2007 Diffley Rd - Electrical Permits67
Req. t Data Fire No. Rou h-In Inspection Required! Inspection Other Than gh-In
9 75
1 (You mu t call inspector when ready)
? Reatly Now WIII Notify Inspector
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No Data Reatl
( ? licensed contractor owner hereby request inspection of above electrical work at:
JO Address (Street, Box or Route No)
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Section No. Township Name or No. Range No. County
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Occupant (PRINT)
5C--f-t- 7?A- IV Phone No.
Power Supplier Address
Eledncal Contractor (Company Name)
v Contractofs license No.
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Mailing Address (Contractor or Owner Making Installation)
AuM 'zad Signature (Can ctor/O r kin Installation) Phone Number
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MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST LL NOT
Griggs-Mitlway Bldg. - Room 5126 1 11111 1111 111111 1111 I II I I I I i t II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Phana 16121642-0600 FNf.1 0API1
REQUEST FOR ELECTRICAL INSPECTION E[3-00001-09
10- See instructions for completing this form on Nick of yellow copy.
"X" ReJow Work Covered by This Request T f/
New Add Rep. Type of Building Appliances Wired Equipment Wired
X1 I Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
other (specify) Contractors Remarks.
Compute Inspection Fee Below: PON "
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ,to 100 Amps
Transformers Above 200 Amps Abo 100 -Amps
Signs Inspectors Use Only: TOT
Irrigation Booms 14/66
Special Inspection
Alarm/Communication THIS INSTALLATION MAY DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in /
Final Date J
/J
OFFICE USE ONLY
This request void 18 months from
(p 9? REQUEST FOR ELECTRICAL INSPECTION EB-00001 -06
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?p ?I ilk- See instructions for completing this form on back of yellow copya9/7` P
K 5075 "X" Below Work Covered by This Request N `'i
d?` 9yf. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
radese box
Compute Inspection Fee Below: Up g
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 [0 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 -Amps
Signs Inspector's Use Only: r
Irrigation Booms r
J " j
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby
certify that the above inspection has
been made. - Rough-in
Final r Date
Data _
OFFICE USE ONLY
This request voie 1B months from "-
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Request Dat? ???? Fire No. Roughin Inspaclion
Repuiretl4
? Ready Nmv Will Notity Inspector
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I licensed contractor (,owner hereby request inspection of above electrical work at:
Job Abdress (Street. So or Route No.) city
4690
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Section No. Town ip Name or o. ar(ge No. County
Oc nt(PRINTI L -
?' Phone No.
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Power Supplier Address
Electrical rybiltraft0f (Company Nam
e) Contrectorls License No.
e)
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Mailing Address (Contractor or Owner Making Installation)
L/t-
Ammo - a Signature (Canna r/Owner aki Inst nation) Phone Number
MINNESOTA STATE BOARD OF r PECTIO Gr gge-Mitlwey Bldg. - Room S-173 ELECTRICITY uP9rad e s e box BTHI E S INSPTED BN RE STATE WILL NOT BOARD
1821 Unlverelty Ave.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Ptrone(612)6C2-0800 ENCLOSED.