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P - 80037''� REQUEST FOR ELECTRICAL INSPECTION Minnesota Board ofi Electricity 1-396-1 14 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 (651) 642-0800 TTY/MRS 1-800-627-3529 www. elect�iciry, sta te. mn. us IIdentity the work covered by this request: �I�EW ❑ REMODEL ❑ ADDITION ❑ REPAIR AIARM, COMMUNICATION, REMOTE CONTROL, SIGNALING CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS Each S stem Device or Ap aratus �$.50 ADDITIONS TO THE GENERAL FEES Unit � $25 OTHER ADDITIONAL FEES � $25 per Fixture �ation Boom � $40 XCEL ENERQY SAVER'S SWITCH Transformers u to 10 KVA �$10 Transfortners over 10 KVA � $20 Transfortners / Power Supply for Signs / Outline LigMing �$; ONE 8 TWO FAMILY DWELLINGS, EACH UNIT Indudes the Service andlor Power Suppiy up to 500 Amperes, AII Circuits and Two Inspection Trips Each Dwelling Unit �$80 Additional Insoection Trios � $20 TOTAL FEE total fee is $20) nnanutactured home Nanc �ots �$z5 I hereby certfij ihat I inspected the electrical inslallation describetl herein on the tlates stated: Recreatio�al Vehide Park Sites �$5 RWGH IN OATE Se arate Bondin Ins 'on � $20 Special Ins ection �$30 f HOUf FINAL INSPECTION DA S ecial Ins ection �$.31 er Mile �� _ _'�jIS NST LLATIQ��Y_�E_QAR�REQJ�J,�t.�QNNECTED��IQISr��l�PLETED�(yJ�HIN1$MQNTHS _ FOR OFFICE USE ONLY ( IIIIII I�I �III IIIII II��I �II I�I � � ��I �� * 1 3961 1 49* �'�SO Reque��� Rough-in Inspection Required? ❑Yes C�No Inspectlon Other Than Rough-in: �Ready Now ❑�II Call You must call the inspector whBn ready! Date Ready: I certify that I am the L�S LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: Job Address (�tr,@gt, Bo��iqut@�� City FRIDLEY Z'p �B �32 ;�tJ(1 ! 1 fi A Section Township Range Fire No. County a�a Occupant Phone �'�1� i �i�l� � i► Power Supplier Address XCEL ENEF�GY Elechical Contraaw ! Com ny Name Cornractor License Number Master License Number HUNT ELEC�RI6 CORPORATION CA 00883 Mailing Address LContractor, Com ny or Owner Performin Installation) 2300 TEF�RITOF2iJ�,1.. R�7A0 , SAIN'iQPAUI, MN 55114 Authorized Si naWre (�ract�w, Com�pany or Owner Performing Installation) Phone i�F �-?� e�z�ii E&00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY