800 Lone Oak Rd - Electrical Permits?/?,?2/6'y ? f 6'aor?JaL e?- . - 4- a?. #?? 5i.?8` 9 ,
616 8 0 d) ? F -,Jak` Ct, . ?A? gk. 441
Request Dale Fire . Rough-in Inspection
Required?
? Ready Now N Will Notlty Inspector
A Y1l 3, 1989 ?Yes CXNo WhenReady?
I[X licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet, Box or Route No.) City
850 Lone Oak Road Eagan
Sectioq Na., Township Name or No. Range No. County
7 1 Dakota
Occupant(PRINT) Phone No.
Dart Transit
Power Supplier Adtlress
EleCtrical Corrtractor (Company Name) ContracMrS License No.
Direct Digital Controls, Inc. 040939-7
Mailing Address (COnVactor or Owner Making Installation)
9909 outh 5hore Drive, 200 Plymouth, MN 554-1
Authonz " atu onir or/O er i Installation)
Phone Number
1 544-1212
MINNESOTA STATE BO THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bitlg. - Room 5773 BE ACCEPTED BY THE STATE BOARD
1821 Universfty Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone(812)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ` eaoaom-v,q
? See insnuclions for completing ihis lorm on back ot yellow copy.
?`461- 68 Q JC" Below Work Covered by This Request
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
X Comm./Indusirial Fumace T ermostats
Farm Air Conditioner
OMer (specity) Contractor5 Remarks:
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # -C' cuits/Feeders Fee
Swimming Pool 0 to 200 Amps s
Transformers Above 200 _ Amps Above 100 Amps
SignS Inspector5 Use Only: !r-y ? TOTAL
Irrigation Booms 49.50
Special Inspection
Alarm/Communication
44 omer Fee 9. 0
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in
?
Final
r Daia ?
oa
?? C
OFFICE U5E ONLY P
This requesl void 18 moMhs trom
//i7/?? sosa ,
E` 8 48 27
Heq t Date
,?
C re N. Rough-in Inspection
Requir d?
? Ready Now ill Notify Inspector
??
??
? es ? No When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Roule No.) Ciry
$GC?-$Solouti.OA?. ? ?AC?,drJ
Section No. Township Nartre or No. f Range No. [? County
?????. , cn u?aa Ss C9aC I?.d DA i--oe-Q
upant(PRINT) Phane No.
AR-T -T_71-6N 5 i'Z' C o mbxt 6 s$ -a 4 z. 9
Power Supplier
NSp Adtlress
3ac) IYl4 XwF?? ?v? ,?..9??c:7 o2A'
Electrical Contrador (COmpany Name)
CQmr, aWF_ACT- ?k E La-?PLAC aP?Yta Contraclor's License No.
Mailing Atldress (Contraqor or Owner Making Installation ,,?{
5S?l oAD WO• SI UL (/ 11.? ??d ?
ANFror nalure (ConVador/Owner Making Installation) Phone Number
62 acQ 4 -I t 3e
MINNESOTA S7ATE BOAND OF ECECTRICITY 101, THIS INSPECTION REQUEST WIl.L NOT
Griggs-Midway Bldg. - Room 5-173 BE AGCEPTED BY THE STATE BOARD
1827 Univereity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(812)642-08W ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION « es-ooom-m
._ ? ? See insiructions for completing lhis form on back Of yellow wpy. ? 905p2(?
M $ 4 82( X° eelow Work Covered by This Request v
e Add Rep. TypeofBUilding AppiiancesWired EquipmentWired
Home Range , Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
O[her (specity) Contracto09 Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool CMV 0 to Gop p6 a to 100 Amps $'
Transformers 30KO Above 260 Amps Abo%LA@t &92 Amps 4-5
-S? 75}[0 ,g? Inspector9UseOnly:
d TOTAL SD
Irrigation Booms uf'6
Special Inspection
•.rv;
Alarm/Communication
S5
AC-
I, the Electrical Inspector, hereby Rough-in ? ate
certify that the above inspection has
been made. Final oece
OFFlCE USE ONLY
This request void 18 months from
///7/89 57051_?z 9
2 - 8 4-8 26
Request qqate
•? ? ??,
?? O ire o. Rough-in Inspection
Required?
?
? Reatly Now iil Notify Inspeda
R
Wh
d
?
1 Yes
? en
ea
y
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Strcet, Box or Route Na.)
'FOcg - g5 O L o,vi uAiC k) 5s- t?lay? Ciry
Z,4 e,,aA.)
Section No. Township Name or No. Range No. Counry
bccupani (PRIM)
a'T?N A y sc T- ? ty"
Aw Phone No.
6?d?- a429
Power Supplier
g t 300 Y3?I Ax Adtlress
F-cc. v IJ ?.Po nx-
ElecMcal Coniractor (Company Name)
%
C.dm(r1pA)cuEA?.Q? ?L)ScT"- ??VY1?1 Contractor's icense No
.
3? Sil
Mailing Add2ss (Contractor or Owner Making Installation)
Sy ftj"? A Zv, a s? ?O L VYC? sst? ?
Authorized ature (Conireclor/Owner Malting Installation)
(.v/ PhoNUmber
94-!$3c
MINNESOTA STATE BOARD OF ELEC7RICITV ? THIS INSPECTION REQUEST WILL NOT
Grigga-Midway Bltlg. - Room 5173 BE AGCEPTED BYTHE STATE BOARD
1821 University Ava., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION - ee-00001-07
? See instruc[ions for completing Ihis iortn on badc of yellow copy.
M'84482 6 so.?
"X" Befow Work Covered by This Request
e Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
' Farm ' Air Conditioner
Other (specity) Contractor5 Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ? Abo 0_ Amps
SignS Inspector5 Use Only: TOTAL
Irrigation Booms i5i "C)
Special Inspection
Alarm/Communication
Other Fee ?j;tf
f p
I, the Electrical Inspector, hereby
certiry that the above inspection has
been made. Rough-in
Final oate
Date „ 74
OFflCE USE ONLY 7his request void 18 months flom
QJ ?i-????.? ? .P,?d ?e?'? ,
Request Da7e Fre No. ough-in Inspection
Required?
6eady Now ? Wll Not Inspedor
? ? Yes ? No 1 - VJhen Ready?
'
I licensed contractor ? owner hereby r uest inspection ot ve electrical work at:
Job Address (Street, Bmc or Route No.)
- ?,/? ? - City
etc1q-a
Section No. Township Neme or No. Raige Counly? J
/ /C-?
Or.aipanl (PRIN Phon6 3 YV?/
K
Power Supplier Address
Electrical Conlraclor (Company Name)
S /_A ?sle Conlractor5 License No.
Z/DaSci- ?
Mailirg Address (Contredor or Ownar Making I stailai' n)
7
-
"70P1 60/J7 r ? / • ( • 6
j7Z)
?5
Auth naWre (Conlractor/Owner M nstallafion) Phone Number -7
?g
? o
MINNESOTA STATE BQARD OF E6e6HICYfY THIS INSPECTION REOUEST WILL NOT
Grigga-Midway Bldg. - Room 5173 BE ACCEPTED BYTHE STATE BOARD
1821 Univewiry Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 642-0800 ENCL0.SED.
REQUEST FOR ELECTRICAL INSPECTION . eeo0001 -07
lk See iasvuetions br completing this form on back of yelbw copy. ?') ?) _ ??? ?
Q/LJ'%
IF 13 3 7 5 "X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service •
Duplex Water Heater Electric Heating .
Apt. Building Dryer Other (Speci(y)
Comm./Industrial Fumace
Farm Air Conditioner /
Other (specify) Conirector§ Remarks_7?7? / c) 10601-)
Compute Mspection Fee Below: SJpl- rnKA:f r 1&177 - CQYI2r?le6'',
# OMer Fee # ServiceEntranceSize ee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 Amps
SignS ' Inspector§ Use Onty: ! TOTAL
Irrigation Boo
? ??So
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
if
h Rouyn-"
cert
y t
at the above inspection has
been made. Finei
OFFICE USE ONLY ` -
This request witl 18 months irom
0 y?-
3 2 ?i
. # ?? ? ?Z`i5
?,? ,
ReQuest Date i No. Rough-in Inspection
Requiretl?
? Ready Now i I Notify Inspector
G Yes Zye' 'Nhen Ready?
I'Alicensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtl?PSS (Street, Box or Route No.)
Ro.o L.Q c,
R.-f?z> City
E R G ? ?J
Section No. 7ownship Name or No. Range No. Counry ^
?? 1 1
OLCU ant(PFINT)
S?t Phone No.
?088- ?ooQ
Power SupPlier Atltlress
E ctrical Comractor (Company Name)
?
L
L
a COntreclor5 Litense No.
-
c
?
, ? c. o,
? o
1 i a
Mailinq Atldress (Contractor or Owner.Makinq Installation)
9a L?r? i
?\\1, N)0 ?- S, L ss I?
Authoriz ' nature (C ractor/Owner kfng Installation) Phone Number
&iNNESOTA STATE BOARD OF ELECTIfICITV"' THIS INSPECTION REQUEST WILL NOT
Griggs-Midway BIEg. - Room 5773 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642d800 , ENCLOSED.
?.?3? REQUEST FOR ELECTRICAL WSPECTION ??4•"='??y.'?, es-ooom-oe
A/--?P- ?e.,,.., <<...........,.r.. - i,.........?e_, .a,.vu..,.,,.,.?„ '?c47lsii dG'/-D
`X" 8elow Work Covered by This Request ?•.?? "
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specily? Contractorb Remerks. Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
SwimrPSing Pool 0 to 200 Amps 0 to 100 Amps ? .100
Transformers Above 200 Amps Above 100 _ Amps
Signs Inspector§ Use Oniy. TOTAL
Sp
Irrigation Booms
Cy
e-
jS?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify that the above inspection has
been made. Final
„ Date
-
OFFICE USE JNLV
This requesl void 18 monlhs trom
Request Date r No. Rough-in InSpection
Required?
? Ready Now ?otity inspec[or
? ves ?^? o when Ready7
t7,? licensed contractor ? owner hereby request inspection of above electrical work at:
I .`
Job Address (Street Box or Route No.)
go
C
K
? City
A G?R t?l
o
.o o
Seclion No. Township Name or No. Range No. Counry }
Occu am (PRWT)
a??s?t Phone No.
(o??-aov?
Power Supplier Atltlress
EI ctrical Comrador (Company Name ?j
ov?G ?. ?tEct??c C0 , Contractor's License No,
CRo-i1 a
Mailing Address fCoplractor or Owner-Makinq Install
5 9 ' n) C
e
/ ` ?
?
?)
'O E ?s O L ?J
?P
Authorize naWre ( n1racta;0 Making Installation)
Phone Number
+ I / 9t/ - \.J 6 T
CMINNESOTA STATE BOARO OF ELECTHICI-TY THIS MSPECTION REQUEST WIIL NOT
Griggs•Mitlway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE 00ARD
1821 UnlveBity Ave., St. Paul, MN 55706 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 _ ENCLOSED.
% E&00001-08
?/??`?? REQUEST FOR ELECTRICAL INSPECTION
? ? Sge fnstructions for completing this form on back of yellow copy. 4?;
"X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./IndusUial Furnace
Farm Air Conditioner
Other (specity) Contractor's Remarks'.
Compute Inspection Fee Below`
# . Other Fee # Service Entrance Size Fee #1 Circuits/ Feeders Fee
Swirriming Pool 0 io 200 Amps 00./.Lmps
Transformers Above 200 _ Amps 00 Amps
Si9nS M
Inspector's Use Oniy: OTpL
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDER ISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MONTH
I, the Electrical Inspector, hereby Ro°9h-'" oate. -??
certify that the above inspection has
been made. Final oate
?
OFFICE USE ONLY
This request voitl 1B moNhs irom
9 0 yG ? s ,3
-
.
O .- ?O /Y ??,C//0
Fequest ate ire
? /-?
?` ? Rough-in Inspection
Required?
? Ready No Will Nolify Inspector
hen Ready?
V ? Ves o
f?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Boc or Route No.)
%OO LD m C. D.n F'? V.
Rc)Aj - -
?? ? . .
Seciion No. 7ownship Name or No. Range No. C?
? ? ??
nt (PqINT) ? Phone No.
O?O6 -2t=
Power Supplier Adtlress
Eleclrical Contractor (Company Name)
1c Goniractor's Gcense No.
1 Ur- l.i
- t m o O I
Mailing Atldress (Contractor or OuJner Makin Ins[allation)
?
? l3
?S 1 ?l
?
SS
4
??
n.a c
Aul nalura oNractoriOwner Making Installation)
?. P ne Number
MINNESOTA STATE BOARD OF EL?n:TRIpTY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway Bldg. - Room St/3 BE ACCEPTED BV TNE STATE BOARD
1821 UnlveBity Ave., SI. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phane(612)84I-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION g??? Ee-ooom-m
? ? y" ? See instmctions lor completing Ihis fortn on back of yellow copy. s S?4?' ?5
"X" Belaw Work Covered by This Requesi
e.i? ??6 0 95
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuiislFeeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A D s
-
Signs Inspectar's Use Only:
d
- TQ ?I
?(J
Irrigation 6ooms ?
r
O
'f
O
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 NJWHS.
I, the Electrical Inspector, hereby Rough-in
c
certify that the above inspection has
been made. F;nai
, ace
r -
OFFICE USE ONLV
This request void 1B months irom
.?? y.?
?
Re est Da e Fi No Rough-in Inspac[ion
Required?
G Ready Now DWill Notity Inspector
? Yes 2w When Reedy7
I. licensed contractor D owner hereby request inspection of above electrical work at:
Job Atltlress (Street. Box or RoNe No.)
8?o Lo o ?. u
?Q a? Giy? ?
?G
Secfion No. Township Name or No. Renge No. Counry
O f?-I A- n
I `
Ocapam (PRINT)
-? fZ SI
? Phone No.
ov(.?
Power Supplier Atltlress
Eledrical Contractor (Company Name)
L
(fC?
i c
C Contractor5 License No.
c?
o- 1'a I
?
c o ?
, -
Mailing Adtlress iCoNractor or Owner Making Installatio 1?
??
Ss 1-
?
? J 4 l?t
l. ,
0
Authorizetl nature IC actor/Ow king Installation) Phone Number
rl S o - 58L?
t ESOTA STATE BOARD OF ELECT4CITY THIS INSPECTION REOUEST WILL NOT
gsMWway Bldg. - Raam 5-173 BE ACCEPTED BV THE STATE BOARD
1821 Univereiry Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 602-0800 ENCLOSED.
-"
REDUEST FOR ELECTRICAL INSPECTION ?e,.s-ooom.oa
r ? See instmctions tor completing this torm on back of yellow copy.
(''( 463.35 ""X°Below Work Covered by This Request ?.•??'?
ew Add Rep. Typeof6uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building r OtheF-(Specify)
Comm.llndustrial ace
Farm AConditio ner
Othar (specity) Contractor's Remarks:
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ove Amps
SignS 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 Ro"g"""
? oace
certi that the above ins ection has
? P
been made. Final Da e
?
OFFICE USE ONLV
7his request wid te months from
RequBSt D?ite
^ ir No. Rough-in InSpBdion
Ve
quired?
? Ready NOw yWill Notify Inspecror
`
^
?j y
Ves C No When Reatly?
Ili.,,licensed contractor p owner hereby request inspection of above electrical work at:
Job Adtlre55 (Street. Boz or Rome No.) Ciry 'FQ
Seclion No. Township Name or No. Range No. Coun , /
, 1
Occupant RIN71 Phone No.
Po er Supp6er Address
Elecmcal CoNrector (COmpany Name) Goniractor's License No.
- ( f
T
Mai ing Atldr¢ss (Conirector or Owner Making Installation)
{ . 0
Authonze Si tu IGonirac uOwner% aking Ins I' ?
a Phone Number
- -+ ?,,-12,7 1
MINNESOTA STATE BOARD OF ELECTRICI? THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bldg. - Room 5473 BE ACGEPTED BV THE STATE BOARD
1821 Universily Ave., St. Paul. MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED,
9/,(REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa
C3 09197 ? See instmctions for completing ihis form on back of yellow wpy
"X" Below Work Covered by This Request
e Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF (Specify)
CommJlndustrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
? 1?ecs PA,&(?on
Compute Inspection Fee Below: 0t tG Zm? )
# Other Fee # Service Entrance Size Fee # Circuits/Feeders e
Swimming Pool 0 t0 200 Amps ;S 0 to 700 Amps
Transformers Above 200 _ Amps Above 0 Amps
SiJf15 Inspector§ Use Only: TOTAL
' Irrigation Booms !
?
Special Inspection ?
?I ??
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rouqn-ir, ace ryL??
?
certifY that the above insPection has
been made. (
pinai '
oate6
OPFICE USE ONLY
Trequest voitl 18 months trom
`o ao/y?-- Iv 7v y
516 5 4
_ oa.
Request Date Fire o. ugh-in Inspection
Re uired? NOTICE: Vou Must Call Elecirical Inspecror
If A Rough-In Inspection
?D ? es ? No Is Required.
I 1 licensed contractor ? owner hereby request inspection of above eiectrical work at:
Job Add?ress` (St?rest, Box or Route No.) City
Seclion No. Township Name or No. Range No. County
,?arc
OccupaM (PRINT) Phone FJo.
iZ T- ?'1Z i4 NS 7- ?~ Zba D
Power Supplier Address
?
Eleclrical Conlraclor (Company Name)
2? L f ?"J W? (O ?IT'L Coniractor5 License No.
04-b 21b
Mailing Address (Con[racbr or Owner Making Inslallation)
?
Gt? l
Z S i% 1 S C L a Y-'
u
Aulhorized gnature ( ntr t /Owner Makin tallation) Phone Number
f 612 eA
MINNESOTA STATE BOARD OF ELECTHIqTY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 ' UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/??9? ? REQUEST FOR ELECTRICAL INSPECTION
See inslrudions ior completing this form on back of yellow copy
M 16 5 4- "X-" Below Work Covered by This Request
'`?!R?EB/-007001-08? [/
?/
i? /
?.;
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Indusirial Furnace Other (Specify)
Farm Air Conditioner L.t L. f-4T 1-4 4-
Other (specify) Comractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps e 100 Amps
SIgnS Inspector§ Use Only TOT AL C'y')
??_
Irrigation Booms
G
ti
Special Inspection
Aiarm/Communication TFIIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final ? oat
OFFICE USE ONLY
This request void 18 months fram
irSy ?.._. ?. .?
?
??
M 78653?a=o5 ?? ?
?
?
Request D
{ t
e
,?'
I p q,
r Fire No. Rough-in Inspection
Required??
? Ready Now Will Notify Inspeda
Wh
R
d
?
1 L
JYJ ? Yas No en
ea
y
Ilicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (SireeC Boz or
Roufe No.) Ciry
?
? IW ff .i L..?`V V!`
Section No. Township Name or No. Range No. Counry
?
Occupant(PRINT) Phone No.
Power Supplier Address
eOoa ?? G?./
ElechicaAl?ntrador (COmpany Name Cont ctor5 License No.
lCT'K41L
Mailing Address (Conlrec[or or Owner Making Installation)
?
_ U;?
Authorized Signeture orrtr ! er Making In allati Phone Number
2 -? -711
MINNESOTA STATE BOARO OF ELE ICI7Y
Grlggs-Mldwey Bldg. - Hoom &77
1821 Universiry Ave., 3t. Paul, MN 55104
Phone (612) 642-0800
V ?
_?!/?I? r
???
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTEO BV THE STATE BOARD
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?"• EB-00001-07
?
I Sea insimctions for compleling ihis fortn on back oi yellow copy. ?? 5 C,
R ` 796 5 3 `X" Below Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Fiange . Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Comm./Industrial Furnace
Fartn ' Air Conditioner
Other (specity) Contrecto05 Remarks??
Compute Inspec[ion Fee Below: ?
# Other Fee # Service Entrance Size Fee # Cirouits/Feeders Fee
Swimming Pool 0 to 200 Amps ? (y 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps '
SIgf1S Inspec[ar5 Use Only: TOTAL
Irrigation Booms ?
Special Inspection ?. ?
AlarmlCommunication '5
Other Fee ( f
I, the Electrical Inspector, hereby
tif
th
h Aough-in oete
cer
y
at t
e above inspection has
been made. Finel
, . . , a
??
OFFlCE USE ONLV
This requesl void 18 monlhs from -