P - 76524REQUEST FOR ELECTRICAL INSPECTION
�3 4 7 410 Mir�`iesota Board of Electricity _
� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us ,
IdeMify the work covered by this request:
❑NEW QREMODEL ❑ADDITION ❑REPAIR
GENERAL FEES Outdoor ' htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am re�$25 Su lemental Fce � S20
401 to 800 Am re �$50 Transformers u to 70 KVA �$10
Above 800 Am re �$75 Transformers over 10 KVA �$20
CIRCUITS / FEEDERS Transformer / Power Su fa ' ns / OuUine Li fi $5
0 b 200 Am re �$5 ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Above 200 A re�$10 Includes the Service arxUor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two In ion Trips Each Dwellin Unit � a80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Addi6onal I ion Tri � E20
Each S stem Device or A aralus � a.50 Investi tive Fee
ADDITIONS TO THE GENERAL FEES Rein ' Fee (� $20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE
3 to �2 untts �$5o Per Una (minimum total fee is $20) ,
Each Add'IUonal Unit � $25 F0R1N�CT0R1� °NLV
OTHER ADDITIONAL F �(4 C�4-C(� ,,.4 ��' C��L fl':'�`
Li htin Retrofit �$25 r Fixture ,')
Center Pivot Irti tion Boom �$40
Manufactured Home Park Lots �$25 1 her�y certity that i inspected the eiecllicel installation described herein an Ne dates stated:
Recreational Vehicle Park Sites � $5 "D1�' °1 �^T�
rate Bondin I 'on � $20
S ial Ins ion �$30 r Hour "'�"p' �
' I I ' �$.31 r Mile � 7��� �j/�-�
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN NTHS
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I� (� You must cd tAe inspectw when readyl pate psady:
' I oerMy d�at 1 am 1he [] LICEt� CpHTRACTOR ❑ COMPANY [�' W�NER �d hereby request ins�ecbon afi the electrical work at
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