P - 79759` REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity �
1-396-546 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 -
(651} 642-08001TY/MRS 1-800-627-3529
www. electrrcity. state. mn. us
Identity the work covered by this request:
X XCEL Eh1ER4Y SAVER'S SWITCH
0 NEW ❑ REMODEL ❑ ADDITION Q REPAIR
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Sianal Standard �$5
IALARM, COMMUNICATION, REMOTE CONTROL
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus �$.50
TIFAMILY DWELLINGS (PER UNIT)
3 to 12 Units �$50 Per Unii
Each Additional Unii � $25
OTHER ADDITIONAL FEES
Lighting Reirofit � $25 per FiMure
Center Pivot lrrigation Boom � $40
Manufactured Home Park Lots � $25
Recreational Vehicle Park Sites � $5
Separate Bonding Inspection � $20 .
SpeCial Inspection � $30 per Hour
Special Inspection � $.31 per Mile
Transformers over 10 KVA � $20
Transformers / Power Supply for Signs I Outline Lighting �
ONE & 1W0 FAMILY DWELLINGS, EACH UNIT
Includes the Service and(or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$E
Additional Inspection Trips � $20
Fce �
TOTAL FEE
total fee is 5201
I hereby cerliy that I inspectetl the eleclricel installation described herein on the detes slated:
RWGH IN DATE
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FOR OFFICE USE ONLY
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Reques� Rough-in Inspection Required? ❑ Yes No Inspection Other Then Rough-in: Ready Now ❑ Will Call
You must call the inspector when reatly! Date Ready:
I certiiy that I am the � LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at
tes-wuc�ia-i3 �n/LOao BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY