P - 81863, REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
- 1-375�4�� � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 —
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity.state.mn. us
Identify the work covered by this request:
OMIEW ❑ REMODEL . O ADDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am ere �$50
Above 800 Am ere � $75
CIRCUITS / FEEDERS
O to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIG
CIRCUITS. CIRCUITS OF LESS THAN 50 VO�TS
Each S stem Device or Ap aratus �$.50
ADDITIONS TO THE GENERAL FEE�
MULTIFAMILY DWELLINGS (PER UNI�
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Li htln Retrofit �$25 per Fixture
Center Pivot Irti tion Boom �$40
Manufaclured Home Park Lots � $25 `�
Recreafional Vehicle Park Sites � $5
Se arate Bondin Ins 'on � $20
S ecial Ins ion �$30 per Hour
Special Inspection � $.31 per Mile
SAVER'S �WITCH
Transformers u to 10 KVA �$10
Transfortners over 10 KVA � $20
Transfortners / Power Supply for Signs / Outline Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspeclion Trips Each Dwelling Unit (� $80
Additional Inspection Trips � $20
Investigative Fee
Reinspection Fee � 520
TOTAL FEE
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I hereby certify that 1 inspectetl the electrical inslallation describetl
ROUGM IN
FINAL INSPECTION �
DATE
DATE
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FOR OFFlCE USE ONLY
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Request Date: Rough-in Inspectian Required? ❑ Yes ❑ Inspection Other Than Hough-in: eady Now ❑ Witl Cail
You must call the inspector when ready! Date Reedy:
I certify that I am the � LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: