P - 76493REQUEST FOR ELECTRICA� INSPECTION ,
� % �w� ��� Minnesota Board of Electricity '��
1� 4 1��. � 4 1821 Universiry Avenue SuitEv�s�int Paul, Minnesota 55104 �
(651) 642-0800 T'fY/MRS 1-800-627-3529
www.electricity.state.mn.us �
Identify the wo covered by this request: �
❑ NEW � REMODEL ❑ ADDITION ❑ REPAIR Q
GENERAL FEES p��p� • • � � $1 i
SERVICES / POWER SUPPIJES Traffic Si nal Standard �$5 i
0 to 400 Am re�$25 Su lemental Fee �$20 j
401 to 800 Am re �$50 Transformers u to 10 KVA �$10
Above 800 Am re�$75 Transformers over 10 KVA �$20
CIRCUITS / FEEDERS Transfortner / Power Su for Si ns / Outline Li htin �$5 � I
0 to 200 Am re � ONE 8 TWO FAMILY DWELLINGS, EACH UNIT k
Above 200 Am ere (� 10 Includes the Service andlor Power Supply up to 500 Amperes, Atl F'
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Tri Each Dwelli Unit �$80 �!
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additlonal Ins ion Tri �$20
Each S stem Device or A ratus �$.50 Inves6 aUve Fce
ADDITIONS TO THE GENERAL FEES Rei ion Fee �$20 '
MULTIFAMILY DWELLINGS PER UNI
TOTAL FEE S T
3 to �2 Uni� �$50 Per Unit (minimum total fee is $20)
Each Additlonal Uni[ f� S25 wA ir+svECron usE on�v
N18nufaCtufed NOme P2�IC LOtS � a25 `'r V: I he ce ' that I i ihe electrical installation described herein on Me dates stated:
fiecreational Vehicle Park Sdes �$5 �� _ o,,,�
rate Bondi In 'on � S20 --�-�--`�-� �� C�
S ' I 'on � $30 r Hour ��+ ,,,�
S ' In ' (� $.31 r Mile �JCS��,��
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN t�`MONTHS
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