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