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Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDiTION ,�] REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
Above 800 Ampere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere (� $10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
ADDITIONS TO THE GENERAL I
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Addflional Unit � $25
OTHER ADDITIONAL FEES
Center Pivot Irrigation Boc
Manufactured Home Park
Recreationat Vehicte Park
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity =
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TfY/MRS 1-800-627-3529
www. electricity.state. mn. us
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Outdoor Li htin Standard � $1
Tra�c Si nal Standard � $5
Su lemental Fee � $20
Transfortners u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns ! Outline Li Min �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, Atl
Circuits and Two Inspection Trips Each Dwelli Unit �$8(
Additionai Inspection Trips � $20
Investiaative Fee
that I
total fee is $20) ��,r
�ribed herein on the �tes stated:
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�R OFFICE USE ONLY
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Aequest Date:� —�� Rough-in Inspection Required? ❑ Ves o fnspection Other Than Rough-In: Aeady Now � Y�iO Cetl
/� You must call the inspector when readyl Date Ready:
I certity that I am the�LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at