1286 Lone Oak Rd - Electrical Permits-. . ?^ . -'...' `j.. . ? PERMIT #
I ? PLUMBING PERMIT '' ? ' ?w .;•
? CITY OF EAGAN RECEIPT #
3830 PIlO KNOB ROAO, EAGAN, MN 55122 QATE:
' CONTRACT PRICE: PHONE: 454-9100
Site
,. ? Name
- , ? Addres
c City
Phone
[ t-
I Name
FEES
COMM/IMD FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDD - RES. RATE APPLIES
MINIMLI.M - RESIDENTIAL FEE - $12.00
MiNIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
RFVntin 4tl nnn nrn
a..,?..tT 1
SIGfJATURE OF PERMITTE 1
t /I
BLOG. TYPE WORK DESCRIPTION
,y
Res'"i'. New ?
?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - 5100
Floor Drains - $1.50
Water Heater - $1.50
Whlrlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Oisp. - $10.00
Rough Openings - $1.50
FEE: ? ?? •?
STATE S/C:
GRAND TOTAL ? g• 7 ?
.
K
0 6 8 p? So5
(
?? ?? i 3?-
Request ?ate 7FI1, Rough-in Insp
Repwretl' n '`?'.,
yeneatly Now ? Will NoL(y Inspedor
Y ?Yes YNo WhenReaCy°
Iiglicensed contractor 7) owner here6y request inspection of above electrical work at:
JobAtltlress (Slreet Box or floute No ) Gty
a rr c a 4151vO..'-)
Sectmn No Township Name or No Range No County
'D/Q'7e0 P?4
Ocaupent (PAINT) Phone Na
? ? ti1 C
Power?upplrer Atltleess
EIecV¢al Convaztor ICompany Namel Convactors License No
J'Z L `UL£-GPYLf G ? ? ?-
MaAing Atloress IConVactor or Ownar Making Installetion?
Authonzap SigneWra IGOnhaMO:iOwner Mekinq Ins1tallenoqn) n Pbona Number
1F±I .
MINNESOTA STATE BOARD OF ELECTPICIT? THIS INSPECTION REOLIEST WILL NOT
Griggs-Mitlway 61Gg - Noom 5473 BE AGCEPTED BV THE STATE BOARD
1821 Unrversly Ave., SI Paul. MN 55109 l1NLESS PROPER INSPEGTION FEE IS
Phdne (612) 602-0800 ENGLOSED
10/009 REOUEST FOR ELECTRICAL INSPECTION '?"•? ee-oaom-oe ?
1a 0?^?? ? S nsl cLOns lor completing Nis form on Gack al yellow copy 4?'R'' /Q{j?0 S
"n ?? Below Work Covered by This Request
ece Adtl Rgp, TypeotBmidin9 AppliancesWVed EqmpmentWved
. Home Range Temporary Service
Duplex Water Heater Electric Heating
Ap( Builtlinq Dryer Other-(Specdy)
Comm./Industrial Fumace
Farm Air Condili0ner
Other (speafy) CoMractor's Remarks
Compufe lnspechon Fee Selow
# Other Fee # ServiceEntranceSrze Fee # QrcuM1S?Feeders Fee
Swimming Pool 0 ta 200 Amps 0 to 100 Amps
4angformefS AboVe 200 _ Amps ve 100 _ Amps
SignS Inspeclor's Use Only TOTAL ?.?
IrrigationBOOms
Special Inspection j - ?
Alarm/Communication THIS INSTALLATION MAV BE ED nISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Roughan oace
certify ihat ihe above inspection has
been made F,,,ai ( oaie
OFFICE USE ONLY ?
TNS requesl voitl 18 monihs Irom
K 6 6 2 1o8?<s.s
`=-'
Fe uest Oa1e
. Fi ough-in Inspection
pwv
? Featly Now W ill NoLry Inapec1or
? '?. Yes G No When Reatly'+
ticensed coniractor ? owner hereby request inspection of above eledrical work at'
Job Atldress Street 6ox or RoWe Na City
J
Secoon No ownship Neme w No Range No.
2. 4 0.
OCCUpan1(PAINT) Phone No
NC. rn /? l i/-:J S? ` IU
Power SuOPfar
. b Adtlress w
?
T
Eleclncal Co actor (Company Name) G Mractor5 L¢e e No
e'4 o 1.5-,e.
Mailinq Atltlres ICOnVaotor or Owner Making Installation)
Aul?onz Siqnature 1 onvac r?p.vner MaWng Installsl n) Phone Number
z7,?
MINNESOTA STATE 80AflD OF EL TqICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mutlway Bltlg. - Room 5-173 BE ACCEPTEO BV THE $TATE BOAFD
1821 Univerelty Ave., SI. Gaul. MN 55104 IINLESS PROPER INSPECTION FEE IS
F4ona (612) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
G ? See msVUdions for compieting this lortn on back ol yellow mpy.
??? 16 2 ':(" Below Work Covered by This Request
??ela5 3
e Adtl Rep 7ypaofBmlding ApphancesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt Building Dryer 0 ther,(5pecify)
Comm./Indusmal Furnace
Farm Air Condinoner
Otner(syecAy) Conlractor's Remarks
//
G'?[ c_ Nea? / n? c'.cs/ W45? C?pYUr , aL L??-'
ComputednspecLOn Fee Below:
# Other Fee # ServiceEnirance Size Fee # Circmts/Feetlers Fee
$wimming Poal 0 l0 200 Amps 0 to 100 Amps
4ansformers Above 200 _ Amps Above 100- Amps
Signs Inspecror5 Use Only OTAL
Irngaaon Booms S-G
Special Inspec6on
RlarmiCommunication THIS INSTALLATION MAV $E-QRDER?D,?DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 tqTHS,??
I, the Electncal Inspector, hereby Rough-in oare Y'
ceRify that the above inspection has
been made. F,nai •
os Z
, -M/
'
OFFICE USE ONLY V
`? • -
This request vatl 18 monIDS Irom
? 0,7? yC'X-
,
a? ?
? 96 7 ?:/ ?
RRest Date
? (? ? Flre No. Rough-m Inspec?on
RequireG?
? Reatly Now O/Jitl No?ily Inspeclw
Wh
R
tl
?
? ? Yes o en
ea
y
Igi licensed contractor ? owner hereby request inspection of above electrical work at:
Job PtlOress (Slreet Box or Route No )
I z_Z (4 ?n e? O+a? tz D Crty
?
Section No Township Name or No Range No ouny
C
^ ,(?
\
Y rT
Occupant (PPoNTt Phone No.
p
PowerSuppLer Atltlress
Eledncal ConVaciw (Company Name)
U CoMractor5 License No
?-?-rr? c
,2.EZa w G oo (09
Maning address IComracta o Owner Making Installairon) ^^
-
??
a
Author¢eo Signalure IGOnVacmripwner Makng Installationl ne Number
o
Pn
[
?
MINNESOTA STATE 90ARD OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT
Grigga-MlCway BNIg. - Noom S173 6E FCCEPTED BYTHE STATE BOARD
1821 Univereity Are.. SI Vaul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED
?REQUEST FOR ELECTRICAL INSPECTION
J? 3 9 6 6? ?e msV Iions far wmplefng ihis form on back oi yellav cnpy
"X" Be/ow Work Covered by 7riis Request
?z 7
e qrltl; Rep , TypeotBmldmg AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Bwltling Dryer Other (Speciry)
Comm /Industrial Furnace
Farm Air Conditioner
Olher(syxaY) Conhac[orSRemarks'
Compute Inspecfion Fee Below:
A ' Olher Fee # ServiceEntranceSrze Fee # CirouitSiFeeder5 Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps c.o ? 00
Transformers Above 200 _ Amps Abave 100 _ Amps
SI(n5 Inspector§ Use Only TOTAL
Irriganon 8ooms L (, :Sc)
Speciallnspedion Y?
Aiarm/Communication THIS INSTALLATION MAV ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Elechical Inspector, hereby Rough-in oaw
certdy ihat the above inspection has
been made Finei oare ???,
OFFICE USE ONLY
This'reduest vw0 18 monNS irwn
III?? II?III?NI I?I II IIII III II REQUEST FOR ELECTRICAL INSP TION y?
Minnesota Stata Board of Electriciry ?
1621 University Ave., Rm. S- 28, S. Paul, MN 55704 ' -?
* 0 3 1 1: 0 6 4 0 * phone (612) 842-D800 Cj /,?-1y'
Home Duplex Apt Bldg. Other. New Addn
- Commercial Indushial Farm Remod Re v
Air Cond. Htg. Equip. Water Hir. Load Mgmt. Ofher
' D er Ran e Elec. Heat Tem . Service
"X" above the work covered by Mis request. Enter remarks in this space and on the back o/ the white mpy only.
r,oi?2C-- FoK ANb rriL Cksft MtCA-01r-
Calculate Inspedion Fee - This Inspection Request wiII not be accepted wdhout the corred fee.
Olfwr Fee if $ervice Enhance $ae Fee # Circvils/Feeders F.
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
5}reef Lig./Troffic Sig. A6ove 200 Amps Above 100 Amps
Tronsformer/Generotor INSPECTOX'SUSEONL T TAL
Sign/Outline Lfg. Xfmr. ? I-is
Alorm/Remofe Control
$wimming Pool I he.? ?Iwt i nm e?xd the e in Ila n described heroin on the doka s
Irrigation Boom ko„yh-in D.
.
•
TH Special Inspedion
noteggrAiTf e
IS INSTALLATION MAY
Final Da1e
s -
BE ORDERED DISCONNE NOT COMPLETED WITHIN 18 MONTHS.
311- 0 6 4 OFFlC USE ONLY This reqoest void IB moMhs hom validaAan doro pnnted in Ihu b?
???9,1,
P99
PLEA J R 'QW?
Reqoe Rough-intnepxtianr red2 Yes ?,Na IRLR..d,
.!? tl, /? 1.
6i ?1'ou m?sl mll fie inspedarwhen reodyl Date Ready
I, vi licensed con}racior El owner here6y request inspedion of the above electncal work af:
Job Address (Strael, Box, or ftoWe No ) Gry Zip Code
fov$ Hr1r??- PA-tK R2> D ??
SeciioRNo Township Nome or No. Range N. Fire N. CounTy
NL?Knr
Occupam Phone N.
' I S
PowerSuppLer hddress
Efenncal Controcwr (ComponY Name) Connocror bcenze N. Maskr Uc No (Plant Eled Only)
(cft C&LCt, R c, c0. ?Pr t?
Mailirg Addmss jConkocior or Owner Pedorming Insmllonon)
11510(01 Oooil /4'V'gs S0,
? I?1 S'?S'37$'
Ao ignatur/ (? r Own erFarmmg mllanon) Phane Na.
?
'?'
C'`
?
?N li( &"' ?
J
? •'l
Ee-00001 10 6/95 STATEBOARDCOPV•SEEINSTPUCTIONSONBACKOPYELLOWCOPY
8/1-0 0 98asn
@ 50 0 7 0 i
wii
Request Date
? F No.
I Rough-m Inspeclion
Required'+
X'Reetly Now ? Will Notiry Inspenor
-;.U - ?j ? Ves No When ReaOyP
I?Xlicensed coniractor ? owner hereby request inspection of above electrical work at:
doo raaress (srceet. eo. or aome rvo 1 ciry
'/ k la f. D?tc o E.
SecLOn No Township Name or No Ranga No. County
b*Ko?-
Occupahl (PRINT) Phone No
Power Suppher Adtlress
Elecmcal Convaoor (COmOany Name) Contrector§ Ucense No
-;V-,i C- oyo ?-3
Maibn9 AOOress IContractor or Owner Making Instalialion?
? ? AA" ^JF- ?
