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P - 77455REGlUEST FOR ELECTRICAL INSPECTION 1��7216 Minnesota Board of Electriciry � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 (651) 642-0800 TTY/MRS 1-800-627-3529 � www. electriciry. state. mn. us Itlentify the work covered by this requestt � ❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR GENERAL FEES Ouldoor ' ti Standard �$1 SERVICES / POWER SUPPLIES Tr�C � Sqt�dard 8 S.�` 0 to 400 Am re �$25 Su lemental Fee �$20 401 to 800 Am re�$50 Transfortners u to 10 KVA �$10 Above 800 re �$75 Transformers over 10 KVA �$20 CIRCUITS / FEEDERS Transformer / Power Su for S' r�s / Outline L' Min �$5 0 to 200 Am ere �$5 ONE & TWO FAMILY DWELLINGS, EACH UNR Above 200 Am re �$10 Indudes the Service arxilor Power Supply up to 500 Amperes, All ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two I 'on Trips Each Dwellin Unit �$80 CIRCUITS, CIRCUITS Of LESS THAN 50 VOLTS Additional In ' n Tri �$20 Each S stem Device or ratus �$.50 Investi tive Fee ADDITIONS TO THE GENERAL FEES Reins 'on Fee �$20 MULTIFAMILY DWELLINGS PER UNI TOTAL FEE 3 to 12 unics � S5o Per unit (minimum total fee is $20) �,� Each AddiUonal Unit � $25 fOAM1�T0A1�0NLV ��;t�� -`F, OTHER ADDITIONAL FEES ( � �' ' tl Retrofit � 5.25 r Fatu�e Center Pivot Im tion Boom �$40 Manufactured Home Park Lots �$25 I hereby ce' that I inspected Me electrMal installati�on described herein on the dates staied: Recrea6onal Vehicle Park Siles � $5 "01�'" °�� Se rate Bondi In 'on � $20 S In 'on � S30 r Hour "�"'SPEC10N �� S' l ln ' n�$.31 r Mile 3— � � THIS INSTALLATION MAY BE ORDERED DISCONNECTED I NOT COMPLETED WITHIN 18 MONTHS _ - - FOR OfJ4Cl� Ll�cDqLr� �.•,.�� _-- A �c j (� �� \� �� j� � � S� 3 5 7 2 1 6 9�t ' L�-�f �C_J�' L.� � z, . . _, _ . .,i .v.. _�. : ,�,..� .. . . _ ,.:, _ . , � ��...�.. _ - • � _ _ �R«wNed't . �es �nspectlon c�her Tt�sn Rwon�lnc . -_riM. p wrraEaa Fr You must � tlis k�epeobr wllw� readyl psis fisady: i o�y u�a i am �+e. p u� cxx�rrFtncroa C] co�a�av p.ow�p and nareny :�ecuon � u,e e� work � ron �. tsu«c. eo�. «� r+o c� �v c� ' _ - ' '' _ i� ... : " - .,, . . ,. - �, � �.. - . �. . .. . . , . _ . � . . T(fwrlg�p` " 9ngB fiR l�q: ' �t. :t°1 , », , . _. , �,n _ � ,: ... _ .: a i111dfa4D ;. � _ � `� �� ,'� �' � � ''f� � �,� ,� _ j .r:. r� �� ' _ �,�7, .t n +�� `"� mt ' - _ �. u � � ' 4 .h ls � Y ya �, •�. :. �°'.� - ' s.=. ��a _ . _ �.,::# M� 'w�i.�� . . � ., . �.�. . . , . .» , . .. _ ... . �._.. ;.:._ ,. _ , ...�.. �' ;.. ..,.. �-. -.. _� � �.. � . „-., »r. ..�:x.;.. . . - � . , .. . , ' ' ..:- . -� . . . .. _ . �' �_ `„ ,,,., ,�� ' . .. _ .. . . , . . .. ' .. ., , ., . - � .:: __: . . . ,_ . - .. . ._ .. .. 3 7/Y12� � -.' .. . _ ..y. � : ...- . � _ -. �.... _ ..�-i�1�R1 '�:.. x. -��,..