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3810 Lexington Ave - Electrical Inspections.om ?d J/?1?? D ?33)-i,tq/ 62,1 veP, ,--Jo 0 1 Licensed Electrical Contractor 1 hereby request inspection ot above Owner elec[rical work installed at: 52reet Address, Box or Route N-o. LPJ(, y ?p 1 6A9 /pTv'r Cit4 lff 4dN ecUOi? o. Townshlp ame or No. R?nge No. CounC D? fCo?",? Ocqupnnt (PRINT) k Z Phone No. Ld??, ar surit 15 Power SuDplier Address Electrical Contractor (ComDany Name) CoMractor's License No. Real. 646MX.Qsa oDo s 3 o Mailing AddIress (Contractor or Owner Making Instaila/tion) Authorized Signaiure (Contractor/Owner Making Installation) Phone Number ?t,l f Sa ya MINNESOTA S T BOAflD OF ELECTNICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey Idg. - Room N-191 BE ACCEPTED BV THE STATE BOAN? 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OSOO ENCLOSED. ?. k/ 9 D ??3 REQUEST FOR ELECTRICAL INSPECTION , See insiructions tor compleling ihis form on 6aCk ot VelloW cOPy. "X" Below Wark Covered by This Request . Ell- v: ?/? /O Q v New4Add Hep. Typa ot Building Appliancea Wired Equipment Wired Home Range Temporary Servic Duplex Water Heater Liyhtiny Fixtures ApL Building Dryer Electrie Heatin Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Other per.ify Olher(SUerify) ` Mer Syeci(y Qther Oiher (.ompute lnspeCtion hee 8elow p ; Fee SBrviceEntrence Size # Fee Fexders/SuAteeders k Fee Circuits 0 to200Am s 0 to30Am s 0 to 30Am s t Above 200 qmps 37 to 100 Amps 31 to 100 A 5 . Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Booms PartiaL'Other Fee Signs Special Inspection Remarks n _. ..... Ar_. ,> 14 TOTAL F CJi Rough-in Date 1.the Electn Inspector, here6y t l Final Date-. car i y thet the above spection hes been p made. mla reVuest vold 18 monihs irom ?/1,>201,y 7 .. . 7 116 2 '91 41 ? Request Dale 4 Fire Nb. Rough-m Inspectron Required? ? Heady Now >Will Notify Inspector When R d ? pop ]gYes ? No ea y r%licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Bm or Route No.) 3 31 So Ciry Sectlon No. Township Name or No. Rarga No. Coun Occupan?R?T? ? A t ?? ? ? PhoneNO. ^ u r6? v Power S{upNer J I Address Z ' S?^ W f R./ C Ci l?v??` -a o Gr,.; . , Electrical Contreclor (Company Name) 6 4 ? Contrador§ License No. - olq / 6 J rRA2 k Mailing Atldress (Contractor o1 Owner Making Installatfon) S S t 94, L??u rl/i:L Authorizetl Signature (Contr. Owner Making s lation) ' . , V Phone Number ?s-.?- 6 3 U MINNESO7A STATE BOARD OF BLfN;TRIqTY ? THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlway Bltlg. - Room 3-173 BE ACCEPTED BY THE STA7E eOARD 1821 Universlty Ave., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION M ee-00001-07 10- See insiructions for completing this form on hack of yenow copy. wd/6-,r7 7116 2 X° Befow Work Covered by This Request e Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Oiher (Specity) Comm./Industrial Furnace Farm ? Air Conditioner Other (specify) CoMrector's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps vir- - 0 to 100 Amps - ZOO Transformers Above 200 _ Amps 7 Amp§ SlgfiS Inspector5 Use Only: TOTAL Irrigation Booms I / so Special Inspection . Alarm/Communication Other Fee ,sd r I, the Electrical Inspecbr, hereby if h Rough-in Date ?? cert y that t e above inspection has been made. Final a_ > OFFICE USE ONLY This request void 18 monihs irom n 0 078 704 4 1/.?/( ,?/V1.1;,?.?. Request Date Ol' 0???? F e No. Rough-In Insp tion Required (You m ust call inspector v en ready) Inspection Other Than Rough-In Now ? Will Notity Inspector ? Read ? Ves No ? Date Read IX licensed contractor ? owner hereby request inspection of above electrical work at Job Address (Sireet, 6ox of Route No.) 3Bio G?G r.,?(? 7v4 City e%47A^1 Section No. 7ownship Name or No. Range No. County y? OccHLZi7N/?/S jHf//G/?'N N?lLY? Phone 7??y???0 ? ? Power Supplier 4007"? a6o?ZG Address 0,E'.M/NG ?f).l Electrical Contraaor (Company Name) kr? 4on?sP2ucy1o^1 Contractor's License No. Mailin Address (Conirector or Owner MaMng Installalion) J?J3 6Jju-44As$?l,Q< ?1,2i/tr BVien?s?/iu.b .yn! ,SS`3ob ? Aulhoriz ignaWre (Conlract ' wn Making Installation) Phone Number , MINWSOTA (672) 642 00 OARD OF ELECTRICITV I?11 ?THIS INSPECTION REQUEST WILL NOT Griggs-Mitlway Bldg. - Room S•728 BE ACCEPTED BY 7HE STATE BOARD 1821 Universlty Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQILEST FOR ELECTRICAL INSPECTION ea-oooo/i-os jl? See mstructions for completing this brm on tiack oEyellow copy. 0 0-7 !8 704 "X" Below Work Covered 6y This Request Ne Add Rep: Type oi 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 Z/ r/pJC (sggr?'tyy lCLM Contrar.tor•s Remarks. /.Iw,?? i/I Ax?W .fc7 Bsl ?r u %n' * ? Compute Inspection Fee Below: ? - rs x yve QO'fJQO X,lr . f??Jm ?????yfA jiWvje. L # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 0 0 to 100 Amp . O. 110 Transformers Above 200 Amps Above 100 _Amps SI nS Inspector's Use Onty: ? TOT L Irrigation Booms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE O DISCONNECTED IF NOT Other Feesj' S • fb COMPLETED WI7HIN 18 MONTHS. I, the Electrical Inspector, hereby tif h h i Rough-in oace y t cer at t e above nspection has been made. F;nai oa e /? Y OFFICE USE ONLY This request void 18 months from -r0?/O O 7113 5 i, 9oa?5 Fequest Date / f7 .?7/'? ^ t?'S? . c O[ . C3 S l Fre No. Rough-in Inspec[ion Required? ? Ready Now?Vill Notify Inspector Wh d ? p L . Yes ? No en Rea Y I)?licensed contractor ? owner hereby request inspection of above electrical work at: Joh Address (Street, Box qr Route No.J ' 3 8 4 City '?- ? I? l.- e, 0S 4 GZ GC,iq Section No. Township Name or No. Range No. 'J Counry 1:?Z_? Occupanl (PRINn / S -I Phone No. DI V+' !JIC.°" S Power lier J k Address ?'1 1 %51. Gu. Elechical Contractor (Company Name & Conhador§ License No. Mailing Address (Conirador or Owner Making Instali tion) Aulhorized g2%uia ( tracloVOwner Making Ilation) Phone Number MINNESOTA SfATE 1300419 OF ELECTlSICITY Grigga-Mitlway Bldg. - Rnom 5-173 1821 University Ave., St Paul, MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. /•q/?. /??? REQUEST FOR ELECTRICAL INSPECTION eaooom-o?` ?J ip. See instructions for completing lhis form on back of yellow copy. 9oa ?''S 7113 5 "X" Below Work Covered by This Request ew Add Rep. TypeofBuildiag AppliancesWired Equipmentwred Home Range Temporary Service Duplex Water Heater Electric Hea[ing Apt. Building Dryer Other (Specify) Comm.Mdustrial Furnace Farm Air Conditioner Other (specity) Contracto05 Remarks: Compute lnspection Fee Be%w: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps TfanSfOrmers AbOVe 200 _ AmpS Above 100 _ Amps SIgf15 Inspectoi5 Use Onty: TOTAL Irrigation Booms Special Inspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in oam certity that the a6ove inspection has been made. Final a+e d OFFICE USE ONLY This request void 18 months 1rom