AuIDOnzeO SignaWre ICon ctor/Owner Meamg Installation) Phona Number
A -3Ss
MINNESOTA YrnTE BOAHU OF ELECTRIGTY ? TMS INSPECTION REOUEST WILL NOT
GrlgQs-Mltlway BIEy - floom Sl]3 BE ACCEPTED 8Y THE STATE BOARD
1821 UnlvBrsfly Ave., St Paul, MN 551DC UNLE55 PROPER INSPECTION FEE IS
Phonef6/R)842-0800 ENGLOSED
5? 72?y/ REQUEST FOR ELECTRICAL INSPECTION X°.=rQ, ee-ooom-07
q? /Sae ins[mclions Ipr compleM1n? tNS form on beok of yellaw copy fA'61 98?50
? 5 O 0 7 O°J? SD"X" Below Work Covered by 7his Request
ew AOd Rep ' TypeofBwlding AppliancesWired EquipmentWiretl
Home Range Temporery Service
Duplex Water Healer Elecinc Heating
Apt Bwlding Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Av Condinoner
Other(specity) Coniractork Remarks' ,
a&Y auNrf
Compute Inspechon Fee Below: (e ?
# Other Fee # ServiceEntranceSrze Fee # Circuits/Feede Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps A6ove900 _ Amps
Signs ' Inspecror5 Use Only ? GG TOTAL
Irrigation Booms
Speciallnspecuon s
Alarm/Communication THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, ihe Elecirical Inspector, hereby Rouqmin oa?e
certify that the above inspection has
been made. Final oai
OFFICE USE ONLY
This reQUeSt void 10 momhs irom
This reques[ vaitl ??
18 months fmm ?
E 30508L 1 Hequest Dala n Gire No. qequhetl7 °suect ?Reatly Nuw?W?ll Nolify Insoec-
'
-.ia- 8a Ves ?No ?or When Reatly
AL,censed Electncal Contractor 1 hereby request mspecbon oi above
? Owner electncal work installed at
Strent Address, Box or Houte No.
Ta CiiY
a-A
ection o. TownshiD Name or No. ange o. Counl
?4.Cori7
OccuGant (PHINT) Phnne No.
Zit IVN ` 4!0/L
Power SupDlier Address
ElecVical Conuactor (Company Name) Contraclor's License No.
?'l!l.rFSrie1- ? c F 2.?,e.e? .cJ C
MaJing AdJress IConVactnr or Owner MakinB InsiailaLOnl
s
le U L 1 ??? LeJoad
Making Instnllatinn)
Au orized S-Bnawre (Con or/Owne
r Phone Number
?
1
`-C-/.rl4"4? W(ie7-? -31,3A-1010
MINNESOTA STqTE BOAND OF ELECTqI THIS INSPECTION REQUEST WILL NOT
Gri09s•Midway Bldg. - Noom N-181 BE qCCEPTED BV THE STqTE BOANO
1811 UniversiW Ava.. St. Paul. MN 55104 UNLESS PflOPEfl INSPECTION FEE IS
e.--- ,?.o, ?.o..o-.. ENCLOSEO.
G?/? ? REQUEST FOR ELECTRICAL INSPECTlON bEe-ooooi-ors
"ee instruetions tar completing this form on Geck ol Vellow copy.
y O ???Y
E 1788 "X" Below Work Covered by 7his Request
NW4 Addj ReP.j 7ype ol euileing Aooh..cea Wrted Enuiument WveA
Home Range Temporery Scrvice
Duplex Water Heater LlghtinG Fixtures
Apt Bwldmg Dryei Electric Heatui
Commercial Bldy Fumace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tunk
Ferm Olhrr per.i v .ihcr ISOCUfyI
t .r Suuufy Olher Onhvr
Compute InspecUOn Fee Below - N Fee ServiceEnVenceSize H Fee Fexders/Subfeeders N Fqe Circuas
U to 200 qmps 0 to 30 Am s /60 $4OO 0 to 30 Am p
Ahove 200 qm>s 31 to 100 Ainps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Am .'
Transtormers Irngation BoortIs Partial/Other Fee
. Signs Special Inspection S??O
Nemxrks TOTAL, FEE.1 l
6iASOL??t7E ? _ 7•r?°U?
nal
9nspeclor, heroby
cartify Nat Ihe abova
yp;qection has been
Tnis fequast voiC 18 montM
? i/?c/89 ' 90
9 ? 6
8 0 3 4
Repuest Dale Fre?No Rough-in Inspection
?? RequireC9 ? Featly Now ? Will NoYy Inspecta
- Z. ? Vea ? No When Ready?
