965 Diffley Rd - Electrical Permitsr- 39202,C ,3
Request ?
? Fire No. Rough-in Inspaclion
Require0?
? Yes ? No
? fleady N iil No11 nspecNr
ow Wl?en tlyl
I icensed contractor ? own r here y req est inspection of above elechical work at:
bAOtlres?($t?B/OxorRauleN
(? V ?O
i Ciy
Sec1ion No. Township Name or No. Renga No. Counly
Occup t( FI J Phone No.
Power Supplier qtltlress 61
EI ConUacior (COmpa Neme) ? Contrector9 Licenae No. S
0
Mailing ress (Contraclor or Qvner Meking Instellalion)
9160 0
?
m N ss??
Auttrork Sgneture (Co r/Owner Maltl stallatbn)
`??, caCL Phona Number
Sl 6
MINNESOTA STA7E BOAND OF ELECTPI 7HIS INSPECTION HEQUEST WIl1 NOT
GAggs-Mqway Bitlg. - poom SR3 BE FCCEPTED BV THE STATf BOARD
/B21 UniverWry Ave. St Paul, NN 5100 UNLESS PROPER INSPECTION FEE IS
Phone(612)fiq2-O800 ENCLOSED.
? 3qpnp
?REQUEST FOR ELECTRICAL INSPECTION
? Sea InsWCtbns for complMing this iorm an bazk of yelbw topy.
`X" Befow Work Covered by This Request
EB-00001.0
9.9.3,?
Ne% Atltl Re . . TypeofBuiltling AppliancasWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elearic Heating
Apt. Building Dryer Other (Specify)
Cqmm,/IndusVial Furnace
Farm Air Conditioner
Olher?speclty) Contraclor5 Remarks:
Campute Mspection Fee Below: I
# Other Fee ff ServiceEntranceSize Fee # Circuits/Feeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps 0_ Amps
Signs Inspactor5 Use Only: TOTAL
Irrigation Booms
'
Special Inspec[ion
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. R°"en-in
F?naJ ? oa?e
p?
OFFICE USE ONLY
r is request vOH 18 months hom
This request void5 ? r?.C ?
18 rronffis from J J
A 100775
S-(Y-81?
? o?an-??i ? ? vac?
Reqwred? ? Aeady Now OWill Notify InsPec-
` ? OYes N. ?or When Peady
? licensed ElecVicai Conlractor hereby requast inspection af ebove
? Owner I , lecvicel work inatallad et
St eel Address, Bo ar Haute No. CitY
ctmn o. Township Name or o. Bange No. C nty -
Ogant IPIIINTI ' Phone rNo.
I q ?7
Pow Suppl'er
c , Address
?{300
6a
Electri ontractor ICOmuany Nemel ? Co racmr's
? ?
Malline Ad ress (Contract r or Ow er AAakine Ins 'lation)
O ' If
Autho ized SiBnature ontractar Ow r Makine tnstallaiion) Phone
Number
? / `
MINNESOTq $Tp7E syaflI) OF ELECTflICITY THIS INSPECTION PEQUEST WILL ry0T
GrigBS-Midway Bidg. - Room N491 - BE pCCEPTED BY TNE STATE BOAND
1821'Univeraity Ave., St. Peul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
pho. 181z1Zy7-2111 ENCLOSED.
- REQUEST FOR ELECTRICAL INSPECTION. ee•ooooi.o<
See instructions for comvletins this Iwm on Eeck of vellow coov??/
17 ?? ""1!" Below ?(ork Covered by This Request 6)r y?tir
NWAAddl Nap.1 Tvoe oi BuilOina I APCliencee Wiretl I Equioment Wired I
Bulk Milk
M Fee SBrviceEntreneaSiza q Fee Fanders/Subfeedere !I Fee Circaite
/ U to 200 Am s- 0 to 30 Am s 0 tn 30 Am s
Above 20 _qm ?s 31 to 100 qmps 31 ta 100 Arr"
Swimmin Pool Above 100_Am s Above 100-AmUs
Transformers Irrigation Boorcks Partial.'Other Fee
Signs iSpecial Inspection S? I TOTA??Ftt
Aemarks - ? l ? /?
the
oq haroby
the[ the above
ion has been
nus rcoumr roia
l
e-T y
// ?X?
M
04039
Q53 ? (;e °°
Repyl LWe. - Fire o. Rough-in Inspaclion NOTICE: You Mast Cali Eledric2l Inspector
Requirea?
? It A Roughln Inspection
?Yes
NO IsReqviretl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SVeel, Box or Route No. Ciy
? / " L? / ?
Seqion No. Township Name or No iiarige No. County
Occupa (PRINT)
- Phone No.
, a ?7
PowerSupplier AdgKst
Ekctric onira r(Comp Nem j : Contractor? License No.
7
? ?
Mailing Ntltlresfs (Coftactor or Owner Makinq installa[ion)
/
Au(horiz_ etl SiynaWre (CoMractmlOwner Making I Hon) . Phone Number
"' oa
MINNESOTA STATE BOAPD OF ELECTRIC THI$ INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Hoom 5-113 BE ACCEPTED BY THE STATE BOARO
1821 Unlverslty Ave., St. Paul, MN 55104 ?/?? UNLESS PROPER INSPECTION PEE IS
Phone(612)692-0800 / ENCLOSED.
8/??9;?-
M 04039
REQUEST FOR ELECTRICAL INSPECTION
i Sea inshuclions br completing this form on back of yellow copy
'X" Be/ow Work Covered by This Request
?thife, ?
e Adtl Rep. Typeofeuilding AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specity)
Farm ir Conditioner QX (C(CS -
Other ecify) ` Mractor's RemarksP%!/.'`??t nJ H? Nr??J/1n??C?i?
Compute L Inspection Fee ? Below: >6 V ?/?, u-?ST1 T/ ?/ / L b /?/L ,/??/I`.JL d ? L°sy?b?
# Other Fee k ServiceEntrance 5ize Fee # uits/Faeders
Cir Pee
Swimming Pool 0[0 200 Amps eA
0 to 100 mps ', Q
7ransformers Above200_Amps Above100_Amps
SIgnS Inspedork Use Ony: TOTAL
Irriga[ion Booms ? /? 4 S?
Special Inspection ?l
AIarMCommunication THIS INSTALLATION MAY BE ORD 9CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO?
I, the Electrical Inspector, hereby
ti
h oei
ry f
cer
at the above inspection has
been made. Finai !? aw ?
OFFICE USE ONIY ?
This request voitl 18 months lram
p?? G REQUEST FOR ELECTRICAL INSPECTION Affik eaooom-o7
c9 / ? See insMiclions for wmplating thia form on back ot yeliow copg
i
5 S;A " 1 X" Below Work Covered bV This Request
ew
Aff
ep: v
^ Typeofeuilding
AppliancesWiretl
EquipmemWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Induslrial Furnace
Farm Air Cond"Rioner
Other (specity) ConUactor§ Remerks:
Compute lnspection Fee BeJow:
# Other Fee # ServiceEnVanceSize Fee # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 10D Amps ?p. iO
Transfortners Above 200 _ Amps Above 100 _ Amps
Signs Inspector9 Usa Ony:
i Tp7pL
Irrigation Booms 30-,t
( ?
Special Inspection 3
'
Alarm/Communica[ion
Olher Fee f
I, the Electrical Inspeclor, hereby
tit
th
t th
b
i Rough-in i el ?.
cer
y
a
ove
e a
nspection has
been made.
oate ?
OFFICE USE ONLY
This requesl wid 18 monffis ham
2? ao/5ir u 9?a y9
? 16 9 p?G/ .?? ? ?
Repueri Dat ^ ((?? /5
? ?/ U Fire No. Rough-in Inspection
RequireG9
? Ready Now ill NOtity Inspectar
C ?
Yes o
WhenReady7
I[?j'censed contractor f-J owner hereby request inspection of above electrical work aC
Job AJtlress ISlreel, Box or Rome No.) w?
-
1/"? Ciry
? J
3
.?,.
,.
Sanion No. ownshi0 Name or No. Range No. County
Occup f(P INT) Ghone No.
Powe SupPlier Address
RY
eiemricai Convacm9emari Avenue North
BR
?P ?^treclor's lkense N.o?. ? S
OOKLYN
ARK, MN 5
Mailing AEtlress COntrector or owner Making Installation)
Auroorize $Ignature (ConlrecloriOwner M - nstallabon . Phone Number
MINNESOTA SL1TE BOAPD OF ELECTRICRY
Grigge-MlEwey Bltlg. - Room S173 f/
1821 Unlversily Ave., 51. Paul, MN 55100 V
hpne (612) W Y-0BOD THIS INSPECTION REpUEST WILL NOT
BE ACCEPTED eY THE STATE BOARD
UNLESS PFOPER INSPECTION FEE IS
ENCLOSED.
f ??0 REQUEST FOR ELECTRICAL INSPECTION ?° 1Y?? ee.ooom-oa
M ? See Insiructloos for comple9ng iMs farm on beck of yellow copy. ??? ??D9Q
01690 =JC"-8elw Work Covered by This Request
ew Add' Rep. vTypeoiBuilding
Hi .re AppliancesWiretl
Range EquipmentWired
Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer her (Specity)
CommJlndustrial ' FUrnace
Farm Air Conditioner
Oine s0?? ConhaMOrS Pemarks: ?
