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` j GENERAL FEES
S�RVICES / POWER SUPPLIES
CIRCUITS OF LESS THAN 50 VOLTS
iystem Device or Apparatus @ $.50
ADDITIONS TO THE GENERAL I
to 12 Units (a� $50 Per Unit
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1821 University Avenue Sufte S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 www.electriclty.state.mn.us
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Outdoor Liahtina Standard na $1
Transformers u to 10 KVA $70
Transformers over 10 KVA $ 20
Transformer / Power Su I for SI ns / Outline Li htin $5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, Ail
Circuits and Two Inspecfion Trips Each Dwellfng Unit @$80
Additlonal Ins ction Tri $20
Investlgative Fee
Reinspection Fee @ $20
TOTAL FEE � , ,.
(minimum total fee is $20)
THISAflEM1FOR MSPEClOR USE ONLY
I hereby certity that I inspected the electripl installatlon d�cribed herein on the datas alated:
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� 7H!$ iNSTALLATION AAAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 12_MONTHS ____
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"S`��/Og Rough-inlnspectionRequired7 ❑Ye� �]No InspectionOtherThanRough-In: [�ReadyNow❑WIIICaII
You must call the inspector when readyl Date Ready:
I r,ertify fhat I am the LI UCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at
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