INSPECTION FEE IS
ENCIOSED.
/?/q? REQUEST FOR ELECTRICAL INSPECTION
? Ol ? See inst-uctions for completing (his lorm on 6ack of yellow copy.
??
.n
? 'X" 8elow Work Covered by This Request
?txe
_? E8-00001-08
? 9j, g
ew Aod Rep. Type of Building AppliancesWired EquipmentWired .
Home Range Temporary Service
' Duplex Water Heater Electric Heating
Apt. Building Dryer OtherJSpecity)
Comm./Industrial Furnace
Farm Air Condiiioner
Olher(specify) Gontractor'sRemarks:?MODeZ L??S?T/n/!? GiJ.?REHOJS?
svr+c?
Compute lnspection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps c4
Transformers Above 200 Amps A11ove-100 _ Amps
Signs inspector5 Use Only: TOTAL
Irrigation Booms //nP• ? ?/?, O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT
Other Fee'$o- ..? a COMPLETED WITHIN 18 MONTHS
I, the Electrical Inspector, hereby Rou9n-io oaee f? ???
certify that the above inspection has
been made. Final oat
?-
OFFICE USE ONLV
This requBSt void 18 months 7rom
OfFICE USE ONLY This requesf void 18 moMhs from validalion date prinkd in fhis x.
? A
??' w ! r/
•?v'
V_
K'
IIIIIIIIIIIIII?IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII??????/IY?.W?. _" _
* 0 4 6 27 9 7 2?k PLEASE PRINT OR TYPE
Request Rougltin inspetfion requiredi ? Yes o Inepeclion Other Thon RougMn: dy
? Rea Naw ill Coll
6ta (Vou must wll the inspector when ready) Dafe Ready:
I, illicensed contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Sheet, Bo:c, or RouM No.) Ciy Zip Code
3l3a LE,iua(-, a J;, 64<00 q,J SS121
Secfion No. Township Name or No. Range No. Fire No. Caunty
Occupont Phone No.
3^1
Power Supplier Address
A L1.lLc-'MtC...
Electriwl Confroctor (Company Name) Conhaclor ticense No. MosMr Lic No. iPlont Elect. Only)
f[ KN 1 &vWmv,
Moiling Address (Conhotbr or Owner Periormirg Installntion)
30o T'r.?a{ra?w?c. Qoaa 5r'Pqtiw VNirJ SSt1`f
' ed SignaN (Conh Iq?o Ow Per(orming Insbllotionj %rone No.
3-(.Sb
i i a/vb STA7E BOAND COPY - SEE INSTNUC710NS ON BACK OF YELLOW COPY
-4 6 2-J 9r7
?/,W/97
? REQUEST FOR ELECTRICAL INSPECTION 71'
Minnesota State Board of Electricity+
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612)642-0800
Home ' Duplex Apt. Bld . Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Hfg. Equip. Water Hh. Load M mf. Olher:
Dryer Range Elec. Heat Temp. Service
"X" above Ihe work covered by ihis requesf. Enler remarks in this space and on the bock of the white copy only.
Cakulafe Inspecfion Fee - This Inspection Request will not be accepted withoul the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps-
Sheet Ltg./Traffic Sig. Above 200_Amps Above 100_Amps
Transformer/Generalor Z4V41I1 INSPECTOH'S USE ONLY TOTAL ?
Sign/Oudine Ltg. Xfmr.
Alarm/Remofe Control
y ?l
Swimming Pool y? v;?.,..,}.?y,.?? ?
I h
6
d
b
h
d
d
h
h
l
ll
d h
Irrigation Boom e
cedi t
at I ina fe t
ectncal insto
afion
eun
e
erein on
e e
n ates sMte
i
e
oare
$pecial Inspection F
In
vestigafive Fee l
57
Da
THIS INSTALLATION MAY BE ORDERED DISCONNECTED iF NOT COMPLETED WITHIN 18 MONTHS.
J/??
This request void ?/-?
18 months from
D 3 4 2 3 0 /. = ? /,? -?°, .,,,, 1,
7Cc // C?
l / . .,' 'a ;,1q 0U
Request ai-
,.r,
(? fiieNo. ?l
d Rouph m Insoection
peqwred? ?
E]fleady Nuw Will Notity Inspec-
-
?
?,? ??es o r When ReadY
icensed Elec[rical Contractor I hereby reQUast inspection ol above
Owner electrical work installed at:
Street Addres , Box or Route No ? ity
O
•
ecuon o. Township Name or No Ra No. Coui
?
OccuVantIPRINT3 ) - M Phone No.
Power Supplier Address
EIecU& Contractor (Compa y ame) / Contractor's License No.
O ?
I
MailinB Ad ress (Contractor or Owner akin0
l?st ilationl
-e
0 r
SY a
v
v
J
Co
i /'//
Authori' ed Signatu Con[ra or/Own . aking Installationl P one Number
S 6 ?
MINNESOTA STATE BOARD OF EIECTRIOTY
Griggs-Midway Bldg. - Hoom N.191
1821 Universitv Ave.. St. Peul, MN 55104
Phone (612) 642-0800
THIS INSPECTION HEQUEST WRL NOT
BE ACCEPTEO BY THE STATE BOAHD
l1NlES5 PqOPER INSPECTION FEE IS
ENCLOSED.
7
REQUEST FOR ELECTRICAL INSPECTION . ee-00001-06
J? See instructians for comDleting this (orm on beck of yellow copy. ?
D J 4 L J 0 "X" Below Work Covered by This Request
Nem AdiT Rep. Ty e of Buildine AoPliancea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fix[ures
Apt. Building Dryer Electrii: Healin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Olhe., Peci y .1her (Sper.ify)
t r,r $pecf y Other (11her
Compute Inspection Fee Below
k Fee Service EntrBnce Sixe R Fee Pexders/Su6feeders # fe¢ Circuits
0 to 200 Am is 0 to 30 Am s 0 to 30 Am s
Above 200 qmpy 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Amps
Transiormers Irrigation Booms ,J Partial-'Other Fee
Signs Speciallnspection
$ /j?
SO
T
Re? rksf
e
I . . J. w /G? . - /
V OTAL FE
?
` ?d??
r
Rough-in Diite 1, the Elec al
Inspect0r, herehy
certify that the above
Final { D ?e ?,( inspeCtion has 6een
/ 4 mede.
ThInreauestroitll8monlhafrom •
o.c'!J/J /
085 8 3a7 5 . -.a??`
.
Reque Date ' ire No.
? Os ?'13?,
°'??? Rough-in Inspection NOTtCE: You Musi Call Elecirical Inspecror
Required? ?
? If A Rough-In Inspection
?Yes „!dO IsRequired.
'N
W
ICensed contractor ? owner hereby request inspection of above electrical work at:
I5
Job Adtlress (Sireet Box or ROUIe No.)
L?.x"r u cti?: '? ?-3 e? S Cit
?
Section No. Township Name or No.
l/l r? Fange No. Count
4 ?YC
Oceupant (PRINn
3-m `??? ? Phone No.
Power Supplier Address
Electrical Contrector (Company Name) ,
C
ti
?
' Contrector's License No.
J 1?? ?
? r,1m ?
w?? ?x?4
?n.c ?
c,c3
Maiiing Addr s(Contrector or Owner Making Installation) 1
?EJ 1 O l
?? ?
?
?
?
i•-?fLC,
::.i
1N
ly l.. l
Autho " nature (Contrac r/Owne Making InstallaY ) Phone Number
G7"aL' ` t(?`(?
J 3L
MINNE?Bf STATE BOA?D OF ELECTRICITY
gs-Midway Bltlg. --?toom 5•173
'versily Ave., St. Peul, MN 55704
2-0800
THIS INSPECTION PEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
io a9??? REQUEST FOR ELECTRICAL lNSPECTION
, See instmctions for completing this form on 6ack of yellow copy.
0 8 5 8 3 "X" Below Work Covered by This Request
R O?'.? ee-oooo,-oe
isa7/
ew
Rtld
[riep.
Type of Building
AppliancesWired
EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managament
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specity) Contractor's Remarks: jZ,
J
Compute lnspection Fee 8elow: B?"
# Other Fee # Service Entrance Size Fee # Circuits/Feeders ee
Swimming Pool 0 to 200 Amps 0 t&4694m4es Jzs?
Transformers Above 200 _ Amps j A -Amps -
SignS Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON H5.
I, the Electrical Inspector, hereby Rough-in , Date
certify that the above inspection has
been made. Final ? Date
OFFICE USE ONLY
is request void 18 monlhs from
?
? 5?0O 3,??7-??-??
No.
Requ?d? ? Ready Now ?Wil1 Notity Inspeclor
?Yes No WhenReady?
licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Sireet, Box or L R ute No.)
?
?
c o ti ??
Cjry
?
Section No. iownship Name or No. ,y Range No.
unty
O /
ccupant(PRINT)
V yY)y/ ? f ? _
,
Phone No.
Power Suppliar ?
Electncal omrector ?COmpany Name?
or
minneaui SrA7E BOAqU OF ELECTRICITY
Griggs-MI ay Bldg. - qoom 5173
1821 Universky Are., SI. Paul, MN 55104
Phone (612) 642-0800
Contrector's License No.
A/-!v ? V/3
Phone Number
6 3?? 6
7HIS INSPECTION REQUES7 WILL NOT
8E ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
v 'STRICAL INSPECTION ee-00001-07
/?? ?` ?oe „_._.... _ _ ..,. isformonbackofyellowcopy.
?j _8Q'? 3 `X' 8elo?? Work Gbvered by This Request
?
ew Add Rep. TypeofBuilding qppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contrector's Remarks: ? C` ? - (.,?
Compute Inspection Fee Below: ?, /AZ/ 26Y - yx, ?iep,}?p?'J?? ?
# Other Fee # Service Entrenc ize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps I V, 0 to 100 Amps
Translormers Above 200 _ Amps 00 _ Amps
Signs inspectors use oniy: TOTAL
Irrigation Booms d:sv
Special Inspection
Aiarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certif
th
t th
b
i
i
h Rough-in Date
y
a
e a
ove
nspect
on
as
been made. Final
f
OFFICE USE ONLY
This request voitl 18 months from A 1 ta 2 ^
??
?5
?
' ?/ /o?'l SC
'
17 y?- 5 00
Cl
9
Request Date Fire .
t
1 ugh•in Inspection
O??? ?
eady Now ? Will Nofily Inspecior
R
Wh
d
?
?
t
6 en
ea
y
I licensed contractor O owner hereby request inspection of above electrical work at:
JoC AdCress (Street. Boz or floute No.)
3I-So L.?c ?(irotj AYt-.. City
ev?'6eN)
Seclion No. 7ownship Name or No. Fenge No. Counly
C? l7piKo-r-&
Occupant(PRINT) Ptwne No.
'S - ,V `
Power Supplier Adtlress
Eleclrical Contractor (Company Name) Conlracror5 License No. -
n ??A* ?Le-ZA? o?- ?rn, ? 39911
Mailing Atldress (Comracbr or Owner Making Installation) 'S-
l S cJ 4`U ?
-- V1
6's v n
T
AuMO e0 Sgnature oniracto Owner Makin Instellalion) ?
4,4 Phone Number
1 a4- ??3b
NIHESOTA ST E BOAHD OF ELEC7RICITY . THIS INSPECTION REOUEST WILL NOT
Grlgge-MMway g. - Room 5773 BE ACCEPTED BYTHE STATE BOARD
1821 UnWersNy ve., St. Paul, MN 55704 UNLESS PROPEH INSPECTION FEE IS
Plwne(812) 862-0800 ENCLOSED.
Cp?7/9/
M G1Q 1 7
REQUEST FOR ELECTRICAL INSPECTION
Ill See instmctiops lor ccmpleting this fortn on back of yellow copy.
"X" Relnw Wnrk Cnvarad hv This RPauesf
EB-0000108
? ?
k?:;?.??, . ? ?
ew ?
Add
Fep.
Type of Building
AppliancesWired
EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Olher (Specify)
Comm./Industrial ' Furnace
Farm Air Conditioner
Olher (specity) GoMrector5 Remarks:
ta?? -?s C?
Compute Inspecrion Fee Below: S. t?SV'bu- ??F??^^- ?? 4ofl ??! P???
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee .
Swimming Pool 0 to 200 Amps 9.Z.I?S -C 5'O
Transformers Above 200 _ Amps ? Aqo r? Amps,
$19f15 InspeClor$ Use Only: ? ?? ? OTAL
Irrigation Booms ?, J- v U C)
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oete
certify that the above inspection has
been made. Final D a 6?.?
?l
OfFICE USE ONLY
This request void 18 months from
REQUESTFOR ELECTRICAL INSPECTION
7 ? See instmctions for completing this brm on back o1 yellow copy
9 L. 3 11 g "X" Be/ow Work Covered by This Reguest
1F
EB•00001-07
ew Adtl Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
? Comm./lntlustrial Furnace
Farm Air CondiGoner
Other (specity) Conhactor5 Remarks.
Compute Inspection Fee Be/ow: o
# Other Fee # Service Entrance Size Fee # CircuitslFeeder Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps / o o-c
ns
SI Inspecror's Use Only n TOTAL
9
Irri ation Booms ?
7 O
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ' oa?
ri
certify that the above inspection has
been made. Final oa
OFFICE USE ONLY
ThiS rBquesl VOitl 18 month5 IIOm
ll9/S? _, , 9?Ira9
Request Date ire No. oug -in ection
ed"191
e dy Now >Will Notity Inspecior
R
Wh
d
?
D Yes ? No en
ea
y
1U licensed contractor ? owner hereby request inspection of above electricai work at:
Job Atldres5 (StreeG Box or Route No.) City
N
o LEisirvG. o.v S• E?4GE/
Section No. Township Name or No. Range No. County ?? KcrTA
Occupanl (PRINT)
16 2 -7 I Phone No.
Power Supplier Addresg ,
Electrical Contractor (Company Name)
Cornma.vu?.??Try ?'i6c!',r??c d? ;i? Contractor's License No.
3 F1
Mailing Address IContratlor or Owner Making InstallationIt
eelf.e /0,6 u z-
Aut - 4 Signature (COmr v e Installanon _ Phone Number
MINIJfiGPlIA STATE e A D OF ELECTRIqTY THIS INSPECTION fiE0UE5T WILL NOT
Griggs-MlAway Bldg. oom 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. 5. Vaul, MN 55104 UNLESS PFOPEF INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
I,?145/qo ? 9& S 91A-
050J 9 0917 -,? ? ? ??j 0.0
Request D te Fre N.
(j
5
0 R gn-in inspenian
quired?
? Reatly Now ill Notify Inspector
? i L Yes .ywo When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Streel, Box or Route No.)
3C) 641 ni c-n6?r.5 ?v t S Ciry
e Iii,J
Section No. Township Name or No. Fange No-
' -113 ?; 5S? 1 Co
?i oae,oo-xt
Octupant(PRINT)
' Phone No.
s - m
Power Supplier Atltlress
Electrical Coniractor (Company Name) -
i
?- W
J
e
- Confraclor' License No.
96 11
,-Au
-,4t
.6z?r
t
ru?. o
Mailing Atltlre ractor or Own
5- ? r Making Installation)
L 1'VI a SSi ? t
?
Author Si ure (COnlract Owner Making In Ilation) Phone Number
MINNESOTA STA7E BOA?ffl OF ELECTRIqTY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldq. - Room 5773 BE ACCEP7ED BY THE STATE BOAqD
1821 Unlveraily Ave.. St. Paul, MN 55106 UNLESS PROPEF INSPECTION FEE IS
Phone (672) 644-0800 ENCLOSED.
?/g/9Q ? REQUEST FOR ELECTRICAL INSPECTION ee-00001-07
SeE instructions for completing this brm on hack of yellow copy. 9?
r "X" Below Work Covered by This Request
C? ??oQ99
e ,/•? Re :?? -• TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
. Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
? Other (specifij) Contractor5 RBmar .
? ?a? e-b c4
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps t), 0 to 100 Amps Ci
Transformers Above 200 _ Amps Above 100 mps
SIgfIS inspector's Use Only. O TOTAL Q
Irrigation 8ooms 30 ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E ORDERED OISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i
i
h Rougn-io oaia
certify that the above
nspect
on
as
been made. Final Date ?
? - 3
OFFICE USE ONLY c= '
This request void 18 mon[hs from