P - 80495REQUEST FOR ELECTRICAL INSPECTION
1 1�6 4 O G� Minnesota Board of Electricity
� � �' 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
�. .. (651) 642-OS00 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us ���
Identify the work cavered by this request:
❑NEW REMODEL ❑ADDITION ❑REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am re �$50
Above 800 Amcere � $75
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S tem Device or A aratus �$.50
ADDITIONS TO THE GENERAL F
Lightlng Retrofit � $.25 per Fi�ure
Center Pivot Irrigation Boom � $4C
Manufactured Home Park Lots � $
Recreational Vehicle Park Sites �
Separate Bonding Inspection � $21
Soecial insoection � S30 oer Hour
� /�5l �?7� C���
Outdoor Li htin Standard (� $1
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transfortner / Power Su tor Si ns I Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$8(
Addilional Inspection Trips (� $20
Investiaative Fee
FOR OFFICE l�E ONLY
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total fee is
installaGon described herein on
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Rough-I�: ❑ Ready
� ( f' You must call the inspector when readyl Date Ready:
I certiiy that I am the LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: