Loading...
P - 76067REQUEST FOR ELECTRICAL INSPECTION � �` �� 01 �� 415 � Minnesota Bc�ard of E�ctricity ;� � 1821 University Avenue Suite 5-128, Saint Paul, Minnesota 55104 (651) 642-0800 TTY/MRS 1-800-627-3529 www.edectricity.state.mn.us De.scribe -using the back of the wt�te cbpy'rf necessary - the work covered by this requ�t: �" �� � ���� NERAL FEES Outdoor Lighting Standard $1 SERVICES / POWER SU PLIES � Traftic Sianai Standard id �.5 ■■��Itll )MMUNICATION, REMOTE CONTROL, CIRCUITS OF LESS THAN 50 VOLTS ivstem Device or Anaaratus (6D $.50 Park ALLATION MAY BE ORDERED ������������������������� 20134151 Sup lemental Fee @ $20 Transformers u to 10 KVA ,$10 Transfartners wer 10 KVA a$ 20 Transformer / Power Su I for Si ns / OuUirre Li hti $5 ONE & Nd0 FAMILY DWELLINGS, EACH UNR Includes the Service and/or Power Supply up to 500 Amperes, All Circuits and Two InspecGon Trips Each Dwelimg Unit @$80 Addfional Ins ection Tri s a$20 Irnesti� ative F� Reins ection Fee a $20 TOTALFEE (minimum total fee is $20) � � (� I hereby certlfy that I inspeded the ele�lcal insfallatlon described herein on the dates stet�: �ucxm nnre �� �'- .�2.O.�o Fwums�cnwv -r GP t`3-7 -d �r� ow�o�ae�vmo�o �� ECTED IF NOT COMPLETED WITHIN 12 MONTHS FOR �'§ Fk'.� USE OF,'LY ' 5�36 �(�V �l/° V �' `�l' l�' � ��/� - Q Rough-in Inspectlon Required7 �Y� ❑(do Inspecdon Other Than Rough-In: 0 Ready Now f�Vill Call I i3r �\ c.�o You must call the inspector when readyi Date Ready: I certify that I am the LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby �equest inspection of the electrical work at Job Site Addrass �hy � e �.� �'i_�.1i _. �,� , i1� � rG� �C//'o a n , raea srg �wnva r or rertorm�pgrristeuanon i L � � WSTRUC710N3 ON enCtt EttOW co�+v ttonan �c Fi cr.rnir.rtv r.nav � ) � ) �se Number Mader Electridan or Power Umited Tech � ��� � � � � � �� ��� Iea�� Provide Two 2) Phorre Numbers Induding Area Ca t� ��3 � (�t r����35' is� �, . _ a `so r _ ' ELECTRICAL INSPECTIONS PERMiT No. = '} �" � �°� °' -�� CORRECTION ORDER . �aTe �i � -' ~ r=-° � , ' , -- - r. �-s'"`' � ,.i.:_ .r- .y. Installer of Wfring� '- - � �� � � s`x � �VYf18f/�CCUp8�1t � r �� ,�� r� Job ` M - R�'� �. ` ��- � r � ^ � ^� Property Address �"' � � = �� ; �� �,a;�'���": � Z�p �' t �. �� i� f��� ,� The following items are deviations from the accepted standards of construcUon at the above described premises. Numbers after each ftem are applicable NaUonal Electdcal Code Sectlons: 7. � /',�r ,� �,- � � � 'G� �;% � ; ��.r ,� �. �:`� c,�F, .,,f.; - .�`'" � "� -5 �: �^' �'� � � �y �'},;�.:.J !f'� I �'": d' p�';..<,�e.� ,�;%%'f�._ c'1 t- � � ,- ��. �,_,:�s't._.. �� �+i �1�.�� �'.::,y �" �4 t�`i ���(. L./� , fv'C°f�'4� ��t < �:-.�. -.� ', ,, I �'" �-C��.- - � --,. . f ; � _ ,-_ ?f,. Correct the noted deflclencies and: O NoUty Inspector for relnspectlon betore covering wiring. O�Re-Inspection will be made at time of next Inapectlon. ❑ Sign end return thla form to Inspector when correctlona have been mede but no later then (Date:) Signature of Instalter Robert Clauson 1586 E. Sextant Ave. Date of Compliance Maplewood, MN 55109 Call 651-777-7885 for Reinspectlon - 7:00 - 8:30 a.m. Monday - Friday except holldays. RC-01