990 Lone Oak Rd - Electrical permits.
Rfb27`
?
1 ME
PERMIT
CHANICAL
r City Use Qnl ,
I
` f
/ CITY O EAGAN
PERMIT# ,
Cou?Er E?5 ' 2
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #?
DATE /v13o po PHONE 4548100 DATE:
h. Site Addres ? 4e BLDG. TYPE WORK DESCRIPTION
? Lot -?
BI c k Res. New Const. ?
F Mult. Add-an? ?
'
Comm._Ile Repair
i
Name A+C? .
;. ?
Add
ess/oL
k/ ALD
yt Other
`j
K- c r
City 13LioY??i?r-? h7a?? Phone 30
^ -077.
FEES 1
RES. HVAC 0-100 M BTU -$24.00 I
' Name ADDITIONAL 50 M BTU - 6.00 °
r
t d
c
AddfesS (RES. HVAC INCLUDES A/C ON NEW ?
CONSTRUCTION)
City Phone TOWNHOUSE 8 CONDOS - RES. FiATE APPLIES
S" MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
? TYPE OF WORK ' REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIMUM - 1 PER PERMIT-
Forced Air M BTU NEW CONST.) 1.50EA. I'
? M BTU $ COMMAND FEE - 1% OF CONTRACT FEE ?
?
k nit Heater M BTU $ APT. BLDGS. - COMM. RATE APPLIES
?
't
r
M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
; Vent CFM $ (ADD $.50 SIC PER EACH $1000.00 OF PERMIT FEE)
` Gas Piping Outlets # OoJe- $
?. Other $
B
CommJlnd. Contrac t Price /
alO x 1% $ SIGNATURE OF PERMT E
PERMIT FEE: 2 4 0 O
?
S/C: 'tTv FOR: CITY OF EAGAN
G ? TOTAL: ZA PA sa
0 ??19
REQUEST FOR ELECTRICAL INSPECTION
olo See inslructlons for compleling this farm on back ot yellow copy.
"X" Below Work Covered by This Request
EB.a000,-09
eva
Ne Add Rep. Type of Building Appliances Wired Equlpment Wired
. Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other S eci
Farm Air Conditioner
Other (specity) Conlractor's Remarks: Invue SEalQ U(C2. .?'.?,derz A h Ci
pAnc.I WIR2. R214L7154A','ien g94/Pmen.?• ?•'?
Compute Inspection Fee Below: A o ?ce.- w A?R ke?.S .
# Other Fee # Service Entrance Size Fee # Circuits/Faeders Fae
S.wimming Pool
l 0 to 200 Am s S.Op 0 to 100 Am s /Qoo
Transformers O Above 200 Am s Above 100 _Am s 7.00
Si ns inspector's Use only: TOTAL
Irrigation Booms
/?6 JyLJ
-7 ?
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee 0 COMPLETED WITHIN 18 MONTFIS.
I, the Electrical Inspector, hereby
ceRity that the above inspection has
been made. Rough-in
Final ?
ate,/
1 ? o
OPFICE USE ONLY
This request void 18 months Irom
0419
a7
Request Dele
Q
a?
y Fire o ough-IRtlnspection RaqWretl In ectloean Olher Than Roughdn
(You mus call inspector en ready) a Rtly Now IRWIII Notity Inspeclor
-
[ ?Yes NO DateRead
I.9licensed coniractor ? owner here6y request inspection of above electrical work at:
Job Address (Street, Box or Routa No.)
' 9,00 Lorve, < v.4, c/ Ciry
,n nl
Section No. Township Name or No. Range No. CoUnry
d14
Occupant (PRINT)
C. iq, Robi or. Com An Phone No.
93 -A 00
Power Supplier Atldress
Eledrical Contractor (COmpany Name)
b
c
l
O
4 ContractoYS License No.
LSd6
p
e.
?
e
-
ec
i o
C
Mailing Address (COntractor or Owner Making Installation) .
zaa ?'sp ,' 54. rvE wt.,. Nr? 55yq 07
Aulhorized 5ignaNre (Co ractodOwner Makinq Ins Ilation) Phone Number
773- q5t$
MINNESO7A S7ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlggs•Midwey Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD
1821 Univeralty Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS .
Phona (612) 642-0800 ENCLOSED.
-1 ? - /? /
?II?I II?? ?p I?II? I II?I 821?Un ersiry Ave? R f S-BASt. 'P3uP MN 55 ?04
* 0 2 2 6 1 6 4 2* Phone (612) 642-0800
Home ex Apt. Bldg. £S{t%Qr• - New Addn
Commercial Indvsfrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hir. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"X° above the work covered by this requesf. Enter remarks in thisTsp`ace and on the back of fhe whife copy only.
?0?'Vh SIGAQ O? ??.G? IV2Qr ?wUC,;? C-OUG?I
?cKs,_ knskcxll three 4-Plek c?u,?(s?-?
Calculafe Inspection Fee - This Inspection Request will not be accepted without Yhe correct fee:
Olher Fee # Service EMrance Size Fee # CircviTs/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic $ig. Above 200 Amps Above 700 Amps
Transformer/Generator INSPECTOH'SUSEONLY TOTAL ^
Sign/Outline Ltg. Xfmr. U? d 36
Alarm/Remote Control
$wimming Pool I hereb cerfi ihat I ins ected ihe elecirical installation descnbed herein on iFe dales stated
Ircigafion Boom Rough-ln Date
edion
ecial Ins
S
p
p Final Da
Investigative fee
? ?
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
2/'? 6 ^ ?
i C3 ?1
PLEASE PRINT OR TYPE OFFICE}+SE ONLY This request void 18 monihs from validalion dah pdnted in ihis box.
i
p /J Q2 ?/??
o2%/ ,yJr ,?• ?.AX. ?IfS. ? o??
Reqvest Dota
`- _as Rough-in inspecfion reqvire 0 Yes No
(Yov must mll ihe inspeclur when teady) Inspeclion Other Thon Rough-In: [] Ready No Will Call
Data Ready:
I, 14 licensed coniractor ? owner hereby requesT inspecFion of the above electrical work at:
l06 Address (Sfreaf, Box, or Rouk No.J
o Lo
- a(? NDad Ciry
? Zip Code
s5 ?a
$ection No. Township Name or No. Range No. Fire No. Counly
Hennepin
Occvpant
er ?e u2 Phona No.
S6-SG??b
Power $uppifer dress
Elethical Conhoctor (Company Name)
Harrison Electric Inc. ConMaclor Licenu No. Masfer Lic No. (Plant Elee. Only)
Moiling Addrcu (Confractor oi Owner Perfarming Inshllotion)
Aufhonz Sig aNre (C nhac?pr r.
?I ?/'?N%?l% I Per( ing Ins I'on o e No.
E&OOOOIA-10 6/95 *ATE BOMD COPY- SEE INSTRUCTIONSON BACK OF YELLOW COPY
/ (Yi//
II?III???I
*
? ??IIII ??I REOUEST FOR ELECTRICAL INSPECTION 401??
Minnesota State Board of Electricity ??; °?
? 6], 4 ? 3*- _ 1821 lJAiversity Ave., Rm. S-128, . Paul, MN 55104 ?
0
Prcrie (6 2) 642-0800 4
;t?`?
Ho e up ex Api. Bldg. Other: Ne Addn
V 'Commercial Induslrial Farm emod Re air
Air Cond. Htg. Equip. Wafer Hir. Load Mgmf. Other:
D er Ran e Elec. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the back of ihe white copy only.
a , , _ ? d (?: ?m
y-,
s G(-G? G(? h?-y.i ,??(lV
Calculate Inspection Fee - This Inspection Requesf will not be acce te;Wit{SoJF?fie rred fee:
Olher Fee # $ervice Enfrance $ize Fee # Circuits/Feeders
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps ,
$ireeT Ltg./Traffic Sig. Above 200 Amps Above 0 Amps
Transformer/Generator INSPECTOR'S USE ONLY TAL?
?/?
Sign/Outline Lig. Xfmr. ?
• .?lS
.
J J
Alarm/Remote Control
$wimming Pool
I hareb ce'tithaf I ins ect e'ml i t a' n}he dales sfofed
Ircigation Boom Rough-In
'
ecial Inspection
S L
Y
p Finvl Dat
•
Investigative Fee G
THIS INSTALLATION MAY BE ORDERED DISCONN CTED IF NOT COMPLETED WITHIN 1 8 MO HS.
3.1 t^ -14 0 OFFlCE SE ONLY This reqoest void 18 man?s fmm validaKon dak printed in this 6oR.
PLEASE PRINT OR TYPE
,
Request Dak ? Rough-in inspecfion requiredE Y.
o
d
ll
h
h Inspedion OPoar Thon Roogh-In: Q Ready Now Mxrcoll
k R
D
d
? e inspeclot w
en rea
y)
(You musl m
t a
ea
y:
I, licensed contractor ? owner hereby request inspeciion of }he above electrical work at:
Job Addreas (Sire t, Box, or Route N
? Ciry Zip Code
m? .
Secfion No. Township Nome ar No. Range No. Fira No. Counly
Oc upon
p/V Phone No.
PowerSopplier .
?c?1 . ?4ddress
Electriml Confraclor (Compan Nome)
?l
Co tmnor Li<ense N.
I
Master Lic No. (Plant Elact. Only)
?c
PS
Mailing dress (ConimQor or Owner Performing Installotian)
Authonxed Signa e IC n cfCr or Owner Perf ing I' blia;ion) ? Phone No.
E8-00001A-10 6/95 STATEBOARDCOPV-SEEINSTRUCTIgT19?ONBACNOFYELLOWCOPY
?
3 6 /a??17
- ?
Re uest te Fi o. ougn-in nspection
aq etl?
?es r No ? Ready Now Will Notity Inspactor
When Ready7
I licensed contractor ? owner hereby request inspection ot above electrical work at:
Job Adtlress (Street. Box or Route No.) Ciry
9a,o CoN?? ? a9w? 6,i
Section No. Township Name or No. Range No. Counry
V
Occupant(PR(NT) _ Phone No,
LL - P n..c /'?i/•trs ?ST -
Power Supplier Address
O-GL,??? - ?
1;;
?
"z"
7 ,;
ElBdrical Convactor (Company Na
me) Coniractor's License No.
..,
('6Y
Mailing Atltlress Contractor or Owner Making Installation)
2 65 /1104
Authorizetl Sig?n/ature IConiractonOwner Making Install n7 Phone Number
/ \ 2?1 _-77 ) /
MINNESOTA STATE BOAHD OF ELECTRICITY THIS INSPECTION REQUESAJIlL NOT
GrIqgs-Midway Bltlg. - Poom S-173 ` BE ACCEPTED 6V THE STATE BOARD
1821 UNversily Ave., St. Paul, MN 551D0 /v1 p,rn,? l UNLESS PROPER MSPECTION FEE IS
Phone (672) 642•0800 C? `?l G'/ G+? ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-aoom-oa
10- See instructions for cTnpleting this form on back ol yellow copy.
d 4 3 2 5 6 "X" 8elow Work Covered by This Request
ew AQd Rep. TypeoBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Building Dryer OtheF-(Specify) .
Comm./Industrial Furnace X ffi?l?' -
Farm Air Conditioner
Other (specify) Goutractor§ Remarks: r??•? ?y??? ?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 20? Amps =? ' 0 to 100 Amps n`
Transtormers Above 200 _ Amps Abov@ 100 Amps
SignS Inspectar's Use Only:
OTAL
Irrigation eooms ?
Special Inspection
Alarm/Communication 7NIS INSTALLATION MAY BE ORDERE SCO NECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH$/. i t
I, the Electrical Inspector, hereby ! ' r
Rough-ln
?"
certify that the above inspection has
been made. pinai ? ?a?e
; L
oFfIce use onLr
Th15 eeque5i voitl 18 momh6 fmm
K42547
V/ 919 ? ? ? ??
Request Date No. Rough-in Inspection
Requiretl?
? Reatly
Now Will Notity InSpedor
Wh
R
d
?
p Ves o en
ea
y
IX licensed contrac[or ? owner hereby request inspection of above electrical work at:
J tlress (Slreet. Boz or Route No.) C' ?
?
Section No. . Township Name or No. Ra ge No. nry
?
Occu M IPRINT
3 Phone No.
Power Supplier P.tldress
ct cal Contraclor (Compan
IE5 3
%j77(_ Co d§ Li 5e No
- l f
Maili Ad ess
IContractor or Owne ? i g Installation) ?
ifr?r M? ?6
f
?
utho ? etl Siqnat ICont tori wn Makinq Inst la' n)
'
'QL Pho b-e7r /
/-?7/
MINNEkQTA STATE BOAbD OF ELE¢TRICITV THIS INSPECTION REOUEST WILL NOT
Griqgs-MfAway Bldg. - Room 5-173 BE ACCEPTED BYTHE STATE BOARD
1821 UnIVerSITy AVe., St. Peul. MN 55104 UNLE55 PPOPER INSPECTION FEE IS
Vhone(612)642A800 ENGLOSED.
,REQUEST FOR ELECTRICAL INSPECTION EB-oowi o
Sea instmctions for compleling this brm on hack of yellow copy.
42547 ?"X" Below Work Covered by This Request
euG Add Rep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other--(Specity)
Comm.llndustrial Fumace
Farm Air Conditioner
Other (syeciry) C mractor5 Remarks: rn.ofivy
?s un ? e?,?e.{'
Compute Inspection Fee Below: f"j A
/,M Other Fee # ServiceEntrance5ize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Trenslormers Above 200 _ Amps Above 1D0 _ Amps
SI]n5 Inspedor5 Use Only: TOTAL
Irrigation Booms
Special Inspection
Iarm/Communication ?
THIS INSTALLATION MAY BE ORDERED DISCONNE IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby Aough-in Date
certify that the above inspection has
been made. Final ( Da
?' ? `??
OFFICE USE ONLY - ? -
This requBSt voitl 18 months Irom
3r?2?C.
Request p ale
^ d
Q Fire No. Ro ed in Inspedion
Re ?
_.? Yes i No
? Reatly Now t?Will Notify Inspector
'Nhen ReaHy?
1: icensed contractor D owner hereby request inspection of above electrical work at:
ob A e5 Street.///gppp z mor Fou^te No.l Ci
Seclion No. Township Name or No. Range No. Co T)?
Occ a tIPR NTI
S lS . , Phona No.
Power Supplier Atltlress
EI ri ?Cont aor (GOmpany a) oj?- 77C C ? Ct 'S License No'//
l
Main g Atl ress (Con ctor or Owner
? king Installalion)
rno?& , F ? ?
ih - etl Signatu (Con IodOwner king In II n
t? Phon umEer /?
/ /
MINNES'0TtjSTA7E BOARD OF ELECRICITV • 20's, THIS WSPECTION REOUE51' WILL NOT
Griggs-Mldway Bldg. - Room 5173 BE ACCEPTED 8V THE STATE BOARD
1821 UnivETaity Ave., St. Paul. MN 5510 UNLESS PROPER INSPECTION FEE IS
7hone (672) 642-0800 -ff Q ? ENCLOSEO.
?REOUEST FOR ELECTRiCAL INSPECTION ee-oooo,-oe
A//?/?/?ll See i;45trudioAl completing this Form on back of yellow copy. ?,?.?!,
d 0112 2 °X" Below Work Covered by This Request ? ?
ew Ada 'Ffep. Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
apt. Building Dryer Other-(Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (syecify) Contracror's Remarks: •-y'i1? l?i?
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 AmpS jFj ? to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOT
Irrigation Booms ? ?
Special Inspection `?
Alarm/Communication THIS INSTALLATION MAY BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oate
certify ihat the above inspection has
been made. F;,,ai r oaw
OFFICE USE ONLV y
This rBquest void 18 months irom
103SeJ
Request Oate . Flr o- F2ough-ln Inspecflon
Required?
? Ready Now?ll Notify Inspector
es No hen Reatlya
x icensed contractor ? owner hereby request inspection of above electrical work at:
Jo6 Address (5[reet. Box or Route No.)
.^ / !-P 6+ '-iii 0*-r "'/ City
. ?
SeMion No. Township Name 0r No. Range No. Counry^
???
Occupant(PfiINT)
tlWlrv Phone No.
Powor Supplier Atldress
: e ?' >A -fL rC?,?. L V
Electrical Comractor (Company Name) Goniraciorg License No.
4?! ?
Maihng Atltlress iComractor or Owner Making Insiallation)
? ZL
kyi 9 Instal bon) Phone Number
omra tonOewner Ma
ture f
C
Authorizetl Sig r a
/
//
??
A
/ / //l9/?/^??? VV-7_77//
MINNESOT4 ST0.TE BOARD OCTRICITY' ! THIS INSPEGTION PEQUEST WILL NOT
Griggs-Mitlway Bitlg. - Roo 173 eE ACCEPTEU BY THE STATE BOARD Univer Pho'ne (612)5642 0800St. Paul. MN 55104 9) I?/ + ?yG? \ EUNLESS NCLOSED OPER INSPECTION FEE IS
t? / v°? ?
REQUEST FOR ELECTRICAL INSPECTION s, °°r F ?' ? Ee-ooom-oa
10191 9/ ? See instmclions ioicompleting ihis form on back oi yellow copy.
'`X" Belaw Work Covered by This Request yz .d
0 1 F?71q
ew Add Re TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
• Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
CommJindustrial Furnace
Farm Air Conditioner
Other (syeaty) Coniractor's Remarks:
Compute /nspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps O
Trahsformers Above 200 Amps Above 700 Amps
$IgnS inspector's Use Onry: TOTAL
Irrigation Booms /?
Special lnspection /?? V Q
Alarm/Communication THIS INSTALLATION MAY BE O RED NNECTED IF NOT
Other Eee COMPLETED WITHIN 18 MONTHS.
1. the ESectrical Inspector, hereby Rouqh-in f o ?.
certify that the above inspection has
been made. a,e 7
l?aar
OFFICE USE ONLY
This request void 18 monihs imm ?, ?
IOI'l 3p/ l0 c3c3 L J
0 16 18
/I
Request oate Fi o. Rougn-in Mspection
B-retl? ^ /
J Ready Now IdVJill Notity Inspector
? y?/
Lr
Yes G No
A
?? When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Acdress (Siree/t Box or qoute No.)
W? /? !? /?c/ir! v
J O Ciry ? /
/ v/?/''
L?
Section No. Township Name or No. Range No. Counry
DRk-o
OccupanCfPRINTi Phone No.
Sr?Z?_C772&M -
Power Supplier
.?}9f ?0%74 c?'"L7Yt.t c. Atltlress
I?7*Ln'J W(j72>N K'l/ 4/n4
Elecirical Coniracbr iCompany Name)
?ZV"7R. t G Coniractor'S License No.
Mading Address (Goniractor or Owner Makmg Installation)
?l,yv?o2? /tS vv?
Authonze SiynaWre iC9r iractortOwner Making Installation) Phone Number
/? le ?.??( --, rD d ) Z27 77/ I
MINNESOTA STATVBOARD OF ELECTRICITY V THIS INSPECTION REQUEST WILL NOT "
Griggs-Midway Bltlg. - Room 5773 BE ACCEPTEO BY THE S7ATE BOARD
1821 UniverSNy Ave.. St..Paul. MN 55104 ?? ??? ? ?? UNLESS PROPER INSPECTION FEE IS
Phane (612? 642-0800 ? ENCLOSED.
9 REQUEST FOR ELECTRICAL INSPECTION
??//n%? ? See inslmchons tor r,ompletiny this form on baCk oi yellow copy
1 1R7 1R "X" Below Work Covered by This Request
EB-00001-08
? ?? ,??!?'•. ?D? ? ? ?
4.iese':ar
ew Add- Re"p: Typeot0uilding AppliancesWired EquipmentWired
I Home ? Range Temporary Service
Duplex Water Heater Electric Heating
Apt. euilding Dryer Other (Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other (specily) Con[ractor's Remarks.r
J•'?l
Compute Mspection Fee Below
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps pJ to 100 Amps
Transformers ? ? Above 20D _ Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigatidn Booms
Special Inspection d
Alarm/Communication THIS INSTALLATION MAY 8E OR ED DISCONNECTED IF NOT
Othef Fee COMPLETED WITHIN 18 MOPM.
I, the Electrical Inspector, hereby Rough-in o
?
certif that the above ins ection has
Y p
been made. Final Date
r .
OFFICE USE ONLY •
This request void 18 montns irom
p 58256 , . " $' -10-
Request Dale e No. Rough-in Inspection
Req -red? ? Rea(ly Now ill Notify Inspector
2 Yes C No When qeatly?
Ix icensed contractor ] owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet. Box or Route No.)
990 6N/ C .<l City
Section No. Township Name or No. Range No. Coun
Occupant?PRINT) Ir ? Phone No.
Power Suppliei'
?rJM1%rl ?? Adtlress \
?s
i 71"l rJY/uN
ElecVical Contrector (Company Name) Contractor's License No.
ol? C/
Mailing Atldre55 fCOntractor or Owner Making Ins?all tion)
?7 ? ' IGC? 0 V•!'?V ?4?N?/! ? J ? 07
Authorizetl SignaWre (C ntracbj :Owner Mak ns 6on) Phone Num6er
?? _ ?-
MINNESOTA STATE AOARD OF EL?TRICITY THIS INSPECTION REQUEST WILL NOl
Griggs-Mitlway Bltlg. - Room S-1 \ BE ACCEPTED BY THE STATE eOARD
7821 University Ave., St. Paul. MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
/?/?,/ ;EQUESTo FORoELEICTRICA?L bINSPECTION
? a=, p 9 GN p J Below Work Covered by This Request
yT11L,yi?
? EB-00001-08
ew dd Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Fumace
Farm Air Conditioner
Olher (sueafy) Coniractor's Remarks:.
4oc.9?7eo TU,rri 4?1-- 5',PEC77wn,
Compute Inspection Fee Below. (/ i -77qi
# Other Pee # Service Entrance Size Fee # CirwitslFeeders Fee
Swimrriing Pool . 0 to 200 Amps / ? 0 to 1D0 Amps ?
Transformers -/ Above 200 _ Amps 100 Amps
Signs Inspecrors Use Only: / /D TOTAL q
f-
Irrigation Booms Aa- ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED D CONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 M S. (
I, the Electrical Inspector, hereby Ro°5n-?n ,2 ?
certify that the above inspection has
been made. Final
`
)FFICE USE ONLY '
1 ?
? :' 18 months Imm
/?? ??- ios?
-'
?
5 2 6 ?
?'?
I
a
j ?
. l_ . , ..
-,
p
,,
LC
Request Date Fir o. Rough-in Inspection
Requiretl?
? Feady Now % ill Notity Inspeclor
? =?
? Yes No
V?hen Reatly?
f licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlre65 (Sireet Box or Route No-) CIhJ
90o L o1Y1N oA7c i2A9C? C C2 14 4
Secti n I o. Township Name or No. Range No, Coun
ty
^
V• O
Occupant(PRINT)
UnI?S' S 6;IV Phone N0.
^
Power Suppller Addrevs
ill /N
Eler.tncal Con1r ctor (Gompany Namel ContractorS.Llcense No.
LAl e
Mailing Atltlress (Contractor or Owner Making Installation)
Author¢e(1 Signat IConvac?on0o er Makin Installation;
. . Phone Number
??7-1
!
MINNESOTA STATE BOAflDVELECTRIGITY ' v THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway Bldg. - Hoom 5-173 6E ACCEPTED eV THE STATE BOARD
1821 Unlveraity Ave., St. Paul. MN 55707 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 9 Z-?9 97Lxn_ ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION r" ".^ 4 ea-oo?i ?s .?
?/? li See instmctions for completing this form on tack of yellow copy.
?'X" Below Work Covered by This Request
?
New Add1 Rep? ?~TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
" Apt Building Dryer Other (Specify)
CommJlndustrial Furnace
(„L
Farm Air Conditioner
Other (specity) Contrectors Remarks:
. aerW??.e mRS??r,?vs?.?
Compute /nspection Fee Below. ;?j??;c. y??U?/ ? ?C it- i.5
Jf Other Fee N ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 11 0 to 200 Amps ,:r Amps
Transformers Above 200 Amps Amps
SignS Inspector's Use Only. TOTAL
Irrigation Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE O R CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rougn-in Date
certify that the above inspection has
been made. F;lai \ oace' w?o
OFFICE USE ONLV .
This requesi voitl 18 monihs from
Reque5l Oate
J /)
•
? Fire o. gh-in Inspection
equiretl?
? Ready Now b?.Will Notify Inspecmr
? ?h
R
S ?(C ' X Yes ?No en
eady?
I?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlr@ss (Street eoz or R te=No.) ft?`
or?1? 07,Lp Jl/n
q?? Ciry
E/ai
"
Section No.
? Township Name or No. Ranqe No. County Y
??/? /,/J
Occupant (PRMT) Phone No,
Power Suppher " Atldress
Electrical Contractor (Company Name)
G?i?ir?ia.2 ??C-?/et ? . Cv . iw?• CoMractor's License No.
?t <r76 ?-
Mailing?Adaress (Coniractor or Owner Making I stallation) . , ?
79Z0 C,?<r ?2.r 1nI E l? , ? l F?J
Authoriietl Si atur Oniradori wn Making Inst A n Phone Number
7? 2?
MINNESO7/IS7A7E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room 5473 ' BE ACCEPTED BY THE STATE BOARD
1821 Unfveraity Ave., St. Vaul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION _ EpQ-/oo?oo,-m
lo. SeMnstmctions for completing ihis brm on back of yellow copy. C p ! r_17
(C ;? 1 Q 1 3 "X" eelow Work Covered by This Request
v . . r .
Rep - _
Building
AppliancesWired
EquipmentWired
Range Temporar y Service
Water Heater Eleciric Heating
E M
g Dryer Other (Specity)
ustrial Furnace
Air Conditioner
) ) CoMractor'S Remarksc
Compute Inspection Fee Below: p?
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool
Transformers''/? y 0 ta 200 AmpS
Above 200 _ Amps OV ?w 0 to 100 Amps
ove 100 a Amps 0,1
3.oD
Si9nS ' ms ecror's Use Onl : ? OTA ?
p Y ?
3
Irrigation Booms;. s
? pz0a
5pecial Inspection
Alarm/Communication THIS INSTALIATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Elecirical Inspector, hereby Rough-in ar-r
certity that the above inspection has Final a1.
a 3?