Compute Inspection Fee Below: o[
# Other Fee # ServiceEmranceSize Fe # CircuitslFeeders . Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Ab 100 _ Amps
Signs Inspecmrs Usa Oniy, TOTAL ?SO
Irrigation Booms
Special Inspeclion V
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED 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
? oaie
f 'Qsy
OFFICE USE ONLV C'.
Tnis requesl voitl 18 months Imm
7
Request ate
?j
? ire No. Rou9h-in Inspettion
Fequiretl?
? Featly Now??ll Nolity Inepec?ot
? ?
'6 .'?yes ?NO WhenHeatly?
I,@.licensed contractor ? owner hereby request inspection of above eledrical work at:
Job Adtlrass (Street, S. or PoNe NoJ Clty
n /
Section No. Tawnship Neme or N0. Range No. Counnty
V?A:-'+*?'
OccupaM (PRINi) Phone No.
(
)? O f - '`/ ?-U ? VJ-w QL?IN' .
Power $upPlier q??pss
Electrir.al Coniredor (COmparry Name)
Ffee,.1 ir-;- (`,pntractorB Licerise Np.
(-?, ?e r .
Maifing Atltlress (Contractw or Owder Meking IWallalion) ,
AuthqrizeA Sgnature (COntmtior/Oxner Meking Inalallatio ?
?
\ Plwne Numbe/r- `-?
?
?,2Ji?.
? J`E'''?23?t7cT
NINNESOTA STATEI60ARO OF ELECTHICRY ? i1115 INSPECTION REOUEST WILL NOT
OrlggadAlAwsy BWg: - poom S1T3 BE ACCEPTED BYTHE $TATE BOARD
1821 UnivnsHy Ave., SC Poul, MN 55109 UNLESS PROPER INSPECTION FEE IS
Vlione (672) 662-0800 ENCLOSED.
g/ia/s>?9
[F 11567
REQUEST FOR ELECTRIGAL INSPECTION
? See insmrotions lor vrompleiing this Iorm on back ai yelbw copY.
'X" Below Work Covered by This Request
E600001-0]
? 93
e Add Rep. Typeof8uilding AppliancesWiretl EquipmentWired
Home Range 7emporary Service
Duplex Water Heater Electric Heating
Apt. Building Oryer Other (Specify)
Comm./lndustnal Furnace 94'01TC4
Farm Air Conditioner
other (s ciry) Comractork Remarks:
L .w.w a.w..le,k ?ca eewmrc p.rcn.(a??
Compute Inspection Fee Below: FlyW gn.nlCty /NSTqcf.EA $y? WEu- C011p91QG104
# Other Fee # Service EntranceSize Fee # Cimuds/Feeders Fee
Swimming Pool 0 to 200 Amps O l0 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs lnsveclora Use Onry: TOTAL
Irrigation Booms / f
? bp
Special lnspection ? V
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
it
h Rougn;n i oWe
cert
y t
at ihe above inspection has
6een made. F;,,ai
OFFICE USE ONLV
This requeel witl 18 monihs iro.
9/ia/?7 - r 3 9 70
? 115 6 7/
Request Date
p ? 4??
O C) Fire Na. Fiough-in Inepecoon
Requiretl9
? pe?Y Now ?9'L?fill Noliy Inapeclor
r Wh
R
d
7
p yys o en
ea
y
I licensed coniractor ? owner hereby request inspection of above electrical work at:
Joe Atle
re
sa (Slreet. Boz or Routa No.)
-
GI? -
/
?
`
! ?(C? .LJfV-ZFLt ?
Section No. Township Name or No. Range No.
TA
Occupenl (PflIM)
??s %wne No.
O vf ?
POwerSUpplier Adtlress
EIBCVical CoMrwa (CampanY Name)
tit(..'p -A)o"W tLkMIe / ve. Contractor5 Lkense No. '
ogsa-
Meillng Atldress (COnlraciw or Uvner Meking Installalion)
Q%is < < /01 MA-) Ss a
AuUionzetl ' ature (Contraclor/Owner M'n Inslallation) Plia NumGer
a-3Q?(a
MINNES'OFA*ATE BOAflO OF ELECTqICffV THIS INSPECTION REOUEST WILL NOT
GrlggsNldway Bltlg. - qoom 5173 BE ACCEPTED eY THE ST.4TE BOARD
1821 Univretry Ave., SL Peul, MN'S5700 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0Wp 0 ENCLQSEO.
REQUEST FOR ELECTRICAL INSPECTION EB'00001 -8+
' Sae i.truetims (or comDletiry, this f?m m buk of ye11ow copY.
d`
iD 048 ? "X'" Be/aw Work Covered by This Request
FARM u.ad xeo. rvoe o1 atuiairic aooiienc.s r:..e eawwperit c1i.?a
Home Range Tempcuary Service
DupFex Water Heater 'Lighting FixMes
Apt. Building Dryer Elecvic Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oinet tSmcify) - tM. (SaccitvY
r S?ci Other - Other ?M ??
::ompu[e lnspection Fee Below
p Fee SarviceEMrenceSixe k Fea Feeders/5ubfeeders B Fae Circuits
0 to 200 qm s- 3 O 0 to 30 Amps 0 to 3Q Am
p Above'L bqm s 31 to 100 Amps
7 37 io 100 A
Swimmin Pool A6ove 100?Amps 1 7 Above 100_/?
Transtormers Irrigation Boorrs 0 Partial.`O
Signs Speciallnspection S .'
T
Remarks
/,y.oa ?
oT FJE
flau8h-in Ua[e
0 c
•/? , py Ela eai
InsPtrCbr. Iwroby
1 nih t4et the above
Final DD;.?l? i?rcpectim has Eean
i J Mtle.
tqhMpueslvoltll montlmlran
This request void ?A { 4 I
months from _ / p `
yo6 y?-1 ? o s?
I Request Dam +?""?? 'yFire No. Ibugh-in Irtspection ftequ r? ?ReadV Now pV Inspec-
/?/ 1'z i o c?. . ? nNo for lWhenWiTfNo?iTXeadY
?'censeu c c'cei i,onvacmr ? ? ) . I hqrahy requesl inspecbon of above
? Dwner tj n?' L?1 . "V electrical worr installed at
Sheet Addre : 0ux or Houte Nu..?'NrE,pf2e.Tld?"?' ?F .F-J4NGTUKi
?Noto 3a r > 3 3 A G/
ecbon o. 1ownshi0 Name or No. ang¢ No. . Coun[v
?
OccuOant (PFiINT) Phone No.
y3o° ? yTVN.MN
N
?
C
! t u
rrowa $uPPIiCr AKU't ??rbGT ^ad.eu
Elechical Conhactor ICompany Namel Gontractor's license No.
F G '/- C- .
Ma?ling Address (Contractor or Owner Meking InsWilaHOnl
(? .a V - a? l ss s?z>
Author- d Signa re 1 ractor/Owne? ??la[ionl Rwne N?vnber '
• ?
M?ESOTp STpTE BOARD OF ElECT111CITY , _. THIS INSPEGTION flEUUFST NILL NOT
Gnygy-Midwey Bldg. - Noom N491 M AGCEPfED BY THE STA7E BOARD
UNLESS PIIOPEp INSGECTIDN FEE LS
1821 University Ave., 51. Paul, MN 55104
vh..... 161 2l 29]2t 11 ENC LOSEO_
Minnes a State Board o.` city '
?1954 University Ave?lSt. Paul, Minn. one 645-7703 /°?
REQUEST FdR ELECTRICAL INSPECTION ?? 21341 _
CHECK BELOW WOAK COVERED BY THIS REQUEST
7ype of Building New Add. Rep. Check Appliances W'ved For Check Fquipment Wved For Home ? ? ? Range ? Temporazy W"ving ?
Duplex ?? El Watec Neater ? Lighung Fixtuies ?
Apa. Bldg. ? ? ? Dxyer ,? Electric Heating ?
Commcrcial Bldg. ?? El SF?ah? ce ? Silo Unloadet ?
