1030 Lone Oak Rd- Electrical permitstl??/Sa 9?f??SC
47*0
? 12170
C
b
?;eA:
8
u ,
.
I v- 3 s
Request Date
p e No ough-in Inspedan
Requtretl'
? Reetly Now ill Nolity Inspecror
R
d
Wh
9
?Yes o an
ea
y
IPicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Rou[e No )
G • r3..., s.9-1-5;s Gry
/- a-c..H-I
Section No. Township Name w No. Rarge No County
IDB7L?-C °'4
Occupent (PRINn Ptmire NO-
_ S-r- 14-,J 1?-'A'Sr-,
Powar Supplier Mdress
FJectrmal Convactor (Compam/ Nama)
1 Coniraclor9 License No.
-
-
z ... „-I e-T'B 7
7 -
4cs 0 4
Meiling Aderess (Conhac[or or Owner Maklrg Installation)
`rP7 2/ .•,ryic.=;- .?r/,G t . /?r°L 5
' nalule (COnirador r?ar ing Inslallab
Plwne Numher
/G 0 ?
7
MTNESOTA STATE BORNO OF ELECTRICITY THIS INSPEC710N REQUEST WILL NOT
Grlgga•Mitlway BMg. - Raom &113 BE ACCEPrED BY THE STA'fE BOHRD
7621 Univeralty Ave., SI. Peul, MN 55109 UNLESS PROPER INSPELTION f"EE IS
Plwm (672) 6C]-0800 ENCLQSEO
sya?/90
P 12170
REqUEST FOR ELECTRICAL INSPECTION
? See insWwions for completlng Ihia fonm on back oi yellow mpy.
X" Below Work Covered 6y Tiris Request
' ??
9es? 0s?
Nw ? w°7ypeoiBuilding AppliancesWired EqwpmentWiretl
Home Range 7emporary Service
Duplez Water Heater Elechic Heating
Apt. Buildinq Dryer Other (Specify)
Comm.llndus[rial Fumace
Farm Air Conditioner
Other (speciy) Cornractar5 Remarks'
Compute Inspection Fee Below: o
# Other Fee # ServiceEMrenceSize Pee # Cimuits/Feeders ee
Swimming Pool 0 to 200 Amps j D to 100 Amps
Transformers Above200_Amps A6 e100_Amps
SignS Inspector§ U. Only. 7pTpL
Irrigafion Booms ?n
Special Inspeciion
Alarrn/Communication (p p. ??
Other Fee
I, the Electrical Inspector, hereby
certity that the above mspechon has
been made. Rough-in
F,nai ost
?
OFFICE USE ONLY This reque5t void 18 moMhs from
18is re9uest void ///? -7/?'I?
rtqnths from
C 9947 3bv -1,3 g „?
Re4uesl Daie` F,re'NO. C/NOUph-in Insuecuon
Reqmretl. C]Ready Now)ffWill Novfy InsPec-
?+ Sf ?Yes J[?NO [or When Heady
Lmensed Elacnical Contrector I hereby request msoecbon o1 ebova
? Owner elecrrical w«k insfellad at:
Slreat Atldress. 8ox or Route No. City
03`0 ?oirr 66.4
ection o. Township Name or No. Ranga No. Co ty
Occupant(PRINT)
c3 Phone No.
Power Supplienr / Atldress
lectncal Conhactdr (COmpanv Neme) ConVaclor's License No.
`? rr.Q_1.\ \?, ?\ e_ (_A I. k, ?
1AP ?? ? 88 a
M@ iline dress ?ontre tor or Owner a
B ?9jjW 17
54- ? ` m
Cl
.
A orized Sipnatwe (Contractor/Owner Makinp Installation) Ph ne Number
Y7-,;V77
MINNESOTA STqTE BOARD OP ELECTNICITV V THIS INSPECTION REUUEST WILI NOT
Griqqs•Midway BIOy. - Room N-181 BE ACCEPTED BY THE STATE BOARD
1827 Universitv Ave.. 31. Paul, MN 55104 UNLESS PP07ER INSPECTION FEE IS
Phone (612) 842-0600 ENCIOSED.
iYI ?718`7 f1EQUEST FOR ELECTRICAL INSPECTlON e/? e- ?oooo?i-os
1 See ina4uctions lor compleii'q Nis form on bnck oi yellow copv. /lr? /C
f _ qCIA 7 a "X" Below Work Covered by This Request
Add Rao. Tyoe of BuilEing Apolinneee Wiretl Equipment Wired
Home Range Temporary Service
Duple,x Water Heater Lightin,y Fixwres
Apt. Bwlding Dryer Bectnc Heatui
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm mer ueu v tne, ISpor.,ty1
t .r pocity lher Othor
ompute Inspection fee Below '
k Fee Service EnhanceS xders/SUbteeders # Fee Circuits
0 to 200 qm s o 30 qm s G 0 tn 30 Am s
Above 200 q to 100 Amps 31 to 100 A s
Swm ng Pool N ove 100Amps Above 700_Am '
gation 8ooms rD ParLalOth
Signs ciallnspection 52
$
__
ema.ks ? OTAL E???
C N
Aouon-in 1pF.? ?.,h
peacEIa ., ?
,
Instor, areby
cerbly thet the abova
Final ) Ff/ ?? ?? ?%?te inspection hes baen
r _ _4 mede.
lrhb repuest voltl 78 montha iran
k
3 //l;a's
M,JJ .?t ?g- D °'L`
iv - i
Fequ si Date Fire N ug .n Inspecton
dp
o
ctor
? Ready Now W??
j
p
7Z.o// ? ?s
G? e
Reatly
h n
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Aaaress Btreet 9ox ar aome No I
1,031 C.o?IC 64ir ?'Gp ciry
&W
Section N. Township Nama or No Range No County
OccuOant(PRINT) Phone No
C7Zf,x1!-SC-CCS
Power SnupPher
CCy Atltlress ^
/JA/
1W
Elech¢al Contractor ICOmpany Neme)
? Confrector§ License No
?'? ? ?/ 7
???? s
Mdiling AQtl[e661COnVdCtOt 01 Owner MakIOJ 103?181181ionf
L
/
2 //? ///} 'j
??
•
` [ C?I? Jr'C /
/ 7
/ '--?. ' ? / 1 ? l,'?L1 / V
Aulhonzea Sgnalure onV cmnOw er Mekm Inst le n? Phone N?u7m^p'7er ?7
ZC,/ -7 /
MINNESOTA STAT?BOARD O14ELECTRICITY ??? - k/ Z? THIS MSPECTION REOUEST WILL NOT
Grlgga-MlEway BIOg. - Room S1]S 8E ACCEPTED BYTNE STATE BOARD
1821 Unlvereity Ave., SI. Peul. MN 5510<CEXIS i7? s???t` ?- ) UNLE55 PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °-?? EB-00001-08
py.
d 4Z25 3 See insvuaons lor complaiing mis form on back ot yellow co ?? ?,o" /
'°X" Below Work Covered by This Request ?•??r
ew A r Rep TypeofBuildinq AppliancesWirad EquipmantWired
Home Range Temporary Service
Duplex Water Heater Electdc Hea4nq
Apt. Building Dryer Other-(Specity)
Comm./Industrial Fumace C? Vf?
Farm Air Condilloner
Other(s?ciryl Contrector§Remarker.'Wr2k.LM5e-'r ;1b n,)Yn
R?
Compute Inspection Fee Below'
# Other Fee d ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs InsOector5 Use Only TOTAL ?
Irrigation Booms ?c7 -? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MO
I, ihe Eledrical Inspector, hereby
f
h %
Raui
Dete
'? ??
certi
yt
atiheaboveinspectionhas
been made. Final
OFFIGE USE 3NLY
This request witl 1B manths irom
?(.J/ REQUEST FOR ELECTRICAL INSPECTION
?? ? L? ? Se= instmc?ions tor completing ihis form on beck of yellow copy.
?? Be/ow Work Covered by This Request
ew Atltl Rep. ? TypeofBmlding ApphancesWired EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt Bwlding Dryer LOad Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condnioner
Other (suacityl Coniracror§ Remarks 1 O?
c, Ca,?
Compute lnspection Fee Below M vs
' -
# Other Fee # Service Entrance Size Fee # Crtcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
Translormers Above 200 _ Amps A6ove 100 _ Amps
Signs msvectors use omy 707AL
Irngation Booms . / I kf, O zz)
Speciat Inspecuon ?G(g?GU
AiarmlCommumcation THIS INSTALLAT AY DISCONNECTED IF NOT
Other Fee COMPLETED 18
I, the Elecirical Inspecror, hereby
certify that the above inspection has
been made. Roug?m
F,,,ai oete
oete
r?
OFFICE USE ONLY O
This request voitl 18 month5 irom
ao li sl
Reqyyyest Oale '
? ??^^ Q
J \ Fir o Roughdn Inpseciron Repuired .
(VOU must ceil inspeclor when reeEy)
Yes ? N. Insoecuon Other. an Rough-In
? Reatly 1 WIII Nat?fy Inspeclor
Date Reatly
T04censed contractor D owner hereby request inspection of above electrical work at.
Job A,rOs(sireel eox .ROU Q 1
J ?l/?l? l c?ry
Seciwn No Township Name or No Range No County
Occupanll RINTI Phone No
S - Z?,' 3
Power Supplrer 1
N ? Mtlress
Eleqncal Conv cbr ?Company Name? ?/j \
?\?-'•? Conlractors L¢ense No^
. ll?
MaiOng AtlOress iGOnVador or Owner Makmg Nstallation)
AWhonzetl Si alorp ICo racroripwne, king In51211dlionl
-, PM1 e?
?
MINNESOT0. STATE BOARD OF ELEGTPICItV ? THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEg - Haom S-173 BE ACCEPTED 8Y THE STAiE BOAFD
1821 Univermi[y Ave., St. Paul. MN 55106 (INLESS PROPER INSPECTION PEE IS
Phone (612) 642-0800 ENQOSED
,
Re esl Dat ?
?
/? ? / S Fue No Hough-in Inspetli0n
Requvetl? `'
T.Ready Now ? Wdl Notdy Inspeclor
R
tl
'+
? Wh
?Ves No an
ea
y
IIicensed contracror ? owner hereby request inspection ot above electrical work at:
Job AaOress (SVeat Box or Faute No )
o ?oH 'e-
aa ,& Qoy
Sec?ion No Townstlip Name or No , Range No County T
Ocmpant IPRMT)
.S'??'•a/ sT Phona Na
?fsz -3Q 3 Z
P7a?wer
Supplier
? Atltlress y? ' //?
V
Tl
'1/ / A
1" CO
/(/ /
Elec al Conv ctor (Company 71
?
v
` ConVaq or's l?cense No
' ?
` z
--
e
/ G
l ?
.S
Maibn AQaress Conttaclor or Owner Makin nstallaLOn) / Jr !?/
J
Aumonze? Sr e?Conha ing Ins[ n) one Nu`?mper 10Y
?? ? - MINNESOTA STATE BOAPO OVELECTFICITY THIS INSPECTION REQUEST WLLL NOT
GrIqgs-Midwey BIEg - Foom 5493 BE ACCEPTED BY THE STFTE BOARD
1821 Univemiry Ave., 5f Feul. MN SStOG UNLE55 PROPEF INSPECTION FEE IS
Phone(61Y)6CY-0800 ENCLOSED
?
REQUEST FOR ELECTRICAL INSPECTION ,??-08
0. See mslrudions lor completing ihis form on Oack oi yellow capy
d 21081 ?"X" Below Work Covered by This Request
ew ,4dd Rep 7ypeolBuiltling ApphancesWired EqwpmenlWired
Home Range Temporary Service
Duplez Water Heaier Electric Heating
Apt Building Dryer Other-(Specity)
Comm /indusirial Furnace
Farm Air Condi4oner
Othel (syany) Convador3 Remarks 4 /
YJeGCJ A-?RCS ?
Compute Mspechon Fee Below: I;'J
# Other Fea # ServiceEntrance5ize Fee # Circwis/Feeders Pee
Swimming Pool 0 to 200 Amps ,QQ 0 l0 100 Amps , Qo
Transformers Above 200 _ Amps A6ove 100 _ Amps
Sgns Inspeclors Use Only
? i pL
Irriganon Booms /
/ , L 0 ? S?
i
Special Inspecuon Y ?T
:
Atarm/Communication 1DISCONNECTED IF NOT
THIS INSTALLATION MAV ORD
Other Fee ? COMPLETED WITHIN 18 M S.
I, the Electrical Insp ctor, hereby R°"9n?? oaie /? ??
cerhty that the above inspection has
been made F,nei ? oare
s
OFFICE USE ONLY
Tnis reQUesi voitl 18 months Irom
III IIII III (I IIII III II II III
*03535200*
REQUEST FOR ELECTRICAL INSPECTION 71 749",,7
Minnesota State Board of Electricity
1 a?
1821 tlniversii?Ave., Rm. 5-128, St Paul, MN 55104 ?`? ?
Phone (6]2) 642-0800 ,?='
Home Duplex Apt. Bldg. Other: New Addn
1
Commercial
Industrial
Farm
Remod
Repair
Air Cond Htg Equip. Water H}r Load Mgmt Other:
Dryer Range Elec Heat emp. Serwce
"X" above the wwk cove2d by this requesf Enter remarks m thrs g>ace antl on [he back ot the white cqpy only.
PW I D u??.? 9PC G?j aop s?!ep uP .'re-swi.fr=ac?
Calculate InspecVOn Fee - 7his lns,oechon Requesf wdl not be acceptetl wrthout the correct tee:
Other Fee ? Serrice Entrante Size Fee tt Circuits/Feedere Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg /Traffic Sig. Above 200_Amps Above 00_Amps
Transformer/Generator INSPECTOR'S USE ONLY ? TOTAL
n,f?^
Sign/Outline Ltg. Xfmr ? ?1
1-
Alarm/Remote Control
SWlmmillq P001 I hby Lty that I msp etl ih stallalin herein on tM1e tlates statetl
Irngation Boom Fiough-6i Da?e
S
eciallns
ec4on
p
p F
Investiga4ve Fee
THIS INSTALLATION M
GY BE O ,nai oare ?
RDFREn fll. . . ff TFfI WITNIN 10. MnNTHA
OPFICE USE ONLV This request voitl 18 rtqnahs irom vaLtla[ion tlate pnntetl in fiis box
353-520 ?0 _ _ 7/ 79 7
31-?0 7 ?
PLEASE PRINT OR TYPE 4???3 tQ n1 p
. w ,r?C ? ??y-? ?
C..Y(/
uesl Dale qough-in mspe ron reqmre ? Ves ? N. Inspechon Other Than Faugh-In ? Reatly Nav C] WII Call
(Yai must ca0 the mspector when reatly) Date Ready
I, hcensed coNractor ? owner hereby request inspection of the above electrical work at
tl ess (Stre I, Box, or RouVe o) GtY
No TownsM1ip Name or No Raige No Co ?
nt /
G G J /
iu
Pho
' oqgg
Fl v.er Suppher Pdtlress
Elec?cal Gonlractor ICqmgarry Name)
-r- L?1
? Conlrac or L? NO /
Cl7 d Master Lic No. (Plant Elect. Onry)
?
rf ?
MaAing AAtlress (COniractor or er Porfor ny Inst I on)
r? ? 5
VY?v1
55 '??
ure( irect ro norPe m glnspilation) Phon?ry? /'???
EB-00001A-11 8/95 f
STHTE 80ARD COPV - SEE MSTRUCTIONS ON BACK OF YELLOW COPY
?
?
co
35 2
M
1
Request Da§
_ (q
q
Fre o Roug? .? Inspec[ion NOTICE: Vou Must Call Elecmcel Inspeclor
Reqmred? tl A Rough-In Inspecbon
_
3 ? Ves Is Feqmretl
ICi! ensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route No )
1030 CAr?Cx?.k ? llo City
SecUOn No Township Name or No Range No. Couny
T 0_
v? ?.?.3?.!
g
Occupant(P INT)
IC
? P ne No
'ao ?
{v r n oo
PowerSuppLer Atltlress
Elecmcel C n cior (COmpany Name) ContrectorS Ucense N.
L 0?
Mailing Adtlres (Comractor(o?r Owner Makin Installe?wn) /?
'J `JVILJ
Authonzetl 5' naWre (COnfreclodOwner Meking Installation) Phone umbe
? O-3SSS
MINNESOT TE BOApD OF ELECTfiICRV THIS INSPECTION REQUEST WILI NOT
GHggs-Mitlwey 81dg - Room S-173 BE ACCEPTED BYTHE STATE BOAfiD
1821 Univers'M1y Ave., St. Paul, MN 55104 UNLESS PROPEfi INSPECTION FEE I$
Phone(612)602-0800 ENCLOSED
1o4a? REQUEST FOR ELECTRiCAL INSPECTION
p? ? See nsNi ons for mmpieLng Ihis form on back of yellow copy
IPI i 5 6 2 g? ?p Below Wark Coveaed by This Request
q? EB-00001-OB
New Add Rep Typeo Bwl ing AppliancesWired EquipmeMWired
Home Range ?emporary Service
Duplex Water Heater Electnc Heanng
Ap[. Building Dryer Loatl Management
Comm.Andustnal Furnace omer (Speciry)
Farm Air Condilloner
Other (spemly) ConVactor5 Remarks
Compute Inspection Fee Below, rQrno&a
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector's Uae Only. TOTAL
?
Irrigation Booms
U
G?-
I S5
Special Inspection
Alarm/Communication THIS INSTALLATION MAy?E ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TB,ApONT f
I, the Electrical Inspector, hereby Rough-in
? Date
certify that the above inspection has
been made. Fnal
' ? ?`?
OFFICE USE ONLY
This requesl mid 18 moMhs imm
d 908
?
1
C
i
?
--,
R uest Del
+'
1 ue . ough??n Inspecibn
Reqmred9
eatly Now ? Will Nohry Inspector
1
1
74 ']Ves o WhanReaEy9
licensed contractor ? owner hereby request inspection ot above efectrical work at:
Job Atltlress (Slreet. Box or Roma N
o
) Qty
?
./
?
? d 3P (AI`l r ?rlr- V-zr4o
Section No. Township Name or No Renge No Cou
nry
^
%WK-?
Ocapant IPRINTI Phone No
?
Power Suppber ? Atltlress
Eleancsl Gontrecmr (COmpany Name) ConVeclor5 4cen
e No
s
s Gjil '
`
Matlmg Aaaress (Conhactor or owner Making Installauon)
2 ) ^° 7
Autnor2etl Siqnalure IGOnirectorrOwnar Making I alia Phone Number
?
'..7
`?°
Gr ggs-Mltlway 8 tlg. OpROamFS1]3 TR,CIry'? ?3 -LV BEIACCEPTED BY THE SiA E BIOARDT
1821 Unlvenity Ave., St. Peul, MN 55104 ?VTM ?31?, ?,p UNLESS PROPEP INSPECTION FEE IS
Fhone (612) B42-0800 ENClOSEO
REOUEST FOR ELECTRICAL INSPECTION
? ? Sae msVUCbona lor compleung ihis brm an back of yellow capy
01081 _.-°X" Below Work Covered by This Request
,Irp?"='?'s? e?ooooiae
?!??
aw Atltl. Ra TypeofBUilding ApplianceSWired EqwpmentWiretl
Home Ranqe Temporary Service
Duplex Water Heatar Electric Heating
Apt Building Dryer Other-i(Speafy)
Comm./Induslrial Furnace
Farm Air CondRioner
Other (sVeairy) Gbntrectar6 Remerks ?
jl?rmar??z? ?Xtf"?/JS-Arv?+ Vpg
Compute Inspection Fee Below: PPr? -)YY 2Aolli
# Other Fee # SarviceEnlrance5iza Fee # CiromislFeeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transtormers Above 200 _ Amps Above YQO Amps
Signs Inspenor§ Use Only. Tp7pL .??
Irrigation Booms ? ?r7 c7?
Special Inspecuon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
iher Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby RougRin oale/ 7
?
certify that the above inspection has
been made. oe?
OFFICE USE ONLV
Tnrs request voitl 18 moniM1S imm
This requesl voitl /n/?^/?Y
18 monlhs from
E 3 415 8Lrn-/3 A
q? ey d? E]Ready Nuw Will NotitY Inspec-
_, ?NO lorWhenFeady
a LrGansed Elec[ncal ConVactor I hereby repuest msvacnon of above
Owner eleclrical work mstalled eb
SVaet Address, Boa or Roore No. GtY
03 0 (,ad O
e uon o. Township Name or No. ange No. Counly
Occ nt (PFINT) Phune No.
( yJ
Pow¢r $uPpher Address
24KYe 7- Jn
Eledn Cantrecmr (Compan Name) Cn mcmr's License No.
?s -013 22,
Ma.hng Address (Conuactor or Owner Maki
? Instailatmnl ?
J ?
L
:..?
?
Author¢ed gn ure onhactor/Owner aki n Installat?oN Phune. Number
Z27-T7 /
? THIS INSPECTION REQUEST WILL NOT
MINNESOTA STpTE BQAflD ELECTpICI
Griggg-M,dway Blde- poom N-197 BE ACCEPTEO BY THE S7ATE BpqND
UNLESS PHOPEH INSPECTION FEE IS
1821 Universitv Ave.. St. Peul. MN 55104
ae,..,e tai9i wa,_nann ENCLOSED.
/g8` yr y?pry
??? REQUEST FOR ELECTRICAL INSPECTION pee-ooooi-os
1 See instructions lor complnling this form on bflck ol yellow coOY. O/ a l?
E 3 415 8 "xl eeloW Work Covered by 7his Request
AAd HeD. Typp ol BwMne AVUliances Wrted Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryet Electnc HeaLn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tenk
Farm omer Peci v Olner ISUnr,:ty1
t nr Su??? V Offier C?th?;r
Compute lnspection Fee Below
tl Fee ServmeEntronceSae tt Fee Fexders/SUbfextlens M Fee Circuits
U to 200 qmps 0 to 30 Am s n 30 Am>
Above 200 Am>s 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_AmpS
Transiormers Irrigation Booms Partial. Oth
I Signs I I ISpeciallnspecLOn?s JF6 _1
l?.?' /?+ T F E i (/
OTAL ?,V
e3rks
'- •l???/
Rough-in Dino I, ihe Electncal
SInso?ctor, heraEy
cg?ryffv annl me aeove
i?nal ?'??e '?pection has been
? ?' ?6? ,?aa.
leeti
This request wid /./[?`
18 months from «? n Q
n
Li 91 9Z45Y/O
Rxquest D te oe N.U. Rouph-in Insoecbm o-
v Requ os 7 ?No ?ReadY Now Wiil Noutv Inspe
Nor When fleady
?i`cnPSed Electncal Contnctor 1 hereby ie0uest insoaction ot ebove
electrical work installed at:
Street Atldress, Box or Noute No. C°y
ection o. TownshiD Name or No. T??9e No. Cnunty
????
Occapa t IPRWTI Phone No.
!
N ,- r
Power Su pher AAdress
? J
Ele Contratlor ICompany Namel ? Contraclor's Lmense No.
A?
-
zEz-T-yr,1c
fLe-j e
MaJmg AtlJ ess ICoMrar,IDr or Owner Makin9 Ins.ailaUo
z,?Ar1Lm e.??
r f_r, -? -7
Autbonzed S. nacu? ICon actor/ ner Makin utallati n) Phone Number
+?
ZZ?- / ?
MINNESOTA STATE BOARD OF ELEC1A1CITY TMIS INSPECTION xEaUESI WILL NOl
Grie9s-Midwey Bltl9. - Room N-191 BE FCGEPTED BY THE STpTE BOAHD
18P7 Unuvarsitv Ave.. St. Peul, MN 56704 UNLESS PNOPER INSPECTION FEE IS
c?.....e ia»i wn,_nFoO ENCLOSED.
