4100 Lexington Way - Electrical permits/?%io/5u 990 '?
Pequest Date i No. Rough
-in Inspection
?O O Pequiretl> Gy Now ?Will NoM1y Inspedor
aA
R
?
Wh
Ye
? No
s
en
e
y
lxhcensed contractor ? owner hereby request inspection of above electncal work at:
.bo Atldre55 ($treet. Boa or Route No ) Qly
o-, c 40
SecM1On No TownshiD Neme or No Range No Cou ?
?
OccuOa (PRINT) Phone No
wer5 AdOress
Electtic Vact ny Na ConVacbrS license No "-
?
MaiL Atltlress (CoNnac r Own kin all n)
777 ?
AWlwnz ignaWre ICOmr / ng Installatron)
? Phone Number
L( ? V
MINN STATE BOAPD OF ELECTRICITV THIS INSPECTION FEQUEST WILL NOT '
Gri s-MlEwey Bitlp. - Hoom 5113 9E ACCEPTEO 6V THE STATE 80APD
1821 Unlveraity Ave., St paul, MN 551D0 UNLESS PROPER INSPECTION FEE IS
Plqne (612) 602?0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION /e1e-00001-08
P. See msVUCtrons fo;rcompleting this lorm on back ol yellow copy
-379 "X" Be/ow Work Covered by This Request
5
TypeofBUilding AppliancesWired EquipmentWired
me Ranqe Temporary Serwce
Duplex Water Heater Eiectric Heating
Apt Bmlding Dryer O[her (Specify)
Comm./induslrial Furnace
Farm Arc Conditioner
O e aty) Conirector's Remarks
Compute Inspechon Fee Below.
# Oiher Pee # Service Entrance Size Fee # Crtcwts/Feetlere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 - Amps
Slgns Inspector5 Use Only TA S'?
Irrigation Booms l
? ?,
Speaal Inspecnon ?
?
V
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electncal Inspector, hereby Rouqnan
l oate
certify that the above mspection has
been matle. F;nai e
- '
OFFICE USE DNLV
?
This request witl 18 monihs irom
?/() 5 -
K
' 91 6
?,
,
?? ?a?
?/
?{
"
7
J/a 7 93
?
Request Date Fire No. Rougn-in InspBnron
qgQuir??
? Reatly Now C?Nill Notity Inspec?or
??93 ,f?L'es C No When fleetly'+
IDdicensed contractor rJ owner hereby request inspection ot above electncal work at:
Job AdORSS ISVeet. Box or Route No 1 City
4100 Leairx3ton Way Eagan, M.
Section No Townshi0 Name or No Range No. County
??
? ?yaM11.6
1/
Occupant(PPINT) Phone No
an Ev elical Church
Powar SuppLer AOtlress
DaSOYa ElECtL1C FdLnilurilr,ORi M-
Elecmcal ConvactorlCOmpany Namel ConhacMr§ License No
H" ite Electric inc.
Matling Atltlress (GOnrcactor or Owner Making Installationl
1953 Shavnee [Mi 55122
Authoontr?elqrr ner Malnng Inst;lla\ron) Phone Number
612 452-8886
MINNESOT/ STATE BOARU OF ELECTRICR41 TMIS INSPECTION REQUEST WILL NOT
GrlggmMiGway BIEg. - Poom S473 BE NCCEPTED BY THE STqTE BOARD
1841 Unlvernity Ave., SL Paul. MN 55104 UNLESS PROPEfi INSPECTION FEE IS
Phone (812) 612-0800 ENCLOSED
SJa?1C?3 REQUESTFf?RELECTRICALINSPECTION °•?'?,? ao000I-0e
4=?? G
0- Se¢ msVUtlmo/Tor c6mpleung this lorm on beck oi yellow copy
K 3 3 9 9 6 'X" Below Work Covered by This Request
ew Atltl RV Typeofemltlmg AppliancesWrted EquipmentWiretl
Home Range Temporary Service
Ouplex Water Heater Eleciric Heating
Apt. Bwldmg Dryer Othar-(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Olhee (syecdy) Conirector5 Remarks
Compute Inspechon Fee Below
# Other Fee # ServiceEntranceSize Fee # Cvcutls/Feetlers Fee
Swimming Pool ]. 0 to 200 Amps to 100 Amps -
Transformers Above 200 _ Amps Above 100 _ Amps
Siqns Inspecrors Use Only 70TAL
Irr
igationBooms
??
4
103.?
Speaal Inspecnon L
AlarmlCOmmunication DIS
(
THIS INSTALLATION MAY BE OR ONNECTED IF NOT
Other Fee 500 COMPLETED WITHIN 1,8 ONTNS.
I, the Electncal Inspector, hereby Aougn,n Oatef2 .r
cer6ty that the above mspec4on has
been made. F,,,ai ? oai 1
OFFICE USE ONLY
This reqoest vaitl 18 monfis Irom
0
?
03
22
Fel Repuest at No ough-?nl s qion
Req ired,
? Reedy Now ??/Jill Notify Inspecror
R
9
? ?W
, es ? N. 1en
eatly
I4iCensed contractor ? owner hereby request inspeClion of above electrical work aC
Job AtlOress (Street. Box or Route No ) City
lo-o Lc-x? ? o-Y,
Section No Township Name or No Range No Goun
Occupan1(PRINT) P one No
? re
ower Su ier Atlaress
Eiectr¢al Conbactor (GO e ConVedor's License No
es Elec ?ic Com A-39770
Maling atlress ICOmredo? o paner Makm ta n)
777 No h C - South St. aul, Minnesota 55075
Aulhonzea naWre (GOnt ct stallation) P?one NumOer
451-2238
MINNESO AT AFp OF E ITY THIS INSPECTION REQUEST WILI NOT
Grlggs- Eway BIUg - Room S/l3 BE ACCEPTED BV THE SiATE BOARO
1821 Univernlty qve. 51. Paul. MN 5510i UNLESS PROPER INSPECTION FEE IS
Phone(6i2)863-U800 ENCLOSED
4151"a
@ 22'003
REQUEST FOR ELECTRICAL INSPECTION
0- See mstmclioRk br completing this lorm on beck al yelbw cppy
"X" Below Work Covered by This Request
EB-00p0f-07
?l<'L
ew Add Rep TypeofBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apc Budding Dryer Other (Speaty)
Comm llndusirial Furnace
Farm Air Conditioner,
-
r ? Convactor's Remzrks ?? A S.FO/1-l/ ? I oZ.O27A' u'?
Compute Inspection Fee Below: D-30A `/R) ^A-
8 Other Fee # ServiceEmranceS¢e Fee p Cucmts/Feetlers Fee
Swimminq Pool 0 to 200 Amps 0 to 700 Amps
Trensfarmers Above2C0 Amps ? A -LDOAmps 3
ee-
Signs inspecmr's Use Only TOTAL
-0
?
IrngationBOOms 6
a?•
a 9
Speaal Inspeclwn
Alarm/COmmunication TMIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPIETED WITH MO
I, [he Electncal Inspector, hereby Roueh-in ? ,? ?
n : 7'./l. oate
QO
certify Ihat the above inspection has
been made F,nai
C 4?f. oa?e
OFFICE USE ONLY
This request voi0 18 months Irom