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4300 Lexington Ave - Electrical permitsThis reQUesl wid -/ C (?j ? (? ?nths fram ? ?`'? /? ,? ?-? ? 0 9?1833 ,c? G?/ ??.?_ti ?2 j? Request Oate ' / ?, Fiie NoJ Rough-in Inspecuon Required? ReaAy Nuw ? WiII Notifv InsOec- Wh R « 1 ? XVes No ?r en eady ? Liceris2d Elec[ncal Contractor I hereby re0uest inspection of above ' ? Owner eleclncal work mstalled at Sveel Address, Boz or Roure No. Gtv So. .4 ? ln 'an ?F-u,c r- ecLOn o. Townshi0 Na e or No. Coumy 77T T 77 Occupam (PRINT) Phone No. iU Ot i aq 6 i CD1PL' CfH1, /el2 Power SupPlier AGtlress Electrical Cmhacror ICompanv Name) ConVactor"s Licnnse No. Mailing AdJress (Conhactor or Owner Making InslailauoN ? AuNori ienamre 1 omr wner Making Inst,allauon Phone Number MINNESOTA STqTE BOARD OF ELECT CITV THIS INSPECTION REQUEST WILL NOT Griggs•Midwey Bldg. - Poom N-191 BE ACCEPTED BY THE STqTE BOARO 55104 UNLESS PROPEfl INSPECTION FEE IS 7821 University Ave., St Peul. MN ENCLOSED. Phone 16121 297.2111 REQUEST FOR ELECTRICAL INSPECTION ea-oooai-oa % /? ?1J R5f?? Sea instruct.ons (or completing thia form on Oeck a} vellow copy. p n qIR33 X" Below Work Covered by This Request FUZ -ATd Reo. TVpe of Bwldmg Appliencea Wirad Entsiumenl Wired Home Range Temporary Service Duplex Water Heater Lighhny Fixtures Apt. Bwlding Dryer Etectric Heatin Commercial Bldg. Furnace Silo lJnloader Industnal Bldg. Air Conditioner Bulk Milk Tank Farm Other Oeci y therlSUnr.Nyl t er Vec,fy Omer Othv, - omnute lnsoecban Fee Belaw N Fea ServiceEntrenceSize k Fee feeders/5ubfeeders il ' Fee G,moits 0 to 200 qm s 0 to 30 qm s 0 to 30 An! Above 200 Arms 31 to 100 AinpS 31 to 100 qm s Swimmfng Pool Above 100_Am Above 10D_AmUs Transrormers Irngation Booms Pertial'Other Fee Signs JSpecial InspecLOn J$z7? I J T FEE ^Z ? .a(/ nal _ ;) .3'"' FO Inspaclor, hereby certNy Ihet the abova IDspection has been Thie request void 18 ?j5C?5 °a V 4 0 8 2 4 / . / j7 ReQUest Oate ?re No Rough-7. Inspechon ? Ready Now,<W ll Nohfy Inspector p . When Reaayv licensed contractor Q owner hereby request inspection of above electncal work at: .bb Atltlress (Street, Box or floule No ) City ? X fN ?G Seciron W. Township Name or o. Range No Countyy^/ y Oc cupant(PRINT) Phon¢ N. ' R/e'v(J . I^ b towerSUppOar AEtlress lecl I CoMraclOr (Campany Name) Comractor9 Uce ree No. •P p ? ? O (/ ? AAailing Adtlress (COntr r or Owner Making Imiallalron) A re (CoiHracfor/Owner Making I Oon) Phone N umGen ?j MINNESOTA STATE BOAflD OF ELECT111CITY / THIS INSPECTION REQUEST WILL NOT GeiggmMidway Bitlg. - Hoom S-1TJ BE ACCEPTEO 6Y THE STATE 80ARD 'BTI UMversiry Rva., $t Pwl, NN 55100 UNLESS PROPER INSPECTION FEE IS .hona(8121&12-0800 ENCLOSED. ,j?/?REQUEST FOR ELECTRICAL INSPECTION ? See msWCtions for mmpletinq this torcn on back of yellow copy. 0 4 0 8 2 4 X" Below Work Covered by This Request 410M e tl Rep: Type of Building AppliancesWired EquipmenlWired Home Range Temporary Service Duplez Water Heater ElecUic Heating ' Apt. Buildmg Dryer Other (Specify) Comm./Industrial Furnace Farm Air Condrtioner Ottier (spemly) Comractor5 Remerks: Compute lnspection Fee Below: y Other Fee # ServiceEnt2nce5ize Fee # Cirwi[s/Feedere Fce . Swimming Pool 0 to 200 Amps 0 to 100 Amps J Zd Transformers Abov 00=-Rrnps Ahoveto0_Amps /y SignS inspector9USeOnly: TO L - IrrigationBooms C Special Inspection Alarm/Communication Other Fee ( I, the Electrical Inspedor, here6y R°'gh"" J[ I certifythatthe aboveinspection has been made. Fmi oaie ?? OFFICE USE ONLY TNS reques[ wW 18 months hom <-- G? 40825V ?l (?k ? . Flequest Dete ' Fire Nb) Rough-In Inspeclwn ? 11 Required? ?? / ?Yes ?b ?ReatlyNow 9WIR oirtyl2spec[or Whan ReaEy7 I;91jicensed contractor ? owner hereby request inspection of above eledrical work at: ,bb Address (Street, Boz or RoNe No.) cpy y? , -A;K?- Seclion No. Toxnship Neme or No. Rarge No Counry OccupaM (PRINT) Phone No ^ /`.' Nll7-oN PowBr Supplie r pddress ? E ctncal CoMraqw (COmparry Name) Conl2cmr§ License No. 't"f"OK ,'i:7?GGJ r? 4 ? Mailing P4tlrass ( traelw or Ovmar Meking Instellatan) ` 1,7-6 ; cg- 57 AW naNre (Cqmr or/Ow7r Maki aRation) Phone NumEer y MINNESOTA STATE BOARO OF ELECTAICffY THIS INSPECTION REQUEST WILL NOT Geiggallidxay BIEg. - floom S173 BE ACCEPTED BY THE STATE eOARD 1821 Universiry Ave., 5t Paul, MN 65109 UNLESS PROPER INSPECTION FEE IS Phone(811)612-0800 ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION eaoaom m? sy ? See insiruWOns for completmg this brm on back of yellow copy. 9?GJQ? F 4 8 25 '7G' 8elow'VYork Covered by This Request ? e Add Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range emporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Mar (speaty) Conkeciw9 Remarks ? . ?? S Compufe Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee S Circuits/Feedere Fee Swimming Pool 0 to 00 Amps 41 0 to 100 Amps Z Transformers Above 200 _ Amps Above 700 _ Amps .? Signs Inspectors Usa aniy. TOTAL Irrigetion Booms ?. 7- s? Special inspeaion - Alarm/Communicalion 7 Other Fee I, the Electncal Inspector, hereby Rough-m certifythattheaboveinspectionhas been made. Final ? oate OFFICE USE ONLV I This reque5[ witl 18 manlhs hom