Industrial Bldg. ?? ? i"? o"'?l?e; 8ulk Milk Tank ?
naF?.?,g,? ' AJ ? ? ? ther . '? ?X herst
COMPUTE INSPECTION FEE BELOW
Secvice Entcance Size: # Fee . Feeders&Subfeedeis: # Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. " 31 to 100 Ampeies 31 to 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps. (
Transfoxmexs RemoteConttolCirc. Partialocotherfee
Signs ' $peciallns ection Minimum fe
Remarks TOTAL EE/Q• 6'?'
I, the Electrical Inspector, hereby
(Final)
This request void 18 months from
as been made. ?
a[e
Date Y'7
,6,?is request void 18 months from IG? IA-150O O/Q
,- .??'R 213 41
Date of this Request -??- Z?' 7t
I, asEkticensed Electrical Contractor OOwner, do hereby request inspection of.the above electri-
cal wlring installed at:
Street Address or Route No. aCJ I?rity ?-
Section Township Range County
Which is occupled by
Is a roughin inspectio required on this job? No 9.. Yes ? Ready Now ? Will Call ?
Power Supplier ???C[?? Address C:fz/ 3'& 4_t,~sabs?
? ? ?
Electrical Coniractor ? a p Contractor's Lice?n No.?
o any Name) r
Mailing Address _ t_ '0
l? ? 7 ?,'?,-?
Authorized Signature X?i.e «?Lc..-, ac.Sar- Phone Na ?Sr7- 8 SSS?
(Electrlcal Contractor or Ownel Makl This Installatlan)
n This inspection request will nai be accepted by the
?- ?WUE LJ?lnik,l2J ???? State Board unless pmper inspectian fee is endosed.
REQUEST FOR ELECTRICAL INSPECTION
. ' Sae instrvctions tar complating this form on back of Vellow copy.
T
?"li^" Be wU CoJ'ered by This Request
EB-00001-04
,IM 327yq 3
Add BBp. Type ot Builtling ApplinnCes Wirnd Equiumenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
, Apt. Building Dryer Electric Heatin
Commercial 81dg. Furnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
FTrm O[hxr pea y Oiher ISpcr,ifyl
1 nr Suecily Other Othci
Compute /nspection fee Below
k Fee SetrviceEntrBncaSize # Pae Feaders/SUbleeders q Fne Circuits
/ 0 o 200 qm?s0 to 30 Amus 0 tn 30 Amnc
I IHnove [w qmosl I I 37 to lUU Amps I I I 31 to lU0 qmus I
Signs Sueciallnspection 5
Rerryrks R?'o TO L EE
P?k:Ar3LE l?
Rough-in D.I.
I? Ih8 CAI
? Inapectaq hereby
til
th
t th
Final D'
? ?
? cer
y
a
e above
' spection has baen
? mnda.
This reouast void iB monihs imm
This request void
? yfl-3 fD
78 mon[hs imm M_08567 53 /aI od
0.equest Dale Fire No. Rouqh?in InsUecIion
Fe.quired?
Ready Nuw [] Will Notify Inspec-
/y?ry
j4 /7.(r? ?Yes EfNn tor When qeatly
?.L-icensetl ElecVical ConVactor I hereby requeat insoection of abova
? Owner electrical wark inslnlled aY.
Streat Adtlress. Bax or Routa Nn. Ci1V
9Gs Cii. RD 30 E,o
ecuon o.
Township Name ur No.
Ren9e No.
Counly
I I
Occupant (PRINT) • I
9RT)Wl5 ? Phone No.
,
Iljl). 2MacG /?/.j%.
Power Supplier AAdress
ou??,e y?jo ?;h
ElecUical Commctor ICOmOanY Namel Contractor's Llcense No.
4
MailinB p.ddress
n rac[or or Owner Makine Ins[ail.rtionl
2aak', dE. , . AJ, 3-0o2
Authorir. 'gnature ICOnhac[or/Owner MakinB ???s[allatiun? Phone Number
- 37P
MINNESOTq STATE BOAXD OF ELECTqICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOAND
UNLESS PROPEfl INSPECTION FEE IS
7921 University Ava., St. Paul, MN 55104
vw_..., 1a11, vov?'ll ENCLOSED.
REQUEST FORfLECTRICALINSPECTION E?
/?
' See instructions for comolatiny this form on beck of Ysllow copy.
??{ y "X" Below Work Covered by This Request
1A+JAdd1Fleo.1 Tvoe oi Builaina 1 Aoolieacas 1Mirad 1 Equipmenl Wired I
Water Heater
p Fee ServiceEntrence5iza d Fee Feetlars/5ubfeeders C Fee Circuits
U to 200 qm s 0 to 30 Am 0 tn 30 Am
Above 200 qmps 31 to 700 Amps 31 to 100 q
Swimming Pool Above 100_Am s Above 100_ArtPs
Transiormers Irtigation Booms A;D Partial,'Other-Fee
Sigis Special Inspection $?50 TOT„L FEE )
fle?rorks
? G'S
I F1nal
I?,tha Elaclric
Inapgp(ocrFleraby
CertifV that the abov
frt§pection has been
T11N I"!!i Yoid 1B
This request wiA5C ?y r5 ? I/l IV `
'JJJL 1`35 3 :ae,t
Repuest Da1e Pire No. floug?-in Inspection
^y? retl? ?ReaAy Now fll Notify, Inspec-
q LI1 "?" ? ?es ?NO ?or When Reatly _
)(Licensed Elecnical Cartractor I herebY reQUest insDaction ot above
] Owney eleclrical wnk iristalled at:
StFeet Address. Box or pQqte No. . f jty
?
ctmn o. ownship Name o No. Nane. o. Cou
Oc pant IPNINT! c?
? ?• ? -cx? r?7?. ? l ?C? Phone No.
Power Supplier Atltlress
Elec cal Comracror (COmpany Name) Convactor's License No.
Addres (Contractor or Owner Makine ln ilatio!j`?fj,?
?
•
t
Si re (COntractor Owner ina n Ilatian) PFW Number
G9
qINNESOTA WpTE BOARD ? ICITY THIS INSPECTION REQUEST WILL NOT
G,i??ig. - am N•191 BE ACCEPTED BY THE STqTE BOARO
?8? B?d
1827 University Ave-, 52. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PI.. (612) 297.2111 ENC LOSED.
?S- a D-S ? REQUEST FOR ELECTRICAL INSPECTION ? es-ouiwi.oe
See inshuctions lor comole<ing this form on beck of vellow copy.
r d? i,?n "X" Below Work Covered by Ihis Request ? J ?k>
PJSAAAdi NeO.Ii F'IUe o1 6uilding I Appliencea Wirad I ' Equipment Wired I
Li
k M
N Fea Servica EntraneeSixa b Fee Fendars/Subfeeders N Fee Circurs
0 to 200 qm s 0 to 30 Am 5s 0 tn 30 Am
Above 200 qmps. 31 to 100 Amps 31 to 100 q y
Swimming Pool Above 100_Am s Above 700_Am s
Transtortners Irrigation [boms Pertial.'Other Fee
Special Inspec[i_ os/0'5? TOT
Final
I, tha ElocW-mal
Inspactor, hereby
cartily that tha above
0.8peetion has been
!MS r0puest voiE
This repvest voiA G ???_
18 months Irom . 0 W
C 42130
Reqmretl.y eaAy Nuw Will Notilv Insoeo
„?V"
,..? ror When NeadY I
nr..s
rX?, ' ?
U license'SEleclrical Contraclor I heraby request inspection ot ebove
? Owner , electrical work inetelled ar.
Street Atldress, Box or ute No.
-2>D City
L-
,
ection 140. ownship ame or No. ange No. Co ty
Occo a t IPBINTI ?
' / Phone Ne. (/
1 V
`.. ` l U y ?J (' ?
Power Supplier Address
E trical Contrec[or (CompanY Nrme) Comrar.mr's Lic nse No.
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Maih 0ddress ICOntr7ctor or Own? Making Instail ionl ? k
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uth i ed Smr ont ctodOwner Making In tallationl
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MINNESOTA STATE BARD OF ELECTflICITY 7H15 INSPECTION PEQUEST WII.L NOT
Grie9s•MidwaY Blda. - Hoom N•191 BE ACCEPTED BV THE STATE BOAND
7821 University Ava., St. Paul, MN 56104 UNLESS PROPEX INSPECTION FEE IS
Phane (612129]-2711 . ENCLOSED.
2 923
Re9 e?'t Date Flre No. R eqoughuire.inInspectbn
Rtl' .
? Ready Now bwrK."fy Inspector
G Yes o When Ready?
I u licensed contractor ? owner hereby request inspec[ion ot abo electrical
JoD AOtlress (S1r
eL Box fllN3 Q Cily
Seclio Townshjp Parge No CouMy
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Occu Phone No.
PoweAetlress 61
EI Iric I ConVactor COmpa I Co racloi icens No.
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Mail
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re;, (
ppiracl°r o;
q{?¢r aking Install on) /- /
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Author eo $ignaWre IConire<, / king I t ation? ber
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MINNESOTA STATE BOAflD OF EIECTRICITY ? THIS INSPECTION REOUEST WILL NOT
Grigga-Mitlwey Bltlg. - Hoom S1]] V BE ACCEPTEO BY THE STATE BOARD
1821 University Ave., SL Paul. MN 55100 UNLESS PFOPER INSPEGTION FEE IS
Phone(612) 6420900 ENCLOSEO.
(Q? C?? REQUEST FOR ELECTRICAL INSPECTION 1°°' a ee.o o,-oe
4I J???? ? See in.imclions br completing ihis lorm on Oack of yellow copy ?J ?a ??? ?
"X" Below Work Covered by This Request
dd Rep. TypeofBuilding AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
7 Duplex Water Heater
Electric Heating
Apt Builtling Dryer Olher (Specify)
Comm./Industrial Purnace
Farm m Air Conditioner
- Olher (specily) Contraclor's Remarks A . /
Co li`~
mpute /nspection Fee Below:
# . Other Fee # ServiCeEnirance5i Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfamers Above 200 _ Amps ve 100 _ Amps
SignS Inspector5 Use Only. - TOTAL
Irrigation Booms ?
Special Inspec[ion :
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNE TED IF NOT
ED
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RougRin
F,,,ai oare
oa + ?i
/
OFi1CE USE ONLY 7,
This repuest voitl 18 monfis imm ?
i '? ? l?
p 7338•5 . g
Request Date Flre No. Rou9h-in Inspection
RequirM?
LJ Reatly Now ?'Will Notify InsOeclor
0 =. ves [jNa when Reatly?
I Q'licensed coniractor :J owner hereby request inspection ot above electrical work at:
Joh Atltlress ISlreet. Box or qoure No.) City
Seceon No. T ship e or No. Fange No. County
Ocapam iPRINT, Phone No.
? ? 1t1`???L_.?cte A S - d
Pawe4 Suoplier A tlress
Eleci'rical Connactor (Company Namel Conlreclors License N
A00
Mapling AtlCress IGon;ractor orOwner Making Insiai
5?9&?
Aurhmiz SiS^amre iConbactonOwner Ma'eing instailai Phone Numb¢r
MINNESOTA STATE BOARp OF ELECT IQR TY THIS INSPECTION REQUESTWILL NOT
Grig9s-MiEway Bltlg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1921 Univgrsity Ave_. 5t. Peul. MN 55104 , UNLE55 PROPER INSPECTION FEE IS
phone(612)84P-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
r .See inslmoions lor completing Ihis lorm on Oack of yellow copy
? 7?3 8 5 "X" Below Work Covered by This Request
?i G'+EB-OOOOL08
/ gal?-
LL
AAd'
? P,aa. Typeof Builtling AppliancesWired EquipmeniWired
j Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
0r r f ecilyGommcmrS Femarks-
-? i ae, ?.
Compute lospecfian Fee Below:
# , Other Fee o ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps fjL 0 to 100 Amps 19
Transtormers / Above2GGS'00 AmpS Abov -t?Amps 45;q6
- Signs inspector's Use Only: ? TOTAL
Irrigation Booms 3 ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
L the Electrical Inspector, hereby R°°9n-in oeie
certify that the above inspection has
I been made. F;nsi oate
IOFFICE USE ONLY
TNS reQUesf voip 18 monms from
7- rj'-iy REQUEST FOR ELECTRICAL.INSPECTION ' ea•ooom:oa jj% Sea inetruetione for completinp this form on back ot Yel law copy. ? y S a3
A nR6 ?P "X" Be/ow Work ?overed by This Request
WdAddl pdL.3 TVLe oi Buildina 1 AoolionCee Wiretl 1 Eauipmenc Wlred I
p Fee ServiceEntrance8i:o q fee Feedars/SUbteede.s N iee Circuita
1 0 to200Ams 0 to30Ams 0 to30Am
Above 2G_Am 31 to 100 Amps 31 to 100 Am s
Swimmin Pool Above 100_Am s Above 100_Am •
Transiormers Irn tion Booms Partial%Other Fee
I Sigis I I I Special Inspection ? g ?
1lemarks . ? 1? ?, T L FEE
i ') .ir )
nwmwuest .aa
This request void 7 _s yq s a 3
18 munths from
A 1065182 7
Nequesf Date Fire Na. flouph•in nspaction
Raquv .
?Heady Nuw ill Noli}y
Inspec-
.q /
? /?J - es ?NO _
[or When Peatly
[g.kic'ensed Elecvical Connactor 1 heraby requast inaoection ot abova
?Qvner ' electrieel work installad aC
Streat Addres5, Box ot Route No. Ciry
RN?Z
cUOn o. Tawnship Name r o. .nge o: County
Occupant (RtINT) . Phone No.
U
Power Su00lier
.--?^ Adtlrass
Electric1l Contractor lCompany Nemal Contractor's Licanse No.
'F ` ??GC ??
Meilinp Address (Contracror or Owner Mekine ?.stellation) ?
I N itric-oi F o s
Auihorized 'p u 1C ntre r O Makinp tallation) Phone Number
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MINNEBOTp STAT?HOARD OF ELECTNICITY TMIS INSPECTION PEQUEST WILL NOT
Grigpe-Midway BraB• - Aoom N-181 BE ACCEPTED BY THE STqTE BOARD
7821 Univareity Ave., St. Paul, MN 66704 UNLESS PROPEP INSPECTION FEE IS
PMno 18f2129L2H1 ENCLOSED.
:'.=I4i
rs
REQUEST FOR EIECTNICAI INSPECTION ea-ooooi-os
Sea inslructioOS 10r COmpletiOp lhis b/T On Eeek of Vallow eopy. P Cl ?^ ?
l7 J?.?y
/? ? 064
%" Be/ow Wnrk Covered by 7his Request A. AAd PsV. T.>' ol BuilO?ne Aao?inncea WirW ' ' Equioment WireC
.?ome Range -- Temporary ServiCe Duplex Water Heater Lightin, Fiztures -Apt.BuilAinc? Dryer --- ElectricHeatin f........o.??l atA.. F??ronro -- . Siln Llninader
1 1 I I Industrial Bida. 1 I Air Conditioner 1 IBulk Mllk lank " I
M Fee SsrviceEnlrenceSize # fee Feeders/SUbteeders N Fee Circuits
U to 200 qm s ?? 0 to 30 Am s - 0 to 30 Am
Above 200 qmps 31 to 100 qmps - 31 to 100 Am
Swimming Pool ? Above 100_Am s Above 100_Am s
Transiormers irngation Booms Partial.'Other Fee
signs apeciaiinspecuon 5
TOTAL FEE
emarks . . ._.... ..
Noueh-in .. . . . . Date ..
, I, the Elactri<al
- Insoeclor, here0y
certily thet the ebove
Final - - -' DHte inapection hes been
mae..
"ls reVUest mla le montM iwm
This roquest voi0 ' 1/V
? j n ze tF ;.: ,t t ?_? s ? 1' 18 months Irom
Str?,. r^?'nt R ,4c Hva ?- n?? <?. n ? Y' ?/O`W
" ys °?ir!'??u M+ T?r? `?. +•,5 r}', c?: C 6 2 0 6 4 11
y"at1?? Pequast Date Fire No, qoueh-in InsVeetion
t ?y? .? ? r:, ? t '; ?,{ Xe9urtetl? [:]PeadY Nuw Q Will Notitv InsDee-
4..ti k y ?2? ??es ONO IorWhenNeatlV
censed Elactrical ContrTCtor ' .
3 ?.. ?S. ,v p y x- 1 AerebY wVUant inspecfion ot ebove
...?? _ ._... . ._.. _ . . .... ' ? Owner ' aleetrical wor4 inetelleA et
Street Address, Boz or Rwt No +
2 E1N? '
5'?'9wsS cilv
?
eciion o. TownshiD ame or o. . anpe o. . County
Occu t?NTI 5 O ? Phone No.
5 ^ ? 77 So
Pawer Supplier D '- Address
Elecfrical Contractor (Company Name)
ISENDRICK ELFCTRIC Con racior's License No.
MailinB Ay1 r `?' ?1 Q? 1?('?vy,qy,pkiLry9AlY ?(? Ntion) '
1??z?/ 1?L1V1V? u
-. e l -
AuthoritA re yu bkiaQ. tn? atian) Phone Number
THIS INSVECTION REQUEST WILL NpT
MINNESOTA STATE BOARD OF ELECTRICITY BE ACCEPTED BY THE STqTE BOARO
Gripqs•Miawey BIdO• - paom N-781
7837 Un{vereitv Ave..St. Yeul, MN 65104 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
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