2926 Lone Oak Cir - Electrical Permits2 5 9° 9 0 4 ? NLY This request void IB monMs hom volidanon dare pnmed in ihis 6oi O4?
J/ 6 ? 5 0?
ev
'
?
??
PLEASE PRINT OR TYPE ,
LSps 7(,p
?cI
5 ?
Request Do1e Rough-in nspetlion reqwred2 Yes j_fNi, Inspeceon Oqher Than Rough.ln 0 Reody Now ?M511 Call
(You most mll fie mspecror when reody) Oate Ready
I, li<ensed con}ractor ? owner here6y request inspeclion of 1he above eledri<al work at:
lob PAdress (Slree, Box, or Roete Na )
? "'?-e ?C /C l.+t r Gry lp Code
S ?I'Ll
SMion No To.mship Nome or No Ronge No Fhre Na
Yl?cy
pmpant /
w, e /? -.??r *T
?e l?c 4 Phone No.
PawerSopplmr Address
Eleclri<ol ka r (Company Nome) Commdo, License No Mamr 6c. No. (Plam Elecr. Only)
?e?v<<v ,?
t?? ,/357
?
,
Mai ieg Pddms (Conhoebr or rr Pedorming Insmllatian)
-/?
53
U? ? ?--.
/w otlxed Siynaio? (Conkoqor or Own Inzmll ?
?
? Phone No /¢)?
-
? f
EBOOW7A-70 6/95 STATEBORNDCOPY- SEEINSTNUCTIONSONBACKOFVELLOWCOM
I II I I?I I III ?REQUEST FOR ELECTRICAL INSPECTION 5lP ^,,,; ?
; Minnesota State Board of Electriciry ?:
1821 University Ave., Rm. S-12 , St. Paul, MN 55104
* 2 5 9 9 ? 4 1 * Phone (812) 842-0800 ,rj'/g',9 (00
Home Duplex Apf. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Hfg. Equip. Wofer Htr. Load Mgmt. Ofher:
D er Range Elec. Heaf Temp Servire
'X' a6ove }he work covered by this request. Enter r marks in this spac and on /he bac of the white copy only.
e ?,,:-e 7-?fl S',`? lv
?v60? ?e-C !/`l(LC`^tie
Calwlafe Inspechon Fee - This Inspection Request wJl not be accepted wiffiout the wrrect fee:
OIher Fee # $ervice Enhonce Size Fee # Circvits/Feeders Fee
Mobile Home Park Stoll 0 to 200 Amps 0 to ps
Sireef Ltg./Tmffic Sig.
0 Amps
Above 20
e?e Amps
&
lv?
Transformer/Generaior INSPECTOR'S USE ONLY TOTAL
$ign/Outline Lfg. Xfmr.
Alarm/Remofe Can}rol <«
$wimming Pool I hercb urn fha, I im ?cn.d the el Ilaoon on Ma daks stuted
Irrigafion Boom Rough-ln
ecfian
S
eaal Ins
p
p
Investigative Fee F.n.1
44 ?
THIS INSTALLATION MAY BE ORDERED DISCONNECT IF NOT COM LETE WI N 18 MONTHS.
ii/ s so 99?Z04-
a 3 387
c
5
,
Feques, Date • ?re Rough-in I ecLOn
Repwr
y Now ill Notity Inapeclor
ead
es ? No When qeatly?
I ydlicensed contraclor ? owner hereby request inspection of above electrical work at:
Jo0 Adtlress ($Veet. Box a Raute No ) City
e -9
z q P ? ?9
Seciwn No Township Name or No. nge No Caunry
DgKosg
OccuOent(PflINT) PhonB No
V' U 496;?
PowerSupPher Address ?
Eleclrical Contraqor (ComDeny Name)
IflLLihr-,0' FCEC-rClC CD,
r/vC, . Conrcador5 Lwense No.
?-gp5[030/- ?
Matlrng ACtlress ICOMrador or Owner Making Installaoon)
,i
9?a2 - SsT` Aac
ra4ii
GQ?? .?+? ys369
.
Autnonzed Signature (Convacton ner Making Installalion)
W a"u/ ?-rr a, uwA`
_ Pnone Number
42 5- 252S
MINNESOTA STAT DAflD Di ELE ICI TMIS INSPECTION REQIIEST WILL NOT
Grigga-Mlpway BIEg - Noom S1)3 5?]? ? BE ACCEPTED BY THE STATE BOARD
1821 Univenlry Ave., St Peul, MN 55106 O UNlESS PROPER INSPECTION FEE IS
Plpne(612) 842-0800 ENCLOSED
REOUESTiFOR EtECTRICAL INSPECTION EB-00001-08
_
( Sae insVUCtionS 1or romple4ng this Porm on back of yellow copy 4?, ?' 99/?/J/,.
?
r., ,
w 32387 "X" Be/ow Work Covered by This Request . I
ew Adtl gep _ TypeofBuildmg ApphancesWired EquipmenlWiretl
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (Specity)
CommJlndusirial ' Fumace
Farm Air Conditioner
OIM1er (specity) ConVactor3 Remarks
Compute Inspection Fee Helow:
# Other Fee # ServiceEntranceSrze_ Fee #, . Circuits/Feetlers : Fee;:,
Swimming Pool?_ ?_ - 0 to 200 Amps -• ? 6 to 100 Amps -
-, 7ransbrmere% tlov0.200,AmpS. .? ,* :?r ?bove JW ? Amps
- Sgns . . - . .. ° ' ?nspec?or'sUse OnN TOTAL
Irrigation Booms - ?Q ?
Special Inspection .?
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee 5U COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspecior, hereby Rough-in Dale
1114
ceriify that the above inspection has
been matle. Flnal ?ate
OfiICE USE ONLY
This request void 18 months irom
d 17326??"g1914- //'? ? y
Req est te ire Rougn-in Insoaction
Fequved? d Reatly Now ?7yill NoLfy Inspeqa
R
d
?
? '?'h
6J en
ea
y
??as o
I?< hcensed contrector D owner hereby request inspection of above electrical work at:
Job ACeress (Street Box or Route No.l ?) ?+ /
?? T l? 1?? Q?ty ??/ /
`?? N/ I/ '
SecuOn No, Township Neme or No Range No County 0 TA
OccvpanllPRINTI
V( L M? lND ?P-E Phone No
Power Suppher Atldress
'll-
Ele ?Gonnacmr cOmOany Namel
Y L Lt-EcM( co CoNrector's License No
Maihng AOdress (COnlracto, or Owner Maamg Insta'iatiom
? v
Amh ignaNre C traclor/Owner Makmg Installatwn; O:P?n-o/y?ne[?N?1umberµ1 r1/1/lV?lr [U??O
NNESOTA STATEBOAflU OF ELECTFICITY THIS INSPECTION REQUEST WILL NOT
iggs.NiEwey 9149 - Hoom 5-173 BE ACCEPTED BY THE STATE BOAFD
1621 Unlversity Ave, St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone(612)662-0800 ENGLOSEO
REQUEST FOR ELECTRICAL INSPECTION E9-000///01:::-08
p( / ii Sea insVUCtions for complating this lorm on back of yellow copy
L? 1 7'a 7.`j "X".Below WorK Covered by This Reques[ N"!Gnl
TypeofBUdding AppliancasWired EqmpmemWiretl
? Home Range Temporary Serwce
Duplex Water Heater Electnc Heanng
? Apt Builtling Dryer Other (Speafy)
Comm./Intlustrial 'Fumace
? Farm Av Contlinoner
O1M1er Ispentyi
I
Compufe Inspection Fee Below: Contradm's Remerks
A Other Fee # ServiceEniranceSize Pee # Circmts/Feeders Fee
Swimmmg Pool 0 to 200 Amps _I llif 0 to_100 Amps
Transtormers A6ove 200 _ Amps % Above 100 _ Amps
SignS Inspector's Use Only/ TOTAL
Irrigation eooms , . ?
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE'CIEiDERE D DISCONNECTED IF NOT
Other Fee COMPIETED WITHIN 18 MONTH .
I, the Electrical Inspector, hereby
t
t
th
t th
b
i
h Romqn-m oate r?]
, J
y
cer
i
a
e a
ove
nspection
as
been made. F,?ai oaie
r
OfPICE USE ONLV
This repuest vmtl 18 moniM1S 1rom
??lv/9?- /OSf4?? 5
p 67681
Fedues< Dale
U? /?
/? No. Roug?-m Inspection
R q retl?
V Reatly No-
lepil! i Notity Insoeclor
-
7 ? ? e5 When ReatlyP
_ licensed coniracror D owner hereby request inspection of above electrical work at:
J9b Aatlress iSVeet, ox or Rou No
o? ? ?(JAle
B/¢*e rG Qry
lirQ .ft/Y
Secoon No Township Name or No Ranqe No Cowty
71-419
Occ p t(PRINT)
J9urn e Phone No
Power SuVPjier ntlaress
Eiec cal o??maor ICOmpany Name)
? Convaclor's Lirense No
? e.
Mailing A aress IConVactor or Owner Mawnq Ins nation)
7 .'t /Yd
_M40/
0 ?'osvc& Ir?tSS3fo
Aulhonzed re ICOnUactor?Owner M ki Installd[ion Phone Number
1-144,67- zszs-
MINNESOTA STATE BOARD OF ELECT I Y iHIS INSPECTION REOUEST WIIL NOT
Gnggs-Mltlway BIEg. - Room 5473 BE ACCEPTED BY THE SiATE BOARD
1821 Univenily Ave, SL Vaul. MN 5510 UNLESS PROPER INSPECTION fEE IS
Phone (612) 642-0100 J 7 eNaoseo
:EQUESToFOR E?LECTRI?CA?LbINSPECTION
? 6 7 6 O 1 "X" Below Work Covered by This Request
EB-D0001-OB
?•?j,c-.-`?-s' /O J'r? 'Jr
ew Atld Rep.7, TypeofBmldmg AppliancesWired EqwpmenlWiretl
Home
Duplex Range
Water Heater Temporary Service
ElecVic Heanng
r Apt. Bmltlinq
Comm flndustrial Dryer
Fumace Other (Specdy)
Farm Air Condrtioner
O?her?sueciry? Convanor's Remaras
Gompute Inspection Fee Below. - Z? ?? .Q('f
n ? Olher Fee n ServiceEntranceSize Fee # Cncmfs/Feeders Fee
Swimming Pool 0 ro 200 Amps 7 0 to 100 Amps Q
Transformers A6ove 200 _ Amps - A6ove 700 _ Amps
SIgnS Inspeqors Use Only ? TOTAL ' Q
Irngahon BoOms
Speaal Inspection
Alarm/Communicahon THIS INSTALLATION MAY BE ORD E S ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 kg?KHS.
I, the Electrical Inspector, hereby Ro,n,a r oa?a
certify that the a6ove mspection has
been made. Flaai
4
OFFICE USE ONLV
This repuest voitl iB mombs iram
I II II I IIII II REUUEST FOR ELECTRICAL INSPECTION ?yg?ry
Minnesota Sfate Board of Electriciry
189' 'Jniversiry Ave., Rm. S-128, St Paul, MN 55104 ?
* k 2 5 9 9 0 2 5*- - r:,0ftiz)ea2-oaao,3//3,/yG 4
Home Duplex Apt. Bldg. Ofher: New Addn
Commercial Indusinal Farm Remod e air
Air Cond. H}g. Equip. Water Hh. Load Mgmf Other:
D er Ran e Elec. Heat Tem . Service
"k' above the/ work covered 6y thisqr??qvest. Enter remarks in this space and(o?n the bgck jo/ ?the white co,Ay only.
Xel(4ce lyC.y? C Lc//??H4/ ?i ?-?/q.??l_' , ct
S
Calculate Inspecfion Fee - This Inspedion Request wdl not be accepted wifhout Ihe mrrect (ee:
Olher Fee 3F Service Enhmue $ae Fee iP Circuils/Feeders Fee
Mobile Home Pork Sfall 0 to 200 Amps 0 fo 100 Amps .2
$treet Lig./Traffic Sig. Above 200 Amps Above 1 DO_5c? Amps
Tmnsformer/Generotor O
INSPECTOa'SUSEONLY
TALS{
5?
Sign/Outline L}g. Ximr. ?.
Alarm/Remofe ConMol 4
?
$wiTRting PoOl I hem arf Mat I ns t' IdclrrNi nslol Ao?bad herein on the daks smkd
177
Irrieo}ion Boom Rough-In Dok a
??Q
S
ecial Ins
eclion El ?
p
p
Investigotive fee I -
Final
L
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1 8 MONTHS.
2 5 9-90 G F5 1 OFFIC US ONLY Thn request.otd IB monlhs 4rom validatlon dole pnnkd in lhis box ?_ ? O
??yG
,
PLEASE PRINT OR 7YPE
Reqwsl Daro
/?
? ` Roogh-in inzpeqion reqw e12 ?'Yes ? No
l
h
h
d Inspecnon Olher Than Rough-ln? Ready Naw iII Call
d
Wf
R
-
- a anspecror w
?Yw mug w
en rea
yj
l i ea
y
e
I, la"ficensed conhacfor Q owner hereby reques} inspechon of ihe above electrical work of:
lob /ddms (Sheet, Box, or RoWe No )
? La O?Z'Cric? Ciry
? ? Zip Cade
Secnon No. Township Name or No. Range No. Fmi N.
Counry __ ??
jqF G
p«-?m
y ??6 ? ?•-.t .?w ?,?`??? r Phone Na-
?S% ?Clo
PowerSupplier Addreee
EleclAw Conhaclor (Compo^Y Name?
? Conhactur Lmnse No
C ?/3 97 Masrer Lic No. (Vlnnt Elea Only)
Mailing /ddmu (Comracior or Owne erforming Ins?allanan)
?w?
/wMqpvd-LgneMe?EenlwdororOwnerPeAoemin Immllanon
?r--?i?,e?.? PhonaNo.
EB-OOOOlA-10 6/95 STATEB ARDC PV-SEEINSfRUCTIONSONBACKOFY0.LOWCOPY
DO
4 ?4
.? $???
g
5
Fequest ste
i! ??/9s r No Fougd-l9 Insperton Fequiretl
(YOU must caJ: ins0?tor when reatly) Ins eclion Olher Than Rough-In
Reetly Now ? WIII Notlty Inspeclor
T . ? W ? No Oate Reed
IN licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (S1rBet, Box or Route No.)
2926 LoN E OAK Ci/2G4£ City
is4Gs4 x/
$ecimn No. Township Name or No 777 County
I?A,eO?4
Occupent(PRIN *
I U M'E LNDUST,rtE3 Phone No.
PowerSupplier Atltlrass
Elecincal Coniractor (Compeny Name)
C??/ffa.vu.t?e?T? E?cT/LLG ConiratloPS Llcense No.
348/ (
MaAing Atldress (COnQtractor or Owner Malung Installefion) ? ?j
S? ,pid04OW.4 ?7%(TAl/C- //!N
A honze igneWre (COMrac n InstallaUOn) PhOne Number
2z? (Fr3?
MIN TA STATE D OF El ICITV THIS INSPECTION REOUEST WILL NOT
Grigg -Mitlwey Bltl ? aam 5428 BE ACCEPTED BV THE STATE BOARO
1821 Unlveroiry Av t. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(61Y1612-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
O 2 4 8 4 4? See instmctions br complelinq ihis fortn on back of yellow copy.
5 g?95 "X" Below Work Coyered by This Request 11?•,.=
Ne Adtl Rep. Type of Building Appliances Wired Equipment Wired
Home Temporary Service
Duplex ater Electric Heatin
Apt. Bulldin t l.oad Management
Comm./lndustri al Other (Specify)
Farm ioner
omer (speciry) Coniractor`s RamaMS' 12Y,_SS Z .460,e GP M/C!//NE.
Compute Inspection Fee Below: Ugil4Ob
# Other Fse # Service Entrance Size Fee # CircultsfFeedars Fee
Swimming Pool 0 to 200 Am 5 0 to 100 Amps :
i 23 4V
Transfortners Above200_Amps Ab 1 kmps
Si 11S InspemoYS Use Onry. TOTAL
IrrigationBooms
S ecial Inspection
AlBrrn/Communication THIS INSTALLATION MAY BE ORDERED UISC6NNECTED IF NOT
Other Fee •3SO COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecior, hereby
it R°uqn-in oa?e
cert
y that the above inspection has
6een made.
Final
o&? ! f?` ?J
OFFICE I1SE ONLY
This request voitl 18 months irom
2 5 9-ei M OFFICE USE ONLY Thrs reqeesl wid 18 momhs (mm wlidohon dok pnmed in thiz
P
5 ?
?
?
x/t
PLEASE PRINT OR TYPE (?(/
•
. so
Reqoest Dak Rouph-in Inspenw eqwred2 ? Yes Inspetlion 01herThan Ro?gh-Im 0 Ready Now ?1Mtl Call
u
? 7-?7 (1'0u must wll the inspeclor when reody) DaM Rmdy
1,19 licensed conimcior ? owner hereby request inspection of }he above elecirical work af.
l06 Addrcss (Street, Bm, or Route No.) ?+? /?
? @ V l? Ciry Z?p CodeJ
Secnon o Towmhip Name or No. Range N. Fire No Gounp
o..'m PFwne No.
PowerSuppher naa«9s
Elecmml Canwnor (Campony Name) Conlmcwr Liuns/e 7No. -7 Mmkn cc No. (Planl Elee. Only)
M iling Mdross (Conkacbr ar Owner Ped ng InsMllorvan) /J/ )?
105-6 ?
?L GG?G ?6K?
Asnh u e onVacbr ar O ng Insa fion?
C?L.. PMm No.
`i1
EB-00001A-10 6/95 V SfATEBOARDCDPY•SEEINSTRUCTIONSONBACKOFYELLOWCOVY
REQUEST FOR ELECTRICAL INSPECTION
IIIIIIIIIII Il?i?llfl ??? III II II? ?II IIII 8121 University Av?ftm. 3e28,c?. Paul, MN 55104
* 0 2 5 9 9 2 3 1 ? Phone (612) 642-oeoo 0?0 ?7
Home Duplex Apt. Bldg. Other New Addn
Commerciol Indushial Farm Remod Re air
Air Cond. Eqmp. Water FNr. toad Mgmt. Other.
Dryer Ran e Elec. Heat Tem .$ervice
"X" above ihe work tyvered fjy ibis request Enfer mmarks in is space and on ihe bock of the white copy only.
f
Calculote Inspectron Fee - Tha Inspechon Request wJl not be accepted withoui ihe ronect fee:
Olher Fee # $ervice Enh'ance Size Fee # Circuifs/Fceders Fee
Mobile Home Pork Stall 0 to 200 Amps 0 to 700 Amps
$ireai Lig /TraHic Sig. Above 200 Amps 11 ove Amps ?
Transformer/Generator MSPECTOP'SUSEONLV TOT
"
`
Sign/Oudine Ltg. Xfmr. ?
f Ld
Alarm/Remole Coniral ?
?r'
Swimming Pool t n?re6 ih.1 i s ihe ei + I w9mwn desa?6ed here?n on tM dotes smted
Irrigation Boom eo?ah-in ?k
dion
$
ecial Ins
p
pe
Investigotive Fee F??ai
' oa?z: ?
THIS INSTALLATION MAY BE ORDE DIS ONNECTED IP bf& COMPLETED WITHIN 18 MO THS.
This request void 18 months from
0 59889
Date of this Request?p7 7^'C4 1c7 - 7?.
I, as ?censed Electncal Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ;? s
Street Address or Route No. n 9 City.
-
Section Township Range County
Which is occupied 6y
Is a roughin inspection required on this job? No ? V Yes Ready Now 9V Will Call 1?-
Power Supplier W.7 f Address ??J /&-4
ElectricalContractor??.Y XXn Contractor'sL3te3s?I?To.°2? ?
( ompany Name) ?/ ..q.,
Mailing Address ??c12} a?` ? ?(j ? JLep (Y?
(Electrl ontr or or Ow'?cr Making TI s Installation)
Authorized Signat re y?.- ? - -?1 r) Phone No.,?x?zi?
(Elec ?Ical Contractof or Owner MakingThls^ ??)
414 Minnesota State Board of Electricity
1'1954 University Ave., St. Paul, Minn. 55104-Phone
REQUEST FOR ELECTRICALINSPECTI
CHICK BgLOW WORK COVERED BY THIS REOUEST
O 59889
Type oP Butlding New Add. Rep. Check Appliances Wired For Check Equipment W'ved Foi-
Home ? ? ? Range ? Temporary Wuing ?
Duplex El ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? ?ry Electric Heating ?
Commexcial Bldg. ?? ? Fu Silo Unloader ?
Industrial Bldg. ? ? A'u ? Bulk Milk Tank El
Fazm ? ? ? Lis List )
Othec
? ?
? (?
Rehets? p }
HereTS!
COMPUTE INSPECTION FEE BELOW Q?
Service Entrance Size: # Fee 1 1 Feeders&Subfeeders: # Fee Cucuits: WT&
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies
101 to 200 Am . 31 to ]00 Amperes 31 to 100 Am ere's
Above 200 mps. Above 100- mps. Above lO?Amps. .
Tcansformers 1 1 RemoteContcolC'vc. Partialorotherfee
Signs 1
Speciallnspection
1
Minimum f 5.0
?
Remazks , L (? O
TOTALF ??? ?
I, the Electrical Inspector, hereby chat e insp ion has been made. .
(Rough•in) 60 Date
(Final) Date ?? ?
This request void.18 months from ??,
Request ?ate Fire o. Rough-In Inspactlon
May 26 1989 Requiretl? ?ReatlyNow [I Wd e
?"or
W
h
e
tl
? ? Yes ? No e
y
n
I f? licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlOress (Streel, Bm w Rwte No ) City
2926 Lone Oak Circle Eagan
SecUOn No. Township Name or No Renge No Counly
Dakota
OccupaM (PRINT) Phone No
VILLAUME INDUSTRIES
Puwer Supplia Atltlress
Electncal Convactor (COmparry Nsma) Contraclorg License No.
KI A 040301-8
Mailing Atltlress (COnhxWr or MMekug In Ilallon)
9702 85th Ave. No. Maple Grove, MN 55369
ANhonzetl S' e(ContraclodOwner Meking In bon) Phone NumOer
425-2525
MINNESOTA STATE 60AR0 O EIECTflICiTY ' THIS INSPECTION REOUEST WllL NOT
GrlggsMidway Bitlg. - Noom 5-173 BE ACCEPTED BY iHE STHTE BOARD
1821 UnNereiy Ava., SL Peul, NN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (812) 662-0800 ENCfASEO.
(P/?/?q REQUEST FOR ELECTRICAL INSPECTION eaaoam o7 /
? See insiruktrons lor minpleLng ihls form on beck of yellow capy.
T
0 9 7_214 "X" BeJow Work Covered by This Requesf
e Add Rep. TypeotBuiWing AppliancesWrted EquipmentWired
Home Range Temporary Service
Duplex Water Heater ElacVic Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specRy) Cont2ctor§ Remarks.
Compute lnspection Fee Below:
# Other Fee # ServiceEntrancaSize Fea # Ciicuits/Faeders Fee
Swimming Pool 0 to 200 Amps 0 w 100 Amps e'P
Trensformers Above 200 _ Amps Above 700 Amps (a p
Signs Inspecmrs Usa only: TpTAL
Irrigation Booms
Special Inspedion
Alarm/Gommunicafion ?
_
Other Fee ?
I, the Electrical Inspector, hereby Ro?n-in , . Date
certity that the above inspection has
been made. Fi„ai ? oere ?
OFFlCE USE ONLY r Z'
This request void 18 moMhs Irom