2018 Diffley Rd - Electrical PermitsMinnesota State Board of Electricity ?j
18 4 University Ave., St. Paul, Minn. 55104-Phone 645.7703 ? 01 S
THIS EOUEST INSPECTION 3 12 8 6
CHECK BELOW WORKOCO EED BYELECTRICAL
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm - C] List ) List
0th r ? ? ? y
Cehre 1 941 Tai
thers
FEE BELOW
0 to 100 Am s. 1 11. !5L) 11 0 to 30 Am eves - -8 tE*90"Am e[es
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200 Amos. Above 100 AMDS. Above 100 Amos.
Remarks Ii PCI r y°?YY'J? cr[ /Y)'+ Cad 4TA-Cjr-d TOTAL FE?
I, the ElechtriCalSspector, hereby certify that the above inspection has been made.
(Final)
Date
bate -
This request void 18 months from
This reotst void 18 months from L S r IS i
-3
Date of his Reque R $ 3r2 8 6
1, as hQ Licensed Elect ' al Cont for ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No.
Section Township_
Which'is occupied by S
Range County`
Is 6 roughin inspection required on this job? No Yes ? Ready Now q? Will Call ?
Power Supplier . ?. i Address AV-y) -e
.?.? j A-518 1
Electrical Contractor r G F P 4y; C:-, Contractor's License No.
Mailing Address
Authorized
tmectrical contractor or own
PO N D OM QOpli
No4J`-,Jt 3-
This inspection request will not be accepted by the
State Board unless proper inspection fee is enclosed.
jr 4s REQUEST FOR ELECTRICAL INSPECTION
MM ! ? See InsVUCnons for completing this form on back of yellow copy.
UV 6 191 "X" Below Work Covered by This Request
?? ?xa, ?e-oooot-o
ew AQU A . Typeof Building Appinal ces Wired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
- Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other ispecity) Contractor'9 Remarks- {
21 l a 0:?
Compute Inspection Fee Below.: 6s,-) !?-
# Other Fee # Service Entrance ize Fee # Circuits/Feeders Fee
Swimming 2001 0 to 200 Amps 0 to 100 Amps
7ranstormers Above 200 Amps Above 100 Amps
Signs . Inspector's Use Only, TOTAL ,?
Irrigation Booms y1 .
? ^'
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 111
I, the Electrical Inspector, hereby
if
h Rough-in /
1. Data
LJ
cert
y t
at the above inspection has
been made. R;nal Date
OFFICE USE ONLY
This request void 18 months from
?? `j /
C? 819 aye ?,
Request Date
?yy /yam l Fire No Rot in Inppspion Resulted
[You must Pdlnnspeetor when ready) In on Other Than ugh-In
peed, Now ;Will Notity Inspector
(J / + ? Year ? No Date Ready
I)i(kensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) ?
B
??
City
Section No. TOwnship Nara or No. Range No. Co
Occupy I)PiZINT)
J Phone No.
6962-
??
.uc.
ww 5
?
Pawer Su`sp bar
U? AdOress
lectrical Contractor tCompany Name) Contractor's License No.
Mating Adbress ICOntrector Owner Making Installation)
- ) 9L -3-757
Au;horiz SignaWre C.4, o wine Mai stallatipnl Phone Number -
NO -31 Lr
MINNES?A54AiE'9O'
D OF ELECTRICIT THIS INSPECTION REOUEST WILL NOT
AIR i4exd
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-MOO ENCLOSED.
/?/?O O(-G?.Z REQUEST FOR ELECTRICAL INSPECTION Ee-
/ p' / See instructions for completing this form on back of yellow copy.
X" Below Work Covered by This Request V
New 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 Furnace Other (Specify)
Farm Air Conditioner
Other (apecry) contractors Remarks'.
(? ? rt gl4rgg?
Compute Inspection Fee Below., JJ
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Above 100 -Amps
Signs Inspector's Use Only, TDT
Irrigation Booms Q • tl (/
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR DE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby
if
h
h
b Rongh im Date.. r
cert
y t
at t
e a
ove inspection has
been made, Final
` -vy -
OFFICE USE ONLY
This request void 18 months from
+d
03
7 0421
a
a
Reques Date /
7 9?
H Fire N ough-In nspechon Required
IVOU m call inspeMOr when ready) Inspection Other Th ough In
Ready Now Will Notify Inspector
a
,
/
Yes ? No Date Reatl
I ? licensed contractor owner hereby request inspection of above electrical work at:
Job Address 011?aat. Box 're l ^ 1 e ?
o
' J cav 0. C
Section No. Township Name or No
.. Range No. C unty
Ocgypaw-(PRINT) Phone No.
1-4 C-
Power Supplier Atltlress
EleMrical C Iraetor (Company Name) Contractors License No.
rx ED wn tq ?
Mailing Address Camractor or Owner Making Installation)
aL)
n= Signature ( ractcrjOwner Making Installation) Phone Number
V(c 6 62-
NNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
gga-Midway Bldg. - Room 5.128 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55106 NLESS PROPER INSPECTION FEE IS
PFnnn mim nd,ula0n FNCL FIRED.