1460 Diffley Rd - Electrical Permits1?1
REQUEST FOR ELECTRICAL INSPECTION
?g 6 4 654 See irams1k ns for completing his form on back of yellow copy.
N "7(," fleri Work Covered by This Request
E600001-0
New Add Rep. Typeof Building Appliances Wired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) contractor's Remarks: r
O"In QQ?
Compute Inspection Fee Below: J
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0.10, 00 Amps
Transformers Above 200 _ Amps bov 100-Amps
Signs Inspectors Use Only:
J TOi
r-
Irrigation Booms Llj. c
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED D CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON_ S.
I, the Electrical Insp?etQ4 hereby
certify that the in action has
been made. Rough-in
OFFICE USE ONLY
This repue 1 void 18 months from
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Lot
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Request Date
n /• Fire No. Roughdn Inpeection Required
(You m call inspector when ready) Inspection Other Than ughi
[] Ready Now A?FWill Notify Inspector
Yes ? No Date Ready
I ? licensed contractor 261awner hereby request inspection of above electrical work, at:
Job Address ISaee. x or F1 NN I
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Section No. Township Name or No. Range No. County
Occupant 11
RINTI
Phone No.
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Power Supplier Adtlress
Electrical ontractor (Company Name) Contractor's License No.
0
Mailing A res ICpntractor or Owner Making Installation)
(i
Autho'zed o nature IConiracto r0 ner Making Installation)
?_ Phon Number
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MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
a gga-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
2 5 5? C ad-i- ° as O
8 o-1?,.?oo-oia-o o ? °U
Request DFatp Fire No.
V I^ /(^1
I L / V'l Rough-In pipped n Required
(V au must cell inspector when ready)
? Yes 0 No Inspection Other Then Bough-In
? Ready Now WJI Nalify Inspector
Date Ready
licensed contractor O owner hereby request inspection of above electrical work at:
Job Address (Street. Box o Route ,,pp 'yam l V Cites
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Section No. Township Name or No. Range No. unty
Occupant( RINT) ?ff
O/tl' t n' Phone No.
Power Su ber Address
Electrical Contractor ICOmpany Name'
C?? c Contractors License No.
pro- oz?z
Address IG Tractor or Owner MaNmg Installation), 1 P /??("j?\ 1 rtI/(` ./? 1
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Amn iz Signature Contractors
xin nstanaticnl Phone Number
olZ ?-ISZ.-Cr,?y?l
NESOTA STA DAflD OF ELEC V Y THIS INSPECTION REQUEST WILL NOT
rlggs-Mitlw IAg. -Room 5-1 BE ACCEPTED BY THE STATE BOARD
1821 Univ ty Ave.. St. Paul. M 5100 UNLESS PROPER INSPECTION FEE IS
Phone (612) t12-01100 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
/ II See instructions for completing this form on back of yellow copy.
N25588 "X" Below Work Covered by This Request
s? Ott,
? ?Q" ZrEB?00?1-a8
ew dd- FWIr Typed Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractors Ferrarks.
Compute Inspection Fee Below.
1
# Other Fii77 # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _ Amps
Signs Inspectors Use Only: TA
TO
Irrigation Booms l J? C •„
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
if
h
h
b Rough-in Date
cert
at t
e a
y t
ove inspection has
been made. Feel
OFFICE USE ONLY
This request void 18 months from