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2140 Diffley Rd - Electical Permits?his reque5t void 18 mo Ih 4 Li?. NPquesI Date 9 re No. Rough--n inspection ? ired? ?Na Yes ?ReadY Now?Will Nolify Inspec- Ior When R¢2dY ?1Licensed Elecvical ConVactor I hereby request inspection o/ above Owner electrical work imiallad et: Stree[ AOtlress, Box or Houte No. City 2/ O C O vN? i9.t1 ectmn o. I I Township Name o No. Ranqe No. County AIur. Occupant (?INT) Phmne No. • e,?d?Y 0 ooC Power Supoiier AtlAress ?- ElecVical ConUactor (COnNaoy Name) Cmlractur s License No. L C e l{/ CJDU 2 -J? ing Atldress (COnuacwr or Owner Maki'g I taila[ionl 1R?..._ .. L I i./ - . - L I"....1 )0(11.. f.C YINNESOTA STATE BOAND OF ELECTIIICITY Grigga-Midwav Bldg. - Room N-197 7821 University Ave., SC Paul, MN 55104 Plqne (612) 2972117 i z zi-Yr?i TNIS INSPECTION RERUEST NILL NOT BE ACCEPTED BY THE STATE BOARO UN\ESS PROPER INSPEGTON FEE IS ENCIUSED. REQUEST FOR ELECTRICAL INSPECTION ee-aooo,-oe ? See inslrvctions br comp,eling ihis brm on back af yellow copy. ?CE.?L? 042624 *" Below Work Covered by This Request ew Add 17epj TypeotBuiltling ApDliancesWired EquipmenlWiretl Home qange Temparary Service Duplez Wate? Heater Electric HeaNng Apt. Building ?ryer Load Management Comm./Industrial Fumace Other (Specify) ? Farm Air Conditioner Other(syecily) Connecmr5 RemeBS'. Compute Inspection Fee Below: vi Other Fee # ServiceEntranceSize Fee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps hansformers l Above 200 _ Amps P 700 _ Amps Above, SignS Inspecror§ Use Only: Irrigation Booms • Special Inspection Alarm/COmmunication $CONNECTED IF NOT THIS INSTALLATION MAY BE ORDERED DI Other Fee , COMPLETED WITMIN 18 M S. r I, the Electrical Inspector, hereby Rough-in Certity that the above inspeCtion ha5 been made. F;nai OFFICE USE ONLY This request voitl 16 months Irom M 07524 REQUEST FOR ELECTRICAL INSPECTION ? See ieshuctions Nr mmplefng ihis lorm on back ol yellow ropy "JC" Below Work Covered by This Request E6.00001.08 . ,?Z ew Acttl- Faq TypeofBuilding AppliancesWiretl EquipmenlWired Home Range Temporery Service Duplez Wa[er Heater Eleclric Heating Apt. Building Dryer Load Mana ement Comm./Industrial Furnace Other (Specity) - Farm Air Condifioner Other(specify) Conlractor5 emarks' Ex+ 1a.r.w CljoQfAde Compute Inspection Fee Belaw: !E Other Fee # ServiceEntranceSize Fee # Circuits/Peeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps / Transtormers Above 200 _ Amps Above 100 _ Amps SIgnS Inspactors Use Only: TOTAL Irrigation Booms Special Inspection ? Alarm/Communication ? DI ONNECTED IF NOT THIS INSTALLATION MAY BE ORD Other Fee COMPLETED WITHIN 18 MON I, the Elecirical Inspector, hereby it Rouyn-in oate y that the above inspection has cert been made. p;nei ? 