P - 77186(� REQUEST FOR ELECTRICAL INSPECTION
1� C' �-16 0❑0 Minnesota Board of Electricity ���
� 1821 University Avenue Suite S-128, SaiM Paul, Minnesota 55704
(651)642-08001"TY/MRS 1-800-627-3529 www.electriciry.stale.mn.us
❑ NEW ❑ REMODEL ❑ ADDITION 0 REPAIR cribe -using the back of the white copy if necessary - the wak covered by this request:
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GENERAL FEES Outdoor Liahtina Standard (� S1 �--�
800
)MMUNICATION, REMOTE CONTROI,
CIRCUITS OF LESS THAN 50 VOLTS
0
ONE & TWO FAMILY DWELLINGS, EACH UNIT ,
Includes the Service andlor Power Supply up to 500 Amperes, Ali
Circuits and Two Inspection Trips Each Dwelling Unit @$80
hAMILY UWtLLIN(iS h'tK UNI I TOTAL FEE
m t2 Units � E50 Per unit (minimum total fee is $20) ��
x A �6on� Unit 25 ���b
iMIS ARE� GOR ttbPECTpi U5E pLY
y cer6ry � inspe�led the elec6ical installalion described he2in on tlie daBes stakd:
OTHER ADDITIONAL FEES �✓K " ' V
�ghGng Rehofit �$25 per Fixture R� N'7 ^l�'' -°�
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