3125 Dodd Rd - Electrical PermitsO 7/,A ! 7 DFFICE USE ONLY This requestwid 18 months 6om validoffion dare pinkd in this boz.
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I, Klicensed mnkactor 0 owner hereby request inspection of the above electrical work at
lob Address (Seree1, Bo., « Raurc No.)
3 i 2 bob?) Rcr+t) City
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Seaion No. Township Name or No. Ra?ge No. Fire IJo. Ca?ry '
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?n?nxiuiA-I I JJ? STpMVMRD COVY- SEE INSTfi1iCTIONS ON BACK OF YELLOW COPY
456-731 [%-
REQUEST FOR ELECTRICAL INSPECTION 70
Minnesota State Board of Electriciry
1821 University Ave., Rm. S-128, St Paul, MN 55104 =
Phone (612) 642-0800
ome Du lez Apt. BI g. Other: New Addn
Commerciol Indusiriol Farm Remod Ra air
Air Cond. Hlg. Equi . Water Htr. Load M mt. Other.
Dryer Ronge Elec. Heal Temp. $arvi<e
"X" above fhe work covered 6y this request Enkr remarks in Ihis space and on ihe back of fhe white copy only.
P4 ?.(-k evekp- 3 t_ii- 4-N Lij ?.4-s, ?s .
0•4-c? 64TT-,k)* ?SD
Calculote Inspecfion Fee - ihis Inspeclion Requesf will nol be accepted without t e cortecl fee:
Other Fee # Semce Enrtrance Size Fee q Circuits/Fceders Fee
Mobile Home Park Slall 0 to 200 Amps 0 ro 100 Amps
Strret lrg./TraHic Sig. A6ove 200_Am s Above 100_Amps
Tronskrmer/Genemtor INSPECTOH'S USE o TGML
Sign/Oudine Ltg. Xfinr. QQ ?
Alarm/Remole Conirol
Swimming Pool I hereby cerli that I inspoLiod Ihe elennwl insloilanon desribed herein on the dotes slaied
Irrigafion Boom xoogM? onre
Speciallnspeclion
Invesiigofive Fee Fiml Dole
THIS INSTALLATION MAY BE ORDERED DI TE 'FA ETED WITHIN 18 MONTHS.
This request void
is nontns rwm
tT 28964
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Request Da1- - Rire No.
I
Rough-in Inspection R ?iretl? E]
Heatly Now?Wili Nolify Inspec-
?ur Wh
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(J? ? Yes ? N. en
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p Lir.ense[?ftecfrical Convactor I herehy request inspection of xbove
? Owner eleclrical work installed at:
Streat Atldress, Box or Route No. Ciry
:3 oLS -- R c?,l
ectwn o. Township Nema or No. . kangc o. Cowny
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?/?.o T?y?J
OccupantlPRINT) Phone No.
Power Sup0lier Address
Elec ical ConVactor lCOmpany Name) Comrar,tor's License No.
,' ? ?c=7`?,?c= ?'S?f? s'd ?-
Mailine AdJress ICo mr or Owner Makiny Instailationl
AuMoriz SiOnamre (CoMracror Owner M 'n0 Instaliation) . Phone Number ggy -a6f/
? S.
VNESOTA STATE BOAPO OF ELEC flICITY
`s;Midwey Bldu. - Noom N•791
Vniversity Ave., St., Peul, MN 55106
THIS INSPECTION qEQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PflOPEP INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
2 8 9 6 4 ? See instructions for campleting this form on beck of yellow capy.
"X" ftlow'Work Covered by Thrs Request 3 3?`J
N Add Rep. 'Tyoe at Builtling Appiioncea WireA Equimm.nt Wiratl
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Hea[in
Commercial 81dg. Furnace Silo Unluader
Industrial 81dg. Air Conditioner 8ulk Niilk Tank
Fafm Other peci y Other (Specity)
t r pecify Ot er Oth,ar
Compute lnspection fee Below f'1 # iee SarviceEntrenceSize # Fnedars/Subfeeders # Circuits
0 to 100 qm s 0 to 30 Am s 0 to 30 Am s
101 to 200 Amps ?j 37 to 100 Arnps 20 31 to 700 Am
Above 200 q Above 100-Am s Above 100_Amps
Transtormers Remote Control Circ. Partial%Other Fee
Signs Special Inspection ,?
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Remarks a?
7 OTAL F?
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the Electrical
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ertity ffiat the bove
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This reauect voin
18 months hom
west void 18 months from ib 0/J?a 0!0 0,4,p?
/ a o .L3
Date of this Request id -/o - 78 . P 48194
I, as 11 Licensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Addless or Route No. ?( ZS DOM Qb{}b City.e-G-A?J.
Section Township
Which is occupied by?
Is a roughin inspection required on this job? No ?P Yes ? Ready Now O Will Call ?
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Power Suppliei n
N,S , N. Address IC.Cb?Cks
Electrical Contractor qtu+= t%lL?r?' Contractor's License No?7o?
(COmpany Name)
Mailing Address 'J{UOO
Authorized
(Electrlcal Contractor o, Owner Making
STAN WARD COPY
Range County DA&k&:-. -
I nstallatlon)
Phone No. -4?,
q31:50
; Minnesota State 8oard of'Elearicity OV CN p? Gr?PA
"'4 University Ave., St. Paul, Minn. 55104-Phone 645•770 jaD
REQUEST FOR ELECTRICAL INSPECTION p 48194
RECK BELOW WORK COVERED BY TH[S REQUEST
Type of Building, New Add. Rep. Check Appliances Wired For Check Equipment Wiced For
Home ? ? ? Ran ge ? Temporary Wiring ?
Duplex ? 0 ? Water Heate, ? Lighting Fixtures ?
Apt. Bidg. ? 0 ? Dryec ? Electric Heating 0
Commercial Bldg. ? ? ? Fumace Silo Unloader ?
Industrial Eldg. ? ? ? Au Conditionef 1 Bulk Milk Tank ?
Fazm ? ? ? List Lis[ )
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COMPUTE INSPECTION FEE BELO
Service Entrance Size: M Fee Fcede ub m: # Fee C'vcuita: # Fce
0 to 100 Am s . 0 to 3 Am res 0 to 30 Am eres 2p Ab
IOI to 200 Amps . 31 ta 100 Amperes 31 to 100 Am res
Above 20 ps. ?SC Above 100 Amps. Above 100 Amps.
Transfotmers RemoteCunvolC¢c. Pactialorotherfee
Si ns Special Inspection Mutimum fee $5.00
Remarks 3y; S
TOTALFEE
vrn
I, the Electrical Inspector, hereby certify
(Final)
This request void 18 months
has been madfr_,
Dte ft-Z-? ?
]??ie 1- 3- 7
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