3876 Dolomite Dr - Electrical PermitsThitr'y st void L 3 3 t Qj1 i ,s i car lnC C37,
6z
om 1 >_ 4q -7
3 --
183nontts11
Date Lof tfi?is Request 5FIj V Fire No. 13723
1, as LKLicensed Electrical ntrac or ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: 337 3 8'7R-/ 3 y Q(/
C3 /o
Street Address or Route No. ? '00/12!h'G -City
Section Township Range County
Which is occupied by
Name or uccupam)
Is a roughin inspection required on this job? •• No ? Yes ? Ready Noyw? ? will Ca?
Power Supplier 4"?44, 4 Address /;29-/- V 4&1.%
A 90 'r
Electrical Contractor Contractor's License No.
(company Name) !D,
Mailing Address lo2Y`¢?c?r/e SQw?C 5537-`
(Electrijal Contractor or Owner Making This Inst latlon)
No. 0.375-3?
mmneacra arace aoam or cnecrncrry
Griggs Midway Bldg. - Room N191
182TUniversity Ave., St. Paul, Minn. 55104 - Phone 297.2111
REQUEST FOR ELECTRICAL INSPECTION
CHECKB$LOW WORK COVERED BY THIS REQUEST
??ooEB-00001-02
13723
Type of Building New Add. Rep. Check 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 Cj E] List List ))
O[her
.?,/ ?
1JL
?
Others
HHer
e 111111
Otherst
Here )1
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee
0 to 100 Amps. - 0 to 30 Amperes 0 Amperes
101 to 200 Amps. 31 to 100 Amperes 00 Amperes
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Circ. Partial or other fee
Signs Specia] fns ectton Minimum fee $5.00
Remarks c
$, TOTAL FEE S
I, the c he cee yi that e o e I tion has been ad?.e( °S/JO Y 1?1 Jii4f/
(Rou ) Date
Date
r S/-2(o L 3.;;), 1,? I ,c(°ar?l't l
This request void 1 C 37 sU !sv [ C] O
18 months from E0-1 . a(p qq ?
Date o?f, this Request 7 rfl Fire No. T. 13723
1, as Lxucensed Electrical Contractor ? Owner, do hereby request inspection of the above electri.
cal wiring installed at:
Street Address or Route No. -? w 3? fJOIU/r7?? City
Section Township Range/ County
Which is occupied by :7?11P-As2n &c/`ai/
Is a roughin inspection required on this job? No D Yes ? ' Ready Now. ? will Coll?
Power Supplier. e"Al 6Yirr Address - I;2KIo 72 /4 wpb'
A ?d
Electrical Contractor A&_ 4"C Cu . Contractor's License No. _
(company Name) pMailing Address AA 161 55-373'
Authorized Signature
or
No. p.3s5?
. ?? '?T .? ?gy?cemrac[or?r 117 Making This
?o 31 t I ?k°a?- h i'« J
Tt;A request void C 37 r Sv1 1 5-C71 v
18 months from ?11L atr X12 `l
Date pf Otis Request Fire No. T 13723
1, as 3rLicensed Electrical ontrac or ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: ?3S 7?a? -7 R1 3/ v QY
Street Address or Route No. '? 36 ISCJ? O/UhrLIV ?. City K
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? will Ca?
Power Supplier Q"z*a 224t Address 1;2KI,
r ? ? d
Electrical Contractor /nLrAg, ' ?"c Contractor's License No.
(company Name,
Mailing Address la 4?,{e 9 ?{ ??esoUQq? 5537 8
(El ec trI al Contractor or owner Making ThIis Inst latlon)
Authorized Signature Phone No. p-35736-
- (Electric pntractor r Ow r Making This Installation)
s? ?w L 3y1
This request void ?-3 7 Sv /SY7, CD O
18 months from a13723 Da!a 2f t}?is Request ?? Fire No. T 1 1, as ?CLicensed Electrical Oontrac or ? Owner, do her by_request inspection of the above electri-
cal wiring installed at
r 3574/ 3$7??l3
Streel Address or Route No. 3? ?EJO/CJ/LteT C CityK
Section Township Range/ l J County_
Which is occupied by11e??
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? WW Ca
Power Supplier_ Q"A?, GYirr Address _%;2K1.
Electrical Contractor Contractor's License No.
(Company Name) `D ?
Mailing Address _ ld 5537p D
(ElectriF.al contractor or owner Maklne T?ia Inst latlonl
Authorized Signature
Phone No. p 35 S?
+$cV `I-,T 1' .ii.`='+n .^.(f^ia _ r+A ?af+.a tom --------`-- - --