4180 Lexington Ave -Electrical permitsLECTRICAL INSPECTION E?o?oe?
7 ? See instmclions for completing Ihis torm on Dack ot yellow copy.
24933 X° Below Work Covered by This Request
ew A2h5- Fio`. TypeofBuilding Applianceswired Equipmentwired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other_(Specify)
Comm.lindustriai Furnace
Farm Air Conditioner
Other Isuecityl CoNractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 6 c 0 to 100 Amps
Transformers Above 200 _ Amps -i 0 Amps
Si f15 Inspector5 Use Only: TOTAL
' Irrgation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORUfRED NFECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTkS,
I, the Eleciricel Inspector, hereby Rough•in „i ?-• • ?
certify that the above inspection has
been made. F;,,ai
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(
OFFICE USE ONLV -
This request vaitl 18 months from .
400
ffie st Date Fire Nt
•in Inspe
ction
Houg
retl?
Ready Now?Will Notify Inspector
s G No When Feady?
Iek licensed contractor D owner hereby request inspection of above electrical work at:
dob ndaress IStreet. Boz or aoute No.l Ciry
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Section No. 7ownship Name or N` Range No. Coun
Occupant (PRMT) Phone No.
plier ( 1 ?,
Powe6
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laz,l r ,
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411
Electric Contractor (Company Namei Contractor5 License No.
Z 'e r: Ac- . G?1 ao3
Mailing Aatlress (Comrac!or or Owner Making Installalion)
Authorizetl ',gqxture I on ?tor%Owner Ring InstalQation) Phone Number
MINNESOTA STATE BOAR OF LECTRIC6,"` THIS INSPECTION PEQUEST WILL NOT
Grfggs-Midwey Bldg. - Room 5473 BE ACCEPTED BV THE STATE BOARO
1821 University Ave., St. Paul. MN 55104 UNLESS PROPEF WSPECTION FEE IS Phone (612) 6d2-OB00 ENCLOSED.
r,/s/? REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for compleling this form on 6ack ot yellow copy.
M 15 4 2 _ x" B67ow Work Covered by This Request
???'? EB-00001-OB
jQO
e il6d Rd,, TypeofBuilding AppliancesWired EquipmentWired
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:
Compute lnspection Fee Below: 14 4
# Other Fee # Service Entrance Size Fee # ircuits/Feeders Fee
Swimming Pool 0 ta 200 Amps 0 to 100 Amps 5 GU
Transformers Above 200 _ Above 100 _ Amps
S19f15 Inspectors Use Only: TOTAL,..?
Irrigation Booms ?
v!
Special Inspection °
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. '
I, the Electrical Inspector, hereby Rough=in
? Date
certif that the above ins ection has
Y P
been made. Finai d ate
OFFICE USE ONLV
This requesl void 18 monihs irom
S
?
?
°0
?I
'51? 4 ?O
0
Request Dale . Fire No. Rough-in nspection NOTICE: You Must Call Electrical Inspector
Required? Ii A Rough-In Inspection
? Yes ? Na Is Requiied.
I? licensed contractor ? owner hereby request ins ection of above electrical work at:
Jab Address (Street, Box or Route No.)
rf City
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L.
r
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GT Cl.af.
S QN f Cy,?
Seclion No. T nship Name or No. Range No. Cou
Occupant (PRIfJn
I /
?-. Phone No.
.4.
5 1 / 7? 9r l
Cfy? Un c.
Power Supplier Address
-?
Elecirical Contractor (Company Na?e
? Contractor5 License No.
L'r? e.? I
.e 4..'?'V1 A d ?3 %
Mailing Address (Conireclor or Owner Making Inslaltation)
g'?' ?_ ,V Af
Authofixed 5' re (Co Iractod0 er Making Installaf Phone Number
MINNESOTA STA7E BOARLg) ELEHIqTY . THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - poom 5-173 . BE ACCEPTED BY THE STATE BOARD
1821 Universiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.