P - 77458_ ,
'-� REQUEST FOR ELECTRICAL INSPECTION
�` 1-245-413 Minnso �d ,� �..
+ 1821 Unive ' v e S-128, Saint Paul, Minnesota 55104
( (651 -0800 TTY/MRS 1- 7-3529
.electricity.state.mn.us �'���.�'�2°�l� �(�b �
iIdenti(y the work covered by this request:
❑NEW ,�REMODEL ❑ADDITION ❑REPAIR
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Tratfic S' nal Standard �$5
0 ro 400 Am re �$25 ,.�,• � Su lemental Fee �$20
401 to 800 Am re � a50 Transfortners u to 10 KVA �$10
'�0� � � � � $75 Transfortners over 10 KVA � $20
CIRCUITS / FEEDERS Transformer / Power Su for S' ns / OuGine Li htin �$5
0 to 200 Am re�$5 i ONE & TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re �$10 Includes the Service and/or Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Ins ion Tri s Each Dwellin Unit � a80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Add'Aional Ins 'on Tri s�$20
Each S_ Device or Apparatus �$.50 i,,,,o�f�„�,�,o cm
" ." ` """' ° '°"" �C' "°" - � (minimum total fee is $20)
Each Addilior121 Unit �$25 ia+ nur�croH � aav
OH
OTHER ADDITIONAL FEES �A�i �—Q,i2 0,3,E+ l
Li hti Retrofit �$25 r Fixture "
Center Pivot I� ation Boom �$4p �� ` 3^ �/— o} �t
Manufactured Home Park Lots �$25 I hereby certily that I in the electrical inslalla6on desaipEy herein an the dates stated: I
Recreatlonal Vehide Park Sites �$5 ��N pp,� t
arate Bondin Ins 'on � $20 - --=r:'t /�„�� ;
S' I ' n��330 r Hour �»��«+ oq� �
S ' In ' �$.31 r Mile � �� ps—
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS
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