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P - 82428REQUEST FOR ELEC7RICAL INSPECTION � m Minnesota Board of Electriciry �`"� 1- 0 2 4� L O O �'w � �82� University Avenue Suite S-128, Saint Paul, Minnesota 55104 �` aP��;�� (657) 642-0800 TTY/MRS 1-800-627-3529 . . . -;, ..._- www. electrtci ry. state. mn. us IdentiTy the work covered by this request: ❑NEW ❑REMODEL ❑ADDITION EPAIR �CL,(„Jr11�j(�i� ���%�Q�� GENERAL FEES Outdoor Li htin Standard �$1 SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5 0 to 400 Amoere �$25 Su lemental Fee �$20 CIRCUITS / FEEDERS 0 to 200 Am ere �$5 Above 200 Am ere � $10 ALARM, COMMUNICATION, REMOTE CONTROL, CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each S stem Device or A aratus f� $.50 ADDITIONS TO THE GENERAL F MULTIFAMILY DWELLINGS PER UNI 3 to 12 Units (� $50 Per Unit Each Additional Unit � $25 OTHER ADDITIONAL FEES n Boom � $4 Park Lots � Park Sftes � Transformers u to 10 KVA (� $10 Transformers over 10 KVA � $20 Transiormer / Power Su I for Si ns / 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 Dwellin Unit �$80 Additional Insoection Trios � $20 ipecial Inspection �$.31 per Mile I I L. THIS INSTALLATION MAY BE ORDERED DISCOMNECTED I Fee � I inscected the eledrical total fee is on tl�e dates stated: ��� 1 cerbfy that I am the j�110ENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: