P - 80043� REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
� 1-396-1 �8 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-OS00 TTY/MRS 1-800-627-3529
www. electricity.state.mn. us '
Identify the work covered by this request:
�aEW ❑ REMODEL ❑ ADDITION ❑ REPA�R
GENERALFEES
SERVICES / POWER SUPPLIES
Above 200 Am ere � $10
ALARM, COMMUNICAiION, REMOTE CONTROL, SIGi
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or aratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS (PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Li Min Retrofit �$25 r Fxture
Center Pivot Irti tion Boom �$40
Manufactured Home Park Lots � $25
Recreational Vehicle Park Sites � $5
Se arate Bondin Ins ion �$20
Special Inspection � $30 per Hour
XCEL ENER�Y SAVER'S SWITCH
Outdoor Liahtina Standard � $1
Transformers over 10 KVA � $20
Transformers / Power Supply for Signs / Outline Lighting �$5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each DweNing Unit �$80
Additional Inspection Trips � $20
Investigative Fee
Reinspection Fee � $20
TOTAL FEE
(minimum total fee is $20)
FOR INSPECTOF USE ONLV
I hereby cerUly that I
ROUGH IN
FINAL INSPECTION
FOR OFFlCE USE ONLY
DATE
OATE
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I IIIIII IIIII (IIII IIIII �IIII IIII) �I� �� � I� ��
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Reque�l18�(02 Rough-in Inspection Required? � Yes I�[NO Inspection Other Than Rough-in: IT(Ready Now ❑ Will Call
You must call the inspector when ready! Date Ready:
I certify that I am the L� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby �equest inspection ot the electrical work at:
Job Address (5��, Bo�qc,BCUt9,Np.l� City FR'�� Lp Code �32
�sit� i � ri ri.. ivt
Section Township �[j Fire No. County a�(A
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Occup�nL__s_,_� E�1/A� A Phone
WtWi�.71Yt
Power Supplier Address
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Electrical Contractor / Com n Name Contractor License Number Master License Number
HUNT ELEC�R�G CORPORATION GA 00883
Mailing Adr�dr� .(Co�tr�ac�y(,���y�,r � � PbgAi��l�1���1Y1N 55114
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Authorized ' ature (Cyntractor, omparry or Owner Performing Installation) Phone
�'' 651 646-2911
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY