2855 Eagandale Blvd - Electrical PermitMinnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ & 7 '7..2
s
23191
Type ot BuAding New Add. Rep. Checlc pppliancea Wited For Check Equipment W'ved Fm
Home ? ? ? Range ? Temporary W'ving ?
Duplex 0 ? C) Water Heatei ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryu ? Elechic Heating ?
Commercial B(dg. , 0 ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? 0 A"u Conditioner ? Bulk Milk Tank ?
List ) List
Oth r ? ? ? r
p
Hererg) p
He[ers?
f-
COMPUTE INSPECTION FEE BELOW '
Service Entrance Size: # Fce Feeders&Subfeedets: # Fee Cacuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 ta 30 Am eres
101 to 200 Amps. 31 to 100 Ampeies 31 ro 100 Am res
Above 200" ps. Above 100 mps. G Above 100-Amps.
Transfocmers y RemoteConkolCirc. Pattialorotherfee
Signs Special Ins ection Minimum fee S54
Remarks ?
?
TOTALFEE
I, the Electrical Inspector, hereby ce i , at ?.ip?t?lon has been ma e 7 Q?
(Rough-in) Date a7
(Final) Date r-, -
This request void 18 months from v--- --- -- -
M
Request D te
q D
U FiT'NO. Rough.in lnspeclion
yired?
? N.
? Ready Now in Noriry inspector
Whm Reatly?
I 9icensed contractor O owner hereby request. inspection of above electrical work at
Jbb AtlEr¢ss (Street. Box or RoMBQ.) Clty
Section No. To.vnsnip Neme r N. Ranga No. Counry
Occupant(PRINr) ? Phone N .
?
Power Supplier tlr
EIacM ctor (Compeny Na n
` ?j ConVacrorS Li r?,5e o.
Mailing ?or or wn ' g I talla' ??!
=a e(COn or wner Mqaking In ab )
11_Ll ?. Pho r?
MINNESOTq STATE BO Oi E?ECTpICITV THIS INSPECTION REQUEST WILL NOT
Gr189s-MlUwey Bltig Poom S-1)] BE ACCEPTED BY THE $TATE BONRO
1821 Unlvereiry Ave., St. Peul, MN 55100 UNLESS PROPER INSPEGTION FEE I$
Ptlone (812) 6024)800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
cq ? See inr;uctions Ipr completing ihls form on back of yellow copy.
? C?.4_5 0 9 X" Be/ow Work Covered by This Aequest
Q EB-OD001-O8
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
DupleX Water Heatef Electric Hea[ing
Apt. Building Dryer Load Management
Comm./Industrial K 'Furnace Other (Speciry)
Farm Air Conditioner
Olher (specify) ConYracbr5 RemaBS:
Compute Inspecfion Fee Below:
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 io 100 Amps
Transformers Above 200 _ Amps A6ove 100 ?& Amps
SigOS inspecmrs Use Only: ; _ TOTAL
Irrigation Booms ,.-?5?
Special Inspection \
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITMIN 18 MONTHS.
I, the Electrical Inspector, hereby RO°9n-m Dete
certify that the above inspection has
been made. oa?
l? >
OFFlCE USE ONLV
This requesl voitl 18 monlhs irom
ia-/aa- Ya- ? / ?.57?-
M 64509
Request Date
ja Fire No. Rough-in Inspection
RequireaP
? Ves o NOTICE: Vou Mus1 all Electncal Inspeclor
If A Rough ln Inspection
Is Requiretl.
I)l6censed contractor ? owner hereby request inspection of above elecirical work at:
Job Atldress(Stmet Bax or Rmte_`o.) R)Lo
S (AJ ( CAy
Seclion No. Tavnshlp Name or No. Range No. County ?
D
f ' ?' .
Occupant(PRINn Phone No.
Power Supplier Aatlress
ElecVical qor (COmpany Name Contracfor5 License No.
1
MailingAtltlress ConVaclo.or OwnarMaki Insta/llatio ),
? ?J •
?
AuthorizeC Sign Wre (ntr dOwner 'Manking^Instellation)
?.X/`? ? h ne Nu ber ^
- VV
MINNESOTA STATE BOAflD OF ELECTpICITV THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bldg. - Room S-173 LJ BE ACCEPTED BV THE STATE BOARD
18R/ Unlversity Ave., SL Paul, MN 55104 UNLESS PPOPER INSPECTION FEE IS
Phone (672) 602-0800 ENIXASED.
