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4145 Lexington Way - Electrical permitsO? ?j.--?--?7REQUEST FOR ELECTRICAL IIdSPECTION a-ooo i-os /7^ 5 ? See insimc6ons for completing this form on back of yellow copy. ? ?? 7 ( X Below Work Covered by This Request Ne A Rep IType of Building Appliances Wired . Equipment Wired Home Range Temporary Service uplex Water Heater Electric Heating Apt. BuiSding Dryer Load Management Comm.llndustrial Furnace Other (Specify) Farm Air Conditioner Other (sUecify) Coniracror's Remarks: 1 ? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200Amps 100 -Amps SIgnS . Inspector's Use Only: TOTAL Ircigation Booms Speciallnspection L Alarm/Communication THIS INSTALLATION MAY CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, ih2 Electrical If1SP8C[Of, hereby tity h t h b i Rough-in Date cer t a t e a ove nspection has been made. Finai oa OFFICE USE ONLY This requesl voitl 18 moNhs from g 0- E- &11:;p ? s97 ? ? ? a n? ?o 9 ? Reque te Fire Na. Ro qyh-In InsFer.won Required (You must call inspec[or when ready) Inspection Other Th n ugh-In ? Ready Now Will No?ify Inspeclor ? ? Yes ? No Date Reatly x I lic ensed contractor ?owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) L City !FAi ex/pla l Sect on No. TownshipMJame or No Ran e No. Co1?nry I a?A OcydMpt (PRINT) ? G.rrV t) Phone No. Power Suppiier . w rA.r r¢- Adtl ? '?Ltl, ? Eleclnc ?r I Contracto (Co?mp/any Name) 11 Contractors License No. ?J"? / O32 /! V - C _ , Mai' yA?ddress Con Owner Making Installalion) Authonzed ractodOw in allation) 1( i?? Phona Number 445 2,-V J? • / ?21 Unive siry A 9,B R?Pa SWe#M 1EL 5104 I?II III II II 1111111111111111111111 EUNLESS NCLOSPROPER I SPECTIONF?EE IOST goof Phone (612) 602-0800 A?ao/Y si/s7 7 212 ? - . . • lyae) CA' Request Date /2\ •? l Q I` 1 Fire No. Rough-In Inpsecfion Required (Vou must call inspector when ready) Ins ection Other Than Rough-In ? Ready N. ? Will NotNy Inspector ? ? Yes Eff No Dale Ready )elicensed contractor 7 owner hereby request inspection of above electrical work at : Job Adtlress (SIreeL Box or Route No.) R 1 1 J Section No. Township Name or No. Range o. C • ?. Oc nt(PRINT) Phone Na. P er Suppher Address Electncol Contracror fCompany Nafm .) A ? A 1 • re r's L? nse No. ^ ? , A. PJ t7 C l? L.+ . t.3 Ma tltlress ntractor or Owner aking Installation) p(D Authon tl Si ture IContractou er Making nstallalion Phone Number 4 r V / Y4Nt ESOTA STATE BOAR OF ELECTRIGWV THIS INSPECTION REQVEST WILL NOT Griggs-Mltlway Bldg. - om 5473 BE AGCEP7E0 BY THE STATE BOARD 1621 Unirersity Are., Paul. MN 55104 UNLESS PROPER MSPECTION FEE IS Phone (612) 642-0800 5 ENCLOSED- Ii (0/f 721271, REQUEST FOR ELECTRICAL INSPECTION ?'See instruTtions for completing this form on hack of yellow copy. "X" eelow Work Covered by This Request ffsxe ? E13-00001-08 0 ? ew Add 1r,iF'. TypeotBuilding AppliancesWired EquipmenlWired , r Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm,llnduslrial Furnace Other (Specify) Farm Air Conditioner Oiher (specify) Conlractor's Remarks: ?b-lk I 02(? e 1 Compute Inspection Fee Below: i (61&-e?A M # Other Fee ?f Service EntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Sig05 . InspeMor's Use Only: TOTAL ' /-? Irrigation Booms c(, l ? SV Special Inspection 0 Alarm/Communication THIS INSTALLATION MAY B ORDE EO DISCONNECTED IF NO7 Other Fee COMPLETED WITHIN 16 MONT I, the Electrical Inspector, hereby if RoUyn-in oate cert y ihat the above inspection has been made. F;nai f?/ OFFICE USE ONLY - Thi3 request vatl 18 months irom K62888 W 48/ d. Request Date Fire No. Rough-in Inspecti Requiretl? on -AReady Now 71Wili Notity InspeC[or ? ? a ? Yes No W hen Reatly? Ilicensed contractor p owner hereby request inspection of above electrical work at: dob adtlress (Streei. Box or Route nlo.) Ciry 4 u ?a Sectfon No. Township Na r No. Range No. 1 Occupant (PRIM; Phone No. L43u-345? Power Supplier Adtlress 430o - =0+1h EleMrical Conhactor IGompany Name) Contractor5 License No. 1?--Northery\ F?ee?nk- tvJC CA Ola37 Mailing Atltlress (CoNrattor or Owne, Mallation) st 5 0A, ? an - M(U s5 ?a ( Auth - gna ure tra rrOwner Making Installation Phone Number ti MINNESOTA STATE BOARD OF ELECTRICIfY THIS INSPECTION REQUEST WILL NOT GHggrMiAwey BIAg. - Raom 5773 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. ''J V REQUEST FOR ELECTRICAL INSPECTION ? See inslmctions for compleling this lorm on back of yellow copy. 'X" Below Woik Covered by This Request EB-00001-08 ??3;/1J??8 5 . I, ew Add Re . -' Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Hea[ing Apt. Building Dryer Other-(Specify) Comm./Industrial Furnace Farm Air Conditioner Otner (syeciry) Conirector§ Remarks: DIiT ? /L Y Compute Inspection Fee Below: lirk'er a' P,112, # Other Fee # Service EMrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Ahove 200 _ Amps Ab 700 _ Amps SignS Inspector5 Use Onty: T TAL ' Irrigation Booms Lf ? IS Special Inspection Alarm/Communication THIS INSTALLATION MAY BE OR ISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 MONTHS. I, the Electrical Inspector, hereby aou9n4 Date certify that the above inspection has been made. Finai Date OFFICE USE ONLV This request void 1B months irom REQUEST FOR ELECTRICAL INSPECTION ;?w EB-00007-03 ' See instructions lor completing this form on 6ack of yellow copy. T 717?0 " ""X" " Below Work Covered by This Request ? ?? -A-t Ne A$d Rep-. Type oi Building ApplianCas Wired Equipment Wired Home ? Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldy. Air Conditioner Bulk Mflk Tanl< Fflfrn Other SPecify Other ISUer.ifyl ShP.f IS(]1;1:IfY OSf1Cr O{heI Compute lnspection Fee Below # Fee ServiCe EntrancBSize ?! Fee Fenders/5u6feednrs k Fe, Grcui!s 0 to 100 Am ps 0 to 30 Am s 5,00 D to 30 Am s. 101 to 200 Amps 37 to 100 Amps 31 to 100 Am s Above 200 qinp5 Above 100_Amps Above 100_Arnps Transfonners Hemote Control Circ. + Sfl Partial%'Other Fee Signs Speciallnspection T Reniarks ? ICZ F FE? ] J l"-?''. f Y ? . W Rouqh-in D210 the ta? s t h b pec or, ere y tif th t th b Final D.ate cer y a e x ove inspection has been 13--5 e. This request void " - %?'`•.:4/7Af3'9 18 mnnths from ? ?'?? This request void 7// 3 18 months from 7 71710 ? Lai 8 I ?w, sC.I,w,?' ?-1- 4CId 1 30113 Request Uate ?? Fire No. Rough-in Inspection R ufred? ?Reedy Now?Will Noufv. Inspec- lor Wh R ? es No en eady n Licensed Elpc[rical Contrac[ur 1 her¢by request inspection ol above ' tKOwner electrical work installed at: . Stree[ Address, eoz or RoIute_ No. ( 'L 5 ?, 1..? J- A-IJ& i City y? EoI- ecuon o. Township Name or No. Fanpe No. Cowrty Or,.cupantlPfllNTI Phone, N . ? P wer Spp er 4010- CL L'L_ Address _ (\V1.`i (!? /\ Electr?ul ContracUtnr (Company Name) tracmr's License No. Mailin ddre n tor or Owner Making Instailationl ? ? Authorized Signature (Cootra or/Owner Making Installation) ? Phone Number 454 --3? AiINNESOTq qTE BOARD OF ELECTRI Y THIS INSPECTION NEQUEST WILL NOT Grigns-Midway Bldg. - Hoom N•191 BE ACCEPTED BY THE STATE BOARD 1821 Univeisity Ave., St. Paul, MN 56104 UNLESS PROPEH INSPECTION PEE IS ph.„o (q12i 997-7111 ENCLOSED. , • ?? ?? CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDINC; PERMZT APPLICATION 1 set of energy calculations. Zb Be Used For IDa ) 51? q-d Valuation Date Site Address: ,4 ?Z?r,,.? ?. OFFICE USE ONLY I,ot Blocx sec./sub. Erect occiPancy R? Parcel #: Alter Zoning Repair Fire Zone 3 Enlarge Type of Const. ? Owner: Move # 5tories ? Addre.ss: r -' Demolish Front /O ft. Grade Depth ft. City/Zip Code: Phone APPROVAL.S FEES Contractor: Address: City/Zip Code: Phone #: Arch./Eng.. Pddress: City/Zip Code: Phone #: Assessments Water/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Pezmi t ? Surcharge Plan Check SAC Water Conn. Water ^leter xoaa unit TOTAL 4p & ?