41 4 Daie ??? . OFFlCE9SE ONLV ? This reques[ void 18 months hom , - 40 V/o ?5 24 1, Requesl Date e No. ugh-in Inspeclion Ro Reqviretl? NOTICE: Vou Mus1Call Electrical Inspector II A Rough-In Inspeciian 7 ? Ves ? Na 1s Requiretl. I;?tlicensed contractor p owner hereby request inspection of above electrical work at: . Job Address (SVeet or Raute Na.) I Cg 69 e aL Section No. Tow sh Nam or No. Raige No. Counry ?o fa Occupan 'PRINTj 14 'r w Phone No. e eAv +er a i Power Supplier Atltlress EI c[ri I ConVactor (Company Name) ? Cont?or5 Llcense No, oa?13 N?, M!ailing Htltlress (COnlractor or Ownar akin Installation) ? ? b7 ? I T / V ? ? ?? ANnorized ' naWre ( on aclo wn aking Inslallation) Phone Number Li? (- G 1?.5 =J 7ifl MINNESOTA STATE BOARD OF ELECTHICRY S J? Grigga-Mitlway 61dg. - Room 5-179 w , ?P 1821 University Ave., St. Paul, MN 55166 (?? e q? ? hone (612) 642-0800 ?? THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE $TATE 60AR0 UNLESS PROPER INSPECTION FEE IS ...?I) ENCLOSED. n ? ee-0ooo,///-o??ye '/?S REQUEST FOR ELECTRICAL INSPECTION 4" See insimctions for corhpleting inis lorm on be,k oi yellaw copy ? S?/? M ?') by This Request 111?,•? Inl 68968 "X" Below Work Cove' ?1 1 aw AddI Rep. TypeoiBuiltling AppliancesWirad EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heatinq Apt. Building Dryer Other (Specify) CAmm./Industrial ' FUrnace Farm Air Conditioner s ) ConVactor§Remarks'.„ X015 % L JLC?c d"?pJ ? Compute Inspection Fee Below: Orr ? N Other Fee # Servi EntranceSize Fee N Circuifs/Peetlers Fe Swimming Pool 0[0 200 Amps ? to 100 Amps Trensformers Above 200 _ Amps Above 100 - AmDs $i(jpS Inspecror5 Use Only: TOTAL l Irrigation Booms 7 ..\ L Special tnspection Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCON C D IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final , oa?e 1 OFFlCE USE ONLY L"V This requast voitl 18 months from , -L lI y/6 9 W968 a ?. °a ,C 1,2 - ? D Request Date ?' Fire No. ROiMh- fiequi ? mM1On J ? Raady NowWill Nofily Inspectar ? Yes No When fieatlY? I El licensed contractor owner hereby request inspection of above electrical work aC .bb AtlGress (SVeet, Box or Ro e No.) CNy C - -3 D ?V . $ection Na. iownship Name or No. Range No. Counry / Occupanl?PflINT) C Phone No. 89!?- -73 ? PowerSup?lierS ? ? ;;; AtlEress ST Eiacincal ConV or (GOmpany Name) Cont ctor5 License N0. dl?? Mailing Atldrass (Contr r or Ow er dking Inst tion? ? . ? Authori na rel racorNw akinq s 1 n) Fhone u ber - 73`1 MINNESbTA STAiE BORRD OCTRIGITY ?V THIS INSPECTION REOUEST WILL NOT Grlg9s-Mltlway BIEg. - Room 5-173 6E AGCEPTEO BY THE STATE BOARD 1821 Ilniversfty Ave., SL Poul. MN 5510C UNLESS PROPER INSPECTION FEE IS Plqm (612) 15O2-000 ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION / ? See insvuctians for complefing ihis brm on back of yellow copy. R .9 8-4.6 3' "-X° Below Wark Covered by This Request 0 EB-00001-07 C'o?/9gD a Atld Rep. 7ypeofBUilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating ApL Building Dryer Other (Specify) Comm./Industrial Furnace X Fig'e 7.q Farm ' Air Condftioner Othar (specity) Comraclor§ Remerks: G'60 II ?o) G?.P ?.vjc a Compute lnspection Fee Below: ?f S?' } ?? 1°° I .-Sc - a#- 5....rc # Other F Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Ahove 200 _ Amps Above 100 _ Amps Signs inspedors use onry: 707AL p S Irngation Booms Z+ # f ? Special inspection O` Alarm/Communication ?Z So Other Fee I, the Electrical Inspecto5 hereby if h R°"gn-in i? cert yt attheaboveinspectionhas been made. Final ( D.I. 3 OFFICE USE ONLY r This requesl vuk 18 months hom 7 Ei 9846\3 dl? Request Date ? y` ? Fre Na. floughin Inspectlon qeGui?,y? ? Ready Now?Will Notity Inspector R d ? Wl 1 - ? Yes o en ea y IXicensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sheet, Box or Route No:) Z11jo L?i?le kd2. Ciry TE,?'- a--? Secfion No. Townshi0 Name or No. Rarga No. County Occupanl(PRINT) G¢ #?'jiLr PhoMNO. SrFD, sckoaf D.sF-. 4 I41 Power Supplier Atldress Ek?cIlriK.y' Conlraclar (COFmpeny Name) / (? Contrec[or5 License No. IIAI' 611.y? i7:r4 Mailing AtlEress (COMraMOr a Owner Meking InsWlatbn) yos w. cL.E. r4 SS i Aullwrized SignaWre (COnUaclw/Owner Makirg Inmllation) Phone NumOer Lt 6 3 -?, 6 '3 ( I MINNESOTA STpIE BOAPU OF ELECTpICRY THIS INSPECTION REOUEST WILL NOT Griggs-Midway BWg. - poom 5173 eE ACCEPTEO BVTHE STATE BOARD 1821 Unlversity Ave., SL Peul, MN 55101 UNLESS PflOPER INSPECTION FEE IS Phone (612) 842-0800 ENCLOSED. ^7 J REQUEST FOR ELECTRICAL INSPECTION EB'000?011"04 ?s//( // ' See irstruetions tor completirg this form on Imek of yellow, wpy. B'2_0v?' 2 ""X"' Be;iw WbYk Covered by This Request AAtl Reo. Tvoe ol Builtlina Aoolianeea Wirad EquiDment MirM Water # , Fee ServiceEntrancaSixe M Fee Feeders/Subleeders 4 Fee Circmts o 30 Am s 0 to 30 Am pmps 31 to 100 qmps 31 to 100 A ool im Above 700-Mi Above 100_E1rt4?+ Irrigation Boorr?s *%Vw Partial-'Oiher Fee Signs $pecial Inspec!fon SwQ?'O TOTF%? • Remarks .( RouOh-in Date ?_ t? Elecviwl I.pector. hereby - certifr Ihec [M above Final ( ? i?rspection Ima besn de . . Tlq mpuest voW 18 monlls Imm - 116??Ii95 S?o 4Y a A 42 24 t Repuesl Date ?_n ? I?` .. ire No. Ri Inpseclion RequireE (Yau musl wll ins0ector when reatly) Ins ection ORier Tnan RouBhdn ? qeaEy Now? Will Notity Inapactor ? q ? Yes ?.NO Oale ReaOy I licensed contrector !7 owner hereby request inspection of above electrical work at: Job Atltlress (Slreet. or te No.) Ciry Z? c ? Setlion No. Township Name or Range No. Coun/ OccupanllP INTJ ? Phone No. V T Power Supplier qEtlress Elednwl Comraclor (COmpany Name, Conlractor§ License No. T Meiunq qtltlress ICOnVector or Owner M_ek(ig Installation ? 9 ?' n 5?3?8 r1 r ? oniracto ner Maki g Insteu ion? P?one Number ? c MINNE OTA STATE BOAPOOF CTFICITV THIS INSPECTION REOUEST WILL N0T Griggn-Mitlwey BIEg. - fl ?1)3 BE ACCEPTED BV THE STATE BOARD 1821 Univnaity qve., 5[. ul. MN 55104 UNLESS PROPER INSPECTION FEE IS Plrone(61Y) 602-0800 ENCLOSED . minnesota state aoara oT tiectnctty / 15 p-7=P- to54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 41111111iii- __ ' REQUEST FOR ELECTRICAL INSPECTION P ECK BELOW WOKK COVERED BY THIS REQUEST CfI 88619 Type of Building New Add. Rep. Check Apptiances W'ved For Check Equipmen[ Wired Fm Home ? Duplex ? ? ? ? ? Range Water Hea:er ? ? Temporary W'ving Lighting Pixmces ? ? ApL Bidg. ? Commerciai Bldg. ? ? ? ? ? Oryer Furnace El-/ L7 Electcic Neating Silo Onloader ?' ? Industrial Bldg. ? Farm ? ? Other ? ? ? ? 0 ?-/ ?I A'v Conditioner List Herefs? f ? .?? ? . Bulk Milk Tank List Hehers? f ? CQMPUTE INSPECTION FEE BELOW Se[vice Enhance Size: # Fee FcedecsBcSub eed ee C'vcuits: # Fee 0 to IDO Am s. 0 to 30 'sk. 0 to 30 Am eres 101 ro 200 Amps. 31 to 100 res 31 to ]00 Am eres Above 200 Amps. Above 100 ? ps Above 100 Amps. Tiansformers Remote Control Circ. Pa?tial o: other fee 5i ns $pecial ins ection Minimum fee SS 00 Remarks µt?.,l TOTAL F Lf SQ -e I, the Electrical Inspector, hereby certify (Final) _ This request has been m`aHe. l-ia-?p This r*est void'18 montlis from /q /3 49 7? IC,fRL_j3??C.C?. Date oF this Request 88619 I, as O-Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: le? , Street Address or Route C i ty. J Section Township Range / County lybich is occupied by tname o* vccupani, .Is a roughin inspection required on this job? No e Yes ? Ready Now Will Call ? Power Supplier Address Electrical Contractor A?? ??? Contractoi s License o. (CO?m7p?any Name) -],?? ? Mailing Address ?Z[? / Ci?+?SS?o/? (Electrical Contra or or Owner Making T s Installatlon) Authorized Signature ?:EPhone No. l,2 '.21f' (Electrl<al C tractor or wne? Making Thls Installatlon) ????? 0????? ???? This inspecvon request will not he accepted by the State 8oerd unless praper inspection fee is enclosed. Minnesota State tloard of Electncity ? 7954 University Ave., St. Paul, Minn_ 55y104-Phone 645-7703 'REQt1EST FOR ELECTWICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST / a,?° 7 P 88616 ype oP Building New Add. Rep. Check Appliances Wired Foc Check Equipment W¢ed For Home ? ? ? Range ? Temporaiy W'ving ? Duplex ? ? ? WatexHea:ec El LightingFixWces ?a Apt. Bldg. ? ? ? Dryer / ? Eleciric Heating ? Commeicial Bldg. ? ? ? Fumace ? IQ Silo UNoadei ? lndustrial Bidg. ? ? ? A'v Cond ? Bulk Milk Tank ? Fazm ? ? ? LIs ,. List Other ? ? ?e ??, ? Hehei$ Fce D to 1D0 Am s, 0 to 30 Am tes 0 to 30 Am eres ]Ol to 200 Amps. 31 to 100 Amperes 3] to ]00 Am eres Abave 200 Amns. . Above 100 Amns. Above 100_Amos. Remazks TOTAL F I, the Electrical Inspector, hereby certify that the above insp(Qction has been !D_....L :..1 /f 2 .--p / ( T- (Final) {/vr This request void 18 months from Soc ly __ ,,.yuest void 18monihs f:om ---- - C(, ti.a-- . ?,?,6 ? c,?. ? ; ,??. °°4 P .? es ?is7 IYate ?of ty? s Request_ ?.2 8 I, as L8'Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal winng installed at: Street Addcess or Route No. .O/y0 c Zy /?W --?, V City-? $ection Township Range County Which is occupied by ,,.a, .a .,, ..__...._..., -/ Is a roughin inspection required on this job? No L3"'- Yes ? Ready Now ? Will Call L7 Power Supplier Address ? Electrical Contractor Contractor's License No. (^or7any Nama) Mailing Address Authorized or No. ST.??? ? 0??? ???? This inspeetion reqPespwill nPt he accepted by the State Board unless ro er ins ection fee is encloud. JrREGIUEST FOR ELECTRICAL INSPECTION ?4 ' 3?q4,, C EB-00001-08? M ? ? S?instmctiore lor completing this torm on Eack of yeliow copg ?F17??9 f?m wj 8,?,? ?"r' X" Below Work Covered by This Request ?.`?A e Adtl Rep. TypeofBuiltling AppliancesWiretl EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating - ApL Building Dryer Other (Specify) Comm./Indusirial ' Fumace Farm Air Condi[ioner ./Ze /j 121. Other (speti ) ConVactar's Remarks: Compute Inspection Fee 8elow: T ? ,.e, 4i . efF???? # Other Fee # Service Entrance Size Fee # CircuiulFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps ? Transiormers Above 200 _ Amps ove Amps SIgnS Inspector9 Use Only: TAL r/1 Irrigation Booms ?4 Dd ? Special Inspec[ion Alarm/Communication THIS INSTALLATION MAY B"RDE ?ONNECTED IF NOT Ofher Fee aa, COMPLETED WITHIN 18 ' HS. I, the Electrical Inspector, hereby ceAity that the above inspection has been made. Rough-in F,nai 60- OFFICE USE ONLY Tnis request wk 18 montns from T/a0/9/ a 6 8 9 3,U 4./? Request Tat .. , . Fire No. Pough-i0 Inspection Requiretl? ? Ready Nav ?Will Notity Inspeciw ? 0 Yes NO When Reatly? I El licensed coniractor Kowner here6y request inspection of above electrical work at: Job Address SVeet, Boz or qoute No +?! ?"A <JU/ C ? /? XI7?' , e " Ciry ? l F x, e $ection No. Township Name or No. Range No. Coun Occupant(PRINT) Phone No. C?? % t3?c?/??'?-•e ?'Q?e?L - 311 Power Supplier . l Atldress ?;-r ? C Electncal omractor (CO any Name) Convaclor's License No. Mailing•AOtlress ( nvactor or Owner Makln Instsllstion) ? , ? , Aulhorizetl I lufe ?COnVa ylorlOwner ing In a r Phone Number / i+ . .. . X? . . ?.. ./ ?? MINNESOTA STATE 80Aq0 OF 8l"ECTFIQTY THIS INSPECTION REQUEST WILL NOT Grlggs-MlEway BIOg. - Room S173 BE ACCEPTED BY TNE STATE BOARD 18P1 Universlty Ave., St Paul, MN 55106 UNLE55 PROPER INSPECTION FEE IS Fhone(812) 692-0800 ENCLOSEO. /3/90 P 9421 REQUEST FOR ELECTRICAL INSPECTION ? Seb inslruclions for comp;ating ihis lerm on back of yellow copy. 'X' Below Work Covered by This Request EBA0001?0] e Ar'J Rap. - TypeofBuiltling AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Eleciric Heating Apt. Building Dryer Other (Specify) Comm./lndustrial Furnace Farm Air Contlitioner s e' Coniractor5 Remerks: Compute Inspection Fee Below: # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps o to 700 Amps Transfortners Above 200 _ Amps A§evo-.ee?r Signs inspectork Use Onry: TOTAL Irri9ation eooms Special Inspection Alarm/Commupication er F /?j " I, the Eledrical Inspector, ereby ' Rough-in Date ced rfythatthea6oveinspectionhas been made. Final oa? .-_ Q' f ( ) OFFICE USE ONLY ve-A, Thia request voftl 18 moMhS fmm ? 1.! /qv ? 39421.G?? ` r 1.,;;A Requasl Date e No. ? 12 Rough-in Inspection Fequiretl? JJ'' ? ReaOy Now ?rvill Notlty Inspeclw ? 4, 0 ?s When Reatly? x1licensed contractor ? owner hereby request inspection of above electrical work at: .bb Atltlrew (Street Box or No.) City Section No. Township Name or No. Range W. Coun ?Tq Occu RINT) Phane No. .e Power Supplier qWd. Elect " tracior (COmpany Name) Conhaclor§ Lkense No. L? ? a, 9 yp y Meililg A ress (Caniraqor or rier Mekieg In I on) r?" Au! rizetl SignaW onir r MaWng laticn) Phorre Nu l.,'/? G/G ?A MINN A STA7E BOAFiO OF ELE RV . THIS INSPECTION REOUEST WILL NOT Gdggn-Yitlway Bltlg. - Raom &1 BE ACCEPrED eV THE STATE BOARD 1821 University Ave., SL Poui, MN 66104 UNLESS PROPER INSPELTION FEE IS Mone (612) 842-060p ENCLOSED. ,_I II I II I I? I? II I I II I I I I ?+ ?I REQUEST FOR ELECTRICAL INSPECTION ?p4? I Minnesota State Board of Eledricity 1821 University Ave., Rm. S-1,?8, S}.?P?ul, MN 55104 * 0 2 8 8 1 3 4 O*- Phone (612) 642-0800 ?'/? 61 Home Duplen Apt. Bldg. Othe ? ew N Addn Commerciol Indusfriol Farm S Remod Re air Air Cond. Hfg. Equip. Water Hk. Load Mgmf. Ofher: D er Ran e Elec. Heat Tem . Service "k' above fhe w ?k fovered b this reAue? Enr rPmarks in lhis space and on the back of tfie whife copy only. #ll?/sCe ??.