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941 Diffley Rd - Electrical PermitsREQUEST FOR ELECTRICAL INSPECTION 4 ? See instructions for comWelinp ties torn on back of yellow copy. 1_& 153 2U k, Below Work Covered by This Request New dd Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specily) Contractors Remark ,,,../1_y1 ?? ff c ?' 1°ru t n? [ r Compute Inspection Fee Below.' # Other Fee # Service Entrance Size Fee # CircuitsiFeeders Fee Swimming Pool 0 [0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 Amps Signs Inspector§ Use Only. TOTAU`_ ? Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby f Rough-m Date certi y that the above inspection has been made. Final Date OFFICE USE ONLY EB-00001-0a C his request void 18 months from '0 C 7-5- L J 15 3 2 0_ r 1zL, de? ?s--;Z Zcf ) Y Request Date G Fire No. Rough-in Inspection Required? (?ReatlYNpx ? Will Notify Inspector r 2 Y ?.. No OYas 1y When Rksuki I ?K licensed contractor 0 owner hereby request inspection of above electrical work at: Job Address (Street, go. or Route No .1 City '4 y I D y ?° ' ?p - a4 K) Section No. Township Name ar No. Range No. County t Occupant, , PRINT) Phone No. Power Suppli//er?'? // Atltlress Elecvic egtractor (Company Neal l ?P r mractorb Lkense No. oy?vE? 3 Maing Addesss Contractor or Owner Making Installation) /I S `b7 /te?L_? C/ Autnonz¢tl nature fCOntr /IOCa r Owner king InstallaLOnl 1 (/ Pho?e Num -7 L%!J) MINNESOTA ST E 60ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NDT Griggs-MIEwa Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 Unil Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phan. (61216,12-(1800 ENCLOSED. Minnesota State Board of Electric 1954 University Ave., St.-Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST '4- O 88121 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ,?/ , 'p- Bulk Milk Tank ? Farm ? ? ? List List ) Other _ 11 ? ? Q Hehrc"4 } Hehersl COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders& Subfeeder • Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 A re '. 0 to 30 Amperes 101 to 200 Amps. 0 re - \ 31 to 100 Amperes Above 200 Amps. A ' v ' 0 -elm V Above 100 Amps. Transformers Re teC `4rol ire. Partial or other fee Signs Sp ? ' Inspection Minimum fee $5.00 Remarks TOTAL FEE I, the Electrical Inspector, hereby certify that theabov,$fjinspection has been made. j 60 (Rough-in) 7/9 Date ,Final) w/Date This request void 18 months from ` -d 7a S: oro or TWs request void 18 months from , :-'? O 88121 Date of this Request I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. F q/ ca W,0 3d City ~?4'a Section Township Which is occupied by 14 bV (Name of Occupant) Is a roughin inspection required on this job? No X Yes ? Ready Now Will Call ? Power Supplier Electrical Mailing Address uthorized Signature L A /G NTAJ / IJG ?y (Company Name) J ! 7741n AJ/,Y, Range County 47A*'07,19 3161/ Contractor's License No. ner Making This Installation) Phone No. (? . 1 or Owner Making This Installation)