LG/c /g?r REQUEST FOR ELECTRICAL INSPECTION pea/-o/o?oot-oa
/ See inshuecions lor comolebne tbis form on back o/ Yellow copy.
? 99145 "1(" Be/ow Work Covered by Thrs Request
New Aea rtao. rvaa oi ausimne AoDhancea w.,eo enu.umene wirea
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldmg Dryer Electrie He2tin
Commercial Bldg. Fumace Silo Unloader
InAustnal BIAy. Alr Condrtioner Bulk MiIk Tank
Farm Other Oeri y Olhei (Sner,Ilyl
nnnr Vculv Othcr Othi,
Compute lnspection Fee Below
0 Fee ServiceEMmncaS¢e M Fee Feetlers/5ubfeaders N Fwo Cvcorts
0 to 200 qm 5 0 to 30 qm s m 30 Am
Above 200 qinpst 31 [0 100 Amps 31 to 700 Am s
Swimming Pool Above 100?Amps Above 100_Arnps
Transiormers Irrigation Booms Parual.'Other Fee
Signs Speciallnspecuon S ? OT
Rem?rks
"_-.... FEE?
c .
flouBh-in
Final
? Na E al
Inspector, hereby
erLpfy thnt xhe above
?nsection hes been
maiaa.
thia requeat volU 18 moMhs irom
This repuest void ?2/y/O??'
18 nwnths from ?
D 74168r,ia
8J 5`?`? 'r!
Request ale .• Fre Nd. HOG.Qh-in InsVer,twn
eA? OAeatly Nuw W?II Notrty InsPec-
p ? X Heq /90 1Ves ?No or When fleady
Q
D Li censetl Electncal Contractor I hereby request msDecUOn of ebove
?
? Owner electncal work mstalle0 et.
Street Address, Box nr ftoute No. Lilv
/J-
ec ion o. Township Name or No. R:inge No. Cou
n
t
y
/
j
?
]N
OccapdntlPRINT) P?one No.
i? - 1T c.+,s t 4-0
Power Suooher Atltlress
s
?
'*
V' ?0 220 -
T ftif r
?
A
'
el Conlractor ICOmpanY Namel
Elec
nc
t Contrncwr's License No.
?
7
•
A ?l??Wrs 4-rtI CV i Z71
Mo?J1ing AdJress (Contrac[or or Owner Making Ins?ailnl
(i
t e ICO tr tWOwner Ma
Authonzed S ng Installationl Phone Number
X 2 --?
MINNESOTA STATE BOARD F ELECTqICITV THIS INSPECTION FEQUEST ILL NOT
Grigee-Midwey Blde• - Moom N-191 BE ACCEPTED BY THE STATE BOAND
UNLESS PHOPEN INSPECTION FEE IS
1821 Umversilv Ave.. St Peul. MN 55104
Phane(612)642-0800 ENCLOSED. •
'21Vre REQUEST FOR ELECTRICAL INSPECTION AM% es-o'o/ooi-os
y
/ See insvuc4ons br comvlebng this form on baek ol yellow couy.
? 74168 '"YBelnw Wak Covered by 7his Request
N FAtl NeD. TVOe ot BuJamg Apolia.tea WnreE Eqoipment Wved
T?T Home Ranae Temoorarv Service
Air Conditioner
D@C Lf 077
p Fea Serv,caEntrenca5ize b Fee Feedu.s/Subfeaders k Fea Circwts
0 to 200 Am 5 0 to 30 Am s to 30 An s
Above 200 qmps 31 to 100 q,nps 'lj ? 31 to 100'Am s
Swimming Pool Above 100_Am s Above 100_Am?y
Transtormer5 Irrigatwn Boorcis -rj Partial-Other Fee
I I I Signs 1 I iSpenal Inspection I
P TOTA I?
emarks ?
- !?1I??
1, tha Electr?cal
??SDBCIOq hereby
cartdV that the above
msoacvon has been
mede.
This rbquest voitl ?/ac?/8? 7?-p•y-Yj
78 months fram ,/
C 97(]4:?tin_i? f?z I:nnra,,, 6& ,:l/?„,W&
Raquest ata?
Q
S F1re No. RouPh-in Inspeclion
Feqmred?
?Reatly Now Will NoUfy Inspec-
?
W h
/
) ?J ?Yes o or
e n Ready
Licensed Electrcel Contrnctor 1 hereby request inspecbon at ebove
? wner ? V ?y leetrical work installed at:
Sir et ACdress, oz or Route No.
/o C,ry
actwn o. 7ownship Name or No. anBe No. Counfy
/
Occupam (PflINT) Phone No.
D .r 9 1. -?
Power Supplier Address
L ou
Electri al Contractor (Comuany Name) Cun actor's License No.
EO ?f ? ?J?YI. ? Z ?Z?
Ma1 m?JB Addres/s?IConvactor or Owner Makine Insiallatmnl
C? ` G ?' A? ?
Aut?orize a?t \IConh for?Ow er Making Installa ion) Phone Number
L?C ^?
? ^ / /
MINNESOTA STpTE BQARD OF ELECTflIC ` V THIS INSPECTION PEQUEST WILL NOT
Orippe-Midwey BItl9• - Noom N-191 BE ACCEPTED BY TNE STATE 90qq0
1827 Univarnitv Avs..3t. Peul, MN 56100 UNlE55 PNOPEN INSPECTION FEE IS
Phone1fi721842-OB00 ENCLOSED.
a/,LREQUEST FOF ELECTRICAL INSPECTION
? See instrueLOns tor comoleb" Ihia twm on beek oi vellow wDV. /
?' "?-j -711 fl0 - "X" Below Work Covered by 7his Request
kilemi[ndal aeo•I Tyoe of euilmne I APOliontee Wired j ? EQmumenl Wirotl I
f T I I Industrial Bldo. I I Air Conditioner 1 I Bulk Milk Tank I
M Fea ServlceEntronceSize k Fee Feeders/5ubfeetlers N Pea Cvcwts
0 to 200 Am s 0 ro 30 qm s 0 tn 30 Am s
Above 200 qinpy 31 to 100 Amps 31 to 100 Amp,
Swinunin Pool Above 100_Amps Above 700_Am -
Transformers Irrigation Booms Partial."Other Fee
I I I Signs ? I [SVecial Inspection
TOTAL FE?
amerks / /_,7 NC{/C d??LYhTrf)L?NS?
Lis.e.H I ?b 7A'I9%?Y "?' [ ..wim nai N.n - ? ?(? ?
90
I, the Electncel
lnSOectoq here6y
eertdy ihet tha ebove
lnsDection has baen
Thisrequestvoitl /./9JC?Jp??
18 mnnths Imm <<
Requesl Date . •
? "
' Frte No. ` 9o Ph-in Insuection
R ?d? ?/?
?Heady Now ?'4Vill Notrtv, InsPec-
Wh
p
?L?
? ?
& ves ?No ur
en
¢atly
Licensed Elec[ncal Convactor I hereby request insOacUOn of ebove
?
l
t
i
l
t
L
k
ll
d
wner e
ec
r
ca
wor
ins
a
e
e
Street Address, 8 x or Route NClo.
/
3
W0
10 CitY
?
/
0
0 aNe ,K
, 9 A-
ectmn o. Township Name or No. Range No. Cowity
AA'ew?
Occupant PRWT)
cvs C012,P Phone No.
Puwer Supplier
- Address
4 e" t "m /c
)
Elec[ric{ Convactor ICOmOany Numel Cnnt c r's? OLicense No.
?
?
!'EVIAt"7 4!?t iiix- C/YC I.
ICJ I...'L?
Mdihng AdJress (Contta,?crmr oe Owner MakinB In/s?tail?ation)
`
%?(.Cy.nfa'?!L /ft!'?
%y ?
er Makfng Ins[a lati ml
Authorized S gnature ? Phone Number
? Z?Z7 -771f
MINNESOTA STATE BOAPD OF ELEC1511CITY %," i=;, ? THIS INSPECTION REQUEST WILL NOT
Grigga•Mitlwey Bltlg. - Foom N•181 BE ACCEPTED BY THE STqTE 80APD
UNLE55 PROPER INSPECTION FEE IS
1821 Universitv Ave.. 5i. Paul. MN 55704
Phone(612) 642-0800 ENCLOSED.
O1nl f FF REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
1 See inshuctions ior campleling thls lorm on back oi vellow coCV.
ry
? J? 14 6_ "X" Below Work Covered by 7his Request
Mew And Reo tvoe oi eudaing APOlancea WireA Enuiumem Wi.ed
Home Range Temporary Service
Duplex Water Heater Lightiny Fxtures
Apt Bwlding Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Condmoner Bulk Milk Tank
Farm ome, peu v omor Isnr?.itv`
t erl5uecrty thor 01h?r
ComDute lnsnecuon Fee Below
p Fee Se/viceEnhenceSize fl Fea Feeders/SUbteeders N Fee Cvcuits
e 0 ro 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 20 mps 31 to 100 qmps to 100 Am s
Swimming Pool Above 100-Amps 100_Am s
?Above
Transiormers Irigatwn Eiooms iLa1,0 Fee
Signs Speciallnspection $
TO L
Hernarks /?
?
c
Fnal
? e
cefLiy the[ tha above
inspection has been
maaa.
tltle repuasl voiE 1B monthe tmm
7 8 6 3 ,C&-)-i3
Request DatO n n
t ?/_
1 Fire o h-in InspecGOn
1 Requiretl?
-
? ReadY Now ? Will NoLly Inspeclor
N1h
R
C
7
a? v
? Yes 1
1 No
an
ea
y
I O licensed contractor ? owner hereby request inspection of above electrical work at:
Job Addrass (SYrae4 Box or Route No 6 Gty
O a NE
Secnon No. To-xnslnp Neme a No. Range Na. Co
Occupant(PRINT) Phone No.
Power Supplier Address
? G ? ?' 1 y PI
Eleclrinl Contraclor (COmpany Name) Contraclor5 License No.
t? S
76
3 ZJz,
MaIlrgAtlEress(COnVadororOwrier rg
2 lnetallation)
? ? 0_A%0re.
Authonzetl Sign re( ntrac r/O.vner king Inslellati
o Phone nNumber ''7
?V7-/-)I
MINNESOTA STATE BOARISOF ELECTPIC_nV yv?Q/ nn TMI$ INSPECTION REQUEST WILL NOT
GNgga-Midwey Bltlg. - Room &173 ??// V BE ACCEPTED BYTHE STATE BOARp
7827 Universlty Ave„ SC Paul, MN 55709 UNLESS PROPER INSPECT70N FEE IS
Phace (612) &12d800 ?O ?I` ENCLASED
-REQUESTFORELECTRICALINSPECTION eeaoo01a7
{?
? See insiruclions ior completing Ihis fortn on back oi yellow copy WSJ f//,C7"
?
2 _7 g 6 g 3 J(" Below Work Covered by This Request
e Atltl Rep. TypeofBuiltling AppliancesWired EquipmenlWired
Home Range 7emporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm.Jlndustrial Furnace
Farm ' Air Condrtioner
ONer (speaty) CaMractw Re ks??/
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEnUanceSize Fae # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transfortners Above 200 _ AmpS Above 700 _ Amps
SignS Inspectar§ Use Onry: TOTAL
Inigation Booms
Speciallnspection ?
;
Alarm/Communication ic
Other Fee ?
I, the Electrical Inspector, hereby
tif
th
t th
b
i
h p0ugh"" °81e _
cer
y
a
e a
ove
nspection
as
been made. F,ne? oaie G
-p
OFiICE USE ONLY
Thia request witl 18 moMhs hom
f? 04242 lv,lj 45
Raquest Date ' Fre No. ugh?in Inspeciwn
q?G? ?
