P - 76517� REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1� 3 4 7- 3 3 4 1821 University Avenue s;r�, Saint Paul, Minnesota 55104
(ss�� sa2-oeoo TTY/MRS 1-800-627-3529 =
www. electrici ry. state. mn. us
Identi(y the work covered by�this request: ` /' � O ��
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❑ NEW ❑ REMODEL ADDITION ❑ REPAIR �
GENERAL FEES Outdoor ' htin Standard �$1
SERVICES / POWER SUPPLIES Tra(fic S' nal Standard �$5
0 to 400 Am re�$25 emental Fee �$20
401 to 800 Am re �$50 Transformers u to 10 KVA �$10
Above 800 Am re �$75 Transfomrers over 10 KVA �$20
IRCUITS / FEEDERS Transfortner / Power Su I for Si ns I Outline Li Mi �$5
0 to 200 Am re �$5 ONE & TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re�$10 Includes the Service arnUor Power Suppty up to 500 Amperes, All /�
ALAFM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspectbn Trips Each Dwelli Unit �$80 (�
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins ion Tri s�$20
Each S m Device or ratus (� $.50 Irnesti ' e Fee
ADDITIONS TO THE GENEFAL FEES Reins ion Fee �$20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE �/
3 to �2 Units �$50 Per Unit (minimum total fee is $20) �o�
Each Additional Unit � $25 �+ ���� � �Y
OTHER ADDITIONAL FEES I
' hlin Retrofit f� $25 Fixlure
Center Pivot Irti tion Boom � i
Manufactured Home Park Lots ��25 � hereby � Mat � i �he electrical i descri herein on the dares stated:
Recreational Vehicle Park Sites �$5 "�" �" o�,� '
�eparate Bondin I ' n�$20 ��'
' � �on � $30 r Fbur 'TM^� "���"�" o�h
^hon � $.31 Mile 4' �,3' i,�.�
�:�,;,4TM1�� . ' ATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN ONTHS
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