Loading...
P - 75857REQUEST FOR ELECTRICAL IIVSPECTION 1� 3 4 7- 515 � M�y � B� Avenue Sulte S-128, Saint Paul, Minnesota 55104 � (651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us ��� O ��/ Identlfy ffie work covered by this request ��� s; ,.,��� � ❑ NEW ODEL pADDITION ❑ REPAIR L 7i/�'L �.c GENERAL FEES Outdoor Li SiarMard C� $1 SERVICES / POWER SUPPLIES Trartic SI Siandard �$5 0 to 400 re �$25 lemenial Fee �$'LO ' 401 to 800 Am re�$50 Transformers to 10 KVA �$10 Above 8� Am re �$75 Trenstormers over 10 KVA �$20 CIRCUITS / FEEDERS Trenslormer / Power S for Si / Outdne Li htfi �$5 0 fi 200 re�$5 a� 8 ONE & TWO FAMILY DWELLINGS, EACH UNIT Above 2� Am re�$10 Includaa the Service and/or Power Suppty up ro 500 Amperes, M ALARM, COMMUNICATION, REMOTE CONTFlOL, SIGNALING Cira�ts and Taro Irtspectlon Trips Each Dwe�ng Urtit �$80 CIRCUITS, CIRCUffS OF LESS THAN 50 VOLTS Adddonal I 'on T' �$20 Each Device or A �$.50 Im�ati ' F� ADDRIONS TO THE GENERAL FEES Reins n Fee f� $20 MUL77FAMILY DWELLINGS ER UN TOTAL FEE (j'p-1 3 to 12 Units �$50 Per Untt (mmimum total fee is $20) �'[ 0• ` Each Additlonal Unit �$25 �a+ u�cmn usE aiar OTHER ADDITIONAL FEES Li ' Retrofit �$25 r Fixture 2 Cer�ter Pivot irti eUon Boom �$40 Manufectured Home Park Lota ��5 I here that I tr� tlre elechi�l tr�smuatmn d� herein ai the da� stffi�: Recreatlomdl Vehtde Perk Sites �$5 aattw w uare � Se Bo I on � $20 `��� S I on �$30 r Hour � �����. S I on �$.31 r M8e THIS INSTALLATION AAAY BE ORDERED DISCONNECTED IF NOT COMPLETED WRHIN 18 MONTHS FOR OFFlCE USE ONLY ��� 5. i 111111 IIII1111fi( illll Illfl IIIII Il111 Illll IIII IIII �€ 1 3 4 7 5 1 5 7�E Requ Date: �� Rough-In Inspectlon RequfredT Y� ❑ No InspecUon Oifrer Than Rough-In: ❑ Reedy fVow LYi➢ Cell �! You must call ttre inspec[or when readyl Date Ready. I certiiy tl�at I am the ❑ LICENSED CONTRACTOR ❑ COMPANY OWNER and hereby request inspectlon of ffie ele�trical wrork et Job Address (Sbeef, Box. or No.) cily Zip Code � � ir% � �. � � d'1Z�� ��`��2 SecUon Township _ Renge _ Flra No. ,,, 1 e I� ��� � �_ E&00001A-73 7/tl2000 (� al� ��m� P���3-5-71-���2 � cv�s� � nse Nwnber Mas[er Ltcemse Nwnber I�on) � ning InstellaUOn) BOAAD OF ELELTHICITY COPY �Z�3 ��71 ����. � M9'TFIUCTIONS ON BACK OF YELIOri COPY ,