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670 Diffley Rd - Electrical PermitsK 9 68 — g R u st Date + 2 - - - -� q Fire N. e o Roug Inspection oug sped on Req fired? Yes ❑ No D Ready Nowili Notify Inspector When Ready? I licensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Eloute No.) (o"? O 1) t .- l RO c-t City E& ctv Section No. Township Name or No Range No. Cou 0. kofict. Occy�i (PRINT ii4t�7� Ykt� \ ` ►�V`VY t Ph CJ Pow Supplier Address Electrical Contractor (Company Name) C. We; C t La'ric- . iv. . Contractor's License No. t3_3 Mailing Address (Contractor or Owner Making Installation) 3 wit\ee„\ock- QE , St e l Author Signature (Cont to /Owner Making Installation) Phone Numb MINNESOTA STATE BOARD OF ELECTRICITY Griggs- Midway Bldg. — Room S -173 1821 University Ave., St. Paula MN 55104 Phone (612) 642-0800 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED Nev Add Type of Building Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other- (Specify) X Comm. /Industrial Furnace Farm Air Conditioner Other (specify) Cont actor Remarks: `��v r d O Compute Inspection Fee Below: # 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 I nspectors Use Onl - i �) Q A p THIS INST AY BE ORDERE • `DISCONNECTED COMPLETED WITHIN 18 THS TOTAL 0 Irrigation Booms Special Inspection IF NOT Alarm /Communication Other Fee 1, certify been the Electrical Inspector, hereby that the above Inspection has made. h -n Date i Rough-in /1 jt �r M ] „ A Date Final I / >. o „� CE USE ONLY ?quest void 18 months from REQUEST FOftELECTRICAL INSPECTION • See instructions for completing this form on back of yellow copy. "X” Below Work Covered by This Request EB- 00001 -08 Request Date / /a- ' ° 7 Fire No. Rough -in Inspection Re Re wired? ,,,,,,iiiiii������ OReady Now Will Notify Inspec- for When Ready • No Street Address, Box or Route No. 70 is /10AGE _ tee R Range No. City E County 1414 0 771 Section' o. Township Name o No. Occupant (PR NT) P s� A ote n' Phone No. Power Supplier ›l.tCO' � Lf,�7R/ L Address c 'il/UeFTdX Electrical Contractor (Company Name) 4��� ��'' , tEc / c 'v tallation) Contractor's License No. a t/' ?f/er — 3 r/ Mailing Address (Contractor or Owner Making Installation) /01,‘7 - If Authorized Signature (Contractor /Owner Making In Phone Number This request void / , ; 18 months from D 55931 R� it Licensed Electrical Contractor ❑ Owner MINNF,6 STATE BOARD OF EL CTRICITY Griggs-Midway Bldg. — Room N -191 1821 University Ave.. St. Raul. MN 55104 Phone (612) 642 -0800 I hereby request inspection of above electrical work installed at: THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. # Fee Service Entrance Size # Fee Feeders /Subfeeders # Fee Circuits 0to200Am 0to30Amps 3p 0to30Amps Above 200 Amps: 31 to 100 Amps 1 — 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Amps Transformers Irrigation Booms # co Partial /Other Fee %e2 /eV7 REQUEST FOR ELECTRICAL INSPECTION 1p See instructions for competing this form on back of yellow copy. 13 55 9 3 1 -r" Below Work Covered by This Request New 0 Add Rep, '• Type of Building Home Duplex Apt. Building Commercial Bldg. Industrial Bldg. Farm D rncn��KPlnw Signs This request void 18 months from Range Dryer Furnace Other Appliances Wired Water Heater Air Conditioner Other pecify) Special Inspection Equipment Wired Temporary Service Lighting Fixtures Electric Heating' Silo Unloader Bulk Milk Tank ther (Spocfyl Other Rema rks Final Rough -in (liet `4",(2) Date 11 -r: f 1, the Ele cat Inspector hereby certify that the above inspection has been made.