P - 79008REQUEST FOR ELECTRICAL INSPECTION
1� 6 41- 4 6 3❑3 Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 5510�
(651) 642-08Q0 TTY/MRS 1-800-627-3529 www,electrlciry.s�
❑ NEW ❑ REMODEL ❑ ADDITION '� REP9�R Describe -�g the back af the white copy 'rf nec�ssary - t e work cove h
SERVICES I
0 to 20D Am ere $5 -� � 1
Above 200 Ampere (�$10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIf2CUITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus @$.50
ADDITIONS TO THE GENERAL F
MULTIFAMILY DWELLINGS PER UNIT
3 to 12 Units @$50 Per Unit
� Each Additional Unit @ $25 n
Lighting Retrofit @ $.25 per Fixture
Center Pivot Irriaation Boom � 84(
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Transfamers u to 10 KVA $10
` Transformers over 10 KVA $ 20
Transformer / Power Su I for Si ns l OuGine Li htin $5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Clrcuits and Two Inspection Trips Each Dwelling Unit �$BO
Additional Ins tion Tri $20
Vnvestiaative Fee
(minimum total fee is $20) �(/• �J
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I hereby ceNfy tl�at I inspecRd tlie electric� ir�staNation described herein on the dates staheb:
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I certify tt�at I am the
eou2o oF e�crnicm coPr
of the electrical work at:
EB-0OOD1A-74 8.1.2002