-s e ? Colculofe Inspection Fee - This Inspection Request will not be vccepted without the correct fee: Olher Fee # $ervice C-nfronce S¢e Fee # Ciraits/Feeders Fee Mobile Home Park Sfall 0 to 200 Amps S 0 to 100 Amps Street Lig./Troffic Sig. Above 200 Amps Above 700 Amps TransformedGenemtor INSPECTOF'SUSEONLY TO??Jp ? $ign/Outline Ltg. Xfmr. Alorm/Remofe Con}rol , 5wimming Pool o? .?d m? m:mllation descdbed here?n on the daros zia*d I hercb ro,n n Irrigdiion Boom , Rough-In ?k ecial Ins $ ection io p p Investigafive Fee 0 Final Da THIS INSTALLATION MAY BE ORDEREU DISCONNECTE F N OMPLETED WITHIN 1 8 ON S. ..L V V-13 4DI OFFI?jULi is raquest void IB monihs irom.alidanon daie pnnted tn Ihis bq{„? or i_ ?. ?r ?o cioc t? I ? D 60 k ? PLEASE PRINT OR TYPE p? IXoQ.M1 , ( ? Reqi:est Da Roogh.in Inspetllan requlred2 ? Yes 1?'IJo u m h d r? Inspernan Other Than Roogh-In: ? Ready Now $7 Will Call d ? ?T D R ou must 'o e ira ce?m ?vi . w e? rea l v ak ea r? I, licensed <ontrodor 0 owner hereby reques} inspection of the nbove eledrical work af: lob Mdresn iSVee,, Box, or Roufe No) Ci ?O<e?c Zip Code ? S`s"/? Secfion No. Township Name or No. Range No. Fire No. Caonry'n Occ ont Phane No. Power SovPlie^ P J Mdress lennml Canwdor Compo y ame? Canhoctur Icenx Na. f?DDS?L Master Lic. No. (Planf Eled.Only) G M ?dras ?COnM1acmr ar PeAorming Installoli ? ?1 ??L/--??] Au?lhonzed? Si?gnaNrc (?COnhacror or Owner ?.llafion? Phone Na. EB-06OOIA40 6/95 STATEBORRUCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY IIIII IIIII II II I I III III I I I ulI II II III REOUEST FOR ELECTRICAL INSPECTION ? LK Minnesota SWte Board of Electriciry fo 1821 University Ave., Rm. S-1 8, S. PaW, MN 55704 0 2 4 9 2$ 0 2Phone (61?' ' 2-0800 ?0 Y2 terilange uplex Apt. Bldg. Olh dusfrial Farm fg. Equip. Woter H}r. Load Mgmt. Oiher: Elec. Heat Temp. Service _W' obove the work mvered by this requesl. EnMr remarks in fhis spoce and on the ba<k of the white copy only. Calculate Inspecfion Fee - This Inspection Requesf will no} be accepted wi}hout the corretf fee: Other - Fee # $ervice Enha(xe S¢e Fee # Ciwih/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps $treei Lig./7roffic $ig. Above 200 Amps Above 100 Amps TronsfortnedGenemtor INSPECTOB'SUSEONLV TOTA? $ign/Ouiline Lig. Xfmr. ? Ol Alarm/Remote Control Swimming Pool -" - I her nl Ihaf l ins ?w Installation dasaibed herein on the dvres sNled Irrigation Boom „9h-i„ om? $peciol Inspecfion TH Invesfigafive Fee IS INSTALLATION MAY BE OR Firwl ?? DERED D SCONNECTED IF NOT COMPLETED WITHIN 18 MON H5. ? 2 4 9- 250 OFFIC?;O'SE NLY This reqvaf vaid 18 monMs fmm volidmion dale printed in Jnis b? ??t E ` /4 8 PLEAS PRINT OR TYPE o 11 Reqowf Dare Roogh-in inspetlion requir dR [] Ves No 14 Inspetlion Other Than RaughIn)9- Reody Now 0 Will Call ( ., '-) ?You m?st mll ?he Inspeclar when ready) Dote Rmdy: I, licensed conhacior ? owner hereby reques} inspedion of fhe above electrical work af: Job Mdmss (SVee1, Bov, or 0.o,Ae No.) Gry Zip Code Secfion No. Township Name or No- Range No. Ftre No- Counry O <uPon / /? I S Phane Na. c4. ChnO OK Power Supplier Pddress E?Mriml C Imctur (Compoiry Nome) nw r license No. M Mmter lic. No. (Plam Elen. Only) Q V\ LZ / ? ,ry o?G I? Mailing Mdresz jConhacfor o O+mer PeAormin8lnsioliotlon) S s- - s ??/y . 6 - 1 . AulhoAUd SignaWre IC PeAorming Irntallafi? Plwne No. 3?:.z EB-00001A-10 6/95 STATEBOAIi0C0j+Y.ZAEIN5TRUCTION90NBACKOFYELLOWCOPY ?IM 68965? REQUEST FOR ELECTRICAL INSPECTION ? Sea inslmctions lor completing Ihis tonn on back ol yellow copy. Is "X" Below Work Covered by This Request ?- ? ew Adtl Rep. Type of Building AppliancesWiretl EquipmentWirad Home Range Temporary Service Duplex Water Heater Eledric Heating Apt. Building Dryer Oiher (Specify) Comm.llndustrial ' Furnace Farm Air Conditioner 12 G g 'v Olh (? i ? / Conirector5 RemaBS: Compute lnspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ahove 100 _ Amps SiJOS Inspector5 Use Only: TOTAL ?,. Irrigation Booms O ? I Special Inspection ( Alarm/Communication THIS INSTALLATION MA Y URDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby pO1gn-'" ? oace cerlify that the above inspection has been made. Fm81 oa?e OFFICE USE ONLY This rapuest voiG 18 rtronihs Irom ? ,Y/ 6 8? 6 5 :, a Request Date / Fire Np. ough-in Inspeclion Required? u Ves No ???//{ ? ReaGY ?'?'?Will Notity Inapector W?en Ready? 1 Cl licensed coniractor ?owner hereby request inspection of above electrical work at: .bb Atltlress Shcel, BOx or PoWe No,) Cily Seclyn No. TownsniD Name or No. Range o. CouMy Occupanl(PRINT) ? P?one o. Power Sup0lier AEtlress S ??.? sT ST Electrical Comracto ampany Name) CAnlracta5 Gcens No. A Mailing AtltlresS (Lonhactor or Owner king Inslallation) ao Autnonze Ignawre (COnvacmr/ n r Making I tionl Phone Number 5 / MINNESOTA STATE BOARD OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT Grlyga-Mitlway Bltl9- Room S173 BE AGGEPTED 8Y THE STATE BOARD 1821 UniveMlty Ave., 51. Peul, MN 55100 UNlESS PROPEF INSPECTION FEE I$ PROne(612) 602-0800 ENCLOSED. ?3 REDUEST FOR ELECTRICAL INSPECTION „ ? See insVUqionn fortompleting ihi5 form on Oack oi yellow copy. M68951 "X" Below Work Covered by This Request e ,--- R?Id r REp. T- TypeotBuilding AppliancesWired EquipmeniWired Home Range Temporery Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) - omm./Industrial ' Furnace F arm Air Conditioner ?/ OI (sp ) Conhactor§ Reme?ks: /? Compufe Inspection Fee Below: # Olher Fee # ServiceEniran Fee Swimming Pool 0 to 200 Amps = Transbrmers Above 200 _ s VW Signs Inspenwg Vse Ony; Q Irri9ation Booms SIns ection J Alarm ommunication 0 HIS INSTALLATION M?]f?9E O R dISCONNECTED IF NOT T Other Fee COMPLETED WRHI g,6 M,ONT I, the Electrical Inspector, here by • Rou9h-in f Dete certify that the above inspection has been made. F;?y ` ' ei ? OiFICE USE ONLV ThiS request voi0 18 monAS Imm 51 .-:5 y '-?5 aaa y H 6 9 51 `?. ?? 40 fiequest Date ire M. fiougMi? Inspaction flequiretl? ? Ready N. ?yill NoGly Inspector ? Vas o Nfnen Ready? I E,licensed coniractor Xowner hereby request inspeclion of above electrical work at: ' Job Atldress (Street or Route No.) City ? t` /L 1 Section o ownsh p ame or No. Range Na Counry Occupam (PRINT) (;-- c Phore No. - 73// p0lier Power Su qtltlress q ? Eleclrical Conhact (COmpany Name) is / CoMrac[or5 License No. z Mailing AtldTess (COnVactor or Own Making Ins1aOation) ? ' ? . l L Aulhoriz gnaWrB.(GqOnVac1 I)wn/e?/1 aking I - __ %??' CL?IL// ati9¢) ` -_ ._ Ppone Number ` , 7311 MINNESOTA STATE BOAflD OF ELECTRICITY v ? THIS INSPECTIDN REOUEST WILL NOT GrlggmMidwey Bidg. - Haom 5-173 BE ACCEPTED BV THE STATE BOARD 1821 Univenlry Aw., 5[. Paul, MN 55101 UNLE55 PROPER INSPECTION FEE IS Phone(612) 862-0800 ENCLOSED.