P - 81986REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity " �
�_ � 1� O� 6 4 1 ��� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.edectricity.state.mn.us
❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
0 to 400 Ampere � $25
401 to 800 Ampere � $50
Above 800 Ampere � $75
�UITS ! FEEDERS '
0 to 200 Ampere � $5
Above 200 Ampere � $10
RM, COMMUNfCATION, REMOTE CONTROL, SIGI
�UITS, CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus �$.50
ADDITIONS TO THE GENER,4L FEES
Center Pivot Irrigation Boom � $4C
Manufactured Home Park Lots � $
Recreational Vehicle Park Sites � �
Separate Bonding fnspection � $2)
Special Inspection � $30 per Hour
Soecial Insoection � 5.31 oer Mile
Outdoor Li htin Standard � $1
Tratfic Si nal Standard � $5
Su lementaf Fee C� $20
Transformers u to 10 KVA �$10
Transiormers over 10 KVA � $20
Transtormer ( Power Su I fw Si ns ) Outline Li tin �$5
ONE & TVdO FAMILY DWELLINGS, EACH UNIT
Inciudes the Service and/or Power Supply up to 500 Amperes, All
Circufts and Two Inspection Trips Each Dwelling Unit �$8(
Additlonal Insoeetion Trips � $20
I herebvi cerMV ihst I
Fee
total fee is
on tlie dates slated: 1
FOR OFFiCE USE ONLY
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Re e Date: Rough-in Inspection Required? Yes ❑ No Inspection Other Than Rough-In: eady Now 0 Will Call
You must call the Inspec[or when ready4 Date Ready:
I certity that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electricai work ah.