I icensed contractor ? owner hereby request inspection of above electncal work at:
Job Atldress (Sireet, Box or qoute No ) Ciry
p LIzJE- OAIe AOD 9AfriB_/-j
Section N. Township Name or No. Farge Na. County
?i D E£? .?TOYL ? ? E /!?K ? o
Oecupant(PHINT) Phone No.
L ?s ? • 9s
Pdwer Supplier qddnara,
DliK n T79- ?i e. !n
ElectACal Comracfor (COmpam/ Name) Contratlor§ License No.
/L e?EC-'72 / e_ 6 O 4?? ^
eilmg Atltlress (Contrec[or or Ownar Making Installa0on)
6 £- ?-£-
SgnaWra ontratlar/Owner Making InaWl
atwn) Phone Number
? p
?
ARD OF ELECTIi THIS INSPECTION REQUEST WILL NOT
Poom 5-773 BE ACCEPTED BV THE STATE BOARD
Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-00am-07
0- See inshuctions b, mm0lehng ihis tortn on back o/ yellow mpy
.6'" 3 4 • X" Below Work Covered by This Request
ew Add Rep Type of Building AppliancesWved EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elednc Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm ' Air Conditioner
Oihar (spenty) Camraaa5 Remarks:
' FirF T+??r ??-E-
CQmpute Inspection Fee Below:
# Other Fee # ServiceEnlrenceSize Fee # Circuits/Feeders Fee
: Swimming Pool 0 to 200 Amps o to 100 Amps _O
Transfortners Above 200 _ Amps Above 00 _ Amps
SignS Inspedwk Use Onry
W TOTAL .
IrtigationBooms '
SQecipl Inspection
Alarm/Communication P
Other Fee
I, lhe Eledrical Inspector, hereby flou9M,o r oaie !r
certitythattheaboveinspectionhas
been made.
y[
OFFICE USE ONLY ?
This request voiG 18 moniha hom
I/?/2f 7
R :68035
<
Reques[ Date Fre No Raugh-in Ins n
Required>
? ReaCy Now ? Will NobN I^?tor
1 ? Yes ? No When ReaAy9
I icensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atltlress (SVeaS Box or Rwle No.) Qly
0 L D?-'ef
Secbon No. Township Name or No Renge No. County
? 471g,?°-S Lol/E ,¢K I14 L.A- 779"
8ccupenl( IM) Phoire No.
' Sl/C L L°aiJS 7-- 3 3- ?
Power Supplier Address
/
g O'l?q-Z?EG7X-/G IZl //JCrTGIa?J
Elecirical Contrector (COmpanY Name) Contactor5 Lican9e No
? A-P
Mailmg Atldress (COMrodor a Owmr Makrg Installetan)
Aulhor¢eU S nature (Co r/Pxner aking Inslellatwn) Phone Number
3
MINNESOTA ATE BOAHU OF ELECTRICRY THIS INSPECTON flEOUEST WILL NOT
GdggsMidwey &tlg - Naom 8-173 BE ACCEPTED BV THE STATE eOARD
1B21 llnivenlry pve., St. Paul, MN 55709 UNLESS PROPER INSPECTION FEE IS
Phace (812) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION dr%
eaoaom ov
i $ea msVUChons lor completiig Ihis torm on back Ot yallow copy.
i
??-6n3 5 JC" SeloW Work Covered by This Request
ew Atltl Rep. Typeof6uilding AppliancesWired EquipmentWired
Home Ranga Temporary Service
Du lex Water Heater Electnc Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm ' Air Canditioner
Other (speary) Contractork Ramarks:
Comput8 lnspection Fee Befow? ?? 5?
# Other Fee # ServiceEntranceSize Fee # Circuits/Featlers Fee
• Swimming Pool 0 to 200 Amps z0 o to 100 amps
k
6
Transtormere Above 200 _ Amps Above 100 _ Amps ,,
Signs Inspecmr5 Usa Only
? TOTAL
Irrigation Booms • S
Special Inspection
Alarm/Communication
Other Fee ?
I, the Electrical Inspector, hereby
certity that the above inspection has
been made. R0°gl,'" ,
F;nai oOI „ y
o -
;77 47
OFFICE USE ONLY ?
This requesl void 18 months hom
-S/// sy
' 9a ii ?
0 2 2 0 3
.
^ '5'°
Raquest0ate 0 . Rough-in nspecuon
7 Required7
1 Heatly Now ? WII Nohy Inspeclor
? Yes ? No When ReadYT
1Aicensed contractor ? owner hereby request inspection of above electrical work at.
ress (Sireet, o Route No.) Qly
f ?
d
Se Mo Townsh' Name or No Range No. Coun
Occup t(PqINT) ? Phoire NO
es c? .aHs S - ,5-
rnverSUppLer Atltlreas
Electri Con r(Com Neme) Cornrector5 License Na
d- s% O
i i g Atltlress (COnlraGOr Owner i q Inst atron)
?...?
` SS3 3
Autho ? tl S flt (Con[rBCtar/Owner
M-wq
Pho? Numb
r
e
]
/
?
MINNESOTp STATE BOAflD OF'ELE RI TY THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlway BWg. - Noom S1T3 eE ACCEPTED BYTHE STATE 90ARD
1821 Unlvereity Ave., M. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)692-0800 ENCLOSED.
G02203
REQUEST FOR ELECTRICAL INSPECTION
? See instruJdons kr cAplebng this krm an back af yelbw copy
X" Below Work Covered by Thrs Aequest
? ??
9f; E ?
ew Add Rep. TypeofBuiltling AppliancesWired EquipmernWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indusinal Furnace
Farm Air Conditioner
Other (spedty) Contr or's RemaM
(%y
Campute lnspection Fee Bebw.
# ' Other Fee # ServiceEniranceSize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers A6ove 200 _ Amps Abo$? Amps
SIgI15 Inspector9 Use Only G 7O'fAL ,.
IrrigaGOn Booms /s ?c-?
Special Inspecti0n
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
tit
th
t th
b
i
h R°"qn,m oate
cer
y
a
e a
ove inspect
on
as
.been made. Finai ? oaie r
?
OFFICE USE ONLY
This aquest wid 18 monihs imm
'
H
879T
4i
4/,94
RequeA Dete No. Hough+n nspec0on
Requiretl?
eatly Nav ? Will NoM1Fy Inspector
Q? V? ? T 0 ? Yes MX6, When Reatly?
I icensed contractor ? owner hereby request inspection ot above electrical work at:
JoD AOOrew (Shret, Ba¢ Or Route No ) Qly
2 G 140 .1/
SecGOn No Township Name or No Range No Gouny
Occupand (PRINT) Phone No.
" AS - 733/
Power SapOlier AOeress
Elecvwal ConMador (Company Name) Conhactor5 License No
Mailing AAdress (GOnVadot or owner Making InstallaUOn)
? - /? • ? f[i/CYG? ? V
AuthonzeC S'gnaWre COnVaIXorlUvner Making InstallaLOn) Phone Number
RR1? .?7 ?r w i c<+/ , _ y- 7s?sro
MINNESOT S?RTE BOARp OF ELECTNICIT' THIS INSPECTION REQUEST WILL NOT
Grlggs-Nldwey BIEg. - Room S173 BE ACCEPTED BV THE STATE BOARD
18I1 University Ave. SL Peul, MN 56104 UNLESS PFOPER INSPECTION FEE I$
PIwM (612) 642-0800 ENClO$ED
? ?y REQUEST FOR ELECTRICAL INSPECTION
/ML???5V ` ? See insimctions for compleMg Ihis form on back ot yellow copy
IN -08 7_ g 7 "X" Below Work Covered by This Request
EB-00/0J0?1-OJgy?y
ew Adtl Rep Typeof Bmlding ApphancesWired EqmpmentWrred
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Speaty)
Comm /Industrial ' Fumace
Farm Air Condifioner
Other(specdy) ConireMOrSRamdrks ei
Compufe Inspechon Fee Below: F?N/d
# I Other Fee # ServiceEntrenceSrze Fee # Cncwts/Feeders Fee
Swimming Pool 0 to 200 Amps / 0 to 700 Amps
Transformers Above 200 _ Amps A62Amps
Signs - mspecmrs U. oory TOTAL
,-?
Irrigation Hooms i? ? ?
Special Inspechon
Alarm/Communicanon THIS INSTALlAT10N MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspedot fiereby oaie
certdy that the above inspection has
been made. oata -
? tU-?
OFFICE USE ONLV
This request witl 16 monfis imm
:0 o
s 92 ? ?
.
Reque Date fire R h Inepection Reqwr Inspechon Olher Than Rough-In
T?/ - 9S (?ou must call mspecror when reatl
5Q ? Ready Now ? Will Notrty Inspeclor
? Ves
No Date Reatl
I,gl licensed contractor ? owner hereby request inspection of above electrical work at:
Jo7Adtlress (Streel, Box or Route No.) Cily
Lg6 10AIle .o
SectIOn No . Township Name or No Range No County
?
Occupant (PRINT) Pbone No.
/'
Power $uppher Address
EleclnWl Contractor (COmpany Name) ConVactor's Lwense No,
/?`i• ?7 ?
Mailing Atltlress iContractor or Owner Making Installation)
7
Authonzetl Si9naWre ( nhaclor/ r Maki g Installatwn) Phone Number
? - ?
MI OTA STATE BO pp OF ELECTRICITY I THIS INSPECTION REOUEST WILL NOT
Grigga-Mitlway Bltlg. - Poom 5.128 II II I? I II II I I I I I I BE ACCEPTED BY THE STATE BOARD
1821 Universliy Ave., 5[. Paul, MN 55106 I UNLESS PROPEF INSPECTION FEE IS
Phone (612) 802-0800 ' ENCLOSED
REDUEST FOR ELECTRICAL INSPECTION ?'=*? ??? 1.q9
?p7 See msimctions for completing ihis form on back ol yellow copy •? ?s'? ?
"X" Be/ow Work Covered by This Request "OK,
Nek Add Aep.11 Type of Bwlding Appiiances red Equipment Wired
Home ge Temporary Service
Duplex er Heater Electric Heating
Apt. Bwlding r
l Load Management
Comm./Indusirial ace Other (S ecify)
Farm Conditioner
Air
Ol her (speaty) Contraclors Pamarks.
Compu(e Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 A Above 100 -Am s
SIgf1S mspecmrs Use Only ?
0
?
5 TOTAL .
Irrigation Booms j
?,
j
Ao
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Rouqn,o oe?e
certity that the above inspection has
been made. oada
f
OFFICE USE ONLV
This request voitl 18 months Irom
REQUEST FOR ELECTRICAL INSPECTION
? See insirudans for compleLrg ihis form on back of yellax copy.
[F 2 3_4 4 7 X" Below Work Covered by This Request
0 eeooooi-07
9?1i
e gdd Rep. - TypeofBuilding AppliancesWired EquipmeniWired
Home Fange Temporary Service
Duplex Water Heater Electnc Heating
Apt. Builtling Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
OMer (speciry) Coniracwr9 Femarks
I?!4 (Z.Q
Compute Inspection Fee Be/ow: v py`?,? (-?-j{,(j?
# Olher Fee # ServiceEnlrenceSize Fee # CvcuitslFaedars Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 20D _ Amps Above 100 _ Amps
SignS Inspectorg lJSe Only. TOTAL
Irrigation Booms
Special Inspection ? v
Alarm/COmmunication
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
Final Date
oata
OiiICE USE ONLY
This request void 18 months from s
'
/ 273 YG' ?
?
'
p -23447 fis v
?
.?
ReQUast D e
?y^?7 ire No Rough-in Inspectron
Reqwred7 47
?Reedy Now ? WII Noby Inspector
I / O ? Y. N< When Reaq'?
Ir icensed contractor ? owner hereby request inspection of above electrical work at:
Job AGtlress (Shcel, Bmt or RoNe No.)
L
?
VZ
? Ciy
g?i
.
I
r.
$edlon No. Township Nazne or No. Hange No nty? ?
O
pan1(PRIN'n
(\'?.l?
?
t Phone No.
