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
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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
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A
1
•
re r's L? nse No.
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A.
PJ
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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?
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J l"-?''. f Y ? . W
Rouqh-in D210
the ta?
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pec
or,
ere
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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 &
?