P - 79250REQUEST FOR ELECTRICAL INSPECTION
,��r 1� O- 6 4 5� Minnesota Board of Electricity -
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TfY/MRS 1-800-627-3529 www.electriciry.state.mn.us
NEW ❑ REMODEL ❑ ADDITION _ 0 REPAIR Describe -usinqthe back of the white copy if necessary - the work covered by this request:
GENERALFEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am ere $50
Above 800 Am re $75
CIRCUITS I FEEDERS
0 to 200 Ampere @ $5
Above 200 Ampere @$10
ALARM, COMMUNICATION, REMOTE CONTROL
CIRCUITS, CIR�UITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus @$.50
ADDITIONS TO THE GENERAL I
MULTIFAMILY DWELLINGS PER UNIT
3 to 12 Units @$50 Per Unit
Each Additional Unit @ $25
OTHER AODITIONAL FEES
Li htin ReUofit $.25 er Fi�ure
Center Pivot Irri ation Boom $40-r
Manufactured Home Park LoGs $25
Recreational Vehicle Park Sites $5
Se arate Bondin Ins fion $20
Snecial Insoection � S30 cer Hour
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17706458
Standard
Transformers over 10 KVA $ 20
Transformer / Power Supply for Signs / OuUine Lighting @$5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit @$80
Fee
TOTAL FEE I 2O.B0
(minimum total fee is $20)
THIS RFEA FOR Il15PECipt USE pLY
1 hereby ceAiry th� t inspected tlre electrical instaUation described haein on the da�s stated:
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KBQu�� uau: Rough-in Inspection Required? ❑ Yes ❑"No Inspection Other Than Rough-In: ❑keady Now ❑ V�ill Cell
07�� You must call the inspecta when ready! Date Ready.
I certify that I am the �ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of tl�e electrical work at:
ma irtw���ns wr sACR UF �ELLOYY GOPT BOARD OF ELECTRICITV COPV EB-0OOOtA-74 8.1. 2002