Loading...
P - 79905REQUEST FOR ELECTRICAL INSPECTION �� O 3 3 6 8 �� Minnesota Board of Electricity -- ._ - � � 1821 University Avenue Suite S-128, Saint Paul, Minnesota�5104 ` �� � (651) 642-OS00 TTY/MRS 1-800-627-3529 www. electricity. state. mn. us Identify the work covered by this request G���� L �`G.�IJCG%C� ��f%'1 (��/�f�.�t7 EW ❑ REMODEL ❑ ADDITION ❑ REPAIR %7 �� GENERAL FEES Outdoor Li htin Standard �$1 SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5 0 to 400 Am ere �$25 � Su lemental Fee �$20 401 to 800 Am re �$50 Transformers u to 10 KVA �$10 Above 800 Am re �$75 Transformers over 10 KVA �$20 CIRCUITS / FEEDERS Transtormer / Power Su fw Si ns / Outline Li htin �$5 0 to 200 Am re �$5 �— ONE & TWO FAMILY DWELLINGS, EACH UNIT Above 200 Am ere �$10 Includes the Service andlor Power Suppiy up to 500 Amperes, All ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwellin UnR �$80 CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Addfional Ins ion Tri s�$20 Each S stem Device or ratus �$.50 Investi ative Fee ADDITIONS TO THE GENERAL FEES Reinscection Fee � S20 3 to 12 Units �$50 Per Unit Each Additional Unit � $25 OTHER ADDITIONAL FEES Lighting Retrofit � $.25 per Fixture Center Pivot Irrigation Boom � $40 Manufactured Home Park Lots � $25 Recreational Vehicle Park Sites � $5 Separate Bonding Inspection � $20 Soecial Insoection � $30 oer Hour total fee is herein on tl�e detas steted: �o''_�%a FOR OFFICE USE ONLY I illlil Illll IIIII illll IIIII Illli 11111 IIII{ Ilil llll � 1 c833687 � �t�3�'�O3�jis� Request ate: Rough-in Inspection Required? ❑ Yes o Inspection Other Than Rough-In: ❑ Ready Now ill Call v�� o� You must call the inspector when readyl Date Ready: I certify that I am the � LICENSED COIJTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work aY Job Address (Street, Box, or Route No.) Cily " Tap Code r �-- vG�- s � �,Ci Section Township Range Fire No. Counry ,n Occupant�, �/� , Power 8uoolier , 610 Phone � � / v v w� • � EB-OOOOtA-13 7/1/2000 ARD OF ELECTRICRY COPY INSTRUCTIONS ON BACK OF YELLOW COPY