P - 80458. REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
. 1-381-439 � 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 covered by this request:
l.fltlEW ❑ REMODEL ❑ ADDITION
GENERAL F
SERVICES / POWER SUPPLIES
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A paratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWE�LINGS PER UNI'�
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
�
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C
XCEL EhIERGY SAYER'S �WITCH
Transfortners over 10 KVA � $2f1
Transfortners / Power Supply for Signs I Outline Lighting �$;
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 Dwelling Unit �$80
Additional Inspection Trips � $20
FOR
I heraby c
ROUGH IN
FINAL INSi
Fee
TOTAL FEE
total fee is $20)
the electricel install9tion describetl
DATE
f7 ♦ DATE
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FOR OFFICE USE ONLY
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"1 381 4397* �,S
Request Date: Rough-in Inspection Required? ❑ Yes ❑ o Inspection Other Than Rough-in: eady Now ❑ Will Call
����� You must call the inspector when ready! Date Ready:
I certify that I am the C7 LICENSED CONTRACTOR ❑ COMPANY �❑ OWNER and hereby request inspection of the electrical work at: