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P - 78098REQUEST FOR ELECTRICAL INSPECTION 1— 5 7 4- 2 0 2� Minnesota Board of Electriaiy _ 1821 University Avenue Suite S-128, SaiM Paul, Minnesota 55104 , (651) 642-0800 T'fY/MRS 1-800�27-3529 www.electriciry.state.mn.us ❑ NEW ❑ REMODEL ❑ ADDITION PAIR Describe -using the back of the white copy if necessary - the work covered by this request: l�/�ilG i/LLG�/�'I /.7�r-oc� /�.li17'L�el�' S RVICES I POWER SUPPLIES 0 to 400 Am ere S25 40t to 800 Am ere E50 Above 800 Am ere $75 CIRCUITS I FEEDERS 0 to 2(!0 Ampere na. $5 Above 200 Ampere @$10 ALARM, COMMUNICATION, REMOTE CONTROL, CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each System Device w Apparatus @$.50 ADDITIONS TO THE �ENERAL F MULTIFAMILY DWELLINGS (PER UNIT) 3 to 12 Units � E50 Per Unit Each Additional Unit @ $25 OTHER ADDITIONAL FEES Li� htin Retrofit E.25 er Fixture Center Pivot Irri ation Boom S4(I Manufactured Home Park Lots E25 Recreational Vehicle Park Sites ES arate Bondin Ins Gon $20 S ial Ins on S30 er Hour S iallns tion 5.31 Mile THIS INSTALLATION MAY BE ORD � Transfortners up to 10 KVA �$10 � Transformers over 10 KVA @$ 20 Transfortner I Power SuoD�Y for Sipns I OuUine Liqh6nq $5 ONE & TWO FAMILY DWELLINGS, EACH UNIT Includes the Service �dlor Power Supply up to 500 Amperes, All Circuits and Two Inspection Trips Each Dwelling Unit @$BO Fee ( TOTAL FE j I �D�S� minimum total fee is $20 THIS MFJ� FOR N/SPECTpi USE OI�LY I hereby cer6fy tl� I inspected the elecbical instaka6pn described herein on the dafes stated: ,,,y- � —i� -�� Iliiiiili�iiiiiiiiiiiiiiiiiiiiiiniiiiiia�i� ,�� �s �' L5742�26 �,��-��� - ,�,Q,Sc