Request Date Fi No. ugh-in Inspection R qui d7
Notity Inspedor
? Ready Now)(11
. 'z? es ? No han Ready?
I licensed contractor O owner hereby request inspection of above electrical work at:
Job A'tltlress (Slreet, Box or Route No.)
99A Vcwe: V?x /ev City
C
Section No. Township Name or No. Range No. Counry
J" / /v0
OccupaN (PRINT) Phone No
,
' 'f
.Y
Y`? \ UJd/y ?
Power Supplier Address
17ft?Ga11?q G''714 C,
Elearical Contractor (Company Name) Contr ror5 LicenSe No.
LdJ C.-?? ?? .
Mailing Atltlress (Contraclor or Owner Making Inslallation)
O
'J llEz & 57-?
'A-e
Aulho'izeaNre (COnira odOwner akmg Installation Phon Number
2Z?
MINNESOTA STATEWARD OF E ?FI(?FRIqTY
GrIggs-Midway Bidg. - Room S-1173
1821 Ilnirerstty Ave.. SI. Paul, MN 55704
Phone (612) 642-0800 90
V
-/.() WOWM)
THIS INSPEC710N REQUEST WILL NOT
8E ACGEPTED BvTHE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
7/a??D REQUEST FOR ELECTRICAL INSPECTION
Ill See instmcfions for completing this form on back ol yellow copy.
(?" ? 56821 - 'X" Below Work Coveied by This Request
ew A Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporery Service
' Duplex Water Heater Electric Heating
Apt Building Dryer ther (Specity)
' Comm./Industrial Furnace
Farm Air Conditioner
Other lspeciiy)
Compute Inspection Fee Below. Contractor's Remarks:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ? to 100 Amps
ransformers Above 200 Amps Ab Amps
SIgf15 Inspecbr's Use Only. TAL
Irrigation Booms
Special Inspection
AJarm/Communication THIS INSTALLATION MAY BE ORDERE D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M THS.
I, the Electrical Inspector, hereby Rough-in oat?
ceRify that the above inspection has
been made. Final oa+?
T?-,?-
OFFICE USE ONLY
This request voia 18 manths irom
?
/
/o???s
?jrs/9/
?
p 16 7 0 6 _ ? .. ?`310 `°
Pequest Uate
ti ou-in Inspection ?./
ReIqgw',,d? ? Ready Now ?F Will Notify Inspector
.
'l g g/ I
. es G No ??When Feady?
I icensed contractor ? owner hereby request inspection of above electrical work aC
Job ACdress (SireeL Box or Route No.) Ciry
O Kq0A7eD
Section No. Township Name or No. Range No. County
OAK?OM
Occupanl IPRW7) Phone No.
Power Suppliar Address
C
" '721t? 124l !V / /?l
Eleancal Coniracror (Company Name) ConiractorS License No-
J
Maihng Atldress fContractor or Owner Meking Inslallahont
?
Authoriietl ignatur fContr tOwne Ma'rtiny Ins IlahonJ Phone Number
ta 1?27-77/(
MINNESOTA STATE B47ARD OF ELEC7a1CI7Y THIS INSPECTION REQl1EST WILL NOT
Griggs-Midway 81tlg. - Room 5-173 /! BE ACCEP?TED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 (?'j7? UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ` ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION ee-ooom-oa
li? See insiruclrons br completing this torrr, on back oi yellow copy.
73,
'`- - "X" Below Work Covered by This Request
ew Add Rep' TypeofBuilding ApplianceSWired EquipmentWired
Home Range mporary Service
Duplex Water Heater Heating
Electric
Apt. Building Dryer K ther (Specify)
Comm.llndustrial Fumace 4.115-1 l
Farm Air Conditioner
Other (specdy) Contractors Remerke
G?sjS`TCmV 4F !j'J ?,4-O*f y
Compute /nspection Fee Be/ow: //1t I)t& C4?lh'rsY'c.
# Other Fee # Service ENranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps 'L -
Transformers
Above 200 Amps
.?
Above 100 Amps C.L
SignS Inspectors Use Onl : TOTAL
Irrigation Booms ?
.?
Special Inspection
Alarm/Communicatfon THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MONTHS.
I, the Electrical Inspector, hereby Rough-in ? Date ?lf 7?
certify that ihe above inspection has
been made. F,nal ? e
OFFICE USE ONLV
This request void 18 monihs from
///5//0/03 1y
a 38481 W ?3.?°
Requesl Date i Rough-in InspeGion
Pe ? ?
? Aeatly Now Will NoM1ly Inspeclor
Yes ? No When Ready?
licensed contractor p owner hereby request inspection of above electrical work at:
,bb Address (street. Boz ar Route No.) .
9.9tO CO111€019K_Xqf}0 ciry
O_K
Section fJO. Township Name or No. Range No. . Counry
DaK01-a
OccuDmIIPHINT .?
? Phone No.
Power Supplier AOdreSs
Electrical ontractor (Company!Name) /
?
/?
'
? `?
% Comractor5 Licpense No.
e2
_z
2/
i
(
//
`C?.?` L.i
/
l
Mailing Atltlress (Comractor or Owner Making Installation) (? ..
fr
'IF
5
U?y? j
/'° ;?
C77
1
Authorizetl Signawre ICa Vaclor/Owmr Making 1 118ibn1 Phone Number .
ZZ7 77l j
MINNESOTA STATE'BOARD OF 6CECTRICITY v THI$ INSPECTION REQUEST WILL NO7
Grlggs-Midwey 81dg. - Room 5-173 \\ BE ACCEPTED BY THE STATE 60ARD .
1827 UnrversNy Ave.. St.Paul, MN 55704 '/y UNLESS PROPER INSPEC710N FEE IS
Phone (612) 802-0800 .? ENCLOSED.
:ESee QUSESIT? FORoEP ECTRI?CA?L tiNSPECTION
M'IRQR1 "X" Below Work Covered by This Request
8
ew Add! Rep. TypeofBuilding ? AppliancesWired EquipmentWired
' Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity) Qr'i GC
Comm./lndustrial ' Furnace
Farm Air Condiiioner
Olher (specity) Contracrork Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # CircuNS/Feeders Fee
Swimming Pool 0 to 200 Amps „_ 0 to 100 Amps
- Trensformers ft-40- '.? Above 200 _ Amps Above 100 Amps
Signs Inspecrork use Only: TO7AL
Irrigation Booms l ??? !t?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE ECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 W*ITHS.
I, the Electrical Inspecror, hBfCbY Rough•in oare ?_ „?
certify thaYthe above inspection has
been made. Final D
OFFlCE USE ONLY
This request void 18 monihs from
10111570 5e81?'r?5
@ 56865 j
aj??? 51??/
?
?%
?k
.
v.
'
'-
Requ t D te
/ /1 y? re No. Rough-in Inspection
Pe uired?
? Ready Now?ill Notity Inspeclor
Wh
R
tl
?
?? 4 U Yes ? No en
ea
y
I licensed contractor p owner hereby request inspection of above electrical work at:
Jo Add re?(Street, eo or Route No.) ??
h/7 7l
Lv
v Cit
Seclion No. Township Name or No. Range No. Cc nty
O N (PRINT) Phone No.
PowerAupplier uP? Atltlress
ical Gontractor (Company Name)
I
Contr tors Li nse
Ma g Address (Co/ni!rador orG?rAJia/g i?ng /In?stallation),(? /?
?
?
/
•?`?^? • +i7?L/ l / / // ?"
`d/ ! / //
L/.
Lt ¢etl Signa ure (Cont ctor!Owner ing Install tion) ?? Ph e Number
1 2
MINN SOTA STATE BOARD OF ELECT IpTY THIS I SPECTION REQUEST WIIL NOT
GNggs- tlway Bldg. - Room S•173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SL Peul, MN 104 UNLESS PROPER INSPECTION FEE IS
PhOne (612) 642-0800 ENCLOSED.
/Q// /g? REQUEST FOR ELECTRICAL INSPECTION
? J? See in5lmctiorWlA.omptefing this brm on batk of yellow copy.
,1; Fj RF; 5 "X" Below Work Covered by This Request
EB-00001-07
4 ?
? `? ?'7c?l?fLS
?? f Ik?l
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Speciry)
Comm./lndustrial Furnace
Farm Air Conditioner
O[her (specity) Conlractors Remarks: lL?S` O 0 5Ti
?T
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Pee # Circuits/Feeders Fee
- Swimming Pool 0 to 200 Amps 0 to 100 Amps 116.OZ)
• Transformers Above 200 _ Amps Above 10Amps
SIgnS Inspector5 Use Onty: TOTAL
Irrigation Booms
?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORUERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO . S.
I, the Electrical Inspector, hereby
' Rough-in Date _
?
certify that the above inspection has
"been made. F;,,ai Date
OFFICE USE ONLY
This requesl void 18 monihs from
,5'/i8/s o _ 917i1
?0 3 4.11
Ftequest Date ire No. Rough-in Inspecfion
e
d' ` /
? Ready Now YI
il
?tof
1
p Q Ye
s ? No W
h
Ready?
f en
?
I D0 licensed contractor
?Z p owner hereby request inspection of above electrical work at:
Job Address (Slreet Boz or Foute No.)
?c o
C
i /z
o
o Gity
>
a
l
r "
i
Section No. Township Name or No. Range No. Counry
4J? ?
Occupant?PRINT)
?G / Phone No.
Power Supplier Address
o W/-77
?N
Electrical COntractor (Company Name)
?
'' Contractor's License No.
..l ? -" L-
Mailing Atldress (Contractor or
'Z wner Making Installation)
? ?
RuthorizeE 5 aNr (Co actod0 er Making In Ilati 1 Phone Number
Z2 -
MINNESOTA S7AWBOARD OR5LECTRICITY
Griggs-MfAway BIOg. - Aoom S•173
1921 Unlversity Ave, St. Vaui, MN 55107
Phone (612) 642-0800
V "
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED eY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
( ? See insfructwns for completing ihis form on back of yellow copy.
9 4 1 1 X" Below Work Covered by This Request
"?A94?"', EB-00001-07
x
e Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer her (Specify) t
Comm./Industrial Furnace
Farm Air Conditioner
Oiher (specify) Contrector's Remarks /T:?,, (- JS???,. r r"? ,/?/'-?11/IJ??f ? CY..Ci.i
Compute lnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps i
Transformers ? Above 200 _ Amps n?ove 100 Amps
$ignS Inspector's Use Only: o TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 1 ONTH
I, the Electrical Inspector, hereby Rough-in Date
?/ ?
certity that the above inspection has
been made. Final
• ate
??6?
OFFICE USE ONLV
This request void 18 months from
;c/'? /SV ; 9 9o 5Cv
? 5 6 87 O,C:_?,-i//a_3 ?o 90
Fiequest Date
O?
0 Fir No. ugh-in Inspection
q? ed?
? ? l
? Ready No?ill Nolify Inspector
?Nh
R
/ es ? No en
eatly?
I icensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Strsel, eoa or Route'Nno.) n-^
W?
??
? Ciry
V
/ v
v
? ?
Seclion o. Township Name or No. Range No- Goun
OcCUpanf (PRINT) /? •
41140v/ Phone No.
Pewer Suppl
i
r
e Atldress f
,
?
/
n./"J J / C1
Electrical Co br (Company Name) Contr or§ ?ic,ense N,o.
? Gqv C.o'1t1YLL! nrrJ ?Tl ri7r
Mailing Address (COntractor or Owner aking Installation)
2' e
Authorizetl S1ign re (Contrac r,'Owner Making Intallat )
?" Phone Number
ZZ?-? ? ! I
MINNESOTA STATE BOARD OF ELECTRIpTV THIS INSPECTION REQUEST WILL NOT
Grigga-Midway Bltlg. - Room S473 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., St. PaW, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (872) 642-0800 :4r4?'n_ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
lb. See instructions for completing this brrn ;n back of yellow copy.
?6 8 7 Q "X" Below Work Covered by This Request
Ee-00001 -07
?
??-
?
ew ,4dd° Rep. ' Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt. Building Dryer • Other (Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
Oiher (specity) Goniractor§ Re arks: /_ ?(P?'o?J ?. f?iapc?r ??v? Fns'
Compute Mspection Fee Below: p/?)r r/1+ UY+'J 1
# Other Fee # Service Enirance Size Fee # Circuits/Feeders Fee
Swimming Pool D to 200 Amps o to 100 Amps
Transformers Above 200 Amps ? Above-40Q_ Amps
Signs Inspectar5 Use Only: ? TOTAL
Irrigation Booms ? 5?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee / COMPLETED WITHIN 78 MONT
I, the Electrical Inspector, hereby Ro°9h-'°
•
6 a?
certify that the above inspection has
been made. Finai
? Date p
OFFICE USE ONLY
This request void 18 monihs irom
?51118150
C? 03c?12 . .?l . ? ?
Request Date Fir No. gh-fn Inspadion
? e' d?
? Reatly Now Will Notiry Inspector
W
?
1 ? Ves ? No hen Ready?
I? licensed con[ractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Slreet, Box or Poute No.)
2 Ciry
11
6)
0
Ox 9#
Sedion o. 7ownship Name or No. Range No. Counry
Occupant (PRWT) Phone No.
Power Supplier Atldress
N
Electrical Contractor (Company Name) ConV ctor5 License No.
.
/?
Mailing Address (Contracror;j Owner Making In allation)
?
'.! 'C<
G /"" f LU0y10/w
7
Authorized Sigpatur (Co iractori ner Makin Install ion)
/ `? Phone Number
MINNESOTA STAT€BOARoF ELECTAfCI'U ? THIS WSPECTION REOUEST WILL NOT
Gdppe-Mldway Bldg. - Room 5473 ? BE AGCEPTED BYTHE S7ATE BOARD
1821 UniversHy Ave., St. Paul, MN 55t04 leiJ?^?lc?+ UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ?v? ? ??` ENCLOSED.
C?n3412
REQUEST FOR ELECTRICAL INSPECTION
l, See instruclions for completing this form on back of yellow copy.
"JC" Below Work Covered by This Request
es-ooao, o
ew Afe i ° Type of Building AppliancesWired EquipmentWired
Home ge Temporery Service
Duplex r Heater Electric Heating
Apt. Building r
l Other (Specify) . f C
Comm./Industrial ace
Farm onditioner
Air
Other (specily) Contractor'SRemarks:?^
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # . Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps r 0 to 100 Amps
Transformers ? Above 200 Amps , ?A-00 _ Amps
Si9nS Inspector5 Use Only:
OU
/
Irrigation Booms _ ??
UI I
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee • COMPLETED WITHIN t THS r
I, the Electrical Inspector, hereby Rough-in
certi that the above ins ection has
? P
been made.
Final
ate
OFFICE USE ONLY
This request void 18 months Irom
%
S 5 6 8 6 7 a-e ..f.
15
Re ues ate
? Fir No. ough-in Inspection
Requiretl?
? ??
? Ready Now f}t'lNill Notity Inspeaor
R
??N
? Yes
?No hen
eady?
?
I licensed contractor L-3 owner hereby request inspection ot above electrical work at:
,1!!I) A ss Street. B?out? OV5 ? n
!? Ci ?
Section No. Township Name or No. Range No. unry
tD ? r+
O p nt(PRINT) ??
?l a4/ Phone No.
Power Supplier Address
nI Contrac IComp y Na ConicOrS ic sg,NO.?
V `
MAddress (Contractor o e aking Installation) " f ? /? ?{
?
/
?
? '?-/?i?"/l
/
V
?
A ze Si nat ICon or/OwnerakingIn II ion)
' 0 Pho
7?l
MINNALSOTA STATE BOARD OF ELEVRICITY THIS INSPECTION REQUEST WILL NOT
Grlgge•Mitlway BIAg. - Room 5173' ? BE ACCEPTED BV THE S7ATE BOARD
1821 UNversfly Ave., St. Paul, MN 55104 UNLE55 PROPEF MSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
1??5?r-0
A 56867
REQUEST FOR ELECTRICAL INSPECTION
? See instmctions for completingthis form oA back of yellow copy.
"X°Below Work Covered by This Request
?n ?
?r ?QEe-oootli-o7
?-
e -Add Re? Typeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (SpeciTy)
Comm./lndustrial Fumace
Farm Air Conditioner
Olher (specily) Goniractor's Remarks:
? c.er
Compute Inspection Fee Below:
# Other Fee # ServiceEnirenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps f 0 to 100 Amps
Transformers Above 200 Amps Above i00 _ Amps
Signs Inspector§ Usa Only: TOTAL ?
Irrigation Booms ,J^? /
Special Inspection J?
Alarm/Communication THIS INSTALLATIQN MAY BE OR D DISCO TEDIFf NOT
Other Fee , Q COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final Date
?
OFfICE USE ONLV ?
ThiS request void 18 monihs trom
? 01
080 ? c/C ?So
.
3 .?'k J- 'I/o? -
Re ues? ?ate ?. No. Rough-in Inspection
eQu etl?
O Fleady Now i I Notity Inspeclor
? - es C No hen Reatly?
f licensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Streei. Boa or Rome No.) Ciry
P L ar/C 049c ?4'W
Section No. Township Name or No. Range No. Counry
r' ??'Tl??lr7
OGCUpanIIPRINT) Phone N0.
' pqqpfy
Power Supplier
p?
I?AX Atltlress
`
"' 17
Electrical Contractor ICompany Name) Contractor's License No.
C.. t/ ?j- /?-? `9?MJ??
Maihng Atldress IContractor or Owner Making Installation)
S
?
Z-7 L.
ALIL &e /??V :/ / ? ??
J
Authonzed Signature ( ntractor Owner Making Ins
tion) Phone NumOer
)
? Z27-7-7/
MINNESOTA STATt BOARO Of ELECTRIqTY THIS INSPEC7ION REQUEST WILL NOT
Grlggs-Midway Bltlg. - Room 5479' ///yyy \ 6E ACCEPTED BV THE STATE BOARD
1827 University Ave.. St. Paul. MN 55104 ?Z '70 ? ?C.?yt J UNLESS PROPER INSPECTION FEE IS
Phone (612) 662-0800 ? ENCLOSED.
?? ??f? REQUEST FOR ELECTRICAL INSPECTION qe?e-ooooi-oa
p n ? ? See inslructions for completing this brm on back of yellow copy.
L Q;;1,4! S 0444,j'X" r4@w Work Covered by This Request
ew Ad7l Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Dupiex Water Heater Electric Heating
Apt. Building Dryer OtheF.(Specity)
CommJlndustrial Furnace (,e
Farm Air Conditioner
? Other (specifyl Contractor'S Ramarks'. ?
Compute Inspection Fee 8elow:
# Other Fee # ServiceEntrance5ize Fae # CircuitsJFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers / Above 200 _ Amps Above 10 _ Amps
SignS Inspecror5 Use Only: TOTAL
Irrigation Booms .
rl,07
Special Inspection f
Alarm/Communication THIS INSTALLATION MAY BE ROgFftD'DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S.
I, the Electrical Inspector, hereby Rouqn-,n oaie/ _
certify that the above inspection has
been made. Final oate
?J
OFFICE USE ONLY
ThiS fEQu25t v0id 18 month51fOR1
?'?-
?? Y /v
?
d 5? 66 ?79 s?
&
0
aequest Date , -
`
'
' ,re N aou9h-in Inspectio
n
Req ed1
? Ready NowWill Notify Inspector
Wh
R
d
?
?
1
q' ?. Yes r No en
ea
y
I licensed contractor ] owner hereby request inspection of above electrical work at:
Job Addce/ss? (Street. 8ox or Aoute No.)
(,o,/e-l..e4x 12D Ciry
Section No. Township Name or No. Range No. Counyfy?
Occupant(PRINT)
?-7 ?Iy1 M?41L1?'TtN
/N? Phon Na.
??/
Power Suppher
,bAk_oT"4 4C4-7c.? /z/c. Address
f°r.-zmf?v4?'o!
Electrical Contracror (Company Name1 Conhactor's Llcense No.
?S q2J n-'T "-1
Malling 0.dtlres5 lGOntracbr of Owner Making Ins\alla(ion)
'4
VL All""ll"I
5?_ 1
Authonzad? Signature IContractor/(Q/y+ner M`aking InsAtalla\tion) Ph?one Number
/ / l p " y°Z7 - / /?//?? -
MINNESOTA STATE BOARD O0LECTPICITY ?- THIS MSPECTION REOUEST WILL NOT
Griggs-MiEway Bldg. - Room 5-178 •. BE ACCEPTED BY THE STATE 80ARD
1021 Universily Ave., SL Paul, MN55104 l1NLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 '0- 'T7_-9?' ?'?n} ENCLOSED.
?J/:,!/9? REQUEST FOR ELECTRICAL INSPECTION
T ? See mstmcLOns for completing Ihis form on back ol yellow copy
? C?? 9 r7? R - "X"8elow Work Covered by This Request
yme?
EB-00001-08
New Add Rep. Type of Building AppliancesWired EquipmaniWired'
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)G 1.4?;
Comm./Industrial Furnace
Farm Air Condilioner
Other (specify) Coniractors Remarks. ? c
152rT TCwRrvr Irt NEV.r
Compute /nspection Fee Below:
# Other Fee # ServiceEntrance Size I Fee # Circuits/Feeders Fee
_
Swimming Pool 0 to 200 Amps .,?
111
0 0 Amps
zet
_
j Transformers 3,25 Above 200 Amps Above 10 Amps
SignS Inspector's Use Only: G I OTAL
Irrigation Booms 177't? a r
Special Inspection
Alarm/Communication THIS INSTAlLAT10N MAY BE O D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHff:
I, the Electrical Inspector, hereby Rou9n-in Date
`
certi that the above ins ection has
?Y P
been made. Final Date?! aG 1
?-'
OFFICE USE ONLV
This request void 16 months irom
001
K' 4234 /o'Fos y
o
# ?-?,z??
Requ st Date
• n Inspection
i. Nov
h ? ?
• ? ?' V d?
XY
.,
G No D Ready Now J? Will Notify Inspeclor
f?When Reatly?
I.,licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOdress (Sirael. Boz or Route No.) Gity
/?
W qG ?./1?>
Section No. Township Name or No. ROnge Nu. ' CouMy?
Occupam (PRINT) Phone No.
Power Suppliar Address F
EI9Ctrical ontraclor (Campany Name) Conlrectors License Np.
Mailing Atltlress IContracror or Owner aking Instailationl
.?
AWhorizetl SigneN ICo tra orl w er Making stall tio Phone Numbe,
-7 -7
MINNESOTA STATE BARD OF ELECTRICI7V
GNgga-Mlaway Bldg. - Room S173
7821 UnfversHy Ave., SI. Peul. MN 55104
Phona (612) 6E2-0800
V
THIS INSPECTION REOUEST WILL AOT
BE AGCEPTED BYTHE STA7E BOARD
UNLESS PROPERINSPECTION FEEIS
ENCLOSED.
K 42ur4-"- 34
REQUEST FOR ELECTRICAL INSPECTION
? See insiructions for completingthis torm on back of yellow copy.
"X" Below Work Covered by This Request
•w;"?.. EB-00001-08
e l?dd Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Other-(Specify)
Comm./lndustrial Furnace ?
Farm Air Conditioner
Other (specily) Contraclor's Remairlks:
?? ?D CNC- ? S Il.-V w?
Compute Inspection Fee Below:
#t Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps
Transformers 0 Above 200 _ Amps Abov .Amps
SIgnS Inspector5 Use Only: T TAL
10?
Irrigation Booms ? ?
O
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE RED DISCONNECTED IF NOT
Other Fee COMPLETED WITHiN 18 MO yS
1, the Electrical Inspector, hereby
' Rough-in
v?
certi that the above ins ection has
? p
been made. Final Dete//
OFFICE USE ONLY
Thi"s request void 18 month5 Irom
16 Z:sa /
? 5' 2 71 ?Pk 3 5o
Requesl Date 'r - Fire No.
? hl -in Inspettion '
Required? ? Ready Now l Noti/y Inspecror
??
r< < When Ready?
es C No
I `censed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Sireet. 8ox or Route No.) Ciry
?-('lf3o 6ACNtr 10.*cc /?o /-W
Section No. Township Name or No. Range Na County
Occupant(PRINT) PhOne No.
+Y &j: t r? l,y tCV1a^ 41
Power Supplier Addre/ss+
"i 1M.7/1
Crj?q
Elqcirit3l Coniractor (Company Name) ConireCtors License No.
lY/0`f ?i'C! ?+?t9?'1? X7?'fn.f7-'G?UnJ ?o li
Maihng AaAress iCOntreclor or Owner Making InetallaLOn)
?/ ` IAJ'?O1LL? I'? K.
-,IP4 V I'?1/r Ja?? I J
)
Amhorized Signa re IC tractorOwner Making Installation)
7ZX" ?s'-i ) Phone Number
Z-r..-7 -7 -7 i
I
MINNESOTA STATE BOARD OF ELECTRIpTV - THIS INSPECTION REOUEST WILL NOT
Griggs•Midway Bldg. - Room S473 BE ACCEPTED,BV THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 - f?? ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION
Pill See instructions for complebng [his brm on Oack of yellow copy.
`X"^Below Work Covered bV This Request
EB-00001-O8
s ~ Y?'`?, O SSO
4.?.d?.
ew Add Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm.llndustrial Furnace
' Fa Air Conditioner
?
Contracrors Remarks/y/w
Compute Inspection Fee Below:
ik Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps lyl O to 100 Amps
Transformers Above 200 Amps r" Above-100 ? Amps
$iJf15 Inspector's Use Only. --1
. OTAL
?
Irrigation Booms ? ,?f
Special Inspection ?
AlarmlCommunication THIS INSTALLATION MAY 8E ORC??FfED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 16 MON S
•
I, the Electrical Inspector, hereby Rou9n-in
?? i--:
certify that the above inspecfion has
been made. Dale
?OFFICE USE ONLY
I7his request void 18 mon[hs 1rom
/0/8' 9apo--
? 5 8 8 o? /
uest Dare Fff e No Rough-in Inspection
RequirBtl?
? Ready NoW YWill Notify InspeCtOr
? Yes No When Reatly?
Ixlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (Street. Box or Route No.) . Gity
o L - ?, '?'i3 v ' Ae/
Section No. Township Name or No. Ranqe No. Counry
r.4 a
Occupant(PRINT) , ? _ • Phone No.
ritJ ' /.ag '?ICf ?
Power SupPher Address
Electrical Comrecror (Company Name) Contractor§ Licen9e No.
L 1 CA
MBiling Addre55 (Conlracmr or Owner Making In5lallali0n)
rL il,E . . e.)
Ira t3o x 043 S,.10L, t.'1?f,? s:s >v Y
Autho e Ign ure (Comracto/rwner Making Installation) Phone N?Um,ber
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
? Griggs-Midway 81Eg. - Room 5-773 BE ACCEPTED BYTNE STATE BOARD
7821 Universlty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
{rypne (512) 562-0gpp ENCLOSED.
H
REQUEST FOR ELECTRICAL INSPECTION
ll? See instmctions for completing lhis brm on back ot yellow copy.
X" Below Work Covered by This Request
EB-00001-08
?,??•g1,Q?'Q? ?
ew Add .F?, TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. 8uilding Dryer Other (Speciry)
Comm.llndustrial ' Fumace j?jqt 4
Farm Air Conditioner
Other (speciry) Contrector's Remarks. Compute 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 Amps ]
0 Amps
3§_0va-V
Signs Inspector5 Use Only TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORD 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. F;,,ai ? oate
OFFICE USE JNLV
This requesl voitl 18 months from
1?/ /oR F9J
a 70006 0:pl7f oO
Request Date Fff No. Rough-in Inspeaion
RequirCd4
? Feady Now N*ill Notity Inspeclor
09-05-91 ? Yes LAW When Ready?
IEiicensed contractor .iD owner hereby request inspection ot above electrical work at:
Joti Atltlress (Streel, 8ox or Roure No.) Ciry
980 Lone Oak Road Eagan
Section No. Township Neme or No. Range No. Gounty
? Eagan Dakota
Ocwpant (PRINT) Phone No.
Armstrong Business Center
Power Supplier j
,;?&r ?A Atldress
Eieclncal Convactor (Company Name) Gontrector5 License No.
'Olympic Electric Company, In c. 0396-32-9
Mafling Atltlress (COnlractor or Owner ng Installation) 1*7
7103 Am ndson A nue Sout Edina, MN 55439
Autnorized Sig (Co ct ! ner Making Installati Phone Number
•. (612) 944-7400
MINNESOTA STAT BE OAFIGOF ELECTNICRS' ? i THIS INSPECTION REQUEST WILL NOT
Grigga-MlAway Bldg. - Room 5473 BE ACCEPTED BY THE STATE BOARO
1821 Univerofty Ave., 51. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0900 ENCLOSED.
9/?/gl REQUEST FOR ELECTRICAL INSPECTION
? See insVUCtions for completing this form on back of yellow copy.
fm, 7. n n nf; r`JC" Below Work Covered by This Request
ee-aoooi-os
ew Add Rep. Typeaf8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specily)
Comm./lndustrial ' Furnace
Farm Air Conditioner
Olher (Specity) Contractor's Remarks:
Compute Inspectron Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool j 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps e 100 Amps
Sigf13 Inspecror's Use Only:
, TOTAL
Irrigation eooms /
,? 15.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R°°an•in _ " , aie
certify that the above inspection has
been made. Final ct
Y/
OFFlCE USE ONLY •
ThiS reque3t voiA 18 moMhs from
REQUEST FOR ELECTRICAL INSPECTION
? ? See instructions for completing ihis foim on back oF yellow copy.
52461 r"X" Below Work Covered by This Request
ea-oowi-oa
ew A?_4d 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 Isyecityl Cornractor5 aemarks: '.. ?5DI+ N, p
e- i Sv/i 7-U8 V Feede.f (,? b-3?> k'8DV
Compute Inspection Fee Below: jp?o-3D /10 y
# '- Other Fee # Service EntranceSize Fee # CirouitslFeeders Fee
- Swimming Pool
_ 0 to 200 Amps 0 to 100 Amps
Transformers 5KVT . Above 200 _ Amps ? Above1,00 Amps
$19f1S Inspeclor'sUSeOnly. TOTAL 147
5?
Irrigation Booms .
Special Inspection 148
00
Alarm/Communication .
h?IS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. R°ugh-in
Finai W Date
oate
OFFlCE USE ONLY
7his requesl void 18 months iran '
RE?UEST FOR ELECTRICAL INSPECTION Ee-ooham•oe
a'
?,? `?
? See instructiops tor completing this form on back of yellow copy. k
K 42526 °X" Below Work Covered by This Request ??L?
e' Add Rea. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./lndustrial Furnace U
Farm Air Conditioner
Olher (specity) Gontractor's R XwsCy?- ? fwAn y?ty1_, ,us- Jr ?
a..? o
Compute Inspection Fee Below: ???A/?f,sf?? 5?? fl??$J G'7'?'?. -??95E ?'
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transtormers y' ?1 p_ Above 200 _ Amps .4bove 100 _ Amps
SignS Inspector's Use Only: TOTAL
' Irrigation Booms _
Special Inspection ???• a
Alarm/Communication THIS INSTALLATION MAY BE OR ONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqh-in oat
certify that the above inspection has
been made. F;,,ei e
OFFICE USE ONLV ?
This raquest voitl 18 manths from
?--
? 2
Request Date ire o. Rough-in InSpec[an
Requiretl?
? Fleady Now 10 Will Notity Inspecror
01-21-93 ?V- Yes GNO WhenReady?
IKI licensed contractor p owner - hereby request inspection of above electrical work at:
Job Ad"dress (Streel. 8oa or Poute No.) Ciry
980 Lone Oak Road Eagan
Sedion No.
Township Name or No.
Range No.
County
Eagan
I Dakota
OcCUpant (PRINT) ' Phone No.
Expeditors International
Pbwer Supplier Address '
Dakota Electric 4300 220th Street W/Farmington
Electrical Contrecbr (Company Name) Comractors License No.
Olympic Electric Co., Inc.
Mailing Atltlress IContraclor or Owner Making Inslallation)
uth Edina MN 55439
Authorixe ign r o ac or er Making I F Phone Number
` 12 44- !+GG
MINNESOTA5TA7E BOARDIOF ELECTRICRY THIS INSPECTION REOUEST WILL NOT
GNggs-Midway eltlg. - Room 5773 BE ACCEPTED BV THE STATE 80ARD
1821 UniversiTy Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED. -
K4 526 /0?702 cle
9/er9?i'?2Ti °y
Request Date,
?
? Fir Rough-in Inspection
Re iretl?
? Ready Now Will Notify Inspec[or
/
? ? Yes G No hen ReaCy9
I ticensed contractor ? owner hereby requesi inspection of above electrical work at:
Job Atltlress IStreet. Box or FoNe No.1 Ciy
?O C.cxve oAK- I`o
Sedion No. Township Name w No. Range No. Counry
7JAk-o
OcCUpaM (PRINT) - PhOne No.
t.U#1fM11r,16 DI4f
Power SupPlier
& G Mdre
Electrical Contracbr (Company Name) Contractor9 License No.
P7
Mailing Address IConiractor or Owner Making Instd(lation)
'Z
-7 -7 6 °7 7,?Q-
Aulhorized Si nature (Cont clonOwner Making Installation) Phone Numbar
2 i.. ! -7 / ?
MINNESOTA STATE IlOiRO OF ELEO{RICITY
Griggs-Midway Bldg. - Room 5-173
1821 University Aue., St. Poul. MN 55104
Phone (612) 642-0800
v ?
THIS INSPECTION REQUES7 WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
4 535 /o??s??'
, a ? - C`r„?? ???v
Requast Date
. f
^
' - F?e o. ) Rouqh-in Inspedion
Requiretl?
? Reatly Now ??41?Nill Nolify Inspector
`??'Nh
R
p1 1? ?
•,,7 ?Yes No en
eatly?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No.) City
O WiM
Secrion No. Township Name or No. Range No. Counry
OccupantlPRINTI Phone No.
Power Supplier - Ntltlress
u ?N N
Electrical Coniraaor 1Company Name1 ContractoYS License No.
a?? cpj M
Mailing Adtlress 1 ntrector or Owner Making Installationl `r
S
Authonzetl Sgnature IGOnir ctonOwner Ill aking I allation Phone Number
2Z?- l7?
s
MINNESOTA S7A7E 90AOb OF ELECT(lICITV TNIS INSPEGTION REOUEST WILL NOT
Griggs-MlAway Bidg. - Room 5773 BE ACCEP7ED BY THE STATE BOARD
1821 Univeniry Ave., St. Paui. MN 55104 ?7 ?I UNLESS PROPER INSPEC710N FEE IS
Phone (612) 642-0800 ? L? - ??O' ENCLOSED.
/p,???? REQUEST FOR ELECTRICAL INSPECTION
?? V ? See instmctions br complating this form on beck o1 yellow copy
4 2 5 3 5 ?X" f}elow Work Covered by Thrs Request
?me
?v?•?? Ea-aoooi'-a/a
o?°?,y?,.??(' ?4???^?
'ft,'?y?V?
e ArJd Re'?,. TypeofBuilding AppliancesWired EquipmeMWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other,(Specify)
Comm./Industrial Furnace NY
Farm Air Conditioner
O[her ?syecify) Coniractor'S Remarks: n?"?? ("'????
l., ? J
Compute Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps ove Amps
Signs InspectorS Use Onry: /,?. b TOT
Irrigation Booms ? ?GCJ ` ?
Speciallnspection ,?
Aiarm/Communication Z THiS INSTALLATION MAY BE ORDEpED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, ihe Electrical Inspector, hereby Rough-in ?
' ? P oace
6?
certif that the above ins ection has
Y P
been made. Final (/;;_ , te ` h??
? d
OFFICE USE ?NLY
This request voitl 18 monihs irom ???.. + ..,?n/(?
1d`7/y1 REQUEST FOR ELECTRICAL lNSPECTION
? l ? See Insiructions for_completing thls torrn on back ot yelluw copy.
1 1. .(', 7 7n X° Below Work Covered by Thrs Request
.
ee-ooooi-oe
?,, ?1 a?S?
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
? . I Duplex Water Heater Eleciric Heating
Apt.Building ? Dryer Other(Speclfy)
Comm./Industrial Furnace
Farm Air Conditioner
Olhe, (specifyl ConiraciorK Remarks'.
?
Compute Inspection Fee Below:
# Other Fee # Service Entrance Slze Fee # CirwitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps Z1Z
Transformers Above 200 Amps Above 1 Amps
Signs Inspectors Use Oniy: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S. 10
I, the Electrical Inspector, hereby Rou9n-in Date lG?, r?q
[ d (
certify that the above inspection has
been made. F;nal
OFFICE USE ONLY
?
This request voltl 13 months irom
'
?
/?/.7 S/ /03<3? J
p 16 2 0 a A. p,
Reyuest Date Fir o. Rough-in Inspection
e iretl7
? Ready NOwill Notify Inspector
?? When R
ad
?
va5 E No e
y
Xlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldres5 (SireeL Box or Route Na.) /?
? ""
W TG L'//?ic. •'.'•! Clty
w ,
Section No. Township Name or No- Range No. Counry
Occupani(PRINT)
i i/c/iiPKyvI / /t 1.L Phone No.
Power SupPlier
O6?Ko%?9 AdUress
?-?XC1Yr1iN?rJ
Electrical Comracior (Company Namel Coniractor5 License No.
K S Cezrm-4 O
Mailing Atltlress IContractor or Owner Makin9 Inslallation)
Aufhorizetl Sign Wre (CO racto"Owner Making Inst II - n?
x /? Phone Number
Z?? '7V/ '
MINNESOTA STATE 90ARD OVELECTRIGTY THIS MSPECTION REOUEST WILL NOT
Griggs-Midway Bltlg. - qoom 5-173 / BE ACCEPTEID BV THE STATE BOARD
1821 University Are.. St. Paul. MN 55704 9(_
Phone (612) 642-0800 `? UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
a/?a----
40 le!"2 7.95s
t
J 2 440,??/ gj,4.70
Request Date ire Rough-in Inspection
fiequired?
? Reatly Now f`Lill Notity Inspector
09-29-92 X-Xves ? No When Reatly?
ICkkcensed contractor D owner hereby request inspection of above electrical work at:
Jo6 Atltlress (Streel. 8ox or Route No.) City
980 Lone Oak Road, SUite 160 Eagan
Section No. Township Name or No. Ranqe No. County
Eagan Dakota
OcCUpant(PRINTi Phone No.
First Air Inc./Armstrong Bus. Ctr. II
PowerSupplier Address 4300 220tl'1 .St. w.
Dakota Electric Farmin ton MN
Eleclncal Contractor (Company Name) Coniractor? License No.
CA0 1370
Mailing Adtlress (Contractor or Owner Making Installation)
Authorizetl Signatu ( ntr c oriOw Making Ins lahon Phone Number
c 612 944-7400
MINNESOTA S7A7E BOARD 6F ELECTRICI7V THIS INSPECTION REQUEST WILL NOT
GrIggs-Mitlway BIOg. - Foom 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSEO_
f,,1- REQUEST FOR ELECTRICAL INSPECTION
10, See instmctionrior comple4ng this lorm on back of yellow copy.
J52440 `7C" Below Work Covered by This Request
EB-00001-06
ew Add Rep. Type of Building AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Conlraclor§ Remarks: 1- 1003 480V 8- 208 Z L0V
Compute Inspection Fee Below: 1 - 100a 250v 5 - 20a 277v
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 ta 200 Amps J
0 to 700 Amps
Transformers 3 0IZV $. U Above 200 Amps Above 700 _ Amps
SIgnS Inspecror's Use Only: OTAL . S
Irrigation Booms ?
. 98.50
Special Inspection .,
Alarm/Communication THIS INSTALLATION MAY BE ORPVH? N EC?TED IF NOT
Other Fee COMPLETED WITHIN 18 MONT ?
I, the Electrical Inspector, hereby
i Rough-in ?• ?
~
certify that the above inspect
on has
been made. Final
f oat
-?6
OFFICE USE JNLV
This requesi void 18 months from
REQUEST FOR ELECTRICAL INSPECTION
4???, v?G ? Mi'nesota State Board of Electricity
1' _1 University Ave., Rm. S-128, St. Paul, MN 55704
i*i.ie (612) 642-0800
Home Du lex Apt. Bldg. Other: New Addn
Commdfcial Industrial Farm Remod Re air
Air Cond. Hlg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heaf Temp. Service
°X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
h. b Cp
??*e NecA-)
q'I
/9t?cA I n e. ,Qecepipc e.s. , ?1-? -??
f? ?
Calculate Inspection Fee - ihis Inspeclion Requesl will not be accepte wifhoul t e correct fee: y- 3J tIO
Other Fee # ServiceEntrance Size Fee # Cirwits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps ? 0 to 100 Amps ,() p
Street Lig./Traffic Sig. Above 200_Amps Above 100_Amps
Transformer/Generator 50 INSPECTOR'S USE ONIY ` TOTA-
L
Sign/Oudine Lfg. Xfmr. O 7
Alarm/Remole Control
$wimming Pool ? 1
" ?h
l
t
i
I h
b
l i ( d
h
h
d
ld
Irr'igafion Boom . e e
ere
a
r
ce
et
co
escn
erein on
R i
e
otes-sto
pore ? ;?[
Speciallnspection Q
Investigafive Fee
TMIS INSTALLATION M
AY BE O :Z!A
RDERE DISCON ED IF NOT COMPLETEn WI Do% ?
THIN 1A M(1NTHS
OFFlCE USE ONLY This request wid 1 B monfhs from volidafion dafe printed in ihis 6ox.
-?i / -n2 /'?
og C
ag
4V
* 0 4 2 3 5 3 2 L* PLEASE PRINT OR TYPE (?9
Reqoest Daie ? Nougffin inspection reqaired? -XYes ? N. Inspeclion Other Thon RougMn: ? Reody NowQ?aNill Call
/r Ja ??7 tYou must mll the inspector when reody? Dale Ready:
I, ';9licgnsed con rador ? ow he eb s inspeclion of the abov lectriwl wo - .S
1ob Address (Street, .) Ciy
$ection No. Township Nome or No. Ronge No. Fire No. CouNy l
/C ?T M
Occupont Phone
No.
rt
acc
yyl 68 - 49
Powei Supplier Address
Elechical Conhncfor (Company Name)
I El
e
r
(
4
-
6
R Contracbr License No.
o 6 Nwsfer Lia No. (Planl Eleci. Only)
e
IM
?
-
Kj
,?.
ce'
K c a ois
>
Moilcng Address (Canhacbr or Owner Performing Insfallation]
njE
?'yi? v?SY?l
81
a a 2"
4 j 51
,
4 1 miln
,
snt.'
.z
Auihorized SigiwNre (Con or or Owner Performing Insfa 'onj Phone No.
?rX3 -95L8
EB-0000IA-I 1 8/96 ` S7ATE BOARD COPY - SEE INSTRUC710NS ON BACK OF VELLOW COPY
(e?6 2/T21
Request Da:e
/ N. Rough-in Inspection NOTICE: You Must Call Eledrical Inspeclor
equi d? II A Rough-In Inspection
es ? No Is Requiretl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job AddrP,ss (Slreet, B)x or Route No.)
? ez)
6
4 Ciry
tq
e
-
Q
0^ ?w
Sedion No. Township Name or No. Range No. County
. o
Occupant (PRINT) ,
it" L(??? ??j SL' c.D Phone Pdo.
Power Su lier Address
T •N ?
Elecirical ConJrqCtor (Company Name) ? CoNraclor's License No.
/ ? G I
Mailing Address (Contrador or Owner Making Installa[ion)
Ef
7
-
7 ?
-
.
Authorized Signature (C niract /Owner Makin nstalla ?) Phone Number
D 2Z7 -7 />
MINNESOTA STATE BOARD OF EL'ICTRICI7Y THIS INSPECTION REQUES7 WILL NOT
Griggs-Midway Bldg. - Raom 5-173 BE ACCEP7ED 6YTHE STATE BOARO
7821 University Ave., 5t. Paul, MN 55704 ! UNLESS PROPER INSPECTION FEE IS
Phone (672) 642-0800 ? ?CL ? ? 'gigo ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION
? ? See instructwns tor comple[ing this form on back of yellow copy.
M2 3 21 "X" Below Work Covered by This Request
»...
,??? O/ rlB
?
ew /{dd Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) CoMracror5 Remarks: L-'J(?l /e?^Ayyi
?N (
? P? srs s S,? ?
Compute lnspection Fee Below: , f ,(e
# Olher Fee # ServiceEntrance Size Fee # Circuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs InspecmrS Use Only: TOTAL
Irrigation Booms ? i 7
Special Inspection `
Alarm/Communication THIS INSTALLATION MAY BE ORUERED 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 Date ?7?
-7- •-?/
OFFICE USE ONLY
This request voitl 18 momhs from .
REQUEST FOR ELECTRICAL INSPECTION
? ? 6?"?? Ee-ooo? o-o
See inslruCtions fo? pletiny this Mrm on 6ack of yellow copy.
?Y
4 3_ 2 6 7 "X" 8elow Work Covered by This Request N-,?-A,7
ew Add rEiep. Type of Building AppliancesWired EquipmentWired '
Home Range Temporary Service
Duplex Water Heater Electric Heating
• Apt. Building Dryer Otheo-(Specify)
Comm.llndustrial Fumace
Farm Air Conditioner
Other (speciyl CoNractor5 Remarks'.
Compute (nspection Fee Below: u <L. io>ni
# Other Fee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o ta 100 Amps e
Transformers C' Above 200, Amps ve 100 _ Amps
Signs Inspector5 Use Only: TOTAL ?t
Irrigation Booms 9?
Special Inspeclion ?
Alarm/Communication THIS INSTALLATION MAY BE OROE DISCONNECTED IF NOT
,01 0! Fee COMPLETED WITHW 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in ? oete
certify that the above inspection has
been made. F;nai
- oace
OFFICE USE DNLV .
1hi3 feque5t void 18 months from -
a7a/$cj
Ll 4 2*1-,(a 7/ m
Requ st Dale ae"No
? ? i.
' Rough-in Inspedion
' d?
? Ready Now ill Notiy Inspecror
Wh
R
d
?
?
r ? Yes u No en
ea
y
I 1 licensed contractor ? owner hereby request inspection of above electrical work at:
Job AdBress (Street. 6oH or Route No.)
%
&
?k /2 Ciry -. -.y:.=-?•---^-•-?.
40
0?
`[` V ? W
Section No. Township Name or No. Range No. unty
OccupantlPRINTI I .-
6t {.. IIV C -1 l IY Phone No.
Power Supplier
`
ez Addre
-
_?
ev-1- <rV4"
'A N
Eiectnycy) Conirector (Company Name) Coniractor's License No.
9 ?Ai.-ET /^
?'?,?' ' ??i T?
Mailing Address (COntractor or Owner Making Installalion)
.
Z?a
6c.
Authorized Signature Con actovOwner Making Installation) Phone Number
17 ?? ?? ,
MINNESQTA STATE 80P.R0 OF ELECTRICITY- TNIS INSPECTION REOUEST WILL NOT
Grigga•Midway Bltlg. - Room 5-173 BE ACCEPTED eY THE STATE BOARD
1821 University Ave., 3t. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642•OB00 ? J?" rv ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooo?o/1 -os
O 045 8 7 8? See inatrudlons for completing this form on beck of yellow copy. `1? ?;9 ??/ LL 7
"X" Below VYork Coyered by This Request
Ne ftdd Rep: Type of 8uilding Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrlal Furnace Other (Specify)
Farm Air Conditioner
Other (speclty) Cop?ractqfs Remarks:
\iQ.`OCA'4E Pti0.`t ? `P\?F.?.S
Compute lnspection Fee Below:
# Other Fes # Service Entrance Size Fee l1 Circuits/Feeders Fee
Swimming Pool 0 to 200 Am s 0 to 100 Amps
Transfortners Above 200 Am s Above 100 _Am s
SI nS Inspectors Use Onty: T TAL
oA
Irrigation Booms 00
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee \);?, COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspectlon has
been made. Rough-in
Final Dete
Date
OFFICE USE ONLV 7his request void 18 months from
Re est ate '
Qaigg Flreo:'" oi7gh-In inspeetion Required
(VOU must cell insp lor w n reatly)
? Yes No nsp lon Other Than Fiough-M
dy Now U WIII Notity Inspector
D te Reatl
I licensed contractor ?owner hereby request inspection of above electrical work at:
J Atldre et, Box or Route Na,)
0 1...0V?Slra Cju
Section No. Tovmship Name or No. Ranga No. Counry ^
\ `'
Oc?lYq\an (P INT)
\. Phone No.
Power Supplier Address
Electricel Contractor (Company Name)
ME? 6Zu E_ c C??.? st C,o TNe Contraclo's License No.
C o I I
Ma Address (Contracror or Owner Ma ' g Installation)
ROQS Q . '?? S?
Authorizetl SignaWre (Coniracior/Owner Meking Installation) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Mldwey Bldg. - Room S•128 BE ACCEPTED Bv 7HE STATE BOARD
1821 Universlty Ave., St. Paui, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phoae (612) 642•0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See insimctions for compleling this lorm on back of yellow copy.
W62299 . 'X" Below Work Qovered by This Request
?1?n???EB-00061-08
?„?? ?5ff7lv
?.,?.
ew Add- ReF_ Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building. Dryer Load ManagemeM
Comm llndustriaf Furnace Other (Specify)
Farm Air Conditioner
Other (specity) e&, ,r • '
?. .? ?
Compute Inspection Fee Below:
# Other Fee # Service ntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps . 0 to 100 Amps . ,.
Transformers Above 200 _ Amps . A nve-400 Amps
$19f15 Inspettor§ Use OnIY: OTA
lrrigation Booms
Special Inspection
Alarm/Communication THIS INSTALL'ATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rougn-ir, ? oace
certify that the above inspection has
been made. Finai oate /
J
OFFICE USE JNLY
This request void 18 monihs from
l/ /?S ?57710
? 6 2 2 9
Re rte No. Rough?ln InDSection qequied inspection Olher Th ? ough-In
M (VOU must call in5p0Cl hen eatly)
? 0 Ready Now Will Nolify Inspector
Y. No Dale Peady
f licensed contractor. :1 owner hereby request inspection of above electrical work at:
J r s(Si t. Box or Route
r
?
? C
i
-on?? ?
Gc-? r
Section No. Township Name or No. Range No. . Co
pant(PRIN j Phone No.
?
ower Supplier ? Atltlress
EI tri I Contractor (ComDany a ) nt ct 5 License Na .
MMai'ng Atl ss ICt gFRwor or Owne) aking In;tallaiion) /?, , ^
` I^?,
#
j
?.,/, [-
1 l?"-'? ?'i?.?- ' / (? A
Intl Signatu ICoNr tou ne king Install o - / - Phon umber
/
MINNESeWr STATE BOARD OF LE ECTHiGITV THIS INSPECTION REOUEST WILL NOT
Griggs-Midwey Bldg. - Room S-173 BE ACCEPTED BY THE S7ATE BOARD
1821 Univeraity Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED.
/S ? M . OFFICE USE ONLY This request void 18 monihs (rom validation dofe prinfed in Ihis box.
? ?n A iY /J / ? G
,,B3
li?
a , °'?
?
/
`'`'°` • `?''???-
I?IIIIIIII?IIIIIIIIIIIIIIIIIIII IIIIIIIIII Illll
* 11 4 6 1 5 7 6 L*
L ?
?,
P
EASE PRINT OR TYPE
Request Da1e Fough-in inspedion required? ? Yes o Inspeclion Olher Thon RougMn: ? Ready Now Will Cvll
04-10-97 ?YOVmuslcallfhe'mspectorwhenreody? Do?eReody:
I, licensed confractor El owner hereby request inspecfion of ihe above elechicol work at:
1ob Address (Sireef, Boz, or Roufe Not Cily Zip Code
990 Zone Oak Road, #150 Eagan 55121
Section No. Township Nome or No. Range No. Fire No. Couniy
Dakota
Occu nt
?eneral Pump Phone No.
Power Supplier Address
Elechiml Conhncror (Company Name)
New Tech Electric Systems Conimcbr License No.
GA02756 Mos?er Lic. Na (Planf Elecf. Only)
Mailing Address (Gonkoclor w Owner Performing Installatlon)
2535 Pilot Knob Rd, #112 Mendota Heights, MN 55120
Authori Nr nh cror o r Perfarmin-lnstallafion) Phone No.
P 45 e?-o088
EBQDBOIAI 1 8/96 g7p7p BOAHD COPY - SEE INSTFiUCTONS ON BACK OF YELLOW COPY
y/rs/s7
4 61-.5-7 6 fE
REQUEST FOR ELECTRICAL INSPECTION i'O2'
Minnesota State Board of Electricity y?
7821 Universiry Ave., Rm. S-128, St. Paul, MN 55104
Phone (612)642-0800
Home ?rj Duplex Apf. Bldg. Of er: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Water Hlr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" a6ove the work covered by this request. Enter remarks in this space and on Ihe back of rhe white copy only.
#71502
Wire machines CIRCUITS:
8?ve10?50V2--g440?00
?
Calculale Inspecfion Fee - 7his Inspection Reqvest will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuks/Feeders Pee
' Mobile Home Park $Tall 0 fo 200 Amps 'Z fo 100
Streef Ltg./Traffic Sig. Above 200_ Am s Amps 14.0(
Transformer/Generator INSPECTOH'S USE ONLY T?T?11.. 50
ts
Sign/Outline Ltg. Xfmr. Qi c?
.
Alarm/Remote Control A
?
Swimming Pool
I hereb <erti ihal I ins ed the elxtri an desai6ed herein on Ihe dates sMMd
Irrigation Boom eouyh-in oow
ecial Ins
ection
$
p
p
Investigative Fee Final Dota
THIS INSTALLATION MAY BE ORDEREU D19CONNECTEDTMOT C TED WITHIN 1 M NT S_
7/3 9o r??"5
C? 2169 c?P-/+/ 3 ?aj ,6
Request Date '
?-
`
r F R. Rough-in Inspection
Required7
? Reatly Now ?Will Notity lnspector
7 q
/ [ v Ves ? No `Nhen ReadY?
Ioicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, 6ox or Route No.) Ciry
'r-ln %O L o r44 U ,a.c ?_ /-.
Seclion No. Township Name or No. Range No. Counry
`
OccupaM (PRINT) Phone No.
. ?(1G0
Power Supplier Address
' /'/. .5-. "'o
Ekqrical Corrtraaor (GOmpany Name) Comrador§ License No.
L'ts . LjoU 4-7 -"1
ractor or Owner Making Instatlation)
Mailing Address (Co
rR
/
'
9-7Z/ ?++rri3 e L?T /Q?' 4 S.. .
thoraed Signeture (ContradodOwner Making In on Phone Number
? -7 lU?
`h11fOF?E50TA STA7E 66?ARD OF ELECTRICf7Y 7HIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-773 BE ACCEPTED BY THE ST.4TE BOARD
7821 University Ave., St. Paul, MN 55104 -UNLESS PROPER INSPECTION FEE IS
PhMie (612) 642-0800 ENCLOSED.
7/--7/50 REQUEST FOR ELECTRICAL INSPECTION . EB-00001417
? Sea instructions for campleting this form on beck of yeilow copy.
!f' 12169 - "7C" Below Work Covered by This Request
e •Add Rep.' T}TpeofBuilding AppliancesWired EquipmeMwred
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Oiher (specity) Conhector's Remarks:
?3ompute lnspection Fee Belaw:
Other Fee # ServiceEnirance5ize Fee # Circuits/Feeders Fea
Swimming Pool 0 to 200 Amps ZA 0 to 100 Amps 8(?
Transformers Above 200 Amps A 0_ Amps
$IgfIS Inspeclorl? Use Only: VtpL rt>
Irrigation Booms
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rough-in ? - C Date7 ?la+?
certify that the above inspection has
been made. Final e, - ?,j oace
f
OFFICE USE ONLY ?
This request wid 18 months Irom
REQUEST FOR ELECTRICAL INSPECTION
p(? 62320 See instmctions for oompleting Ihis form on back ol yellow copy.
Inl ~`X" Below Work Covered by This Request
Ne i4dd EIIItp. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Conlractor5 Remarks: `
+./ /J Mf'JX 9N1? 1?-ll?f'S' ' !T ' ?.1lJ'
Compute lnspection Fee Below:
# Other Fee # Service EntranceSize Fee # CiraitslFeeders Fee
Swimming Pool . 0 to 200 Amps ?- 14 0 to 100 Amps p
: Transformers Above 200 _ Amps Above 100 Amps
$19l1S Inspectar5 Use Only: ' TOTAL
Irrigation Booms f ?L? ??- ? ?p
a?
Speciallnspection ----
Alarm/Communication THIS INSTALLATION MAY B D DISCONNECTED IF NOT
Other Fee ?? COMPLETED WITHIN 18 M HS. °" c
I, the Electrical Inspecror, hereby Rough-in
?
?Sj
7~ ? 6
certiiY that the a6ove ins ection has
P
been made. Fina? D
ate
OPFICE USE ONLY ?
This request void 18 months from
rK7 ?
3 2 0,Uq( 3 I/cio. so
Request Date
' Fi o. Rough-in,nspection
d NOTICE: You Must Call Electrical Inspector
?L 7l
AYes LJ No N A Raugh-In Inspection
Is Required.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Boa or Rouie No.) Ciry
Secfion No. Township Name or No. Range No. Coun
Occupant(PRINT) " Phone o.
Power Supplier Address
JW`?
Electrical CpnVacror (COmpany Name) ? Contractor's License No.
?? L C
Mailing Address (Conhactor or Owner Making Installation)
'
Z-717 9 e.
Authorized S,ig/n?aWre (Conl a or/OAwner Making Ins II on)
? Ph/on?e j Number
-
-
/ L? Gi?r
7-71
7-
MINNESOTA STA7E BOXRD 0 LECTRICITY V THIS INSPEC710N REQUEST WILL NOT
Griggs-Midway Bltlg. - Roum S-773 BE ACCEPTED BYTHE STATE BOARD
1821 UniversiTy Ave., St. Paul, MN 55704 /??? '] UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 "? p- 9? V ENCLOSED.
REQUEST FOA ELECTRlCAL INSPECTION
fol //95 ?. See insimctions for completing this lorm on back of yellow copy.
8323 'X°Below Work Covered by This Request
?e
EB-00001-08
ew Add Rep. 7ypeoBuilding AppliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater EleCtriC HeBting
Apt. Builtling Dryer. Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (speclfy) Comracror's Remarks.
?'navr+l?1 ??•t?lL?1a ?PT,
Compute Inspection Fee Below: ftmb
Other Fee # Service Entrance Size Fee # Circuits'Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps A e 100`Amps
SIgnS , Inspector's Use Only. ? O ?Q TOTAL
Irrigation Booms SQ
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. F;,ai
'
7
C
xf Date
?
?Zo
c
?
.,
OFFICE USE ONIV
Th15 f@QU25t vOid 18 fIID(1th5 flOfll l
CX pl??5 S'
H68323
RequeSt Date
?'? ?
y? ire No. R[i?qfiin ?wsy,yion PBquireC
(YOU mus: caq ins r when readyl sp tion Other Then Rough•In
eady Now ? t i l ector
? Yes No Date Read
I licensed coMractor ? owner hereby request inspection of above electrical work at:
J b Address (Street Box or Route No.)
? . Clry ?•
LJ?smd
Section No. Township Name or No. Range Na. Counly
D!V7"r M
Accuparn (PRINT) Phone No.
W SI&V ' 04-24-
Power Supplier tAddmss
Electrical Contracror iCom any Name) Contractor's License No.
t ` Z3
Malllnq Address ICOniractor or Owner Making Install9lion)
Z
Authorized -.?ature (Co n wne king Installation) Phon Number
^ Sa-sS Sc?
MIN1rE50?E BOARD OF ELECTRICIiY/ ` THIS INSPECTION REQUEST WILL NOT
GriggsMidway Bldg. - floom 5-173 BE ACCEPTEO BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 ? UNLESS PROPER INSPECTION FEE IS
Phane (612) 642-0800 ( ? ENCLoseo,
REQUEST FOR ELECTRICAL INSPECTION
? ? See instructions for compleling this form on back of yellow copy.
9 "X" Below Work Covered by This Request
¢?,r
•? ee-oooo1 s
ew Add ? TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Otner (specify) Goniractor's Remarks: ut&O
Compute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool _ fil 200 Amps 0 to 100 Amps qdl?
Translormers Above 200 Amps 100 Amps
Signs . Inspedor's Use Only,
? TOTAL (?
Irrigation Booms V 0. ) D
Special Inspection ?o
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISFONN ECTED IF NOT
Other Fee q COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rou9n-??
? ( ? te
? ?
certify that the above inspection has
been made. Final aca
OFFICE USE JNLY
This request voitl 78 morths from
N 35839
•
Request Date
? Fir N. flough-In Inpwclion Requiretl
Inspection Other Than Rough•In
(VOU must call inspector when ready) 0 qeatly Now ? Will Notiry Inspector
?
?
Q - Yes
.NO pete Ready
I(?icensed contractor p owner hereby request inspection of above electrical work at:
Joh Atldress (Streel. Boz or Rou[e No.) cu t y? 1?
l d .0?? J t ?. l Gty
Section No. Township Name or No. Range No. Gounty
ctupant(PRINT)
Mt$o.?J 5rtort.? Fc Phone No.
Power nSup?pli
ir ? Adtlress
Electrical Conirador (COmpany Name)
M fl76SC, E„EGtYuc cu? Coniractor§ License No.
c.Ao i i?
Mailing Atldress IContractor or Owne, Ma ' Installation)
ls? Vffik
. ?- Wm't BQ?Uj NIN 4'
Authorizetl - nature i onl ciod0 er Making Installation) Phon Number
q 3
MINNESOTA STATE BWARO OF ELECTFiICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway BIOg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., SbPaul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
W62298
REQUEST FOR ELECTRICAL INSPECTION
10. See instmctions br completing thiaJarm on Dack ot yellow copy
`?C" Below Work Covered by This Request
? EB-p0001-0
??
ew Add 'Rep. " TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other (SpeciTy)
Farm Air Conditioner
Other(syecity) Contractor'sRemarks: f
Y-feD/i e,11-J
Compute Inspection Fee Below: i'
-# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 21 0 _ Amps 9bove 100 _ Amps
- SignS Inspector's Use Only:
? TOT L a
Irrigation Booms .?([ 1 '
G
? ?
Special Inspection t
/
-
Alarm/Communication THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. '
I, the Electrical Inspector, hereby Rough-in oaia
certify that the above inspection has
been made. Fj,ai
, oa
?
OFFICE USE DNLY
Thi3 request voitl 18 mOnths irom
i ?-/ 9?'
M2 ?o ?7i
ReQuQ,,st t /; .
/ Lf
? ? ire No. - Aough-In Inpsection Requiretl
(You must call inspe or hen reaCy)
? Ve5 No Inspection OMer S an ougn-In .
? Ready Now ' Will Nollfy Inspe[tar _
Dale Reatly.
I licensed contractor ?J owner hereby request inspection.ot above electrical work at:
J A re ISireet. Bo or Raute No.)
? ?n? C
Section No. Township Name or No. ange No. Co ?
0
p nt (P/R?W/Ty)
I Y ' G ?l/? r.-? ' PhOne No.
Power Supplier Address -
Ee cal ontraclor ?C mpan Name b - C to
? ice No. /
/
aili Atltlres (Coyn}r?acyor or O r/?A ing In?st^allation) ?\/ `v ( .4J _ , 'V??" , f
h ? naNre ( ontract wn M q Installaf I. Phon er _
?.
l
MINNES TA STATE BOARO BF ELECTRIqTY ? THIS INSPECTION REQUEST WILL NOT
Griggs-Mi ayBidg. - Room 5-173 8E ACGEPTEO BV THE STATE BOARD
1821 University Ave., St Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSEO. '
I GI`7 -7 REQUEST FOR ELECTRICAL INSPECTION11?' O !
2 J- 357 ? Minnesota State Board of Electricity
„ 1821 University Ave., Rm. S-128, St. Paul, MN 55104
Phone (612) 642-0800
Ho Duplex Api.8ldg. Other: New Addn
ommercial Industrial Farm WMfFTod Re air
Air Cond. Hfg. Equip. Water Htr. Load Mgmf. Other:
Dryer Range Elsc. Heat Temp. Service
"X" above the work covered by this request. Enter remarks in this space and on the 6ack oi the white copy only.
V0"'r i YA?
Calculate Inspection Fee - 7his Inspection Request will not be accepled without the correct fee:
Other Fee ?I Service Entrance Size Fee # Circuits(Feeders Fee
" Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps ?
Sheet Ltg./Traffic Sig. Above 200_Am s 0 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL '
Sign/Oudine Ltg. Xfmr. ?J U -?
Alarm/Remote Conlro)
Swimming Pool
I hereb ced ihof ' s el 'col insbllafion described herem an the dales sfoled
lffi9ailon Boom Raugh-In Date
ection
etial Ins
S
p
p Finol D
Investigative Fee t
TFIIC INSTAI 1 ATI(]N MAV RF O R ED CONNECT IF NOT MPLETED WI THI i MONTHS_
OPFICE USE ONLY This requesl void 18 monihs 6om volidation dafe printed in ihis box.
n . 1_ 9 ?'r GG /J
1111181H1111{IIIIIIIIII?If11IIiIIIII?IINII
II???? ? ? ?? ? ?
?
?
0 42 5 3 5 7 1 ?)
PLE A5E PRINT OR 7YPE
Requesl DaR
?-' 6 -Cp Roughm inspecfion required? es ? No
ll fi
e
d Inspeclion Other Thon RaugMn: ? Reody Now ill Coll
P
d
D
'? {You must co
e inspecior w
n rea
y) .ea
y:
.V.
I, icensed coniractor 0 owner hereby request inspection of the above elecirical work at:
Job Address (Streel, Boz, or Roule No.)
Z ! ?1 C?C.IF`
?
lC.d/Y Zip Code
Section No. Township Name or No. Range No_ Fire No. Couny
Occupa PMne No.
V
Power Supplier Address
EI? ica yConho or ?Company Nome1
"
L
'
"
" Conkactor License No. Master Iic No. (Planf Elecl. Only)
c?? I,
?.
{rV l
z--
f
f C. Gl L
Mailing Address (Controcbr r Owner Performing nsrallation)
?
J
w.re--
Aulhorized $ignoNre (C Mmclor or Owner Performing Inslallalim) Phone No.
(?, ? 6 ??C333
enuu,v in-i i aivo ( S7A7E BOARD COPY - SEE INSTRUCfIONS ON BACK OF YELLOW COPV
.
0_0 ?
43275
REQUEST FOR ELECTRICAL INSPECTION
? See insnuction•?7or completing Ihis form on back ol yellow copy
`7C" Below Work Covered by.This Request
ax ??A.' EB00007-08
??.??F
Im,
ew Add Rep.. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer OtheF(Specity)
Comm.llndustrial Furnace
Farm Air Conditioner
Other(syecity) ContractorSRemarks: /7. _-???-L L??rn?1(? j'?,.9,? •
_Compute lnspection Fee 6elow: CJ-- u„? - zy -,) ,y ._ z4 o? - a? y
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps e3- 0 to 100 Amps -
Transformers Above 200 _ Amps Above Amps
SignS Inspedor5 Use Only: TOTAL
Irrigation Booms ?AQ
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee % COMPLETED W N 78 IOQNTHSI,
I, the Electrical Ins ector, hereb
p Rough-in oace
???
nsec tion has
certi that the above
fY P
been made. Final ?
, %- Dale _ l:
-??
OFFICE USE ONIV
ThiS request voitl 18 monihs irOm
2
7 / gO?o
02 `? 9
'Vl "%?4?/_Vw
Aeq est Date
?(} ? - No. Rough•in Inspection
equired7 ? Aefldy Now Will Notify InspecWr
Wh
?
[? 1 es ? No en Ready
.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Streel, Boa or Route No.) Gity
nCc?rte a,qK R-0r-?
y_ 6?C7 /A(
_
Section No. Township Name or No. Range No. Counry
Occupant(PRINT) _ Phone No-
6'/' eNC L- C"J-
Power Supplier Address =.
FAectrical ContraMOr {COmpany Nemej
`
p Contractor's License No.
0F'II-Fr ??-ZT?c,ic??
? wn??-?^???'Z?-tJ. GPrc,/ I
Mailing Address (COnhactor or Owner Making Installalion)
?
?
J 1Ju"
j
/ ?."?( lr
?u` l!•%v a. L?1
Authoriied Signature fContracbripwne Making Installation) Phone Num6er
)KZ n Z'--? --7 -) I)
MINNESOTA STATE BOARD OF ELECTRICITY {F R?'-(,-7 THIS INSPECTION REQUEST WILL NOT
Grigg8-Midwe?8ldg. - Room 5-173 /?? ? BE ACCEPTED BV THE STATE BOARO'
7821 Unlverslt Ave., SL Peul. MN 55106 / /'?jt??r UNLESS PROPER INSPECTION PEE IS
Phone (614) 642•0800 ? ENCLOSED.
1111 11 II I???? II I I I!! II III II I I I III I II f' Min?ne`sota StatOe Boa dE?c ERI`C c?INSPECTION
niversdy Ave Rm S 128 St,Paul MN 55104
* 0 2 7 s 0 2 3 0* r,'i U?s,a? sa2-oaoo ?/a3iy 7
Home Duplex Apt. Bldg. Othery , / ??
?G pj.
?? New Addn
Commercial Indusirial Farm j
??G
G??>7I /?r Remod Re air
Air Cond. Hig. Equip. Water Hir. Load Mgmt. Oiher:
D er Ran e Elec. Heat Tem . Service
"X" above fhe work covered 6y this reqvest. Enter remarks in this space and on the back of ihe white copy only.
zo _?%v 0'C'b
cV f!?
.?_
Calcvlate InspecFion Fee - 7his Inspection Request will not be accepted without the correct fee:
Olher Fee # Service Enfinnce Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps 15' vU
Sheei LTg./Traffic Sig. Above 200 Amps Above 10 Amps
Transformer/Generator INSPECTOR'SUSEONIY j TO AL
Sign/Outline Ltg. Xfmr. V ????
Alarm/Remote Control I y
Swimming Pool I hereb cerfi t I i s e iha eleciri ` iuMllafion described herein on fhe dales stotad
Irrigation Boom Rough-In Dare
Special Inspedion
Investigafive Fee
Fincl
Date
THIS INSTALLATION MAY BE ORDERED DI O CTED NOT COMPLETED WITHIN 18 M NTHS.
27 -? ?^^^ ?
V•L J OFFICE USE ONLY This requesl void 18 months from volidafion dah printed in this bor.
:?3 14 7 -?wCv s,/
P-.cN Orad/y
l ?/5??
1/S 7954?9 ?
Z - D/6 Z ?o n'
V
/ 0
4 w
l;I&O
PLEASE PRINT OR TYPE z.
Qt3 CQ .(:4?; c
6
-
Requesf Dafe Rovgh-in iropetlion reqoir [] Yes o Inspection Other Than Rough-In: ? Readp Noy.• ?rJill Coll
(You must call ihe inspector when ready) te Reody:
)
I, Wicensed confrador ? owner hereby reqoest inspedion of t e abov lecirical o dp >
Job Addresa ?(S]treet, BoM, or Route No.) J? City /J i Code 7
Sedion No. Township Name or No. Range No. Fire Na. Coun
Occupanl Phone No.
Power Supplier Address
Elednml Coniracior (Company Nam
/1l 6-` " lz Conhodor License No.
G O Mashr Lic No. (Plonf Elecl. Only)
Moiling Addr'ss (C fmdor or Owner PeAortning Instollotion)
f t?a -v
lwthorized Signotur Conhador or Owner arfo ' g nslollotion) ` Phone No.
6
L? -N?
? Z
E6-00001A/'0,S/95 / //STATEBOARDC?`-SEEINSTRUCTIONSONBACKOFYELLOWCOPY
REQUEST FOR ELECTRICAL INSPECTION
jo See inslruclions for complellng this form on back ot yellow copy.
f? 04210 y -`X" Below Work Covered by This Request
EB-00001-07
G9__297_;2_
ew Add Rep. TypeotBUilding AppliancesWir,?d EquipmentWired
Home Range Temporary Service
Duplex Water Hea[er Electric Heating
Apt. Building Dryer Other (Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks: Compute lnspection Fee Below: /*w Q
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps C ._ 0 to 100 Amps S
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 Use Onty: TOTAL
O
- Irrigation Booms
Special Inspection
Afarm/Communication
?
Other Fee G'
I, the Electrical lnspector, hereby
certify that the above inspection has
been made. Rough-in / ? oa
Final oace ??„
OFFICE USE ONLY
This request wid 18 monihs trom
??-
? 0 4 210 -?-/
?'?? a
(
.
, j
c
Request Date
2? ? Fire Na ough-in Inspection
equired? ??r
? Ready Now Jy?Vill Notify Inspector
? ??vh
R
tl
?
) yys o en
ea
y
I licensed contractor ? owner hereby request inspection of above electrical work at :
Job Adtlress (Street, Box or Raute No.) 1 V?
,&NEF Os}k. 4 4yLmSsz2v? -
Pc-i,o Ciry
&*
Section No. Township Name or No. Range No. Cqunty
o' /"o
w
Occupant(PRINT)
b??t Ph ne No.
¢
Power Supplier -
ptlKol AAdress
r*Wirdj?"I
€ledrical Co ractor (Company Name) C. Contraclork License No.
,+pt.(?7 ??YLGC ? zz
Mailing Address (Coniractor or Owner Making Iwtallation)
A ^
L#44A
C u; ?
Aufhorized Signat re (Co Vactor rrer eking Installation) Phone Number 7
?]
-
C.(./- /
/ I
MINNE50TA STATE BOARD OF ELEdRICRY
Griggs•Midway Bltlg - Haam 5-173
1821 Universily Ave., SL PaW, MN 55104
Phone (612) 642-0800
v ?+
THIS INSPECiION REQUEST WIZL NQT
BE ACCEPTEO BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
?/gA, C'O/lv6pY?
M 2538 3 /
Request Date
?
e
/ Fir N Rough-in Inspection
Required?
? Ready Now AWill Notity Inspaclor
J G Yes o When Ready?
IKlicensed contractor ? owner hareby request inspection of above electrical work at:
Job Atltlress (Sireet, Box or FoWe No.) Ciry
? ? U ? i /V oc .4 .? ?/;, (v '9 ",./
Section No. Township Name or No. ' Range No. County?
),/?/(GI/J •
Occupant (PRINT) Phor;e No
Power Supplier Atldress
ElecVical Conlractor (Company Name) Contractor's License No.
' C
Mailin Address (Contraclor or Owner Making Installation)
Auth nzed tu (COniractor/Owner Making Instailalion)
' Pho9e Number
i ?v Y - _? .
MINNESO7A STATE BOARD OF ELEC7RIGITV ' THIS INSPECTION REQUEST WILL NOT
Griggs•MlAway Bldg. - Room 5-173 BE ACCEPTEO 8V 7F7E STATE BOARD
1821 Un(verelry Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Plqna (614) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See ins;ructions fa'acompletinq this lorm on back ot yellow copy.
H, . 2.5 3 8 3 "X" Below Work Covered by This Request
es-ooooi-os
e Add Rep Type of Building ApptiancesWired EquipmentWired
Home Range Temporary Service
Duplex Wa[er Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industriai ' Furnace Z"l lA / C'oo LE
Farm Air Conditioner
Otnar (speciry) Conhactor's Remarks:
.Compute lnspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 3 0 to 10 Amps
Transformers Above 200 _ Amps 0 Amps
SIgnS Inspector's Use Only: TOTAL
Irrigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee T Q COMPLETED WITHIN 18 MONTHS. -
I, thQ Electrical Inspector, hereby Rough-in
r' Date
certify that the above inspection has
been made.
J-^
OFFICE USE ONLY
This request voitl 18 months from
? ??_
??1?4
?
°
CI
0 ?
f
Request Date ire
7 Rough-in Inspedion
Required? ? NOTICE: You Must Cali Electrical Inspecror
If A Rough-In Inspeciion
I
R
i
--7 ?
Yes No equ
s
retl.
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box ar Route No.) City
O ?. c.?.Ve P-D S'c'd7?F-
Sec[ion No. Township Name or No. Range No. County
Occupant (PRINT) Phone No.
Power Supplier Address
Elachical Contractor (Company Name) Contracror's License No.
l/
Mailing Address ontractor or Owner Making Installationj
r- s :rc ?-
Auth SignaWre Coniractor/Owner Making Installation) Phone Number
V?
MINNESOTA STATE 90ARD OF ELECTYtICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE eOARD
1821 Universiry Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-ooaoi-oe
V Ses instmctions for complefing ihis torm on back of yellow copy. ??
?
,. 1 24 5 0 - "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 Load Management
Comm./lndustrial Fumace Omer (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute lnspection Fee Below:
# Other - Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
- Swimming Pool 0 to 200 Amps 7 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 TH ?
I, the Electrical Inspector, hereby Rough-in ? ale
certify that the aboue inspection has
been made. Final Dal /
OFFICE USE ONLV
This request void 18 months from - -
REQUEST FOR ELECTRICAL INSPECTION
/c ? ry? See instructions for completing this lorm on 6ack of yellow copy.
?U G_3 0 1` X" Below Work Covered by This Request
Ee-00001-oe
;- /9o.ti v
1?c
ew Ad?ep. ? TypeoBuiiding AppliancesWired EquipmentWired
Home Range Temporary 5ervice
Duplex Water Heater ElecUic Heating
Apt. Building Dryer Load Management
CommJlndustrial Furnace Other (Specify)
Farm Air Conditioner x aY-7iE Vy'-V-5E
Olher(spectfy) ContractorSFemarka: ,.1?? SC-1•L??t? /P/ ?j )ST)N? .Z'?f?tt.
/Y
- /?c? cv1TY?+yS? ?? yl?7n:j
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool ? D to 200 Amps 2,0? 24 to 100 Amps
Transformers S- -.:_ Above 200 Amps v? Amps
S19n5 Inspedor's Use Only: ljrOTAL
Irrigation Booms / 7?• fV if'67, Tr?J
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE OR 41SCONNECTED IF NOT
Other Fee
NT
COMPLETED WITHIN )fW
I, the Electrical Inspector, hereby Rough-in ? LAZ/ Date ?
certify that the above inspection has
been made. Finai Dat
OFFICE USE ONLY .
This request void 18 monlhs irom