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1585 Diffley Rd - Electrical Permits6 nv fL Y D 6 7 5 3, 0/,- ! 67 .,21 CJ t?"5 liar, ' ate r /?J ry? I J Q ?Fire No. ouph-in Ins pertion Requiretl? Ready Now2<VJill Notify InsOec- Ayes ?No for When Ready L?ownsed Electrical Contractor I hereby r9euast inspection of above Owr?er electrical work installed at: Street Address, Box or Ro No. City action o. Township Name or No. Range No. gWrtp i0` l O O ant (PRINT) Xo 7 Phone No. ve- 10-e-, Pow Supplier Adtlres EI ca Contractor (COmpen me) ' Contrarmr's License No. 0<.?.oz ms s 39? -y .24..g Address (Contractor orpwner Making Installation) Authorizedct Owns Making tallalionl Phnne Number - MINNESOTA STATE BOARD O CTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - R. N-191 BE ACCEPTED BY THE STATE BOARD 1021 University Ave.. St- Pool, MN 55104 UNLESS PROPER INSPECTION PEE IS Phone (612) 642-OSOO ENCLOSED. - REQUEST FOR ELECTRICAL INSPECTION dMi EB-00001-06 ' See instructions for complelirq this form on beck of yellow copy _ 6 7 5 3 'X " BeloW Work Covered by This Request WeiJAddl Reo.1 Tyne of Bulldina I Appliances Wired I Equipment Wired I ice ce I I I I Industrial Blda. I I Air Conditioner I I bulk Milk Tank I p Size h Fee Feeders /Subfeeders N Fee Circuits t 0 to 30 Amps 461 0 in 30 Am. s S fe 0 Amps 1 to 100 Amps g Pool Above 100_Amps ers Irrigation Booms Parti signs Special inspection l AL Remarks J I nau9n-m 1 I. Inspector, hereby i certify that the above Final 7 ' ?e'a? (p/ inspection has been ??°l/ /, te ?W4' made. This request void 18 months from ri - This request void 5I,tl ?? ?' x old ' S (/ 18 months from Date of this Request "2 >- Z&n Fire No. 7690 8 I, as 4 censed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route N( i Section Township Range County Which is occupied by Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call Z-- Power Supplier Address Electrical Contractor Contractor's License No. (COM ny Name) Mailing Address ` - // ,, ,, -(Electrical Contractor or O ner Making Tn Is Installation) Ant rized Signature AV, Phone NoLa1 r&2'A (Electrical Contractor or owner Making Is Installation) i ?VQ?E L Oli-L1uUD r(' ©?? This inspection request will not be accented b,/ trvu?l V` State Board unless proper inspection fee is end(. ?? Minnesota State Board of EleCtricity /69 Griggs Midway Bldg. - Roomy 1821 University Ave.. St. Paul, Minn. 55104 -Tirane 297-2111 7 RMLIEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST C- EB-00001-02 76908 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? Furnace ? Silo Unloader ? Industpr'al Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ? Farm ? ? ? LL'st List ) Other ? ? ? p rq 44T) Hetc rj } -B Oehe s! COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders& Subfeed : 406 ucuits: # Fee 0 to An s. 0 to 30 Amperes Am eres O O 101 200 mps. Q p 31 to 100 Amperes 31 00 Amperes Above _Amps. Above I00 Amps. Above 100 Amps. Transformers Remote Control Cite. Partial or other fee Signs Special Ins ection Minimum fee $S. Remarks !/U clh C iYl atit? TOTAL F O• m.s0 1, the Electrical Inspector, hereby certify (Final) This request void 18 months from has been made! J)te a/6 -40 Dat4 3 /5F'w