1313 Lone Oak Rd - Electrical permits
J 13274?-WJt 1,4j??
Reqvest Date Rr o Rough-in Inspection
03-06-92 ReQ
stl'
I OReadyNOw 17W?M1?ReadyP?r
tupo
Ye
IE?icensetl contractor ? owner hereby request inspection of above electrical work at:
Jcb Atldress (Street Bov w Pww Na I Qty
1313 Lone Oak Road Eagan
Secoon N.
Township Name or No
?ge No
Pa
Counry
I Eagan Dakota
OccuOant(PRINT) Phone No.
National Computer System
Power Supplrer Atltlress
Eiecmcal ConVacror COmpany Name) Contractor5 LicensB N.
01 m ic Electric Co., Inc. 0396-32-9
MaNnq Aderess (GOntractor or Owner Makmg Installalwn)
7103 Am son Avenud' a, MN 55439
AuthonzM Signat ontr,
wn M ng Installaiion)
Phone Number
? (612) 944-7400
MINNESOTA STATE 80AHU Oi ¢LECiRICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-NiEway Bltlg - qoom S-113 BE ACGEPTED BY THE STATE BOARD
1821 Unrversity Ave., St. Peul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
PMrie (612) 642-0800 ENCLOSEO
? REQUEST FOR ELECTRICAL INSPECTION ?$ es-aoom oa
? Sae insimcLOns lor cryipleong [his lorm on back ai yelbw copy < 1d Cfl5 ?
J 13274 4 g? / Jv tJ
°X" Below Work Covered by This Request
ew AOtl Rep TypeofBmldmg AppliancesWired EquipmenlWiretl
Home Range Temporary Sernce
Duplex Water Heater Electric Heating
Apt. Bmlding Oryer Other (Specity)
XX Commllntlustrial Furnace
Parm Av Condinoner
Oiher (syemty) CqntreclorS Remarks
Compute Inspection Fee 8elow:
# Other Fee # SarwceEntranceSae Fee # CrtcuitsiFeetlers Fee
Swimming Pool D t0 200 Amps 0 to 100 Amps •
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 U. Only TOTAL
Irrigation eooms ? • 40.50
Special Inspecnon
aiarm/COmmunication THIS INSTALLATION MAV BE ORDERED UISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT .
I, the Electncal Inspector, hereby
h Rouyn-In ( Da[e
certrfy t
at the above inspec[ion has
been made. F??ai oai
Y
OFfICE USE ONLY
This requesi wi0 18 months (rom
This ro0uest voiA
18 nnnths (mm
Hequest Date Fi Nq' Fouph-in InsVerlion
fiequ retl?
?Neady Nuw?W.ll Novfy Insoec-
0Z-2?-$9
- ?Ves ?No ?or When qeady
Qtlicensed Elec[ncal Contrac[or 1 hereby request inspaction oi above
? Owner aleetncel work installed at:
SVeet Address, Box or Houte No. CitY
1301 LONE OAK ROAD EAGAN
ecvon o. Townshp0 Name or No. Fanee o. Counly
EAGAN DAKOTA
OccuoentlPRINT) Phona No.
N.C.S. CORPORATION - OPUS
Pow¢r SupVber Address
N.S.P.
17 RED F.OCK
Elec[ncal Convactor (COmpeny Name) Cnnlrar.tor's License No.
OLYMPIC ELECTRIC COMPANY, INC. 039632-9
Mading AdJress ICOnVac[or or Owner Makmg Instauatronl
7103 AMUNDSON-AV E SOUTH EDINA, NIN 55435
nzed $ignatura (C rac r Own¢r`kv?y Installauonl
Au
?ho Phone Numbnr
/
? (612) 944-7400
•? ??(-
MINNESOTA STpTE 8 A0.D OF ELECTFIGITV THIS INSPECTION NEQUEST WILL NOT
\
Griggs-Midwey Bldg - Room N•797 BE ACCEPTED BY THE SiATE BOARO
UNLESS PPOPEF INSPECTION FEE IS
1821 Universitv Ave.. St. Pxul. MN 55104 ENCLOSED.
P6nno I9191 f.69-11R00
REQUEST FOH ELECTRICAL INSPECTION Ee-ooooi-os
1 See instruction s./or ComDlBling this fOrm On beck of Vellow copY.
E ? 2 7 4 "X'" Be/ow Work Covered by This Requesf
dtl Nep. TVpe of BwlEmfl AOPlmocea Wired Eqwpm0nl Wir2d
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildinq Dryer Electnc HeaLn
Commercial Bldy Fumace Silo Unbnde.r
InAustrial Bldg. X Au Condi[ioner Bidk Milk Tank
Farm 01nNr per,ifv rt,er ?s"o, iv)
? P? ucu y Othe, Ofhu,
omoute Insoectron Fee Below
p Fee ServiceEntreneeSize M Fae FyAtlers/Subleadxrs N Fee Circurts
5.00 U to 200 qm s 0 to 30 Am s 16 0 = 0 tn 30 Am>5
.06
1 Above 200 AmpSj JJj aA 37 to 100 qmps o _ 31 ro 700 qm s
Swinmiing Pool 1 °__° Above 100-Amps Above 100_Am)+
TransPormers Irrigation Booms Pertial,'Other Fee
Signs
FEFO 7B"
I [he Electncnl
?.:.. , ? ? ./ ?]? Inspactor, M1eraby
???? certdy thet I ha above
Flnal inspec[ion has been
mada.
mis
ia rk
J 3
•
Request Date ' Fire N Rough+n Inspection
flequiretl? ? Ready Now L'?) wil
Noi
?w
1 2-1 0-91 X?o
G Yes h n fleaE?
I'R}tcensed contractor ? owner hereby request inspection of above electrical work at:
JoD Atltlres9 (5[reet. Bax or Route No I CAy
1313 Lone Oak Road Eagan
Secuon N. TownsOip Neme or No, Raige No Couny
Eagan Dakota
OccupaRI(PRINT) Phona N.
Na'tional Computer System
Power SupOlier Atltlress
Elecmcal Conhatror company Name) Contrxtor's I.icense No
Olympic Electric Company, Inc. 0396-32-9
Mailing Atltlress (COnvacror or Owner Making Inslalla[ion)
7103 Amundson A enue S , Edina, MN 55439
AulM1Orrzea 5?g [ e ( r/ ner st nonn Phone NumDer
' 944-7400
MINNESOC STATE BOAFD OF ELECTpICITY THIS INSPECTiON REOUEST WILL NOT
Grigga-Mitlwey Bltlg - Room S473 0E AGCEPTEO BV TME STATE BOARD
18I1 llnrversi[y Ave, St Paul, MN 55100 UNLESS PROPER MSPEQION FEE IS
Pnone(612)6l2-0800 ENGLOSED
??:EQUEST FORnELECTRICAL „NSPECTI?ON Esoooo,oe
s? ° a
. ???__1
J 1 3254 "X" Below Work Covered by This Request -v 7-,' ? J
ew Add Rep- • TypeofBUildinq AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Buildmg Dryer Other (Specify)
Comm /Industrial Furnace
Farm Av Contlitioner
Other (specdy) CoMrector5 Remarks
Compyte Inspection Fee Below.'
N Other Fee # ServiceEniranceSrze Fee d Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps 1202
1 Zransformers 6.50 Above 200 _ Amps Above 700 _ Amps
Signs msosctor's Use onry TOTAL 126
50
Irngation Booms q .
.50
Speciallnspection
?
/d 127
00
Alarm/Communicalion .
IISCONNECTED IF NOT
THIS INSTALLATION MAY BE OHO ED?
Other Fee COMPLETED WITHIN 18 MONTHS.
!
I, the Electncal InsPector, herebY R°°en-'"
.?: ?.
oa7
.2
certify that the above mspection has
been made.
?.,_ oaw
a?
OFFICE USE ONLV . This repuest vaitl 10 months Irom
I // // 9' /6/
!if 7 d.CO
a, 700214191
Repuest Dare Ftre No RWBM1-10 1119p8L11IX1
Raqunetl?
? Reetly NowX(XWAI Notlfy Inspector
11-12-91 ?vas XAVo wnanRemr'
VR licensed contractor ? owner hereby request inspection of above electrical work at:
Job AEGress ($V¢et, Box ar Route NO.) CM1y
1313 Lone Oak Road Eagan
Sec4on No Town5??0 Name or No Hange No. Counry
Eagan Dakota
Ocwpam (PFMT) PWna No.
NCS
PowerSvppher AEOress
Elecmcal ConVacbr (Gompany Name) Contractor5 Lkense No
Olympic Electric Company, Inc. 0396-32-9
Mading Address (CoNractor or Owner Making Installatron)
7103 Amundson Abenue South, Edina, MN 55439
Aufionzea Sg r( q I er Maxing In tion)
? Pnone Number
- v
MINNESOTA STATE BDAR Of ELECTRICITY
Grlgga-Mbway Bltlg. - Noom S173
1821 Univerelry Ava., SL Paul. MN 55104
PMne (612) 642-0800
THIS INSPECTION REOUEST WIIL NOT
9E ACCEPTED BYTHE $TqTE BOr1RD
UNLESS PROPEFINSPECTION FEEIS
ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION
M ! ? See insVUClions for com0ieting inis form on pack of yellow copy
V"V 7n uj 1 - JC" Below Work Covered by This Request
EB-00001-08
? y
e Aatl Rep. Typeofeuilding AppliancesWired EquiOmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciy)
Comm./industrial ' Furnace
Farm Air Conditioner
Olner (BpecAy) COncraclor5 FemahS
Remodel of an existing area
Compute Inspecfion Fee 8elow:
# Other Fee # ServiceEntrance5¢e Fea # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amp o
7ranstormers Above 200 _ Amps Abo _ Amps
SignS Inspactor§ Use Onry ? TAL ..50
Inigatwn Booms /p1O' 120. $0
Special Inspection
Aiarm/Communication THIS INSTALlATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspecror, hereby Rouyn-in o ie
certrfy that the above inspection has
been made. F,,,y ce
OFFICE USE ONLY
This repuest voitl 18 monihs imm ?
REQUEST FOR ELECTRICAL INSPECTION
55 ?? 6 See insimctions for compleAng this lorm on beck ol yellow copy
? "X" Below Work Covered by This Request
??Jy-u?`'?As E5,00001-
iy?
y,al?Y
e AEtl' Re TypeofBmldtnq ApplianCesWired EqwpmentWired
Home Range Temporery Service
Dupiex Water Heater Eleciric Heating
ApL Buildmg Dryer Loed ManagemeM
Comm.llnduslrial Furnace Other (Specify)
Farm Av Conddwner
01her isyeatyl ConVactor5 Remarks
Wl/w?
r- -
Compute Inspectian Fee Below:
8 Other Fee # Service Entrance Size Fee # Cucwts/Feeders Fee
Swimmmg Pool 0 l0 200 Amps to 100 Amps
Trensformers Above 200 _ Amps Above 0_ Amps
Signs inspecmr's Use Onty TOTAL S Q
Irrigation Booms
?O. b ?
Speciallnspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHfN 18 MONTFiS.
I, the Electrical Inspector, hereby Aough-m oate
certify that the above inspection has
been made. F,,,al oate
OFFICE USE'JNLV 0
This requBSt vm0 18 months Irom
0/5 336
Request le
? n v L? ire No Roqgn.ln InpsMbn Reqmred
(VOU must w. inspeclo hen rgaCy)
? Ves No Ins ?on Olher Tnen Raughln
eatly Now ? Will Nolily Inspectar
Date Reatly
I licensed contractor ? owner hereby request mspection ofabove elecirical work at.
JaE Atltlr¢ss IStreet Box or Route No ,
(? l3 ti Qfy .
Section No Township Name or No Fange No. Cou ^??^
/? T? ' ?
Occupam `R )s
• Phone No 0 ?
O 3 ?o
Power SupO??er Atltlress
Elecmcal Conttaclor (b?o?plc???c Company
-ah ConVac?or's License No
370
Matlmg Atltlress IConlra or or jr?st?l? yrp ,
O
Pul?OniPtl Sign ur IC On n Meking InS?allaL
4 PhoO??
MINNESOTA STATE BORHD OF EIECTRICITY ~ THIS INSPECTION REOUEST WILL NOT
Grlggs-MlEway Bldg. - Room S173 BE AGGEPTED 8V THE $TATE BONPD
1821 Univerolty Ave., $I. Vaul. MN 55104 UNLESS PROPER INSPECTION FEE I$
Phone161Y) 642-0800 J ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION ??N?q EB-00001-08
r r n ?(? ??e instmctions for wmpleLng Ih5 form on back ol yellow cropy 5 g?? 3 ? 0 7
A Wv
0 Z) X" 8e/ow Work Covered by This Request ?•;,i-??"
ap. TypeolBmltling HppliancesWired EqmpmenlWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
omm./Intlustrial Furnace Other (Specrfy)
Farm Av Conditioner
Olher(spectly) ConhaclorsRamarks*Do tO?l?
! L4 vj/(` I
Compute Inspec6on Fee Below: ?? jo? ^/ &AIli Apy"
# Other Fee # ServiceEmranceSize Fee # Circmts/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps ve 100 _ Amps
Signs inspecmr's Use Only . TpTAL
Irngahon Booms ? ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ORDER 'DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspector, hereby Aouyn-tn oaia
certify that the above mspection has
been made. F,,,ai ?
_
oeie
OFFlCE USE DNW /
This reauest witl 18 manins irom
6/a?/s? 33so 7
55369/ ?? ?? C?..? • ? ?ao °"
Reques(D re
9 Fira NO Rough-M Inpsecli0??epwretl .
(YOU must wll insp9 or hen reaEy) Ins cbon O[her Than RouBh, ln
eaEy Now ? WIII Notity InspMOr
? Yes No Data Read
I XI licensed contractor ? owner hereby request inspeclion oF above electrical work at:
I '
Job Atldress IStreeL Box or flouta No I City
? t i?_ c- ep
SeMion No Townsimp Name or No Faige Na Counry •t'
?• `r- ?
OmOantlPRl 1 q
G Phone No.
S ?
Power SuppLer Atlaress
Eixmcai Connacmr ICqQrp??N?c' ElectMc Company Comrect 5 ?cense No ?
V1
?a D??
Mamng Atldress ICOn ra
0,o???i?a;AM?39
Amnonzea S?gna? i omra wn Ma' q instanaYpn? Pnone Nu nT
(?
MINNESOTA STATE BOARD OF ECTflICITV THIS INSPECTION REOUEST WILL NOT
GrlggsMltlway Bldg. - Poom S173 BE ACCEPTED BY THE STFTE BOARO
1821 Universily Ave. St Peul, MN 55104 . . . UNLE55 PROPER INSPECTION FEE IS
Vhone(61]) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
•/ 0. Sae insbuctions lar completing Ais form on back ot yellow copy
? 5 5 3 2 8 X" Be/ow Work Covered by This Request
aTM?A EB-OOOD1-
?,,?-r ?
ew Atltl Rep TypaoBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater EleCtric Heating
Apl Building Dryer Load Management
o./Indusinal
mm Fumace Other (SpeciTy)
Farm Air Condrtioner
Oroer(speci),) Comrador'sRemaBr AVOV f--
Compute Inspecfion Fee Below:
N Other Fee # ServiceEntranceSrze Fee R CucNts/Feeders Fee
Swimmmg Pool 0 to 200 AmpS 1 7 0to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIg05 Inspector's Use Only? TOTAL ?
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby ao.9n,m oate
certify that the above inspection has
been made. Finai e .? ?
OFfICE USE ONLY
This request vm0 18 months irom
?f/?'
C? 5 5 3
Rlpuest 0 e Fi e No RougRln Inpseclion Repmretl
?YOUmusl cull ins?ector when reatly) InsOQ???o 0 IM1er TM1an Faughln
I?.eeadynNaw ? Will Notily Inspacmr
?
Vea JS- No
Dete Reae
I*jcensed contractor ? owner hereby request inspection of above electncaPwork at:
Joo Aatlress (SVeet Box ar Rame No ) Ciry
SecUOn No Towns?i0 Name or No. Ranqe No County ?
?
Occupant(PRINT)
Nra? s.sa.L S7 P1one N.
693 - 62a 3
Pawer Suppher Atltlrass
Elecmcal Conhaclor ICompany NamC ^??nV
Olymp1C E?C ? ' ConVactor's License No.
ma,nc9 naaress ic i s5?o?r
g
E 'na
42
AAuthor atl Sg^alure iCOnVac i0 Meking InslalleU Phona Number
9 1tq7Zt 00
MINNEs50 TA 8 Of ELECTPoCRY THIS INSPECTION REQUEST WILL NOT
Grlgg wey BIO - Hoom S-173 eE ACCEPTED Bv THE STATE BOAtiO
1821 University , 5t. Peul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phona (812? 60241800 ENCLOSED
oom-oe
REQUEST FOR ELECTRICAL INSPECTION 6'"?4 6 ? eoe-o? ?
4 A A r' ? See in9tmtlmns for cwnpleLng ihis form on back of yellow copy &?` '?" a
?
U 14 3 X" Below Work Covered by This Request
dd Rap TypeofBuAding AppliancesWired EquipmenlWired
Home Range - Temporary Service
plex Water Heater Eledric Healing
8uilding
Apt. Dryer Load Management
j mm.llndustrial Furnace Other (SpeciTy)
rm Au Conditioner
er r (syenfy) Coniractor's Remarks
Olh
/j / M if i?C? • //!/?/
Compufe Inspection Fee 8elow: d(lrj
# Other Fee # ServiceEntrenceSize Fee CircwtsiFeeders Fee
Swimming Pool 0 ro 200 Amps 0 to 100 Amps
Transiormers Above 200 _ Amps Above 100 Amps
Siqns Inspector5 use Onq TO L?./1
Irrigation Booms
r
Special Inspection ? C
Alarm/COmmunication THIS INSTALLATION MAY BE O PnF DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eledrical Inspector, hereby R°°9n.,h oate
certify that the above inspechon has
been made. Final
OFFICE USE'JNLY
TM1is repuest voitl 18 months fmm
10 4 5
? ???o ?-
o"lo
ReQU D e
?j ? p
V ? Fr N ilaugtrln Inpsechon RepwreE
(YOU must call inspector en reatly)
? Ves N. Ins crion Other T?a ough-ln
?Reatly Naw Will Notify Inspeclor
Oale Ready
' ensed comractor ? owner hereby request inspection of above electrical work at:
Job AOtlress (SVeet eox or Route No )
[3 (3 w?-? o ?
?o City
Px?
Sec1ion No- Township Name ar No- Range No. Cauny
?l
Occupanl(PRINT)
5?-13 Phone Na.
463-?°
Power SupOlier qparess
Elecmcal CmVactor ICOmpany Name1 Cqnlrector9 4cense No.
?cp 'l a
Mailing Atltlress (Conneun ?J, y_n ayv n ue SO
Aulhorrzetl 5•gnaWre iCO a er ?ki 1 allation)) ? P'one u 41 MINNESOTA STATE 10I1R0 OF ELECTRICITY I THIS INSPECTION FEOUEST WILL NOT
Grig9e-Mitlway BIEg. - Room S173 BE ACCEPTEO BY THE STATE BOARD
1821 Univereily Ave.. St Peul. MN 5510A UNLE55 PROPER INSPECTION FEE IS
Phane (812) 642-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION
? SBe insimctions for completing Ihis iortn on back o1 yellow copy.
"X" Below Work Covered by Thrs Request
?Me !? EB-00001-08?
e Add TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Healer Electric Heetlng
ApL Butlding Dryer Load Management
Comm /Industnal Furnace Other (Specity)
Farm Air Conditioner
Olher Isyecdyl Conhactor5 RemaBS, 1 ? s? ,rJ Awv/ ?r!.jGRtyy
!?V v ?r?
Compute fnspection Fee Be/ow: (i"
M Other Fee # ServiceEntranceSae Fee # CrtcuilS/Feeders Fee
Swimming POOI 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab ve 100 _ Amps
SignS Inspectar5 use Onty TOTAL Srj
Irrigation Booms ? ?-
Special Inspection .%"
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9n-,n oa+e
certdy that the above inspection has
been made. F,?ai o Y
OFFlCE USE ONLY
Ths request witl 18 months irom
° ?
'
?
17 1ity 1, )34 . ? #
?i
61
Repuest 0 e
? / Fir No Roug'hln InpSecMn RepmmO
(YO? must call insOeM? n reaEy) s n Other Than Rough-0n
atly Now ? WII NoOfy Inspeetor
?
f?1? ? Ves No Date Reatl
I licensed contractor p owner hereby request inspection of above electrical work at: •
Job AtlEress (SVeet Bae or Roule No.) Qty
( 3 r1 e- o A'? (2-0
Secbon No Township Name or No Renge No Counry
?A
?N`••
OccoOam (PRINT)
? Ph one N .
C3-?
Power Supplrer Atltlress
Electncal ConVacror ICompan Namel
°""? EMMC cWW",' Cont t s License No
?(3
c?
Maling Atlaress iComrec r I io
Edina. 5
ANhorrzed Signalure o rac r er M i InslallaUen? y?j Nyyy??? b ,
Pho
1
MINNESOTq STA E BOARD OF ELE RIdTV THIS INSPECTION REOUEST WILL NOT
Grlqgs-Mitlway BIdg. - Foom 5-173 8E ACCEPTED BY THE STATE BOARD
1821 Univerefly Ave., SL Paul. MN SSIOq UNLESS PROPER INSPECTION FEE IS
Phone(612) 602-D800 ENGLOSEO
???1 ? O? REQUEST FOR ELECTRICAL INSPECTION
1 10, See msimctions for completing this Form on back of yellow copy
„X" Below Work Covered by This Request
4ir Nq Ee-00001- 9
?..,??..3G78'?
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (speaty) ConVactor's Remarks.
Campute lnspection Fee Below: "';•A 't
# Other Fee # Service Entrance Size Fea # Cirouits/Faeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Am s
Transtormers Above 200-Am s Above 100 -Am s
SI ns Inspecror's Use Only TOTAL
4
Irrigation Booms ?0 ,O
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY ORDERED DISCONNECTED IF NOT
Other Fee COMPLE7E? WITHIN 78 MONTHS.
I, the Electrical Inspector, herehy
if Rouyn-m oaie
cert
y that ihe a6ove inspeciion has
beenmade.
Fnai ?
oa?e
OFFICE USE ONLY •
This request voitl 18 months from
rffl2 01
91
Request Date
2
Jr? Flre No. R -In Inspectton ReqWred
(YOU must cell Inspector w en reatly)
? Yss No Ins ecimn Other Than 5ough?ln
? Raetly Now p? WIII NoLly Inspeclor
Date Reatl
I licensed contractor ? owner hereby request inspection of above elecfrical work at:
Job Atltlress (Stree6 Box or PoWe No )
1 -", L n
I?- K oa- Ciry
tf
!Jet n
Sxhon No Township Name or No Range No '
County
Occupant(PRINT)
G
' Phone No
Power Supplier Adtlress
Elecmcal ConVaclor (COmpeny Name)
; C.
^ ., . /AZ Contmcbr's L¢en4B No.
01bi 306
Mai6 g Aetle s(COn r or or Owner Making Inslallalion)
Authonze Signature ( ctor er Makin slallation) Pho Number
MINNESOTA STATE BOAHD OF ELE RICITY THIS INSPECTION REQUEST WILL NOT
Griggs'Mldway Bltlg. - Room 5-120 BE ACCEPTED BY TNE STATE BOAflD
1821 Unlvarsity Ave., St Paul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Phom (61E)642-OB00 ENCLOSED
!?` REQUEST FOR ELECTRICAL INSPECTION
?.i 13 2 •?e mstmcoons far complehng ihis form on back of yellow copy
'X" 8elow Vyork Coyered by This Requesl
E13-00001?
ew Ftio Rep TypeofBwldtng AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtric Heating
pt. 6uilding Dryer Load ManagemeM
Commllndustnal Furnace Other(5pecify)
Farm Air Conditioner
Otner (syecry) Convactor's Remarks
(,'L?'N? Gt (?t.??'S
Compute fnspechan Fee 8elow.
# Other Fee # SerwceEntranceSize Fee # Cucmts/Feeder5 Fee
Swimmmg Poal 0 to 200 Amps 0 70 100 Amps
Transbrmers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmis Use OMy? TOTAL &0
Irrigation Booms
Speaallnspection ' ?
AlarmlCommunication ISCONNECTED
THIS INSTALLATION MAY BE O EIF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
1, Me EtecMCal Inspector, hereby Rou9n-,n oare
cerirfy ihat the above inspection ha5
been made. F,nai oace ?C?!
?
OFFICE USE ONLY
This request witl 18 manfis irpm
Requ t D ¢ ?
H) Fi No A6uph-In Inp3§chon Requlretl
(VOU must wll inspeM ?en ready)
? Yes No In ciron Other T n P ghln
Reatly N IMpeclor
Oete ReaOy
I licensed comractor ? owner hereby request inspection of above electrical work aC
Jo atlress (Street Bov or qome No I
l3 l.oj I& C? Qty
Section N. Township Neme or No Range Na. Counry
OccupantlP INi, - Phone o
Power Supplier AdEress
Electncal ConVactor (COmpany Name)
OI c Electrlc Company Con actor§ L¢ense No
U;1 D
cont7tM
?a?nVe
d{ d N 55439
Pmnoraea Signam C ?Ow .mg Instananon) Pnonyyurype
? ?'
MINNESOTA SATE BOAflO Oi EECTRICITV THI$ MSPECTION REOUEST WILL NOT
Grlggs-MlEway BIEg. - Room 5-113 BE AGCEPTEO BV TME STATE BOARO
1821 Unlverslty Ave.. St Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) Bd34800 ENCLOSED
'
7
REQUEST FOR ELECTRICAL INSPECTION ?""` ee-oooo,-os
? See msVudwns for completing this form on Eack of yellow copy. (? /? 9?D
/
. ? ? 2 "X" Bebw Work Qovered by This Request
e Add Rep. TypeofBudding ApphancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electnc Heabng
Ap[ Building Dryer Load Managemeni
Comm /Indusirial FumaCe Olher (Specdy)
Farm Air Condi[ioner
Other (spemry) ConVactor5 Remaiks. G - v
__ O1J
r _ \
t.Y
Compute Inspection Fee Below•
# Other Fee # ServiceEntranceSrza Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps
I o ta 10o Amps
Transformers Above200__Amps AboveWO_Amps
S19n5 Inspeclor's U. Only TOTAL ?
Irrigation Booms
r
Special Inspection °
Alarm/Communication THIS INSTALLATION MAY BE 0 I OffNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I the Elecirical Inspector, here6y Rough-in oere
certify ihat the above inspection has
been made Final . D
OPFICE IISE ONW
Thie reqvest voitl 18 months hom
/I
' & ?
M
2 2
9/ f?l ?
-
Requesi Date Rough-in Inspeetion
Reqmred? NDTC : Vou Must Call Elecinwl Inspector
Ii A Roughln Inspection
? Yas Na Is Reqmre0
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Street, Boz ar RoNe No.)
131 ?.
Cb-?
(?oQ Qry
Seclion No ns ip Name or No Ran9e No
Occu 1 (P
S ?
s d?\
Phone N? K3- (
O
o o
V
Paver Suppher Atldress
Elecincal Con'rector (Compeny Name)
N ? ContractorS Licenae No
Lwo?3?6
Mailing Atltlres (COntr a or or ner Making Instaila
"1103 on)
S
0/1
S ?
? ma 5??/3
ANhor¢etl Signature Vact l ner Ma Installation)
•
^???D `
Phone Nup"rLN
C^? `jl
?
MINNESOTA STATE BOARU OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GrlggsMitlway Bldg. - Poom S413 BE ACCEPTEO BV THE STATE BOARD
1821 Unlverelry Ave., St. Paul, MN 55109 UNLESS PFOPER INSPECTION FEE IS
Phone (612) 6,12-0800 ENCLOSED
II II REQUEST FOR EIECTRICAL INSPECTION 4Q4 ?? ota IIII I III ° I II ? I I" I III I I II II ?? I I?I g121 ?Un ersiry AvearRm S-7 Electrictty
Paul, MN 55104 ?`? ??
* 0 3 2 5 4 S 9 6* phone (e12) 642-oe00 a0 (p
HHome Duplex Apf. Bidg. Other: New Addn
H
Commercial Indushial arm Remod Re air
Air Cond. Htg. Equ
ip. Wafer Hh. load Mgmt. Ofher:
Dryer Ran e Elec. Heat Tem $ervice
"X" above fhe work <overed by this request. En}er remarks in this space ond on ihe back of fhe white capy only.
Calculate Inspechon Fee - This Inspechon Request will nol he accepied wdhout the correct fee:
Olher Fee 8 Service Enhnnwe Sae Fee # Circuih/Feeders
? e
MobJe Home Park Siall 0 fo 200 Amps 0 to 100 Amps
Sfreef Lig./Traific Sig. Above 200 s bove 100 Amps
Transformer/Generafor INSPECTON'S E ONLV TOTAL
Sign/Outline Lig. Xfmr. '
Alortn/Remote Conhol Q
n
$wimming Pool C
J
I hereb ror? ai I ins the alemiml in Iloeon dauibed herein an Ihe doros s?aTJ V
IRigation Boom Rovgh-In ?b
$
ecial Ins
ection oe?
p
p
Investigafive Fee Fi?ai
THIS INSTAI 1 ATInN MAV BE ORnERED ? .ONNEC mI NOT COMPLETED WITHIN 8 MO THS.
3 2 5- 4 5 9?
LEASE PRINT OR TYPE
qoat wid 18 monMz fmm volidalion dale pnnted in this baz
OFFlCE SE ONLY This re
?
/}A? ?
??J (,?'l.
Req+uest ?am (1 /? Rough-m mspechon reqw 2 [I Vee ? N.
(You mvsl mll the inspecbr when mody) InspMion Other Than Raagh-In: C] Reody Now 0 WAI Coil
Dale Reody
I, b?censed contrador ? owner hereby request inspection of the cbove eletlriml work aF.
lob Addrcss (SVe Ba r Roure Na ?
131? ??On-e. IC Q Ciry
? - n Zip Code
Secfion No Township Name or No. Ronge N. Fire No. Cou
?
. `
O<cvpant N
Phone No.
Pov.er Svpplmr Mdress
EI ' I Cronhador (Company Name
? \ Cammcmr lianee Na. I,
V Mastan c? No. (Plom Eletl Only)
Moiling Pd ?Comron or Ovmer Performing Insmllanon)
-"f I D3
lwthonzed SignaNry?Qonk r o r PeAormi ohon) P nl }' /?yA?
EB-00001A10 6/95 STATEBOpRUCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
r, i , CY
II IIII I II I II I III I I I II? II II - REQUEST FOR ELECTRICAL INSPECTION J?a
Minnesota State Board of Electriciry ?
1?21 University Ave., Rm. 12 , St. Paul, MN 55104 ?- "
* U 2 4 3 L 8 6 s Pn.,?(s;??,saz-osoo 8' q(P
Home Duplex
Apt. Bldg.
Other:
New
Addn
Commerciol Indusfrial 1 Farm
1 Remad Re oi?
Air Cond Htg. Equip. WaMr Fhr. Load Mgmt. Ofher:
D er Ran e Elec. Heat Temp. $ervice
"X" above the work cwered by tha request. Enter remarks in this space and on the 6ack of the whife copy only.
COI-JH=61ZE!-JC'? )ecvM Iza-loDe.4.-
Calculafe Inspection Fee - This Inspection Request will not be accepted wAhoW the correct fee:
Olfier Fee # $ervice FntraMe Size Fee # Circuils/Feeders Fre
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
$treet Ltg./Tmffic $ig. Above 200 Amps Ahove 700 Amps
Tmnsformer/Generafor INSPECTDP'SUSEONLY TOTAL ?
?
$ign/OWline Lig. Xfmr.
•
Alarm/Remote Confrol '?
j
?
$wimming Pool ?
(
/
I hereb certi thm I ine ectad the e?ennml tn:m ron de an the dab::lETed
Irrigahon Boom Rough-In Dak
$
eciallns
edion
p
p
Investiga?ive Fee F????
THIS INSTALLATION MAY BE ORDERED DISCONNECTECUMM COMPLETED WITHIN 18 MONTHS.
224- 318 [B OFFIC US ONLY This reqoest.oid 18 monlha fmm validotion dare pr?nled in Mis 6ox. ?
??
?
60
PLEASE PRINT OR 7YPE
Reqent Dob Rough-in inzpaclion reqwr [] Yes [3 N. Inspecnon OlherThan Rough4n 0 Ready N. 0 Will Goll
3- C^
?p (10u mrsr mll fie inspeROr.fien rcady) Dok keady
p?/
I, Vylicensed coniracfor ? owner hereby request inspedion of fhe above elech'i<al work at
lob Pddmss (Slreet, Bax, or Raure Na ) Gry Zip Code
1313 Lcx-+E 0p"I f?aA r? eAcAAi-I
Section N. Towneh,p Nome oi N. Raige N. fire No Counry
^
O<cupant Phone Na
Power Sapplmr Mdress
Elecmml Cantractor (Gompany Name) Cankaclor License No Mas?er li< No ?Plant Elee Only)
Oc-r?PI c 2tc, eo CAo 13?a
nnopiine nedm, (corrcoaor or om,er v.rfornere in+mueno?)
_7103 rr scs.s a v5 601),;za a-ti,-? SS4`3"1
zed SigrwNre (Conho r or Ownar Pedorming InsleallaffolIM QPhon^e No?. ?
7?1'?i' --7
Ee-OOO01A-10 6/95 STIITE OApDCOW-SEEINSTRUC'fIONSONBACKOFYELLOWCOPY ^
REQUEST POR ELECTRICAL INSPECTION ea-ooam-07
?$ee msVUClions for wmpleM1ng Nls torm on back ol yellaw copY -7-c:;13q-
X" Below Work Covered by This Request
e Add Rep Typeof8uilding AppliancesWired EquipmentWired -
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm /Industrial Furnace
Fartn Air Conditioner
Olhar(specity) Conhactor9Remafks
Compute Mspectian Fee Below:
# Oiher Fee # ServiceEntranceSize Fea # Circuiis/Feetlers Fee
Swimming Pool 0 to 200 Amps J ? 0 to 700 Amps +•f, P6
Transtormers Above 200 _ Amps / Above 100 _ Amps
SICJOS Irepector5 Use Only: 707pL
lR19811Of1600R15
Special Inspedion
Alarm/Communication
Other Fee --?
I, the Electrical Inspector, hereby ROugnan
certify that the above inspection has
been made.
?
OFFICE USE ONLY
rs requast voitl 18 rtwnihs hom
Th
h?,,? ? . .. v??0?-
? 1
Request Date
?1 Fire Na. Rough-in Inspection
Reqwretl?
//
FI'Aeady Now ? Will Noby Irepector
Wh
n R
'
d
? ? yas ? m e
ea
y
I[I?icensed co tractor ? owner hereby r uest inspeaion of above electrical work at:
Job Adtlres ( r, or RoNe No ) City
-
?t
4??
Lcr?
a?'cv7
Sec00n No. 7ownship Name or No. Rarge No. Counry
Occupam (PRIM)
/?lbr? f Phorie No.
??3 yS?O
Power Supplier AGtlress
Electncal Contaclor (Company Name)
?h <Sic??' E Fc ?rrC_ Contractw5?nse Plo.
L16 - -7
MaNng A?tltl]re/w (COntraclor or Owner Making In a11aGO
qo ?
a
J
12
Autho awre (Contrector/Onvner Making `allellon) P?orre Number
S
7129 MINNESOTA STATE BOARD OF ELECTPICITY lSle-- THIS INSPECTION REOUE5T WILL NOT
Grlgge-Midway Bltlg. - Room S773 eE ACCEPTED BY THE STATE BOARD
1821 Unlvenlry Ave., $t Pwl, MN 5510C UNLESS PROPER INSPECTION FEE IS
Phwre (61E) 842-0900 ENCLOSED
a
II IIII III ??Illg? RE0UEST FOR ELECTRICAL INSPECTION yIAW?UOP
I Minnesota State Board M Electricity
1821 University Ave., Rm. S- 28, t. Paul, MN 55104 * -6 4? 7 1 9 * Phone (812) 642-0800 00969
Home Duplex Apt. Bldg. Other: New Addn
Commercial Indusirial Farm ' Remod Re air
Air Cond. Htg. Equip. Water Htr. Lood Mgmt. Other.
D er Ran e Elec. Heat Tem . Service
"X" obove the work crnered by this requesF. Enter remarks in this space ond on the back of the whife capy only.
Colculote Inspection Fee - Thrs Inspection Request will not be accepted wdhouf ihe correct fee:
Olher Fee # $ervice Enhance 5¢e Fee # Circuih/Feeders Fce
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheef L}g./Traific $ig. Above 200 Amps ve 00 Amps
TransformedGenemfor INSPECTOfl'SUSEONLV TOTAIy?
$ign/Oufline Ltg. Xfmr. ? C7??
Alarm/Remote Conirol
$Wimming Paol I hereb ceni Ihat I ms d fhe alxinwl insmllaba dwcnbed herein an Iha dares slo
Irrigation Boom Ro„qh-in Dore
$petiallnspecFon
Inves}igotive Fee final ?k
THIS INSTALLATION MAY BE ORDEH NNECTED IF T COMPLETED WRHIN 7 ONTHS.
264- 6 71 ? OFFlCE USE ONLY This reqoal wid 18 monMs (rom validalion dme prinled in? x
'# D
PLEASE PRINT OR TYPE ,g
Reqaest Da Q Ro?gh-in inspedion oircdY ? Yes ? N. Impenion Olher Thon Rovgh-ln. ? Reody Now Wdl Call
?1'oe must mll the inspecbr when reudyj D.J. Aeady
I, licensed confracior ? owner hereby requesf inspection of ihe above electrical work of:
Job Address (Slreet, Bm, oule N^ V 94 Gry 1iPCod.?
.
Seaion N. Township Name or N. Range N. Fim N. Co"
Occo ant
S s
Phone No
Power $opplier lddnss
Elednmi nlmdor Impany Nome acro
r Lcense No
C
o fr Mockr Lic No. (Plant Elecc Only)
? ? t ?
?
Q
?I JV? ?lO
Mai in9 ?dm (Cant r or Dwyer Pehormin8 Inzmllorion)
Aulhonzed SignoN zm r Per(o?mvg obon) ?
^
P
e N.
^?
?
' ' `
?
w
EB-OOOOlA-10 6/95 5fATEBOARUCOiV-SEEINSTRUCTIONSONBACKOFYELLOWCOW