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P - 79181,_. REQUEST FOR ELECTRICAL INSPECTION � 1 � � [ � � (] p � � Minnesota Board of Efectricity - d� J .7 0 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 (65t) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request: XCEL ENERGY SAVER'S SWITCH GENERAL FEES Outdoor Liah6nq Standard @$1 SERVICES I POWER SUPPLIES ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each S stem Device or aratus $.50 ADDITIONS TO THE GENERAL FEES Per Unit @ $25 Lb htin Retrofit $.25 er Fixture Center Pivot Irti alion Boom $40 Manufacwred Home Park Lo1s S25 Recreational Vehicle Park Sites $5 Se arate Bondin ins tion $20 S ial Ins tion $30 er Hour S ial ins tion $.31 Mile THIS INSTALLATION MAY BE ORDEREC 1 lill II III II III ll �II II � 11 III II ��I lIL II I� I� �,7579822 ONE � TWO FAMILY DWE�LING; Includes the Service andlor Power Circuits and Two Inspection Trips Fee up to 500 Amperes, All ach Dwelling Unit @ $80 (minimum total fee is $20) � 20.50 THIS AREA FOR Il6PECTGR USE OK� I hereby cerUfy that I inspected the electrical insUlla6on described herein on ttie da[es sfa@ed: �a Ch.�� 3 o?O - SO Request Dffie: Rough-in Inspection Required? ❑ Ves � No Inspection O[her Than Rough-In: �Ready Nax ❑ V1NII Call �i�i ��� You must call the inspettor when ready! Date Ready: I certi4y ttrat I am the i�l LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of tl�e elechical work ah: M8TRUCTONB ON BACK OF YELLOW COPV BOARD OF ELECTRICITV COPY EB-00001M76 8.1. 2002