2
?2
? `u.S SeKU
Q.O iC?2 ? ,'
PowerSUpPhar'
? Address
"wl Co tract T (COmpaery Name) Coniracior§ LicensawNo
Mailing Adtlress (Conirador or Owner Making Installatan) ? n
? J
!? ?SJ
c
Autho' Sgneiure (Cqntrector r Maki In atlation Phoire Number
MINNESOTA STATE WAHD OF ELECTPICITV THIS INSPECTION flEQUEST WILL NOT
GriggaNitlwey Bldg. - Room S1TJ BE ACCEPTED BV THE 5T.4TE BOARD
1821 Unlveniry Ave., St. Peul, MN 55104 UNLE55 PPOPER INSPECTION FEE IS
Phoro(MY) 692-0800 ENCLOSEO
63! 0J
REQUEST FOR ELECTRICAL INSPECTION
? See insirudans for mmpieting tha fortn on back of yellow copy.
X" Below Work Covereo' by This Request
M- EB-00001 A7
. ?y?-g/
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm ' Air Conditioner
Other (speay) ConM1aclor5 Remarks.
Campute Inspection Fee Below:
# Other Fee # ServiceEnfranceSiza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to Amps Q$.
Transformers Above 200 _ Amps ( Above Amps ?V.
SigOS Inspector5 U. Ony TOTAL ?
Irrigation Booms Q
Special Inspection
Alarm/Commumcation t
/??
??
O[her Fee I
C
I, the Electncal Inspector, hereby
tif
h Rough-in aia
y t
cer
at the above inspection has
been made. Flnal De? ? /
OFFICE USE ONLY
71iia request witl 18 momhs irom
Raqueat Uaie ire W. RougRin Inspedi
Reqwred?
? Reetly Now ?W II NoOty Inepeclor
I
??? ? ?? es ? o
WM1e? Reatly?
I.?(Jicensed contractor ? owner hereby request inspection ot above electrical work at:
Job Atltlress (Street, Boz or fioule Na ) City
Sedwn No. Township Name or No Raige No CouMy
u -?NE Di¢K G ai3 '? .?Ko TJP-
Ocr.upaM(PflIN'n Phone No.
C L G` otir S e- }70?1 33 -??e`?J
Pw:er Supplier Address
f7 ?EEtiw / /Yli?J61d71/
ElecNCel Coniractor (COmperry Name) Corrtrectork Ucenae No.
I-5 (?'117- A L9-G /(f? D YO 79"?
MaiLng PCtlress (Caniraaor or Owner Meking Instellafion)
,5' f4i`D
Aulhorized SigneNre ( niractor/Owner Making Installanon) Phone Number
8-90 - 3 ?
MINNESOTA STATE BOAFp OF ELECTflIC14Y THIS INSPECTION REpUE5T WILL NOT
GrlggaMlEway Bldg. - Hoom &173 BE ACCEPTEO BV THE STATE BOARO
1821 Unlversity Ava., Si. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (612) 0I2-0800 ENCLOSED
7/1,1 d Yiv-/
0 41 9 o?
Repuest 0
{]? ? Fn o ough-In Inpse fton R ire ? sp ion O?M1er Tben Rou9h-In
(VOU must call inspecbr h ready) qeady Now ? W ill Notify Inspector
? Ves ? No ele Reatly
I ensed contractor O owner hereby request inspection of above electrical work at.
ob Atldress 51 t, x or Raute No I
l ?? Lv,c% ?4 'e" Pty
Secnon N. TownsM1ip Name or No qange No Coun[y ?r
Octupanl/P INTµ?A Phone No
Power upplier Atltlress
{?? ___
EI Incal nlractor ICOmpany Name? Coyfa Licens?NO
??
Mai ing Atlaress IGOnti or Owner Making Inslallati;
Awhon tl SgnaWre
?C Iracton0 nee ak?n InsWlla?io P?e Nymber _? ^?/
?"(P r
Z
NNESOTA STATE BOARD OF ELECTHIqTY THIS INSPECTION flEQUEST WILL NOT
qgs-Mitlway Bltlg - Room 5473 BE ACCEPTED BV THE STATE BOARD
1841 University pve., St Peul. MN 55106 UNLESS PROPER INSPECTION FEE IS
Flwne(612) 642-0B00 ENGLOSEO