700 Diffley Rd - Electrical PermitsII I lilll III I II II II II REDUEST FOR ELECTRICAL INSPECTION
I II III II I 1 Minnesota SWte Board of Electricity
St. Paul, MN 55104
??????? 1821 University Ave., Rm. 5-
? 0 2 6 5 6 4 0, 3 * phone (612) 642-0800 ??128,
-0800 ??
Home DupleK Ap}. 81dg. Dn': n1_ \ New Addn
Commerciol Indushial Farm \ f`UFC`? X Remod Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmf. Other:
D er Ran e Elec. Heo} Tem $ervice
'X' abrne the work covered by this request. Enter remarks in This space and on the bock of the white copy only.
ANO&r C) AC I c es q yoo$ k CeAeh,
Calwlote Inspection Fee - This Inspecfion Reqvest will not 6e a<cepted wifhout the mrted fee:
Olher Fee # Service EMrance Size Fee # Circvih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps y0•00
$freet Ltg./(roffic $ig. Above 200 Amps Ab 00 Amps
Transformer/Generator INSPEMOp'$USEONLY TOTAL
/
Sign/Outline l}g. Xfmr, [lU rCti
?
/D• SO
Alarm/Remofe Confrol
Swimming Pool
I here ?m thal I ins ected the elMriml insmllatian descn6ed herein an Me daron amtad
Irrigation Boom poveh-in
Spe<ial Inspedion
Inves}igo}ive Fee Final ? ?
THIS INSTALLATION MAY BE ORDERED DISCONNECTE C 18 MONTHS.
2 6 5- 6 4 0 ? ?FFlC USE ONLV Thb mquest void 18 monMs from validaHon dok pnnhd in Ihis box.
5/?9 ? 558??
.
PLEASE PRINT OR TYPE
Request Dok Rouph-in mspenlon required2 ?Yes ? N. Inspection OtherThon Roogh-In: ? Ready Naw e-WIII Call
A p r i 1 2 2, 19 9 6 ?Yoo most mll Ihe inspeclor when rcady? Dh Ready:
I, icensed rontmdor [I owner hereby requesf inspection of fhe above elecfrical work af:
Job Address (Shee1, Bow, ar R.W. No.) Ciry Zp Code
700 Diffley Rd agan 5123
Sedion Na. Townahip Name or No. Range Nn Fire No. Counry
Dakota
Oa?pant Phone Na.
Eagan alliance Church 688-2
Power Supplier Address
NzA
Eleclnml Conhador (Compony Name) Confracror Limnse Na. Maskr Lic No. (Plant Elect Only)
Midland Elec
MailiW Addnsa (Confimcbr or O+.ner Pedorming Insbllatlon)
22691 Red Fox Drive Lakeville,MN55044
Aulhon ed ' oNm omratlor w r Pedorming InslollaAOnl Phone No.
61-1444
EB-?yo'Alb 6/95 y ?STATEBOAX9COY-SEEINSTRUCTIONSONB0.CKOFVELLOWCOPY
3?7?9
? 04 75:7
REQUEST FOR ELECTRICAL INSPECTION
jl? c a ee inslmctions lor completing this btm on back of yellow copy.
'X" Below Work Covered by This Request
6 C?r %o`
?k
ak[??
ew Atltl Rep. TypeoBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load ManegemeM
Comm./Industrial Furnace Other (Specity)
Farm Air Conditioner
I Oiher?specily) Contractor's Remarks:
is ,v \ /f
Compu(e Inspection Fee Below: JC O` (oaAl r?`?CM"?+1
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
SWimming Pool 0 to 200 Amps 0 to 100 AmpS
Transformers Above 200 _ Amps A6ove 100 _ Amps
Signs Inspecmr's Use Oniy: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B RDERED DfSCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONT
I, tha Electrical Inspector, hereby
certify that fhe above inspection has
been made. Rough-in
F;nei ? Da?e
9,_ cr
7
OFFICE USE ONLY
This requesl voitl 18 months irom .
3?12 y? ao/8?'
0 4 6.7 1 i ?-- -?ao cro
Fepuesr De[e Fire No. FougRln InOSectian RequireA. Inspection Othe? T?an ougl ?ln
F e b r u a r y 28
19 9 (YOU must call inspettO when
reaey)
?
0 Ready Now Will N' Inspecbr AE!k
, Yea
N. pate FeaC
I icensed contrector ? owner hereby request inspection of above electrical work aC
JoD Atltlress (Sheet. Box or Raute No.) Ciy
700 Diffley Rd. agan
Section No. Township Nama or No.
pange No.
County
I Dakota
Occupanl(PRINT) PM1One No.
Eagan Alliance Church 688-2528
°°we, s°PP"er Atldr*300 220th St. S.W.
Dakota Electric Farmington,MN 55024
Eleqrical ConVactor (Company Name, ' Conhactor5 Gcense No.
Midland Electric CA 01236
Maning Atleress IGonhactor or Owner Making Inslallationt .
22691 Red Fox Dr. Lakeville,MN 55044
Authonzetl S'? naNr IContracmnOwnei Making Insiallauonl PI one Number
461-1444
MINNESOTA STATE BOARp OF ELECTRICITV THIS INSPEGTION FEOUEST WILL NOT
Griggs-MlGwey Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 pnivarsity Ave., St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6C2-0800 ENCLOSED
.
K 7 2 4 2 y
?/a 39 J_1?/
Request Date
0 2-17 - 9 3 Fi No. Rough-in Inspetlion
Fequiretl?
? Ready Nax I6W?I Notity Inspecior
iiiiiiii1flf! ? No When ReaEy?
I icensed contractor 0 owner hereby request inspection of above electrical work at:
Jab Atltlress (SIreeL Box or Route No.) City
700 Difflep Road Eagan
SeIXion No. TownsM1ip Name or No. Renge No. Counry
Dakota
OccuOam (GRINT) Phone No.
?Atl N RLIM?P Lf-IUR_N tO?S$ ?Sz?`j
Power Svppuer AOtlress t t r e e t ..
Dakota Electric Farmington,MN. 55024
Elecmcal Comracror (Company Name) ConVactor5license No.
Midland Eelctric CA 01236
Mailing AtlOress (ConVaclor or Ownar Making Instellation)
22691 Red Fox Dr. Lakeville,MN. 55044
Nu[honzetl S naWre ICon[ractor ing Installa4on) Phone NumOar
461-1444
MOTA STATE BOA OiYCEC CITY THIS INSPECTION REQUEST WILL NOT
Griggs-MlAway Bbg. Noom SBE ACCEPTED BY THE STATE 80ARD
1821 Unlversiry Ava.. L PeW 55106 UNLESS PqOPER INSPECTION FEE IS
Phone(612) e42-08 ENCLOSEO.
G??3 / j'?REQUEST FOR ELECTRICAL INSPECTION °"" G1F?o?d?'
? 7? 4 5 2• Sce instmnions lor compietinq inis form on Eack of yeliow copg ¢?b?; 4/^ /2 ?
?s ?-
`"X" Below Work Covered by This Reques! "v ?
ew Add Rep. TypeoFBuilding AppliancesWired EquipmentWired
WOO Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt.BUilding Dryer Other-.(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Olherlsuecilyl Conhactor5 Remarks',
Compute /nspection Fee Below:
# Other Fee # Service Enirance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps .1 o to too Amps
hansformers Above 200 _ Amps Above 100 _ Amps
Signs inspemor's Use OnN: TOT?A
L
Irrigation Booms ?-? j
OQ•S?
Special Inspection
Alarm/Communication 7HIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspedor, hereby Rougn-in // oe?a,..,
certify that the above inspection has
been made.
Final
u5xt1
OFflCE USE ONLY
This request voitl 18 mon[hs Irom
10,,??j/RV REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
0 See inshuct{ons tor completing Ihis lorm on back o1 vellow copy.
D13-1=11' 5 "X'" Below Work Covered by 7his Request FAd qeo. Type of BuilEing Appliances WireO Equiyment Wired Home Range Ternporary Service
any
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric HeaLn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ome, Specitv ()iner Isnec,tvl
thnr ISVecily Other pthi,r
L ompute Mspection Fee Below
# Fe0 Service Enhence5ixe H Fee Fenders?SUbieeders B Fee Circuits
0 to 200 qm s 0 to 30 Am s ? ? 0 m 30 Am s
? ,?C'0 - Above 200 Amps, 31 to 100 Amps y. aa! 0€' 31 to 100 Am s
Swinuning Paol Abave 100_Amps Above 100_Ampn
Transiormers Irrigation epoms 40 PartiaLI Other Fee
Signs Speciailnspection
Pemarks
TO
Inspector, hgraby
ertity that tha above
Final D`i?e?
r , S inspection has been
? d made.
Thia
rnis rYauest voie/v/.n7?/J?`?
18 nwMhs tmm
D'?,12.$5
Reques? Fire No. Rovph-in Insoer,iion /
Requiredt 013eadY Now p Will Notify. Inspec-
? ?]ves ?NO tor When fleady
K Ucenyed Eleclrical Contrector I heraby raquest inspec<lon of above
? Owner electricel work instelled et:
Sheet Address. Boa or Tfloute No. i Ci}y?
eclion o. Township Name or No, Rangc No. County ??
p?",l?a/?`
OccuDpnt PRINT)
( ` o
Aay Phnne No.
Power 5 pplier
? Addr(e?ss I
?
1 ` t?(L- 1?1••`C'
?_
Elect ir.a opnvactor ICOmuanv Name) n/..he/cioi's License No.
C?o
?
Mailm A d ess ICon[ractor or Owner Ma kinA Inst, Ila[ionl
e-Z
Authorized Signature ICOnVacor/O` ner Makinp Ins[allatioN Phone Number
MINNESOTA STATE 90AP0 Of ELECTqIC1T THIS INSPECTION qEQUEST WILI NOT
GrigBS-Midwey Bldg. - qoom N•191 BE ACCEPTED BY THE STATE 80APD
1821 Universitv Ava.. 5[. Paul. MN 55104 UNLESS PROPEfl INSPECTION FEE IS
Phone 16121 642-0800 ENCLOSED.
?p s1 REQUEST FOR ELECTRICAL INSPECTION ee-00001 -06
f }? ? , See instroctions for completing this form on beck of Vellow copy.
D w?'?.2•`86 "X" Below Wak Covefed by 7his Request _
FAA Hep. Type of Building qp0liances Wired Equipment Wired
Home Range Temporery Service
Duple.n Water Heater Liyhtiny Fixtures
Apt. Building pryer Electric HeaLn
Commercial Bldg. Furnace Siio Unloader
Industrial BIAg. Air Conditinner Bulk Milk Tenk
Farm Other vea y Offier 15pnciiyl
mP, uediv rn?, ntn,;,
Compute lnspection Fee Below
N Fee Service EnhencaSize fl Fee FAAders/Subteeders d Fea Circuits
F? 0 to 200 qm s 0 to 30 qm >s 0 tn 30 Am ?s
Above 200 qmps 31 to 700 Amps 31 to 700 Am s
Swimming Paol Above 100-Amps Above 100_A?n{n
Transiormers Irrigation Boon?s o PartialOther Fee
Signs Special Inspection g
c '
^
R¢m?rks 0
/Z, J TOTAL FEY
/
,? _1 )
?? /
flough-in oate I, xne Elect
Inspactoq hereby
cerlily that the above
Final ^ ?, _ ??/fDAt F+X/' inspection has been
?1? r •1" mede. i
TMa reQUest volU 10monlRS irom
ihis repuest voitl/G/? S?
18 months from ?
D 31286 z-ii2i 1,2
aen??esi oaie- ??
'f
O? 5? ? Fire No . RouNh-in InsVection
Re
? ireA?
?ReaAy Nuw?Wili No?i
fv InsOec
br Wh
F
tl
?
/ Yes ?NU en
ea
y
Licensed Electrical Cont actor ?
1 hereby request
inspaction of abave
Owner elecfrical work i nstalled et
Sveet Address, Boz or Rnute No.
' Citv
Do i
f/e ? ?
ectmn o. 7pwnship Nam or No. flanpe No. Cowny
I
1 ?
OccapentlPRlNi)
r
0
1
h
Cli Phone No.
?
4
w urc
Power $upplie Address ,
to?a- c?r
Eleclrical Convactor ICompany Namel
k onvactor's License No.
Mailing Add s ICon ractor or Owner Makinq InStallatiun
I ?
D
/
n,
Authori ed Signalure (Contractot/Owner Ma ng li taliation) Phone Number
9-35/ ?
MINNESOTA STATE BOAPD OF ELECTflICITV
Grie9s-Mitlwey BIOg. - Noom N•791
1821 Universitv Ave., St. Peul. MN 65104
Phone (612) 642-0800
TMIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE 80ARD
UNLESS PNOPER INSPECTION FEE IS
ENCLDSEO.