3860 Dolomite Dr - Electrical Permitslfllsl 8`
E-# 963
REQUEST FOR ELECTRICAL INSPECTION EB-000,0/00011.06
Sae instructions for completing this term on back of yellow copy.
1 -;% "X" Below Work Covered by This Request
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peU y Other (Sp, o,fy)
thnr pocrfy Other Other
omuute lnsoectlon Fee Below
M Fee Service Entrance s iza h Fee Fenders /SUbtenders N Fee Circuits
0 to 200 Am s 0 to 30 Am]$ 0 to 30 Am s
Above 200_Amps 31 to 700 Amps 31 to 100 Am
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms Partia l.'0 h r Fee
Signs I - - ] Special Inspection S?
?s
TOT
Remarks
c-,.S / D E
Rough-in Date 1 t Elect''
Inspec araby
yn the above
Final //? r l
//? <
Rn,e /V e
inspection has been
made.
This request void L
18 months from V O o
E 9263,E 'd3 / , J
Request wo,
?i Fire No. Rough-in Inspection
Re
ui
d?
Ready Now Q Will Nonfv Insine,
1
b q
re
Dyes ?NO for When Ready
1
Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Ad ress, Box or Route o.
W ,Te Or, City
z
?w
ecuon No. Township Name or No. Range No. Cour i /,
J
Q_7??
Occupant IFRI TI lL/ Phone/
Power Supplier Address
Electrical Contractor (Company Name)
Harrison Electric Inc. Conhactor's License No.
421867
Mailing Adds Cant r tor or Owner Making Insta Nation)
40 r so Avenue No. M ls., MN
55412
A o zed i na I o tractor/Owner Making Installation)
1
Phone Number
521-0520
MINNESOTA STATE'BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.- St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
Thirequest
void `(' /(o L ,.2?? i Block
19 months from
%V 7,233.
„24(00 2r V
/30 1 00
Reques to
. r.Z (fy Fire No. Pough-in Inspection
Pequired4
?Ready Now - Will Notify, Inspec-
-a 6 jRyes ?No for N/hen Reatly
tmwas ad Electrical Contractor hereby request inspection of above
Owner electrical work nits l led et:
treat-AddLess(/,??Box or Route No?'/
C.LJ G?i-? Ip4.?cG C'
!.
ecUOn o Township Name or No. Range No. County
Oc as ( INT) Phone No.
Pptyer ppl' r Address
hfA??
EIe trice) C ctor (COmpomp ny? Contractor'
?OLINo.
Mailing Address ICo actor or owner Meng Installation)
?2U6?
Authori a Signature (Contractor/Owner Making Installation) Phone Number
$qo-3' 's
MI NNES STATE BARD Of ELECTRICITY c c THIS INSPECTION REQUEST WILL NOT
Griggs- idway Bldg. _ Room N-191 '1 s?Q -a ?BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 66104 - UNLESS PROPER INSPECTION FEE IS
Phorre (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-03
See instructions for completing this form on back of Yellow copy. t!r o
- 7:283 ' ?n
1X"" Below Work Covered by This Request /?? fX/
New Add Rso. Type of Building Appliances Wired Equipment Wired
}-Tome Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other pcu v Other lSpe,:,N)
t rer Sper"ity Other Other
Compute Inspection Fee Below
FFee Service Entrance Size H Fee Feeders/SUbfesders H Fee Circuits
M
L 01t? 0 to 100 Am 0 to 30 Amps 310 90 r06 0 to 30 Amps
101 to 200 Amps 31 to 100 Amps ,A0,0D 31 to 100 Amps
Above 200 Amps Above 100 An s Above I00_Amps
ran n Remote Control Ciro. Partial/Other F
g Special Inspection TOT
Renurks AL FE
Hough-in
Final
(
® D to
??
Date
?; I, the Electrical
Inspector. hereby
certify that the above
inspection has been
de.
This request Vold -
18 mmths from
(P 8 oa
This request void ? X51 Y
18 months from
T 40012
Date of this Request 6-11-1981 Fire No.
1, as XXLicensed Electrical Contractor D Owner, do hereby request inspection of the above electri-
tal wiring installed at: 3 T- b t4 b U 1 01" l tVie- b ?- ,
Street Address or Route No.Lot 25 Blk 1 Briashill 3rd Addn: ?City?
Section Township Range County DakOta
Which is occupied by Tollefaon
(Name of Occupant)
Is a roughin inspection required on this job? No D Yes 1ck Ready Now D Will Call ®t
Power Supplier Dakota Cty. Address Farmington
Electrical Contractor O.B. Thompson Eleotric Co. Contractor's License NOA40602
Mailing Address _12 01 a Blvd,,' Mtka
Authorized Signature RC v a W one o.
(Electrical Contractor or Owner Making This Installation
VE ME O n E 00FU This inspection request will not accepted the
?? n
In! Lit ?S lT ?f State Board unless proper inspection fee is enclosed.
WNPOW mmnesota state tiara of Electricity
Griggs Midway Bldg. - Room 17191
1821 University Ave., St. Paul, Minn. 55109 - Phone 297-2111
REQUEST FOR ELECTRICAL INSPECTION
t DECK BELOW WORK COVERED BY THIS REOUEST
ES-00001-02
25 l ct
T 40012
Type of Building New Add. Rep. Cheek Appliances Wired For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
'Duplex ? ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List )
) List
tither ? ? ? }}
Herers) Herers?
COMPUTE INSPECTION FEE BELOW Temporary Service
Service Entrance Size: # Fee FeedersikSubfeeders: # Fee Circuits: # Fee
0 to 100 Am s. 8.00 0 to 30 Am eres 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
Above 200_Amps. Above 100 Amps. Above 100 Amps:
Transformers Remote Control Circ. Partial or other fee
Signs Special Inspection Minimum fee $5.00
Remarks
TOTAL FEg, p
8.50
1, the E c pdc ¢d, h' 4by certify that the above inspection has been ma-e-.
(Roughlin) f _ Date
(Final) Date
This request void V c?-`
18 months from