P - 80056REQUEST FOR ELECTRICAL INSPECTION ,
Minnesota Board of Electricity
� 1-396-102 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity. state. mn. us
Identify the work cavered by this request:
O%�IEW ❑ REMODEL ❑ ADDITION O REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am ere �$50
Above SUO Am ere � $75
CIRCUITS I FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each Svstem Device or Aooaratus � 5.50
� $50 Per
FEES
XCEL ENEROY SAVER'S SWITCH
Transformers u to 10 KVA �$10
Transfortnere over 10 KVA (� $20
Transfortners / Power Supply for Signs I Outline Lighting �$
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits antl Two Inspection Trips Each Dwelling Unit l� $8(
Additional Inspection 7rips � $20
Investi ative Fee
Reinspection Fee � $20
FOfl INSPECTOIi USE ONLV
nnanurac�urea nome ranc �ots � y� I hereby cert{fy ihat 1 inSpBCletl the eleCtricel installetion dB5Crib80 herein on tlle deteg 318tBd:
ReCreationai VBhiCle Park Sft¢S � ROUGN IN DATE
Se arate Bondin In on �$20
SpeCial Ins ection �$30 per Hour FINAI INSPECTION DATE
Special Ins 'on �$.31 r Mile 2—�— �
_,�kjIS�NST_AI_LATIQN MAY BE ORD�R,�D DIS�QNNECjEj�� __�Q�pj,�Ff1 yJ►1Tl�ll�_1�MONTHS= ___
FOR OFFICE USE ONLY
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Reque�pate��2 Rough-in Inspection Required? ❑Yes allo Inspection Other Than Rough-in: ❑Ready Now ❑wll Call
$/� You must call the inspector when ready! X Date Ready: �S
I certify that I am the � LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
59Bf 4'�H ST NE FRIGLEY 55+132
Section Township Ra�e Fire No. County
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Occupant Phone
BRESNAHAN DIANE
Puwe� s�ppuer ss
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Electrical Contractor / Company Name Contractor License Number Master License Number
HUNI' ELECTRIG CQRF'QRATION CA t�0883
Mailing Address (Contractor, Company or Owner Perfortning Instailation)
� TEK�ITfX�IAL i2t7A0 , SAINT PAUL, AAAI �'a114
Authorized Signature (Contractor, Company or Owner Perfortning Installation) Phone
� �p� 851 84�-2g11
E&00001A-13 7/Y/2000 BOARD OF ELECTAICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY