1815 Diffley Rd - Electrical Permits1-:2-11 1? ?oi
?3 9 9
I? 44 ;
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Request Oate Fire No. Rough-in Inspection ry ICE: You Must Call ElecVical Inspector
` Requiretl9
? Yeg Na I( A Rough-ln Inspeclion
Is Requiretl.
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street, Box or Route No.) Ciry
?( ! S '!7 fE`t E R-dr?
Sedian rvo. iownship Name or No. Range No, Counry
tlv;4-
Occupant (PRMT) Pnone No.
nS GrL tiI ? `?J
PowerSupplier
? Adtlress
?
-
Elecinial CqnVactor (Canpany Name) Gonvactor5 License No.
rf.,L e L- c e- c-AV-e on, CR
Meiling Address (COntractoi or Owner Making Inslallation)
Ai ? • .1?'??
Auihor¢etl SgnaWra (COntrectodOwner Meking Installation? Phone NumbeI
P¢o - 3s5?
MINNESOTA STATE BOARD Oi ELECTPICITY V THIS INSPECTION REOUEST WILL NOT
GriggaMidway 61dg. - Poom 5173 BE ACCEPTED BY THE STATE BOARO
1821 Universlty Ara„ St Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(812) 642-0800 ENCLOSED.
?a 39.2z. REQUEST FOR ELECTRICAL INSPECTION
p? ? See' s Udions `c}campleting this torm on back oi yellow copy.
• 13 9 8 9/ Below Work Covered by This Re
lol quest
1.1. i? °
?•
e &Stl Rep TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managemem
Comm./Industrial Furnace Other (Specity)
Farm Air Conditioner
Other (specify) Conlractor§ Remarks:
Compute Inspection Fee Below: ?
# Other Fee # ServiceEnirance5ize ee # Circuits/Feaders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Sig115 Inspector5 Use Only: TOTAL
Irri ation Booms /)
?? ?
'? ?
( Special Inspection ? "J
AlarmlCOmmunication THIS INSTALLATION MAY BE OR I5CONNECTED IF NOT
Other Fee ?• /??.(, •? COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rouyn-m - oate
certify that the above inspection has
been made. Finai r
/ „1 oa?e / .a ?i
( (
OFFICE USE ONLV
This request void 18 rtanlhs irom
ReQUast Date
2/ 17 / 9 3 Fire No. Rough-in Inapection
Requiretl?
O Reatly Now }Mill Notity Inspector
-
X Ves G No When Reatly?
I$?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (SIraeL Box or floute No.) Ciy
.1815 Diffle Suite 115 Ea an
= p Name orNO. Renge W. Counry
D ko
Occupant(PRINT) Phone No.
Stephan Homes 431-2727
POwer $upplier AtlOress
Dakota Electric
ElecMCal ConVector ICompeny Namel Conlrector9 License No.
Joos Electric Co. AM01895
Mailing AOtlress IConVacror or Ownar Making Installationl
2104 Great Oaks Drive, Burnsville, MN 55337
mmhonzea siynawre icom,a?mrvow?a, nnakmy ,zna?ro ano?e N?m7+31- 4755
(
MINNESOTA STATE BOAPD OF ELECTRICITY THIS INSPECTION REOOEST WILL NOT
Griggn-Miawey Bltlg. - Hoom 5-173 BE AGCEPTED BV THE $TATE 80AR0
1821 Univerofly l1ve., SL Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(613) 6C2A800 ENCLOSEO.
y?mx
REQUEST FOR ELECTRICAL INSPECTION k?.}.°•?`?,z, ea00001-08
? ? See insiroaionsfo r.-ompleting this form on back of yellow copy.
05952 ?"x" Be/ow Work Covered by This Request t? ?'
ew Adtl fiep. TypeofBUilding AppliancesWired EquipmentWired
Home fiange Temporary Sarvice
Duplez Water Heater Electric Heating
Apt.BUilding Dryer Other.(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Oiner (suKitY) ConVaclor's Remerks',
ComputelnspectionFeeBelow: ReIDOClel offiCe
# Other Fee # ServiceEntrenceSize Fae # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
TranSformer5 Above 200 _ Amps Above 100 _ Amps
Signs Inspedor5 Use only:
? TOTAL
Irrigation Booms 7? $ 30 . 50
Special Inspection ???
Alarm/Communication THIS INSTAILATION MAY BE ORDE CONNECTE)IP NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in oaie.2
certity ihat the above inspection has
been made. oete
72
OFFlCE USE ONLY
This request voitl 18 montbs hom
2r/'?t aiVr a o09
lv
p 49011y!€ / . ?
? 8
Fequest Oate / - !re Fip. Roughin Inspection
Requlretl?
d eatly Now ??yJlll Notity Mspecror
Wh
F
tl
?
tj Ves = No en
ea
y
I1-Clicensed contractor ] owner hereby request inspection of above electrical work at:
Job Atlaress ISVeeL B. or Rou@ No.l
R Ciry /
r'
'
N.
u/n .q
?
Seclmn No.
? Township Name or o. Range No. Counry
'OAk?i ?
OccupanttPRiNT)
1, . Phone No
3)
,
Power Suopiier
W ,n e • ?
?, ?- qtltlress
30C, S!,
Eiecvical conhacior IComoany Nxme)
eil
?
" Conlrecmr4 License No.
0 ''
1
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- ? L
n t:i
r f 6
7
Matling Atlor255 (Conaracar Or Ownpr Making Inslalldtion)
1
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Al
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AuttIDnZBO Slgn IWre IConVa oPOwnBr Meking Irlstallationi PhonB NumO¢r
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-
MINNESOTA STATE BOAHD OP ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Griggg-Midway Bltlg. - Raam S-173 1 8E ACCEPTED BV THE STATE BOAFD
1821 University Ave.. SI. Paul. MN 55104 . UNLESS PROPER MSPECTION FEE IS
Phone(613)6CY-0800 ENGLOSEO.
w• /w?.^y' REQUEST FOR ELECTRICAL INSPECTION
? See Inslmctions lor completing Ihis form an ozck of yellow copy
"X" Below Work Covered by This Request
? -
EBOW0t08
1002719
a::?...
ew Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Apt. Builtling Dryer Other (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
otner(suecilyi Convacbr's Remarks yy ?/(??J1'
/l//"', ' ""'?l"YHi
Compute Inspection Fee Below: . p
z' Olher Fee # uits/Feeders Fee
ServiceEntranceSize Fee # Circ
Swimming Pool A
0 to 200 Amps f,G$7 Q to 100 mps j(?? y?
Transformers AboVe201 AmpS ,C> rIL Above100_Amps Iffi)
Si9n5 InspxlorsUSeOnly: T L
Irrigaiion Booms
Speciallnspection ??
AlarmlCommunication 'bMC NNECTED IF NOT
THIS INSTALLATION MAY BE ORDERE
Other Fee i
4 Y
COMPLETED WITHIN NTH ?
I, the Electrical Inspector, hereby
7 R°°gn-in oa?e?c?d_
d
certify Ihat ihe above inspection has
been matle. fnai oate
...??'
/zq
OFFICE USE 3NLY
This equest vaitl 18 momhs Imm
2 3 1- 4 9 3?J OFFICE USE O LV This request void 18 monihs fram valldation dote prinled in this ba?x.?fc j'
o?
PLEA6E PRINT OR TYPE
Reqoesf Dak Raugh-in'mspeclion required2 ? Yes ? Na Inspe on Other Than Rwgh-In:.?Ready Now 0 Will Call
_' 3-9 ? (l'au mus? mll ?he inzpedar when ieody) ?aie Ready:
licensed coMracfor ? owner hereby requesf inspedion oi ihe above eledriml work at:
Jab ndd«:. (SVee1, Bov, or Boute Na.)
?
' cry
? zip code
le 1
1 s R ?n
Seclion Na
• Township Nome or . Range Na. Fve No, Caunry
1.7a1?o?c?
Oaupam Phane No.
. Td m ' m b
Pawer Supplix Address
Eletldml CoMrador (Campany Name)
T7 Serv?e.2Tnc Conmcror Liwnse No
CI?-G?Dq??7 Master Lic No. (Plonl Elen. Only)
Mailing Address (Gommnor ar OwnyerJPerfarmtng In:tallanony)
T ? 1 1{?
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AWhonzed Synoture (COnwcroy. Owner P Insmllofion)
' Phane No.
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EB-06001A-10 619V ' STATE60ARDCOPV-SEEINSTHUCTION80NBACKOFYELLOWCOPY
?IIIIII?II III?
II III
u m
t 0 2 3? 4 9 3 ?IIII?I+REQUEST FOR ELECTRICAL INSPECTION ?
? { Minnesota State Board of Electricity
i i 1821 University Ave., Rm. S- 28, St Paul, MN 55104
2 * Pt?one (EiZ 612-0600
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indushiol Form Remod Re air
Air Cond. Htg. Equip. Wafer Hfc Lood Mgmt. Ofher.
D er Ron e Elec. Heof Tem . Service
"X" a6ove ffie work cov red by this reqvesf. Enfer remarks in fhis space and on }he back of ihe white copy only.
C, Ictbb- Lc.olurnns
?ire d (f'? rn.erchan d?'sz-r boxes
i?e-c'an ?r?) spK s- call Swi+c.has
Calculate Inspecfion Fee - 7his InspecMion Requesf will not be accepfed wiihou/ the torred fee:
ONier Fee # Service Fnhance Size Fee # Circuih/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Streei Ltg./Tmffic Sig. Above 200 Amps Above-100 Amps
Trons(ormer/Generaror INSPECTON'SUSEONLY 70TAL
$ign/Oufline Lig. Xfmr. U?
?6 ?
Alarm/Remofe Confrol ?-
Swimming Pool v
I here ?eM thar I ins eaed ?he dennml ?mkllatian descrtbed herein on Me dorez Mared
Irrigafion Boom Roogh-In Do4
Special Inspedion '
Invesfigative Fee
??j •
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF?IQHY'COM L ED THI 18 MONTH .
3 4 5- 7 5 9[9 OFFlC USE ONLY This requesl.oid IB months fmm volldallon dme pnnted in this boz
?oi/Yv
. & a
PLEASE PRINT OR TYPE
t u?
Requeet DoM Rough-i inspetllon reqoired2 ? Yes Inspe n Oiher Than Rovgh-In: ? Ready Now 0 WIII Call
0,..?10 -96 (You m?sr mll Ihe insp<nor wha n reodyj D.I. Ready: = b
I, icensed contractor ? owner hereby requesi inspection of the above elecfricol work at:
Joblddmm (SVeet, Bos, or Rook Na.) Cih Zip Code
B•r ?c C-? ??••?
SMion?No. Tawnship Name ar No. Range No. Fim No. Covnry
?
pp?p ?I Phone No.
??
Power Soppliar Addresz
ElMnml Conimtlw (Campany Noma) Canfracror Llrense No. Maskr Lic No. (Plom Elecl. Only)
Sv.Bc,.Pd.R*? e cJi
Nwilirg Aildnu Coni.oclor or Owner Pedorming Immllation)
AIQ777 4ogee 4rWseco .f+L-c, .•c.y s c? ,.K s?'o ?z,
Amhanxed Sigrwroro Cankacror ar Owner PeAoiming Immllalion) Phone No.
.f;g/ .4 r,&f k.- ell Y3s-?Yrro
EB-OOOOIA-Ob/95 SfATEBOAROCOPY•SEEINSTNUCTIONSONBACKOFYELLOWCOW
I I? I II II I I I I I II II III I II I?(' II I II? 821OU? ersity Ave., Rm SR BASt.I PauP MNT55?10 ?r?,'
* 0 3 4 5 7 5 9 5* Phone (812) 642-0800 lb/?y?6o
Home • Duplex Apt. Bldg. Other. New Addn
Commer<ial Indushial 1 1 Farm Remod Re air
Air Cond. Hfg. Equip. Waier Htr. Load Mgmt Olher.
D Ar Ran e Elec. Heat Tem . Service
"X" above ihe work covered by ibis requesf. En/er remarks in fhis space and on fhe 6ack of the white mpy only.
AE-(HS,"R"
??/c? S!(.,.? ?
Calculote Inspedion Fee - This Inspection Requesf will nof 6e accepted withouf the mirect Fee:
OlFier Fee #t Service Enfrance S¢e Fee # Ciraih/Feeders Fee
INobile Hame Park Stall 0 to 200 Amps y 0 to 100 Amps
$heet Lig./Troffic Sig. Above 200 ps Above 700 Amps
Transformer/Generafor INSPECTOP' SEONLY
6 TOTAL
'z $ign/Oufline Ltg. Wmr, Vo ? C.
)
Alarm/Remote Conhol
$wimming Pool I here6 cem thaf l i. eaed Ihe eledrical ?nstollai?on described hercin on the dmes elvled
Irrigation Boom Ro„yh-i„ F ock
$pecial Ins
ection
p
Irnestigafive Fee F???? o??e?o r6
THIS INSTALLATION MAY BE ORDERED bl IF NOT COMPLETED WITHIN 18 0 H.
?/??/?? ? .??1?? ?.. °°
0 0 3 503 5
?
Request Date ire No. Ruu h-In Inspection Requiretl Insp t her Than Rough-In
17
3-p (You mue[ call inspeCtor whe atly) Plileady Now 0 WIII Notify Inspsctor
-- ? Ves 5 lo ?ate Featly
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Atlaress (SireeL 8ox or Route NoJ City
' FF4-? ,CTt'E7!!?/
Section nlo. iavnsnip Name or No. Range No. County
Ili
Oacupa (PRINTj Phone Na.
?14flGJ-
R?
Power SupPlier Atldress
Eli Con[racror (Company Name) ConVadors License No.
? 6i
Malling Atltlress (Contracror or Owner Mewng Instella[ion)
.
p
A27 /?L? 4 ?FKD , I?/ ? J fL.LLVQ AY/f?? ..S?O Z
Authorizetl SignaWre (COntrac[odOwner Making Installation) Phone Number
f
' r-7?/YC7
?3
s« c1 r
G„z 9?n0? ry p?e BSR PD? SMNB SCT041CITY Iry II 11111 II IIA I I II"' ?p I I. IIII UNLE SEPPPTED OP EF INSPECTIONF EE IST
?? ? a I Iliil ???
to /CJ(? REQUEST?OR ELECTRICAL INSPECTION ? _ee-aoooros
? See inslmctions !or completing fiis torm an back of yello%v mpy. 073 503 "X" Be/ow Work Covs?d by This Request x?'.
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Olher(specify) CoNractorsflemarks.
, 1- dl`x S'l /uotvuEutr" r ssE,-?
Compute Inspection Fee Below:
# Other Fee # Service EMrance Size Fee # . Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
SIgf15 Inspector's Use Onty: T?TAL
?
Irri ation Booms ? L7
'
. Special Ins ection
., Alarm/Communication THIS lNSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-io Da[e
certify ihat ihe above inspection has
been made. Final aie'! Z Y
K?
OFFlCE USE ONLY I
This request voitl 18 months fmm
.3//t//9(p ,fi?0& y
0 073 X6o°q'
Fequest Date Fi N.
Inspectio Iher TM1an Rough-In
ough-In Inspection Requiretl
3-
p I
(YOU must callinspectorw? ready) eatly Now E) WIII Notify Inspector
- ? Yes VY No Date Peatly
I L°f li
n
t
d
t
?
h
b
i
i
k
ce
se
con
rac
or
owner
ere
cal wor
at:
y request
nspection of above electr
Job'Atld
ress (Sireet, 8ox or Route NoJ City
/
.( Z3/,
J-- Y? G?
`/I'CY/B^?
Section No. Township Name or No. Range No. Counly
-G
Occup 1(PRINTJ Phone No.
? ?W v
Power Supplier Atltlress
Eleclrical Contredor (Company Name) Coniramor's License No.
SuB /F Tst. I/vc ! ?i1?' ITY.(J
Mailing Atldress (COmractor or Owner Making Installation)
//?-?•.-? /?rLL?ikl1? /?l
Au:honzetl SignaNre (ConVacto
dOwner Making Instellation) Phone Nvmber
p
.??.?Y 1?ii ?-,rr es'tcd 7 YYO
o' e f61T?2pO800BS aP m S?N85 'QaICRY IIII p? Anl N II II? n? ??? I? QI? I'I UNILESOSEPPOP ER INSPECTIONFOEE IS
GhT
REQUEST FOR ELECTRICAL INSPECTION •e,e-ooooi-os
`Iiit 5h insimctions for completing ihis brm on Oack ol yellow copy. 4(v Z/
"X" Below Work Covered by This Request
073 495
Ne Add Rep. Type of Building Ap;.liynces Wired Equipment Wired
Home Range Temporary Service
Duplex Wa[er Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (S ecify)
Farm Air Conditioner
Otber (specify) Convaotor's Remarks n
-o - ti'?4l YcoKOro SK>Nf
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Z 0 to 700 Amps
Transformers Above 200-Amps Above 100 -Amps
SIgf1S Inspedor's Use Only: TQ7AO
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTAILATION MAY BE ORDERED DI CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M ?
I, the Eledrical Inspector, hereby Rouqh-in ?
?
certify Ihat the above inspection has
bBBO roed0. Finai
OFFICE USE ONLY l This request void 18 monlhs irom '