3500 Lexington Ave - Electrical Inspections??/REQUEST FOR ELECTRICAL INSPECTION i-. EB-?0Oi- s
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Il, See instructi0n5 tor tomDleling lhis torm on bHCk of ye11oW copV.
D? O 0?2 "X" Below Work Covered by This Request
AdJ ReoTVpe ol Buildin9 APPliances Wired Equipment WireA
Home Range Temporary Service _
Water Heater Liyhtiny Fixtures_ _
I Apt. tlwltling vryer
Commercial Bldy. Fumace • Sllo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm
Othrr Peci y
nthfr (Specifyl
.h.., S?,ecifv Other Othcr
' @C110n YEB GBIOW
p 0 Service EntrenceSize tt Fee Fexders/S.bfeedels N Fee Circuits
? 0 to 200 Am s 0 to 30 Am s ?• tn 30 Am s
Above 200 Amps 31 to 100 Amps to 100 Am s
Swinuning Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Boorr, s .-e rtial•'O
Signs ppeciai"nspecuon ?r
qemarks TOT FqF??? ?
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Roueh•in
r Date
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_ I the
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/? Inspector, hereby
certily that the above
Final r11e inspection has been
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mada.
f his request void 16 montha from
This request void/
78 month5 Irom
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uest Ua e"
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No [o When Ready
licensed Elec[rical Contractor I hereby request inspection of a6ove
Owner electrical work installed at:
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Street AdAress, Box or Route No. 2 City
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ecUOr o. Towns ip Name or No. ange No. Count
OccupantlPqlNT Phone No.
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Address
Elec ical C tr ctor ( ipany Name) Conor's License No.
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Mailing re (Cont ac or or Owner aking Insca i ionl
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Authorized i8nawre nbactor Owner Making Instal ionl Phone Number
Al"L &
MINNESOTp STqTE BOAHO OF ELEC7RICITV THIS INSPECTION REQUEST WILI NOT
Griggs-Midway Bldg. - Room N-791 BE ACCEPTED BY THE STqTE 80ARD
1821 Universitv Ave.. St. Peul, MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone16121642-0800 ENCLOSED.
YIl,1AGE OF EA6AN WATER SERVICE PERMIT
3795 Pibt Knob Rood ?U??r ?????'• PERMIT NO.: 1611
Eagan, MN 55122 DATE: 10/29/74
of Unica•
No
Zoning: A .
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wne '
Add G
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ress
Sice Address: 3506 So Lexinqton Av ., Eagan 55123 ?
Plumber: Weie rke Trenching & Excavating ?
N
2378 4873 Connection Chazge:
Meter No.:
/8
5
Size: rockwell Account Deposit: 15.00 Pd ?
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Reader No.: 580949 Permit Fee: 10.00 pd
on Surcharge: .50
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age o
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Chargea: MtL'.60.O0
Misc P.d
Ordinancss. • .
Total: HOrn 10.65 d
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gy Date Paid: Ta 35.00
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f I rb Box 29.7()
Insp
d
nep.:
Date o .
This request void o?l/ /?? ?
18 months Trom
C_ 78445 ?. ? 6o28 ?? 4L?
Request Date
? Fire No. Requ iedV nsDection eady Nuw ? Will Notify, Inspec-
- ?Yes No tor When Heady
Licensed Electrical Contractor I herehy request insDection of above
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wner electrical work installed at:
Street Address, Box or Rout No. Citv
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ecvon o. Township Name or No. Range o. ouy y
Oc upan IPRI T) Phone No?
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3
Powet Su pbi r Address
Am
j?.t r(CompaNa e)
Electrical Contr? C1 ry
? 'ctor? li nse No.
7 /
Mailing Ad ess (Contractor or Owner Making Instai ion)
Auth eQ Sign t re (Contractor/Owner Makine Iiistallation) one-Num6er
MINNESOTq STATE BONflD OF ELECTNICITY - THIS INSPECTION pEQUEST WIIL NOT
Grigge-Midway Bldp• - floom N•191 BE ACCEPTED 8V THE STqTE BOAHD
UNLESS PROPER INSPECTION FEE IS
1821 UniversitV Ave.. St. Paul, MN 65104
Phnne 16121 642-Da00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ? EB?-0/0001-0?57
1 See instruCtions (or completing this lorm on beCk ot yellow copy. /
C„ 8? '"X' ? Below Work Coveied by This Request
Newl! AAd ReD. Type oi BuilAing Apolinnces Wirad Equipment Wiredeater
al
ic
? ? rI Ilndustrial Bldg. Contfitioner ? 1 Bulk Milk Tank ?
Farm Otnar f5u??? v othe? tsncr.?fy? ?
ee
p Fea SBrvice EntranceSize h Fee Feeders/Subleeders M Fee Circuit5
U to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am 5
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irngation Booms Partiai•'Other Fee
Signs Speciallnspection $
TOTAL FE
Hemarks
flough-in Date
- I, the Electricel
• . .?.r.---.. Inspector, herehy ..
tit
th
th
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e cer
y
at
e above
ne ? insPection hes been
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d made.
fhfs request vold 18 montha from