? Reatly No AI Noti(y Inspeclor
R
d
?
es ? No n
ea
y
Ir ensed coMractor ? owner hereby request inspection of above electrical work at-
Jab Atltlress (Sireet, Bax or Route No )
/o3?0 (hiNir 091c- Iii City
`)K*/
Sedion No. Tamship Name or No Range No County
Occupant(PRIN Phone No
)
? 936-`fYyy
Power Supplier Addreas
L nIv ?
Eleclrcal Contraclor ( ompany ama) CoritradaS License No
fkveLrs? G ? 6 ?,
MaAing drees Contractor or Owner Meking InslallaM1On)
Z. E u,lano G.? 55?+
lwMOrired Signatu (CO 4actor r ' Instell ron) Phone Number
2? -_) 7 1
NINNESOTA STATE BOAfi OP ELE RY THI$ INSPECTION REQUEST WILL NOT
Grlgga-Nldway BMIg. - Room S173 ? BE ACCEPrEO BV THE STATE BOHRO
1821 llniverelty Ave., SL Paul, MN 55104 ?
" UNLESS PROPER INSPECTION FEE IS
Phona(fil2)6C2-0800 ENCLOSED
?/,jf)/gg REQUEST FOR ELECTRICAL INSPECTION
? Sce inaVUCnons lor wmpleting Ihis form on back of yalbw copy.
r- „Q 4 2 4 2 ? X° Below Work Covered by This Request
EB-00001-0]
" 90? s/Co 9
e Add Rgp TypeofBmldinq AppliancasWiretl EqmpmenlWired
Home Range Temporary Service
Ouplex Water Heater ElecVic Heating
Apt. Building Dryer O[her (Specify)
Comm.Andustrial Furnace
Farm Air Conditioner
ONer (specily) Coniraclor5 Remarks:
Compute lnspection Fee Below: ' " wc- 04"v- `D ?
# Olher Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 U. Ony: TOTAL ?q
Irrigation Booms '70 ?
Special Inspection
Alarm/Communication 1060
OMer Fee
I, the Electrical Inspecto5 hereby
certifythattheaboveinspectionhas
been made. Rough-in
?e
'7-1 7 -ff
OFFlCE USE ONLY
This request mitl t8 montha hom
tl??/Sa 9?f??SC
47*0
? 12170
C
b
?;eA:
8
u ,
.
I v- 3 s
Request Date
p e No ough-in Inspedan
Requtretl'
? Reetly Now ill Nolity Inspecror
R
d
Wh
9
?Yes o an
ea
y
IPicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Rou[e No )
G • r3..., s.9-1-5;s Gry
/- a-c..H-I
Section No. Township Name w No. Rarge No County
IDB7L?-C °'4
Occupent (PRINn Ptmire NO-
_ S-r- 14-,J 1?-'A'Sr-,
Powar Supplier Mdress
FJectrmal Convactor (Compam/ Nama)
1 Coniraclor9 License No.
-
-
z ... „-I e-T'B 7
7 -
4cs 0 4
Meiling Aderess (Conhac[or or Owner Maklrg Installation)
`rP7 2/ .•,ryic.=;- .?r/,G t . /?r°L 5
' nalule (COnirador r?ar ing Inslallab
Plwne Numher
/G 0 ?
7
MTNESOTA STATE BORNO OF ELECTRICITY THIS INSPEC710N REQUEST WILL NOT
Grlgga•Mitlway BMg. - Raom &113 BE ACCEPrED BY THE STA'fE BOHRD
7621 Univeralty Ave., SI. Peul, MN 55109 UNLESS PROPER INSPELTION f"EE IS
Plwm (672) 6C]-0800 ENCLQSEO
sya?/90
P 12170
REqUEST FOR ELECTRICAL INSPECTION
? See insWwions for completlng Ihia fonm on back oi yellow mpy.
X" Below Work Covered 6y Tiris Request
' ??
9es? 0s?
Nw ? w°7ypeoiBuilding AppliancesWired EqwpmentWiretl
Home Range 7emporary Service
Duplez Water Heater Elechic Heating
Apt. Buildinq Dryer Other (Specify)
Comm.llndus[rial Fumace
Farm Air Conditioner
Other (speciy) Cornractar5 Remarks'
Compute Inspection Fee Below: o
# Other Fee # ServiceEMrenceSize Pee # Cimuits/Feeders ee
Swimming Pool 0 to 200 Amps j D to 100 Amps
Transformers Above200_Amps A6 e100_Amps
SignS Inspector§ U. Only. 7pTpL
Irrigafion Booms ?n
Special Inspeciion
Alarrn/Communication (p p. ??
Other Fee
I, the Electrical Inspector, hereby
certity that the above mspechon has
been made. Rough-in
F,nai ost
?
OFFICE USE ONLY This reque5t void 18 moMhs from
18is re9uest void ///? -7/?'I?
rtqnths from
C 9947 3bv -1,3 g „?
Re4uesl Daie` F,re'NO. C/NOUph-in Insuecuon
Reqmretl. C]Ready Now)ffWill Novfy InsPec-
?+ Sf ?Yes J[?NO [or When Heady
Lmensed Elacnical Contrector I hereby request msoecbon o1 ebova
? Owner elecrrical w«k insfellad at:
Slreat Atldress. 8ox or Route No. City
03`0 ?oirr 66.4
ection o. Township Name or No. Ranga No. Co ty
Occupant(PRINT)
c3 Phone No.
Power Supplienr / Atldress
lectncal Conhactdr (COmpanv Neme) ConVaclor's License No.
`? rr.Q_1.\ \?, ?\ e_ (_A I. k, ?
1AP ?? ? 88 a
M@ iline dress ?ontre tor or Owner a
B ?9jjW 17
54- ? ` m
Cl
.
A orized Sipnatwe (Contractor/Owner Makinp Installation) Ph ne Number
Y7-,;V77
MINNESOTA STqTE BOARD OP ELECTNICITV V THIS INSPECTION REUUEST WILI NOT
Griqqs•Midway BIOy. - Room N-181 BE ACCEPTED BY THE STATE BOARD
1827 Universitv Ave.. 31. Paul, MN 55104 UNLESS PP07ER INSPECTION FEE IS
Phone (612) 842-0600 ENCIOSED.
iYI ?718`7 f1EQUEST FOR ELECTRICAL INSPECTlON e/? e- ?oooo?i-os
1 See ina4uctions lor compleii'q Nis form on bnck oi yellow copv. /lr? /C
f _ qCIA 7 a "X" Below Work Covered by This Request
Add Rao. Tyoe of BuilEing Apolinneee Wiretl Equipment Wired
Home Range Temporary Service
Duple,x Water Heater Lightin,y Fixwres
Apt. Bwlding Dryer Bectnc Heatui
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm mer ueu v tne, ISpor.,ty1
t .r pocity lher Othor
ompute Inspection fee Below '
k Fee Service EnhanceS xders/SUbteeders # Fee Circuits
0 to 200 qm s o 30 qm s G 0 tn 30 Am s
Above 200 q to 100 Amps 31 to 100 A s
Swm ng Pool N ove 100Amps Above 700_Am '
gation 8ooms rD ParLalOth
Signs ciallnspection 52
$
__
ema.ks ? OTAL E???
C N
Aouon-in 1pF.? ?.,h
peacEIa ., ?
,
Instor, areby
cerbly thet the abova
Final ) Ff/ ?? ?? ?%?te inspection hes baen
r _ _4 mede.
lrhb repuest voltl 78 montha iran
k
3 //l;a's
M,JJ .?t ?g- D °'L`
iv - i
Fequ si Date Fire N ug .n Inspecton
dp
o
ctor
? Ready Now W??
j
p
7Z.o// ? ?s
G? e
Reatly
h n
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Aaaress Btreet 9ox ar aome No I
1,031 C.o?IC 64ir ?'Gp ciry
&W
Section N. Township Nama or No Range No County
OccuOant(PRINT) Phone No
C7Zf,x1!-SC-CCS
Power SnupPher
CCy Atltlress ^
/JA/
1W
Elech¢al Contractor ICOmpany Neme)
? Confrector§ License No
?'? ? ?/ 7
???? s
Mdiling AQtl[e661COnVdCtOt 01 Owner MakIOJ 103?181181ionf
L
/
2 //? ///} 'j
??
•
` [ C?I? Jr'C /
/ 7
/ '--?. ' ? / 1 ? l,'?L1 / V
Aulhonzea Sgnalure onV cmnOw er Mekm Inst le n? Phone N?u7m^p'7er ?7
ZC,/ -7 /
MINNESOTA STAT?BOARD O14ELECTRICITY ??? - k/ Z? THIS MSPECTION REOUEST WILL NOT
Grlgga-MlEway BIOg. - Room S1]S 8E ACCEPTED BYTNE STATE BOARD
1821 Unlvereity Ave., SI. Peul. MN 5510<CEXIS i7? s???t` ?- ) UNLE55 PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °-?? EB-00001-08
py.
d 4Z25 3 See insvuaons lor complaiing mis form on back ot yellow co ?? ?,o" /
'°X" Below Work Covered by This Request ?•??r
ew A r Rep TypeofBuildinq AppliancesWirad EquipmantWired
Home Range Temporary Service
Duplex Water Heater Electdc Hea4nq
Apt. Building Dryer Other-(Specity)
Comm./Industrial Fumace C? Vf?
Farm Air Condilloner
Other(s?ciryl Contrector§Remarker.'Wr2k.LM5e-'r ;1b n,)Yn
R?
Compute Inspection Fee Below'
# Other Fee d ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs InsOector5 Use Only TOTAL ?
Irrigation Booms ?c7 -? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MO
I, ihe Eledrical Inspector, hereby
f
h %
Raui
Dete
'? ??
certi
yt
atiheaboveinspectionhas
been made. Final
OFFIGE USE 3NLY
This request witl 1B manths irom
?(.J/ REQUEST FOR ELECTRICAL INSPECTION
?? ? L? ? Se= instmc?ions tor completing ihis form on beck of yellow copy.
?? Be/ow Work Covered by This Request
ew Atltl Rep. ? TypeofBmlding ApphancesWired EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt Bwlding Dryer LOad Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condnioner
Other (suacityl Coniracror§ Remarks 1 O?
c, Ca,?
Compute lnspection Fee Below M vs
' -
# Other Fee # Service Entrance Size Fee # Crtcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
Translormers Above 200 _ Amps A6ove 100 _ Amps
Signs msvectors use omy 707AL
Irngation Booms . / I kf, O zz)
Speciat Inspecuon ?G(g?GU
AiarmlCommumcation THIS INSTALLAT AY DISCONNECTED IF NOT
Other Fee COMPLETED 18
I, the Elecirical Inspecror, hereby
certify that the above inspection has
been made. Roug?m
F,,,ai oete
oete
r?
OFFICE USE ONLY O
This request voitl 18 month5 irom
ao li sl
Reqyyyest Oale '
? ??^^ Q
J \ Fir o Roughdn Inpseciron Repuired .
(VOU must ceil inspeclor when reeEy)
Yes ? N. Insoecuon Other. an Rough-In
? Reatly 1 WIII Nat?fy Inspeclor
Date Reatly
T04censed contractor D owner hereby request inspection of above electrical work at.
Job A,rOs(sireel eox .ROU Q 1
J ?l/?l? l c?ry
Seciwn No Township Name or No Range No County
Occupanll RINTI Phone No
S - Z?,' 3
Power Supplrer 1
N ? Mtlress
Eleqncal Conv cbr ?Company Name? ?/j \
?\?-'•? Conlractors L¢ense No^
. ll?
MaiOng AtlOress iGOnVador or Owner Makmg Nstallation)
AWhonzetl Si alorp ICo racroripwne, king In51211dlionl
-, PM1 e?
?
MINNESOT0. STATE BOARD OF ELEGTPICItV ? THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEg - Haom S-173 BE ACCEPTED 8Y THE STAiE BOAFD
1821 Univermi[y Ave., St. Paul. MN 55106 (INLESS PROPER INSPECTION PEE IS
Phone (612) 642-0800 ENQOSED
,
Re esl Dat ?
?
/? ? / S Fue No Hough-in Inspetli0n
Requvetl? `'
T.Ready Now ? Wdl Notdy Inspeclor
R
tl
'+
? Wh
?Ves No an
ea
y
IIicensed contracror ? owner hereby request inspection ot above electrical work at:
Job AaOress (SVeat Box or Faute No )
o ?oH 'e-
aa ,& Qoy
Sec?ion No Townstlip Name or No , Range No County T
Ocmpant IPRMT)
.S'??'•a/ sT Phona Na
?fsz -3Q 3 Z
P7a?wer
Supplier
? Atltlress y? ' //?
V
Tl
'1/ / A
1" CO
/(/ /
Elec al Conv ctor (Company 71
?
v
` ConVaq or's l?cense No
' ?
` z
--
e
/ G
l ?
.S
Maibn AQaress Conttaclor or Owner Makin nstallaLOn) / Jr !?/
J
Aumonze? Sr e?Conha ing Ins[ n) one Nu`?mper 10Y
?? ? - MINNESOTA STATE BOAPO OVELECTFICITY THIS INSPECTION REQUEST WLLL NOT
GrIqgs-Midwey BIEg - Foom 5493 BE ACCEPTED BY THE STFTE BOARD
1821 Univemiry Ave., 5f Feul. MN SStOG UNLE55 PROPEF INSPECTION FEE IS
Phone(61Y)6CY-0800 ENCLOSED
?
REQUEST FOR ELECTRICAL INSPECTION ,??-08
0. See mslrudions lor completing ihis form on Oack oi yellow capy
d 21081 ?"X" Below Work Covered by This Request
ew ,4dd Rep 7ypeolBuiltling ApphancesWired EqwpmenlWired
Home Range Temporary Service
Duplez Water Heaier Electric Heating
Apt Building Dryer Other-(Specity)
Comm /indusirial Furnace
Farm Air Condi4oner
Othel (syany) Convador3 Remarks 4 /
YJeGCJ A-?RCS ?
Compute Mspechon Fee Below: I;'J
# Other Fea # ServiceEntrance5ize Fee # Circwis/Feeders Pee
Swimming Pool 0 to 200 Amps ,QQ 0 l0 100 Amps , Qo
Transformers Above 200 _ Amps A6ove 100 _ Amps
Sgns Inspeclors Use Only
? i pL
Irriganon Booms /
/ , L 0 ? S?
i
Special Inspecuon Y ?T
:
Atarm/Communication 1DISCONNECTED IF NOT
THIS INSTALLATION MAV ORD
Other Fee ? COMPLETED WITHIN 18 M S.
I, the Electrical Insp ctor, hereby R°"9n?? oaie /? ??
cerhty that the above inspection has
been made F,nei ? oare
s
OFFICE USE ONLY
Tnis reQUesi voitl 18 months Irom
III IIII III (I IIII III II II III
*03535200*
REQUEST FOR ELECTRICAL INSPECTION 71 749",,7
Minnesota State Board of Electricity
1 a?
1821 tlniversii?Ave., Rm. 5-128, St Paul, MN 55104 ?`? ?
Phone (6]2) 642-0800 ,?='
Home Duplex Apt. Bldg. Other: New Addn
1
Commercial
Industrial
Farm
Remod
Repair
Air Cond Htg Equip. Water H}r Load Mgmt Other:
Dryer Range Elec Heat emp. Serwce
"X" above the wwk cove2d by this requesf Enter remarks m thrs g>ace antl on [he back ot the white cqpy only.
PW I D u??.? 9PC G?j aop s?!ep uP .'re-swi.fr=ac?
Calculate InspecVOn Fee - 7his lns,oechon Requesf wdl not be acceptetl wrthout the correct tee:
Other Fee ? Serrice Entrante Size Fee tt Circuits/Feedere Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg /Traffic Sig. Above 200_Amps Above 00_Amps
Transformer/Generator INSPECTOR'S USE ONLY ? TOTAL
n,f?^
Sign/Outline Ltg. Xfmr ? ?1
1-
Alarm/Remote Control
SWlmmillq P001 I hby Lty that I msp etl ih stallalin herein on tM1e tlates statetl
Irngation Boom Fiough-6i Da?e
S
eciallns
ec4on
p
p F
Investiga4ve Fee
THIS INSTALLATION M
GY BE O ,nai oare ?
RDFREn fll. . . ff TFfI WITNIN 10. MnNTHA
OPFICE USE ONLV This request voitl 18 rtqnahs irom vaLtla[ion tlate pnntetl in fiis box
353-520 ?0 _ _ 7/ 79 7
31-?0 7 ?
PLEASE PRINT OR TYPE 4???3 tQ n1 p
. w ,r?C ? ??y-? ?
C..Y(/
uesl Dale qough-in mspe ron reqmre ? Ves ? N. Inspechon Other Than Faugh-In ? Reatly Nav C] WII Call
(Yai must ca0 the mspector when reatly) Date Ready
I, hcensed coNractor ? owner hereby request inspection of the above electrical work at
tl ess (Stre I, Box, or RouVe o) GtY
No TownsM1ip Name or No Raige No Co ?
nt /
G G J /
iu
Pho
' oqgg
Fl v.er Suppher Pdtlress
Elec?cal Gonlractor ICqmgarry Name)
-r- L?1
? Conlrac or L? NO /
Cl7 d Master Lic No. (Plant Elect. Onry)
?
rf ?
MaAing AAtlress (COniractor or er Porfor ny Inst I on)
r? ? 5
VY?v1
55 '??
ure( irect ro norPe m glnspilation) Phon?ry? /'???
EB-00001A-11 8/95 f
STHTE 80ARD COPV - SEE MSTRUCTIONS ON BACK OF YELLOW COPY
tl??/Sa 9?f??SC
47*0
? 12170
C
b
?;eA:
8
u ,
.
I v- 3 s
Request Date
p e No ough-in Inspedan
Requtretl'
? Reetly Now ill Nolity Inspecror
R
d
Wh
9
?Yes o an
ea
y
IPicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Rou[e No )
G • r3..., s.9-1-5;s Gry
/- a-c..H-I
Section No. Township Name w No. Rarge No County
IDB7L?-C °'4
Occupent (PRINn Ptmire NO-
_ S-r- 14-,J 1?-'A'Sr-,
Powar Supplier Mdress
FJectrmal Convactor (Compam/ Nama)
1 Coniraclor9 License No.
-
-
z ... „-I e-T'B 7
7 -
4cs 0 4
Meiling Aderess (Conhac[or or Owner Maklrg Installation)
`rP7 2/ .•,ryic.=;- .?r/,G t . /?r°L 5
' nalule (COnirador r?ar ing Inslallab
Plwne Numher
/G 0 ?
7
MTNESOTA STATE BORNO OF ELECTRICITY THIS INSPEC710N REQUEST WILL NOT
Grlgga•Mitlway BMg. - Raom &113 BE ACCEPrED BY THE STA'fE BOHRD
7621 Univeralty Ave., SI. Peul, MN 55109 UNLESS PROPER INSPELTION f"EE IS
Plwm (672) 6C]-0800 ENCLQSEO
sya?/90
P 12170
REqUEST FOR ELECTRICAL INSPECTION
? See insWwions for completlng Ihia fonm on back oi yellow mpy.
X" Below Work Covered 6y Tiris Request
' ??
9es? 0s?
Nw ? w°7ypeoiBuilding AppliancesWired EqwpmentWiretl
Home Range 7emporary Service
Duplez Water Heater Elechic Heating
Apt. Buildinq Dryer Other (Specify)
Comm.llndus[rial Fumace
Farm Air Conditioner
Other (speciy) Cornractar5 Remarks'
Compute Inspection Fee Below: o
# Other Fee # ServiceEMrenceSize Pee # Cimuits/Feeders ee
Swimming Pool 0 to 200 Amps j D to 100 Amps
Transformers Above200_Amps A6 e100_Amps
SignS Inspector§ U. Only. 7pTpL
Irrigafion Booms ?n
Special Inspeciion
Alarrn/Communication (p p. ??
Other Fee
I, the Electrical Inspector, hereby
certity that the above mspechon has
been made. Rough-in
F,nai ost
?
OFFICE USE ONLY This reque5t void 18 moMhs from
18is re9uest void ///? -7/?'I?
rtqnths from
C 9947 3bv -1,3 g „?
Re4uesl Daie` F,re'NO. C/NOUph-in Insuecuon
Reqmretl. C]Ready Now)ffWill Novfy InsPec-
?+ Sf ?Yes J[?NO [or When Heady
Lmensed Elacnical Contrector I hereby request msoecbon o1 ebova
? Owner elecrrical w«k insfellad at:
Slreat Atldress. 8ox or Route No. City
03`0 ?oirr 66.4
ection o. Township Name or No. Ranga No. Co ty
Occupant(PRINT)
c3 Phone No.
Power Supplienr / Atldress
lectncal Conhactdr (COmpanv Neme) ConVaclor's License No.
`? rr.Q_1.\ \?, ?\ e_ (_A I. k, ?
1AP ?? ? 88 a
M@ iline dress ?ontre tor or Owner a
B ?9jjW 17
54- ? ` m
Cl
.
A orized Sipnatwe (Contractor/Owner Makinp Installation) Ph ne Number
Y7-,;V77
MINNESOTA STqTE BOARD OP ELECTNICITV V THIS INSPECTION REUUEST WILI NOT
Griqqs•Midway BIOy. - Room N-181 BE ACCEPTED BY THE STATE BOARD
1827 Universitv Ave.. 31. Paul, MN 55104 UNLESS PP07ER INSPECTION FEE IS
Phone (612) 842-0600 ENCIOSED.
iYI ?718`7 f1EQUEST FOR ELECTRICAL INSPECTlON e/? e- ?oooo?i-os
1 See ina4uctions lor compleii'q Nis form on bnck oi yellow copv. /lr? /C
f _ qCIA 7 a "X" Below Work Covered by This Request
Add Rao. Tyoe of BuilEing Apolinneee Wiretl Equipment Wired
Home Range Temporary Service
Duple,x Water Heater Lightin,y Fixwres
Apt. Bwlding Dryer Bectnc Heatui
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm mer ueu v tne, ISpor.,ty1
t .r pocity lher Othor
ompute Inspection fee Below '
k Fee Service EnhanceS xders/SUbteeders # Fee Circuits
0 to 200 qm s o 30 qm s G 0 tn 30 Am s
Above 200 q to 100 Amps 31 to 100 A s
Swm ng Pool N ove 100Amps Above 700_Am '
gation 8ooms rD ParLalOth
Signs ciallnspection 52
$
__
ema.ks ? OTAL E???
C N
Aouon-in 1pF.? ?.,h
peacEIa ., ?
,
Instor, areby
cerbly thet the abova
Final ) Ff/ ?? ?? ?%?te inspection hes baen
r _ _4 mede.
lrhb repuest voltl 78 montha iran
k
3 //l;a's
M,JJ .?t ?g- D °'L`
iv - i
Fequ si Date Fire N ug .n Inspecton
dp
o
ctor
? Ready Now W??
j
p
7Z.o// ? ?s
G? e
Reatly
h n
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Aaaress Btreet 9ox ar aome No I
1,031 C.o?IC 64ir ?'Gp ciry
&W
Section N. Township Nama or No Range No County
OccuOant(PRINT) Phone No
C7Zf,x1!-SC-CCS
Power SnupPher
CCy Atltlress ^
/JA/
1W
Elech¢al Contractor ICOmpany Neme)
? Confrector§ License No
?'? ? ?/ 7
???? s
Mdiling AQtl[e661COnVdCtOt 01 Owner MakIOJ 103?181181ionf
L
/
2 //? ///} 'j
??
•
` [ C?I? Jr'C /
/ 7
/ '--?. ' ? / 1 ? l,'?L1 / V
Aulhonzea Sgnalure onV cmnOw er Mekm Inst le n? Phone N?u7m^p'7er ?7
ZC,/ -7 /
MINNESOTA STAT?BOARD O14ELECTRICITY ??? - k/ Z? THIS MSPECTION REOUEST WILL NOT
Grlgga-MlEway BIOg. - Room S1]S 8E ACCEPTED BYTNE STATE BOARD
1821 Unlvereity Ave., SI. Peul. MN 5510<CEXIS i7? s???t` ?- ) UNLE55 PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °-?? EB-00001-08
py.
d 4Z25 3 See insvuaons lor complaiing mis form on back ot yellow co ?? ?,o" /
'°X" Below Work Covered by This Request ?•??r
ew A r Rep TypeofBuildinq AppliancesWirad EquipmantWired
Home Range Temporary Service
Duplex Water Heater Electdc Hea4nq
Apt. Building Dryer Other-(Specity)
Comm./Industrial Fumace C? Vf?
Farm Air Condilloner
Other(s?ciryl Contrector§Remarker.'Wr2k.LM5e-'r ;1b n,)Yn
R?
Compute Inspection Fee Below'
# Other Fee d ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs InsOector5 Use Only TOTAL ?
Irrigation Booms ?c7 -? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MO
I, ihe Eledrical Inspector, hereby
f
h %
Raui
Dete
'? ??
certi
yt
atiheaboveinspectionhas
been made. Final
OFFIGE USE 3NLY
This request witl 1B manths irom
?(.J/ REQUEST FOR ELECTRICAL INSPECTION
?? ? L? ? Se= instmc?ions tor completing ihis form on beck of yellow copy.
?? Be/ow Work Covered by This Request
ew Atltl Rep. ? TypeofBmlding ApphancesWired EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt Bwlding Dryer LOad Management
Comm./Industrial Furnace Other (Specify)
Farm Air Condnioner
Other (suacityl Coniracror§ Remarks 1 O?
c, Ca,?
Compute lnspection Fee Below M vs
' -
# Other Fee # Service Entrance Size Fee # Crtcuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps ?
Translormers Above 200 _ Amps A6ove 100 _ Amps
Signs msvectors use omy 707AL
Irngation Booms . / I kf, O zz)
Speciat Inspecuon ?G(g?GU
AiarmlCommumcation THIS INSTALLAT AY DISCONNECTED IF NOT
Other Fee COMPLETED 18
I, the Elecirical Inspecror, hereby
certify that the above inspection has
been made. Roug?m
F,,,ai oete
oete
r?
OFFICE USE ONLY O
This request voitl 18 month5 irom
ao li sl
Reqyyyest Oale '
? ??^^ Q
J \ Fir o Roughdn Inpseciron Repuired .
(VOU must ceil inspeclor when reeEy)
Yes ? N. Insoecuon Other. an Rough-In
? Reatly 1 WIII Nat?fy Inspeclor
Date Reatly
T04censed contractor D owner hereby request inspection of above electrical work at.
Job A,rOs(sireel eox .ROU Q 1
J ?l/?l? l c?ry
Seciwn No Township Name or No Range No County
Occupanll RINTI Phone No
S - Z?,' 3
Power Supplrer 1
N ? Mtlress
Eleqncal Conv cbr ?Company Name? ?/j \
?\?-'•? Conlractors L¢ense No^
. ll?
MaiOng AtlOress iGOnVador or Owner Makmg Nstallation)
AWhonzetl Si alorp ICo racroripwne, king In51211dlionl
-, PM1 e?
?
MINNESOT0. STATE BOARD OF ELEGTPICItV ? THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BIEg - Haom S-173 BE ACCEPTED 8Y THE STAiE BOAFD
1821 Univermi[y Ave., St. Paul. MN 55106 (INLESS PROPER INSPECTION PEE IS
Phone (612) 642-0800 ENQOSED
,
Re esl Dat ?
?
/? ? / S Fue No Hough-in Inspetli0n
Requvetl? `'
T.Ready Now ? Wdl Notdy Inspeclor
R
tl
'+
? Wh
?Ves No an
ea
y
IIicensed contracror ? owner hereby request inspection ot above electrical work at:
Job AaOress (SVeat Box or Faute No )
o ?oH 'e-
aa ,& Qoy
Sec?ion No Townstlip Name or No , Range No County T
Ocmpant IPRMT)
.S'??'•a/ sT Phona Na
?fsz -3Q 3 Z
P7a?wer
Supplier
? Atltlress y? ' //?
V
Tl
'1/ / A
1" CO
/(/ /
Elec al Conv ctor (Company 71
?
v
` ConVaq or's l?cense No
' ?
` z
--
e
/ G
l ?
.S
Maibn AQaress Conttaclor or Owner Makin nstallaLOn) / Jr !?/
J
Aumonze? Sr e?Conha ing Ins[ n) one Nu`?mper 10Y
?? ? - MINNESOTA STATE BOAPO OVELECTFICITY THIS INSPECTION REQUEST WLLL NOT
GrIqgs-Midwey BIEg - Foom 5493 BE ACCEPTED BY THE STFTE BOARD
1821 Univemiry Ave., 5f Feul. MN SStOG UNLE55 PROPEF INSPECTION FEE IS
Phone(61Y)6CY-0800 ENCLOSED
?
REQUEST FOR ELECTRICAL INSPECTION ,??-08
0. See mslrudions lor completing ihis form on Oack oi yellow capy
d 21081 ?"X" Below Work Covered by This Request
ew ,4dd Rep 7ypeolBuiltling ApphancesWired EqwpmenlWired
Home Range Temporary Service
Duplez Water Heaier Electric Heating
Apt Building Dryer Other-(Specity)
Comm /indusirial Furnace
Farm Air Condi4oner
Othel (syany) Convador3 Remarks 4 /
YJeGCJ A-?RCS ?
Compute Mspechon Fee Below: I;'J
# Other Fea # ServiceEntrance5ize Fee # Circwis/Feeders Pee
Swimming Pool 0 to 200 Amps ,QQ 0 l0 100 Amps , Qo
Transformers Above 200 _ Amps A6ove 100 _ Amps
Sgns Inspeclors Use Only
? i pL
Irriganon Booms /
/ , L 0 ? S?
i
Special Inspecuon Y ?T
:
Atarm/Communication 1DISCONNECTED IF NOT
THIS INSTALLATION MAV ORD
Other Fee ? COMPLETED WITHIN 18 M S.
I, the Electrical Insp ctor, hereby R°"9n?? oaie /? ??
cerhty that the above inspection has
been made F,nei ? oare
s
OFFICE USE ONLY
Tnis reQUesi voitl 18 months Irom
III IIII III (I IIII III II II III
*03535200*
REQUEST FOR ELECTRICAL INSPECTION 71 749",,7
Minnesota State Board of Electricity
1 a?
1821 tlniversii?Ave., Rm. 5-128, St Paul, MN 55104 ?`? ?
Phone (6]2) 642-0800 ,?='
Home Duplex Apt. Bldg. Other: New Addn
1
Commercial
Industrial
Farm
Remod
Repair
Air Cond Htg Equip. Water H}r Load Mgmt Other:
Dryer Range Elec Heat emp. Serwce
"X" above the wwk cove2d by this requesf Enter remarks m thrs g>ace antl on [he back ot the white cqpy only.
PW I D u??.? 9PC G?j aop s?!ep uP .'re-swi.fr=ac?
Calculate InspecVOn Fee - 7his lns,oechon Requesf wdl not be acceptetl wrthout the correct tee:
Other Fee ? Serrice Entrante Size Fee tt Circuits/Feedere Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg /Traffic Sig. Above 200_Amps Above 00_Amps
Transformer/Generator INSPECTOR'S USE ONLY ? TOTAL
n,f?^
Sign/Outline Ltg. Xfmr ? ?1
1-
Alarm/Remote Control
SWlmmillq P001 I hby Lty that I msp etl ih stallalin herein on tM1e tlates statetl
Irngation Boom Fiough-6i Da?e
S
eciallns
ec4on
p
p F
Investiga4ve Fee
THIS INSTALLATION M
GY BE O ,nai oare ?
RDFREn fll. . . ff TFfI WITNIN 10. MnNTHA
OPFICE USE ONLV This request voitl 18 rtqnahs irom vaLtla[ion tlate pnntetl in fiis box
353-520 ?0 _ _ 7/ 79 7
31-?0 7 ?
PLEASE PRINT OR TYPE 4???3 tQ n1 p
. w ,r?C ? ??y-? ?
C..Y(/
uesl Dale qough-in mspe ron reqmre ? Ves ? N. Inspechon Other Than Faugh-In ? Reatly Nav C] WII Call
(Yai must ca0 the mspector when reatly) Date Ready
I, hcensed coNractor ? owner hereby request inspection of the above electrical work at
tl ess (Stre I, Box, or RouVe o) GtY
No TownsM1ip Name or No Raige No Co ?
nt /
G G J /
iu
Pho
' oqgg
Fl v.er Suppher Pdtlress
Elec?cal Gonlractor ICqmgarry Name)
-r- L?1
? Conlrac or L? NO /
Cl7 d Master Lic No. (Plant Elect. Onry)
?
rf ?
MaAing AAtlress (COniractor or er Porfor ny Inst I on)
r? ? 5
VY?v1
55 '??
ure( irect ro norPe m glnspilation) Phon?ry? /'???
EB-00001A-11 8/95 f
STHTE 80ARD COPV - SEE MSTRUCTIONS ON BACK OF YELLOW COPY
?
?
co
35 2
M
1
Request Da§
_ (q
q
Fre o Roug? .? Inspec[ion NOTICE: Vou Must Call Elecmcel Inspeclor
Reqmred? tl A Rough-In Inspecbon
_
3 ? Ves Is Feqmretl
ICi! ensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route No )
1030 CAr?Cx?.k ? llo City
SecUOn No Township Name or No Range No. Couny
T 0_
v? ?.?.3?.!
g
Occupant(P INT)
IC
? P ne No
'ao ?
{v r n oo
PowerSuppLer Atltlress
Elecmcel C n cior (COmpany Name) ContrectorS Ucense N.
L 0?
Mailing Adtlres (Comractor(o?r Owner Makin Installe?wn) /?
'J `JVILJ
Authonzetl 5' naWre (COnfreclodOwner Meking Installation) Phone umbe
? O-3SSS
MINNESOT TE BOApD OF ELECTfiICRV THIS INSPECTION REQUEST WILI NOT
GHggs-Mitlwey 81dg - Room S-173 BE ACCEPTED BYTHE STATE BOAfiD
1821 Univers'M1y Ave., St. Paul, MN 55104 UNLESS PROPEfi INSPECTION FEE I$
Phone(612)602-0800 ENCLOSED
1o4a? REQUEST FOR ELECTRiCAL INSPECTION
p? ? See nsNi ons for mmpieLng Ihis form on back of yellow copy
IPI i 5 6 2 g? ?p Below Wark Coveaed by This Request
q? EB-00001-OB
New Add Rep Typeo Bwl ing AppliancesWired EquipmeMWired
Home Range ?emporary Service
Duplex Water Heater Electnc Heanng
Ap[. Building Dryer Loatl Management
Comm.Andustnal Furnace omer (Speciry)
Farm Air Condilloner
Other (spemly) ConVactor5 Remarks
Compute Inspection Fee Below, rQrno&a
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector's Uae Only. TOTAL
?
Irrigation Booms
U
G?-
I S5
Special Inspection
Alarm/Communication THIS INSTALLATION MAy?E ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TB,ApONT f
I, the Electrical Inspector, hereby Rough-in
? Date
certify that the above inspection has
been made. Fnal
' ? ?`?
OFFICE USE ONLY
This requesl mid 18 moMhs imm
d 908
?
1
C
i
?
--,
R uest Del
+'
1 ue . ough??n Inspecibn
Reqmred9
eatly Now ? Will Nohry Inspector
1
1
74 ']Ves o WhanReaEy9
licensed contractor ? owner hereby request inspection ot above efectrical work at:
Job Atltlress (Slreet. Box or Roma N
o
) Qty
?
./
?
? d 3P (AI`l r ?rlr- V-zr4o
Section No. Township Name or No Renge No Cou
nry
^
%WK-?
Ocapant IPRINTI Phone No
?
Power Suppber ? Atltlress
Eleancsl Gontrecmr (COmpany Name) ConVeclor5 4cen
e No
s
s Gjil '
`
Matlmg Aaaress (Conhactor or owner Making Installauon)
2 ) ^° 7
Autnor2etl Siqnalure IGOnirectorrOwnar Making I alia Phone Number
?
'..7
`?°
Gr ggs-Mltlway 8 tlg. OpROamFS1]3 TR,CIry'? ?3 -LV BEIACCEPTED BY THE SiA E BIOARDT
1821 Unlvenity Ave., St. Peul, MN 55104 ?VTM ?31?, ?,p UNLESS PROPEP INSPECTION FEE IS
Fhone (612) B42-0800 ENClOSEO
REOUEST FOR ELECTRICAL INSPECTION
? ? Sae msVUCbona lor compleung ihis brm an back of yellow capy
01081 _.-°X" Below Work Covered by This Request
,Irp?"='?'s? e?ooooiae
?!??
aw Atltl. Ra TypeofBUilding ApplianceSWired EqwpmentWiretl
Home Ranqe Temporary Service
Duplex Water Heatar Electric Heating
Apt Building Dryer Other-i(Speafy)
Comm./Induslrial Furnace
Farm Air CondRioner
Other (sVeairy) Gbntrectar6 Remerks ?
jl?rmar??z? ?Xtf"?/JS-Arv?+ Vpg
Compute Inspection Fee Below: PPr? -)YY 2Aolli
# Other Fee # SarviceEnlrance5iza Fee # CiromislFeeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transtormers Above 200 _ Amps Above YQO Amps
Signs Inspenor§ Use Only. Tp7pL .??
Irrigation Booms ? ?r7 c7?
Special Inspecuon
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
iher Fee COMPLETED WITHIN 18 MO HS.
I, the Electrical Inspector, hereby RougRin oale/ 7
?
certify that the above inspection has
been made. oe?
OFFICE USE ONLV
Tnrs request voitl 18 moniM1S imm
This requesl voitl /n/?^/?Y
18 monlhs from
E 3 415 8Lrn-/3 A
q? ey d? E]Ready Nuw Will NotitY Inspec-
_, ?NO lorWhenFeady
a LrGansed Elec[ncal ConVactor I hereby repuest msvacnon of above
Owner eleclrical work mstalled eb
SVaet Address, Boa or Roore No. GtY
03 0 (,ad O
e uon o. Township Name or No. ange No. Counly
Occ nt (PFINT) Phune No.
( yJ
Pow¢r $uPpher Address
24KYe 7- Jn
Eledn Cantrecmr (Compan Name) Cn mcmr's License No.
?s -013 22,
Ma.hng Address (Conuactor or Owner Maki
? Instailatmnl ?
J ?
L
:..?
?
Author¢ed gn ure onhactor/Owner aki n Installat?oN Phune. Number
Z27-T7 /
? THIS INSPECTION REQUEST WILL NOT
MINNESOTA STpTE BQAflD ELECTpICI
Griggg-M,dway Blde- poom N-197 BE ACCEPTEO BY THE S7ATE BpqND
UNLESS PHOPEH INSPECTION FEE IS
1821 Universitv Ave.. St. Peul. MN 55104
ae,..,e tai9i wa,_nann ENCLOSED.
/g8` yr y?pry
??? REQUEST FOR ELECTRICAL INSPECTION pee-ooooi-os
1 See instructions lor complnling this form on bflck ol yellow coOY. O/ a l?
E 3 415 8 "xl eeloW Work Covered by 7his Request
AAd HeD. Typp ol BwMne AVUliances Wrted Equiument Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryet Electnc HeaLn
Commercial Bldy. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tenk
Farm omer Peci v Olner ISUnr,:ty1
t nr Su??? V Offier C?th?;r
Compute lnspection Fee Below
tl Fee ServmeEntronceSae tt Fee Fexders/SUbfextlens M Fee Circuits
U to 200 qmps 0 to 30 Am s n 30 Am>
Above 200 Am>s 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_AmpS
Transiormers Irrigation Booms Partial. Oth
I Signs I I ISpeciallnspecLOn?s JF6 _1
l?.?' /?+ T F E i (/
OTAL ?,V
e3rks
'- •l???/
Rough-in Dino I, ihe Electncal
SInso?ctor, heraEy
cg?ryffv annl me aeove
i?nal ?'??e '?pection has been
? ?' ?6? ,?aa.
leeti
This request wid /./[?`
18 months from «? n Q
n
Li 91 9Z45Y/O
Rxquest D te oe N.U. Rouph-in Insoecbm o-
v Requ os 7 ?No ?ReadY Now Wiil Noutv Inspe
Nor When fleady
?i`cnPSed Electncal Contnctor 1 hereby ie0uest insoaction ot ebove
electrical work installed at:
Street Atldress, Box or Noute No. C°y
ection o. TownshiD Name or No. T??9e No. Cnunty
????
Occapa t IPRWTI Phone No.
!
N ,- r
Power Su pher AAdress
? J
Ele Contratlor ICompany Namel ? Contraclor's Lmense No.
A?
-
zEz-T-yr,1c
fLe-j e
MaJmg AtlJ ess ICoMrar,IDr or Owner Makin9 Ins.ailaUo
z,?Ar1Lm e.??
r f_r, -? -7
Autbonzed S. nacu? ICon actor/ ner Makin utallati n) Phone Number
+?
ZZ?- / ?
MINNESOTA STATE BOARD OF ELEC1A1CITY TMIS INSPECTION xEaUESI WILL NOl
Grie9s-Midwey Bltl9. - Room N-191 BE FCGEPTED BY THE STpTE BOAHD
18P7 Unuvarsitv Ave.. St. Peul, MN 56704 UNLESS PNOPER INSPECTION FEE IS
c?.....e ia»i wn,_nFoO ENCLOSED.
LG/c /g?r REQUEST FOR ELECTRICAL INSPECTION pea/-o/o?oot-oa
/ See inshuecions lor comolebne tbis form on back o/ Yellow copy.
? 99145 "1(" Be/ow Work Covered by Thrs Request
New Aea rtao. rvaa oi ausimne AoDhancea w.,eo enu.umene wirea
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Bwldmg Dryer Electrie He2tin
Commercial Bldg. Fumace Silo Unloader
InAustnal BIAy. Alr Condrtioner Bulk MiIk Tank
Farm Other Oeri y Olhei (Sner,Ilyl
nnnr Vculv Othcr Othi,
Compute lnspection Fee Below
0 Fee ServiceEMmncaS¢e M Fee Feetlers/5ubfeaders N Fwo Cvcorts
0 to 200 qm 5 0 to 30 qm s m 30 Am
Above 200 qinpst 31 [0 100 Amps 31 to 700 Am s
Swimming Pool Above 100?Amps Above 100_Arnps
Transiormers Irrigation Booms Parual.'Other Fee
Signs Speciallnspecuon S ? OT
Rem?rks
"_-.... FEE?
c .
flouBh-in
Final
? Na E al
Inspector, hereby
erLpfy thnt xhe above
?nsection hes been
maiaa.
thia requeat volU 18 moMhs irom
This repuest void ?2/y/O??'
18 nwnths from ?
D 74168r,ia
8J 5`?`? 'r!
Request ale .• Fre Nd. HOG.Qh-in InsVer,twn
eA? OAeatly Nuw W?II Notrty InsPec-
p ? X Heq /90 1Ves ?No or When fleady
Q
D Li censetl Electncal Contractor I hereby request msDecUOn of ebove
?
? Owner electncal work mstalle0 et.
Street Address, Box nr ftoute No. Lilv
/J-
ec ion o. Township Name or No. R:inge No. Cou
n
t
y
/
j
?
]N
OccapdntlPRINT) P?one No.
i? - 1T c.+,s t 4-0
Power Suooher Atltlress
s
?
'*
V' ?0 220 -
T ftif r
?
A
'
el Conlractor ICOmpanY Namel
Elec
nc
t Contrncwr's License No.
?
7
•
A ?l??Wrs 4-rtI CV i Z71
Mo?J1ing AdJress (Contrac[or or Owner Making Ins?ailnl
(i
t e ICO tr tWOwner Ma
Authonzed S ng Installationl Phone Number
X 2 --?
MINNESOTA STATE BOARD F ELECTqICITV THIS INSPECTION FEQUEST ILL NOT
Grigee-Midwey Blde• - Moom N-191 BE ACCEPTED BY THE STATE BOAND
UNLESS PHOPEN INSPECTION FEE IS
1821 Umversilv Ave.. St Peul. MN 55104
Phane(612)642-0800 ENCLOSED. •
'21Vre REQUEST FOR ELECTRICAL INSPECTION AM% es-o'o/ooi-os
y
/ See insvuc4ons br comvlebng this form on baek ol yellow couy.
? 74168 '"YBelnw Wak Covered by 7his Request
N FAtl NeD. TVOe ot BuJamg Apolia.tea WnreE Eqoipment Wved
T?T Home Ranae Temoorarv Service
Air Conditioner
D@C Lf 077
p Fea Serv,caEntrenca5ize b Fee Feedu.s/Subfeaders k Fea Circwts
0 to 200 Am 5 0 to 30 Am s to 30 An s
Above 200 qmps 31 to 100 q,nps 'lj ? 31 to 100'Am s
Swimming Pool Above 100_Am s Above 100_Am?y
Transtormer5 Irrigatwn Boorcis -rj Partial-Other Fee
I I I Signs 1 I iSpenal Inspection I
P TOTA I?
emarks ?
- !?1I??
1, tha Electr?cal
??SDBCIOq hereby
cartdV that the above
msoacvon has been
mede.
This rbquest voitl ?/ac?/8? 7?-p•y-Yj
78 months fram ,/
C 97(]4:?tin_i? f?z I:nnra,,, 6& ,:l/?„,W&
Raquest ata?
Q
S F1re No. RouPh-in Inspeclion
Feqmred?
?Reatly Now Will NoUfy Inspec-
?
W h
/
) ?J ?Yes o or
e n Ready
Licensed Electrcel Contrnctor 1 hereby request inspecbon at ebove
? wner ? V ?y leetrical work installed at:
Sir et ACdress, oz or Route No.
/o C,ry
actwn o. 7ownship Name or No. anBe No. Counfy
/
Occupam (PflINT) Phone No.
D .r 9 1. -?
Power Supplier Address
L ou
Electri al Contractor (Comuany Name) Cun actor's License No.
EO ?f ? ?J?YI. ? Z ?Z?
Ma1 m?JB Addres/s?IConvactor or Owner Makine Insiallatmnl
C? ` G ?' A? ?
Aut?orize a?t \IConh for?Ow er Making Installa ion) Phone Number
L?C ^?
? ^ / /
MINNESOTA STpTE BQARD OF ELECTflIC ` V THIS INSPECTION PEQUEST WILL NOT
Orippe-Midwey BItl9• - Noom N-191 BE ACCEPTED BY TNE STATE 90qq0
1827 Univarnitv Avs..3t. Peul, MN 56100 UNlE55 PNOPEN INSPECTION FEE IS
Phone1fi721842-OB00 ENCLOSED.
a/,LREQUEST FOF ELECTRICAL INSPECTION
? See instrueLOns tor comoleb" Ihia twm on beek oi vellow wDV. /
?' "?-j -711 fl0 - "X" Below Work Covered by 7his Request
kilemi[ndal aeo•I Tyoe of euilmne I APOliontee Wired j ? EQmumenl Wirotl I
f T I I Industrial Bldo. I I Air Conditioner 1 I Bulk Milk Tank I
M Fea ServlceEntronceSize k Fee Feeders/5ubfeetlers N Pea Cvcwts
0 to 200 Am s 0 ro 30 qm s 0 tn 30 Am s
Above 200 qinpy 31 to 100 Amps 31 to 100 Amp,
Swinunin Pool Above 100_Amps Above 700_Am -
Transformers Irrigation Booms Partial."Other Fee
I I I Signs ? I [SVecial Inspection
TOTAL FE?
amerks / /_,7 NC{/C d??LYhTrf)L?NS?
Lis.e.H I ?b 7A'I9%?Y "?' [ ..wim nai N.n - ? ?(? ?
90
I, the Electncel
lnSOectoq here6y
eertdy ihet tha ebove
lnsDection has baen
Thisrequestvoitl /./9JC?Jp??
18 mnnths Imm <<
Requesl Date . •
? "
' Frte No. ` 9o Ph-in Insuection
R ?d? ?/?
?Heady Now ?'4Vill Notrtv, InsPec-
Wh
p
?L?
? ?
& ves ?No ur
en
¢atly
Licensed Elec[ncal Convactor I hereby request insOacUOn of ebove
?
l
t
i
l
t
L
k
ll
d
wner e
ec
r
ca
wor
ins
a
e
e
Street Address, 8 x or Route NClo.
/
3
W0
10 CitY
?
/
0
0 aNe ,K
, 9 A-
ectmn o. Township Name or No. Range No. Cowity
AA'ew?
Occupant PRWT)
cvs C012,P Phone No.
Puwer Supplier
- Address
4 e" t "m /c
)
Elec[ric{ Convactor ICOmOany Numel Cnnt c r's? OLicense No.
?
?
!'EVIAt"7 4!?t iiix- C/YC I.
ICJ I...'L?
Mdihng AdJress (Contta,?crmr oe Owner MakinB In/s?tail?ation)
`
%?(.Cy.nfa'?!L /ft!'?
%y ?
er Makfng Ins[a lati ml
Authorized S gnature ? Phone Number
? Z?Z7 -771f
MINNESOTA STATE BOAPD OF ELEC1511CITY %," i=;, ? THIS INSPECTION REQUEST WILL NOT
Grigga•Mitlwey Bltlg. - Foom N•181 BE ACCEPTED BY THE STqTE 80APD
UNLE55 PROPER INSPECTION FEE IS
1821 Universitv Ave.. 5i. Paul. MN 55704
Phone(612) 642-0800 ENCLOSED.
O1nl f FF REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
1 See inshuctions ior campleling thls lorm on back oi vellow coCV.
ry
? J? 14 6_ "X" Below Work Covered by 7his Request
Mew And Reo tvoe oi eudaing APOlancea WireA Enuiumem Wi.ed
Home Range Temporary Service
Duplex Water Heater Lightiny Fxtures
Apt Bwlding Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bidg. Air Condmoner Bulk Milk Tank
Farm ome, peu v omor Isnr?.itv`
t erl5uecrty thor 01h?r
ComDute lnsnecuon Fee Below
p Fee Se/viceEnhenceSize fl Fea Feeders/SUbteeders N Fee Cvcuits
e 0 ro 200 Am s 0 to 30 Am s 0 tn 30 Am s
Above 20 mps 31 to 100 qmps to 100 Am s
Swimming Pool Above 100-Amps 100_Am s
?Above
Transiormers Irigatwn Eiooms iLa1,0 Fee
Signs Speciallnspection $
TO L
Hernarks /?
?
c
Fnal
? e
cefLiy the[ tha above
inspection has been
maaa.
tltle repuasl voiE 1B monthe tmm
7 8 6 3 ,C&-)-i3
Request DatO n n
t ?/_
1 Fire o h-in InspecGOn
1 Requiretl?
-
? ReadY Now ? Will NoLly Inspeclor
N1h
R
C
7
a? v
? Yes 1
1 No
an
ea
y
I O licensed contractor ? owner hereby request inspection of above electrical work at:
Job Addrass (SYrae4 Box or Route No 6 Gty
O a NE
Secnon No. To-xnslnp Neme a No. Range Na. Co
Occupant(PRINT) Phone No.
Power Supplier Address
? G ? ?' 1 y PI
Eleclrinl Contraclor (COmpany Name) Contraclor5 License No.
t? S
76
3 ZJz,
MaIlrgAtlEress(COnVadororOwrier rg
2 lnetallation)
? ? 0_A%0re.
Authonzetl Sign re( ntrac r/O.vner king Inslellati
o Phone nNumber ''7
?V7-/-)I
MINNESOTA STATE BOARISOF ELECTPIC_nV yv?Q/ nn TMI$ INSPECTION REQUEST WILL NOT
GNgga-Midwey Bltlg. - Room &173 ??// V BE ACCEPTED BYTHE STATE BOARp
7827 Universlty Ave„ SC Paul, MN 55709 UNLESS PROPER INSPECT70N FEE IS
Phace (612) &12d800 ?O ?I` ENCLASED
-REQUESTFORELECTRICALINSPECTION eeaoo01a7
{?
? See insiruclions ior completing Ihis fortn on back oi yellow copy WSJ f//,C7"
?
2 _7 g 6 g 3 J(" Below Work Covered by This Request
e Atltl Rep. TypeofBuiltling AppliancesWired EquipmenlWired
Home Range 7emporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm.Jlndustrial Furnace
Farm ' Air Condrtioner
ONer (speaty) CaMractw Re ks??/
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEnUanceSize Fae # CircuitsiFeeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transfortners Above 200 _ AmpS Above 700 _ Amps
SignS Inspectar§ Use Onry: TOTAL
Inigation Booms
Speciallnspection ?
;
Alarm/Communication ic
Other Fee ?
I, the Electrical Inspector, hereby
tif
th
t th
b
i
h p0ugh"" °81e _
cer
y
a
e a
ove
nspection
as
been made. F,ne? oaie G
-p
OFiICE USE ONLY
Thia request witl 18 moMhs hom
f? 04242 lv,lj 45
Raquest Date ' Fre No. ugh?in Inspeciwn
q?G? ?
? Reatly No AI Noti(y Inspeclor
R
d
?
es ? No n
ea
y
Ir ensed coMractor ? owner hereby request inspection of above electrical work at-
Jab Atltlress (Sireet, Bax or Route No )
/o3?0 (hiNir 091c- Iii City
`)K*/
Sedion No. Tamship Name or No Range No County
Occupant(PRIN Phone No
)
? 936-`fYyy
Power Supplier Addreas
L nIv ?
Eleclrcal Contraclor ( ompany ama) CoritradaS License No
fkveLrs? G ? 6 ?,
MaAing drees Contractor or Owner Meking InslallaM1On)
Z. E u,lano G.? 55?+
lwMOrired Signatu (CO 4actor r ' Instell ron) Phone Number
2? -_) 7 1
NINNESOTA STATE BOAfi OP ELE RY THI$ INSPECTION REQUEST WILL NOT
Grlgga-Nldway BMIg. - Room S173 ? BE ACCEPrEO BV THE STATE BOHRO
1821 llniverelty Ave., SL Paul, MN 55104 ?
" UNLESS PROPER INSPECTION FEE IS
Phona(fil2)6C2-0800 ENCLOSED
?/,jf)/gg REQUEST FOR ELECTRICAL INSPECTION
? Sce inaVUCnons lor wmpleting Ihis form on back of yalbw copy.
r- „Q 4 2 4 2 ? X° Below Work Covered by This Request
EB-00001-0]
" 90? s/Co 9
e Add Rgp TypeofBmldinq AppliancasWiretl EqmpmenlWired
Home Range Temporary Service
Ouplex Water Heater ElecVic Heating
Apt. Building Dryer O[her (Specify)
Comm.Andustrial Furnace
Farm Air Conditioner
ONer (specily) Coniraclor5 Remarks:
Compute lnspection Fee Below: ' " wc- 04"v- `D ?
# Olher Fee # ServiceEntranceSize Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 U. Ony: TOTAL ?q
Irrigation Booms '70 ?
Special Inspection
Alarm/Communication 1060
OMer Fee
I, the Electrical Inspecto5 hereby
certifythattheaboveinspectionhas
been made. Rough-in
?e
'7-1 7 -ff
OFFlCE USE ONLY
This request mitl t8 montha hom
This rnques[ void? ?27/8?
18 months fmm 1.•'v'
E 34191Lio-1.3 i
V'lL,censed Electncal ConVactor 1 hareby request ms0ec[ion of aCove
Q Owner electncal work-installed aL
Street AdOress, Bon ar Route No. City
ecuon o. Townshio Name or No. a?9e No. County
?
OcwGnnt (PRINT) Phune No.
jr-N o IN -11
Power $upPlier Addres/s?/?
-rr I
VV Os
m
p
ny
Na
me
l
Electn al Con tractor ICO ConVacto '.s License No.
??
.
y
g
?
/
?
Uq? ?? Q?
Mailing Address IConlractor or Ownei Makine ??stauavo 1
Z Lo -7
AuNoriz 5
wr ICon actod wner a ing I stallaLOn) Phone Nu mber
r ? ?7-7
MINNESOTA STATE BOAND OF CTPICITV AAy.?/ THIS INSPECTION PEUUEST WILL NOT
Gn{ga-Midway Bldg. - Room Nti91 BE ACCEPTED BV THE STATE BOANO
UNLESS PROPEfl INSPECTION FEE IS
1?821 Universitv Ave.. 56 PeuL MN 55104 d0 ?p7/I
. m.m eno renn Y70 ENCLOSEO.
This rnques[ void? ?27/8?
18 months fmm 1.•'v'
E 34191Lio-1.3 i
V'lL,censed Electncal ConVactor 1 hareby request ms0ec[ion of aCove
Q Owner electncal work-installed aL
Street AdOress, Bon ar Route No. City
ecuon o. Townshio Name or No. a?9e No. County
?
OcwGnnt (PRINT) Phune No.
jr-N o IN -11
Power $upPlier Addres/s?/?
-rr I
VV Os
m
p
ny
Na
me
l
Electn al Con tractor ICO ConVacto '.s License No.
??
.
y
g
?
/
?
Uq? ?? Q?
Mailing Address IConlractor or Ownei Makine ??stauavo 1
Z Lo -7
AuNoriz 5
wr ICon actod wner a ing I stallaLOn) Phone Nu mber
r ? ?7-7
MINNESOTA STATE BOAND OF CTPICITV AAy.?/ THIS INSPECTION PEUUEST WILL NOT
Gn{ga-Midway Bldg. - Room Nti91 BE ACCEPTED BV THE STATE BOANO
UNLESS PROPEfl INSPECTION FEE IS
1?821 Universitv Ave.. 56 PeuL MN 55104 d0 ?p7/I
. m.m eno renn Y70 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION es-ooooi-as
, See mstructions for completvp this torm on b»ck of Yellow copn ?
E 34191 "X" 8elow Work Covered by Ihis Request
Fdd pao_ rwe or euiia,og ncoi.n.ca. wi..e? enoiun,ant w„en
Home Range Temporary Service
Duplex Water Heater LiGhhny Fixtures
Apt. Bwidfng Dryei Electn, Heaun
Cominercial Bldy. fum2ce Sdo Unloader
InAustrfal BIAg. Air Condition r Bidk Milk Tank
Farm ? - nme, 15m?niv)
i Pr sucu y ro, 01no,
Comnute InspecUOn Fee Below
p Fee ServiceEnirenceSize tt Fee Fexders/SUbfeaders b Fep Grcwts
U to 200 qm s 0 to 30 qm s 0 m 30 Am>s
A6ove 200 Amps 37 to 700 qmp? 31 to lU0 Am s
Swinvning Pool Above 10 Amps AAove 100_Am e
Transiormers Irngation Buoms Partial. Other Fee
Signs Speaal Inspecuon ? TO E?
Hemarks ?.?
Final
l, thaTT6?icel
Inspectoq he,eby
cerLfy Ihet the above
[nspection has been
Thia reQuast voiU 18