Loading...
810 Lone Oak Rd - Electrical permitsREQUEST FOR ELECTRI, ',AL I[VSPECTION „ Ee-00001-04 ' See instru[tions tor completing this lorm on back of yellow copy. 959 & C 32179 "x" 8elow Work Covered 6y This Request NwA Add ReP. Typa oi BuilAing Apptiancae Wired EquiVment Wired Home Range Temporary Service Duplex Water Heater Lightin,y Fixtures ApL Buildfng Dryer Electric Heatin Commercial Bldg. Fumace Sllo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm Oihrr peci y Otner ISPerifyl t er Spc Other Other om ute lnspection Fee Bel ffw 07 0-e-1 k Fee Service EnlrenceSize tt Fee Feeders/5u6feeders b e Circuits 0 to 200 qm s 0 to 30 Am s to 30 Am s Above 200 qmpy 31 to 100 Arnps 37 to 100 Am s Swimming Pool ' Above 100_Amps Above 100_Amps Transformers Irrigation Booms p Partial-'Other Fee Signs Special Inspection A RBrrNrks 537, TOTA EF.,?? ? ?? ? ? flouBh-in _.' ? Date 1, the ectri Inspector, ereby certif thxt the ab Finai , Df;,e? G y ove insDection hes been ?/ ?? ? made. This request vold 18 moMha trom This request void 78 month5 from C 3 21? 9 ,/,,,-;,7 '3?6: cc Re esl-i?ate-• Fi e No. Rouph-in Inspection RequireA? eady Now Q W, II Notify Inspec- G Yes ?No tor When Ready Licensed Electncal ContrACtor 1 hereby request inSDection oi eboVe Owner '- elemrical work installad at: Street Address ox Rout No. 0 vle City ' 1" oWe' - . "!•tJ e ecLOn o. 7ownship Name or No. Range No. County Occupant (P,O'?Jj) ?? 0 • " /?/m Phone? _ Pawer Supvlier _,s %/? ?? u` %? Address P Electrical Contractor IComp?My/Name1 % ! (JG?r? /?-- ?{ ?,i,GOwCs? No. Ccintfur.tor s%? / C70< MailinB AdJress (ContraG[or or Owner Making Instailation) ? o? CL Au[horized SiBnature (Co r tor/Owner king Installation) Phone Nu ber ?? MINNESOTA-STATE BOAflD OF ELECTRICITV Griggs•Midwey Bldg. - Room N-191 1827 UniversitY Ave., St. Paul, MN 55704 Phone 16121 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BV THE STqTE BOAHD UNlESS PpOPER INSPECTION FEE IS ENCLOSED.