REQUEST FOR ELECTRICAL INSPECTION
rNY5 ?See insnuctions br compieting mis lorm on bact o1 yellow copy. 11 " i(" f3o}nw Work Covered by This Request
am?0..??` ? ??
V
ew 'Add Rep'.. Typeol6uilding AppliancesWiretl EquipmeniWired
Home Range TempOrery ServiCe
Duplex Water Heater Electric Heating
Apt Building Dryer Load Manegament
Comm.llndustrial Fumace Other (Specity)
farm Air Conditioner
otner (sNecity) co
?s
Compute Inspection Fee Selow:
i
? Other Fee # Service IranceSize Fee # Cir its/Feeders Pee
Swimming Pool 0 to 200 Amps
gafl) 0 to 100 Amps
Transformers 9,50 Above 200 _ Amps ove Amps
Signs . inspecror5 Use Omy ' TpTAL
Irrigation Booms
Special Inspection
? ?
Alarm/COmmunication THIS INSTALLATION MAY B RDERED CONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 N
I, the Electrical Inspector, hereby
ce
tif th
t Ih
b
i
i Aough-in o ??;? Date p?
?
r
a
e a
ove
ns ect
on has
y P
been made. cinei
; •? ? ?e oate
OFFICE USE ONLY
This reQUest witl 18 manIDS irom
y 1
7
?
67511 i " 5
s?l
Repuesl Date
J ire 46. Raugh-In Inpsection Repuiretl
(YOU must call inspeclor when readyl Inspection O?her Thougn-In
? peedy Now Will Notity Inspector
/ ? Yes ? No Dete ReaO
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Job AOOress (SVeeL Box or Route No.) City
A
?
Section No. owns Name or No. qange No. Co
OccuDant FINT)
/ P one No.
O
P er S?ppli r ApEre
Elxm onlra tor IC ny me1
i Convactors License No.
Maiiing Aaoress (Con[racmr or Own r Making Instauation)
?
Autno?rizetl /SI$na?ore IC acmr,pw ner Mawn Lonl
L11?? /???//lA? Pnone Number
MINNESOTA STATE BOAPD OF E? qlCl ?fl THIS INSPECTION qE0UE5T WILL NOT
Grigps-Mltlway Bldg. - qoom &1 3 BE ACCEPTED BV THE STATE BOARD
1021 Univereity Ave.. SL Paul. MN 55100 ? UNLE55 PROPER INSPECTION FEE IS
Phone(61Y) 66241800 ??? ENClOSEO.
?/4//$ff REQUEST FOR ELECTRICAL INSPECTION Ea-?o/oo?oi-os
See inshactians for completing this lorm on Eeck o1 Yellaw coFV
? O 2795 "X" Bel`w Work Covered by 7his Request
Adtl NeO. Ty09 of Builtline ACOliancea Wired Equipmant Wired
Home Range Temporary Service
Duplex Water Heater Gghting Flxtures
Apt. Building Dryer Electric Heabn
Commercial Bldy. Furnace Silo Unloader
Industrial Bldg. Air Conditioner 8ulk Milk Tank
Fdfm Olher peci y OthnrlSprsr,ify)
t er Succify Oihor 01n,_i
Comu«telnspecUOn Fee Below
p Fea ServiceEntrenw$ize fl Fee Fen1ers/5ubtoetlers K Fee Circvlts
U to 200 Am s 0 ro 30 Am s 0 ca 30 Am
Above 200 qmps 31 to 100 qmps 31 to 100 qm ms
Swinvning Pool Above 100_Amps Abave 100_Amps
Transiormer5 rrigation Buoms
Signs Special Inspection
S
?8 ?
Xema?ks ,.r ? TOT F
HouBh-in Dafe
hI?8 BCtflCq
Inspectoq reby
Final erti'y ?hat the above
kl/ nspection hes been
r
, Ee.
m
T hib repueat voitl 18 months irom
ihis request void
18 months from
0 82795 L4
ce
_q°
/ Re wietl? Reedy Now ill oU y nspeo
? ? nVes ?o ? ???r Whan ReadY
Xf.Licensed ElecRical CoMractou 1 hereby re4uest inaVection oi above
? Owner electricel work installad et
Sireet AAdress, Box or Houte No. City
? ss ?,,4 Mile v'
ecLOn o. Township ame or
- o. fldnge No.
?_ Counly
7.4
Occupant IPRINTI
E C??
ct'7'c?
L Phone No.
Power SupVlier A dress
EI¢ctricat Conuactor (Compnny Neme) C.nuar,tor's License No.
Mailine AtlJress?(/Contractor or Dwner Ma/king rnswilavon)p
"?
A
? y?,?,p? ?+
S
!? 0 lJ
G .
AI
4 . J
I/icv-?
Au[horized $?nat IC
O/ Vactor O ner Makine Installalion) Ph[o[nu NumGer?7/
+ OwCJ
J?
?C ?"a?G ,
U
T F J
MINNESOTA STATE BOAHD OF ELECTPICITY TMIS INSPECTION PEQUEST WILL NOl
Grig9s-Midway Bltle. - Aoom N-191 BE ACCEPTED BY TNE STATE BOAND
7621 Universitr Ave., St Pe.l. MN 55104 UNLE55 PNOPEX INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
Thisreques[void
18 months (mm
C 10269
G, 7Ny?
EQqP-(,411? e C4r 44-1? . PK -41 '7 3 35.0'0-
ReQU?st r . Fire No. RouPA-in Inspection
Repwred?
?HCaay Nuw ?W?II Nn?ify, Inspec-
/?? /3 p Cjlj ?Yes ?Na lor When Ready
I.i ense Eleclrical Conlratlor I hereEV requast insDection ot ebove
? Owner electrical work installed et:
Sireet Address, Box or fto te No.
f? Ciiy
, f /?'/10 - V.
ecuon o. Township Name or No. Aan9e o. County
,O-YI Q -7-15,
Occupnnt ((PRINT() ? ? ????%
Ll.?? `l Phone No.
Power SupOlier Atltlress -
'El/e?c[rical ConvacCmrrICompany Namel
? Contracmr's License ?No/.
YI'1?C
1?0. C_l<?C.
Mailinp AAdresS IContractor or Owner Maki P Instaitationl
u orized Signature ICOnhactor O Makine Installationl Phoneq /N7um(b?Jer
/ / D
MINNESOTA STATE BOAXD OFE.LECTPICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bldg. - Poom N•191 BE ACGEPTED BY THE STATE BOAFD
1821 Univarsity Ava., St. Vnul, MN. 55104 VNLESS PNOPEfl INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION OlEft Ee-uu007-ua
0 See instmctions lor comOlatieg this fwm on back af veliow ooon (_,7E4 9Q.,
r 1 n9rQ "R" Below Work Covered by Ihis Request
aw?A&I ReVi- Type ol Builtling I Aooliancea Wired ' Equipment Wired I
I I I I?unlex - I I Water Heater IXI Lightiny Fiztures I
Commercial Bldy. ? l Fumace 1 ? Silo Unloader, ?
Iin.ui-"l.i RI.V.. nir Gnditinner Bulk Mi1k Tank
p Fea SeirviceEnVencaSiie B Pae Faeders/Subfeeders b Fee Gircoitg
0 to 200 Am 5 0 to 30 Am 5 0 tn 30 Am
A6ove 20D Amps?. ' .GO 31 to 00 mps 31 to 700 A s
Swinvning Pool Above 700_Ain s Above 100_Amps
Transiormers rrigation BooRS Partial.'Other Fee
5igns ppeCiaiinspecuon S -
r?-O. TOTAL FEE--
Nemarks , /9 --z'")
i, the Elecbica!
? Inspectoq heieby
rcou9n"^ //n/ W/ ?YC/Z?t.C/ I
certify thet the above
Final ? ? ? ! f 73 ?r ins0ection hae Eeen
f ? mede.
Thls reQUasl vold 18 monlha Irom
This request void 18 months from
/6 7-/-=:?
Date of Request 1?j S 23131
I, as ?censed Electrical Contractor Owner, do hereby re est inspection of the above electri-
cal wiring installed at: 5r?- ?%// A.? z?,pL-Q? ?1
C/? - r!
Street Address or Route No. .?8? C?A//?TL-c- &
'l"De City?n
Section Township
Range County
14hich is occupied by
Is a roughin inspection required on this job? No ? Yes CW Ready Now ? Will Call LY
Power Supplier Address Se
Electrical Contractor ?,? Ger.-r.ntraetor's License No. _
iCOmpany Name) _
Mailing Address
( lec I Con or O ner Makin9 hls Installatlon)p.?,
Authorized Signature Phone No. O N Yi"6z
( ectrical Co cror ? wnar Making This Installatlon)
S?j/? ?? ?p ?Qn? This inspection reqp sPwill ?t 6e accepted by tha
?? (r,? d fl ?r? State Board unless roer in ection fee is enclased.
„ 80486
Request Date
?Q+ Fire No. Rough-in Inspec0on
Requiretl?
? Ready Now?Wili Notiry Inspeciw
Wl
R
7
O ?Yes No ien
eatly
I licensed contractor ? owner hereby request inspectlon of above electrical work at:
.bb Atltlress (Street, Box or Rpna NoJ
` City
SecGOn No. TownsNp Name or No. Range No.
Occuperit (PRINT)
LL
- P orie No.
T
1
Power Su plier qmrs!
Elect' r( any N
e_ ?l? (o. Cqnt ctor§ license No.
? 3R 770
Meili Addrees (COM pw a Ownar M Inslallation)
l ?rAv
? ? c
?? 0011t?:
ANhorrzed S ure (COn er Meking Installafion)
• Phone Number
z? 3
?
?-
0
IN A STATE BOAPD OF ELEC? THIS INSPECTION HEQUEST WILL NOT
r gs-Mitlwey Bldg. - poom S173 BE ACCEPTED BV THE STATE BOAPO
1821 UnNersity Ave., St. Paul, MN 55704 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
? REQUEST FOR ELECTRICAL INSPECTION
I? See instwqionsTOr wmpleting ihia fortn on back of yellow copy.
8 U 4 8 6 'X" Be/ow Work Covered by This Request
• E11-00001-07
~ RDObv
1 ? •?9-kS
ew Adtl Rep. TypeoiBUilding AppliancesWired EquipmeniWired
? Home Range 7emporary Service
Duplex Water Heatar Electric Heating
A t. Building Dryer O[her (Speciy)
Comm.llndustrial Furnace
Farm • Air Conditioner
Olher (speply) Contracbr§ Femarka:
G?, /r-e
Compute Inspection Fee Below:
# Other Fae # ServiceEntranceSize Fee # Circuits/Feeders Fce
Swimming Pool 0 to 200 Amps 0 ro 700 Amps
Trensformers Above 200 _ Amps Above 190 _ Amps
SiJns Inspeclw5 Use Only: T(]u'L l?
av
Irngation Booms Yl ?
w
Special InSpeCtion ?
AlarrrVCommunication
Oiher Fee (
I, the Electrical inspector, hereby
c
tif
th
tih
b
i
i Rough-in ? De?
o`
er
y
a
ea
ove
nspect
onhas
been made. Fin91 ' De?` k'al
OFFlCE USE ONLY
This requast voitl 18 manMa irom
?d?? REWEST FOR ELECTRICAL INSPECTION
? See insimdiws for completing ihis fortn on back ol yetlow wpy,
m 2' -. ?. "X" Below Work Covered by This Request
E&00001-08
e A9tl TRep: rypeofBUilding AppliancesWired EquipmentWired
ome Range Temporary Service
uplex Water Heater Eleclric Heating
Building
Apt. Dryr Other (Specify)
R
omm./Indusirial ' Furnace
arm Air Conditioner
Ot
her(speciry) CamractwsHemarks: L??14'?4 ?
c+U71.aW'y d 7?<t?'R StPdq r?
Compute lnspection Fee Below:
# Other Fee # ServiceEntrance5ize Pee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspector5 U. Only: TAL 0
Irriqation Booms
Special Inspection
Alarm/Communication . THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby R?h"" oa"
a
certify ihat the above inspection has
been made. F;,,ai oeie
OFFICE USEANLV ?
This requast void 18 monMS fmm -