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P - 79338REQUEST FOR ELECTRICAL INSPECTION ��` 1��- 6 0 6 0 Minnesota Board of Electricity - 1621 University Avenue Suite S-128, Saint Paul, Minnesota 55104 � (651) 642-OB00 TTYlMRS 1-800-627-3529 www.electricity.state.mn.us NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request: XGEL ENERGY SAVER'S SWITCH GENERAL FEES Outdoor Ligh6ng SiandaM @$1 0 to 200 Am re $5 Above 200 Am ere $10 AlARM, COMMUNICATION, REMOTE CONTROL, SIGNALING CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each S stem Device or aratus $.50 ADDITIONS TO THE GENERAL FEES MULTIFAMILY DWELLINGS PER UNIT 3 to 12 Units C� $50 Per Unit �'' i l � _ � ' ����i �IH N� IINI II{II1��{I Itlll {{�I III� Ili� 1 7 7 3 6 0 6 7 Transfortners u to 10 KVA $10 Transformers over 10 KVA $ 20 Transformer / Power SuDPIy for Signs I OuUine Lightina @$5 ONE 8� TWO FAMILY DWELLINGS, EACH UN1T Includes the Service andlor Power Supply up to 500 Amperes, All Circuits and Two Inspecilon Trips Each Dwelling Unit @$80 (minimum total fee is $20) � $20,5a THIS NRFA FOR IIS CiOR USE OIlY � hereby cerbry thffi I inspected Me electrical installa6on destri6ed hetCin an Ihe da�s stated: �.�;v Y- � r sG� 2 �a 7/ 2-/7-G 02�� Sd Request Date: Rough-in Inspeclion Required? ❑ Yes Inspection Other Than Rough-In: ady Now O Will Call ��('��f Q� You must call the inspector when readyl Date Ready. I certiiy that I am the C�¢ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspecction of the elecUical work at:: INSTRUCTONS ON BACK OF YELLOW COPY BOMD OF ELEC7RICIT' COPY . EB-00001M14 8.1. 2002