P - 81808-0,7i-637
Rl2ntify the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION �
GENERAL FEES
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity —
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity. state. mn. us
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Outdoor Li htin Standard � $1
Traffic Si nal Standard � $5
0 to 400 Am re �$25 Su lemental Fee �$20
401 to 800 Am ere �$50 Transformers u to 10 KVA �$10
Above 800 Am ere �$75 Transformers over 10 KVA �$20
CIRCUITS / FEEDERS Transfortner / Power Su I tor S' ns / Outline Li i (� $5
' 0 to 200 Am ere �$5 ONE � TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am ere �$10 Includes the Service andlor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwellin Unft �$SO
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins ion Tri �$20
Each S tem Device or ratus �$.50 Investi tive Fee
ADDITIONS TO THE GENERAL FEES Reins 'on Fee f� $20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE
3 to 12 Units �$50 Per Unit (minimum total fee is $20)
Center Pivot ! ' tion Boom � $40
Manufactured Home Park Lots �$25 � hereby cerliry that � inspected me electrical insmllatlon
Recreational Vehide Park SBes � $5 �: "01�"'"
v rai uia oon a �w� � �wi � <�i----�_ ��� � � � ` I
Specia! InspecYron �$.31 per Mile ' y�
THIS INSTALLATION MAY BE ORDERED DISCONNECTED I OMPLETED WITHIN 18 MONTHS
fOR OFFICE USE ONLY
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R uest Date: Rough-in Inspectian Required? ❑ Yes ❑ No Inspection Olher Than Rough-In: ❑ Ready Now � WIII Call
�— You must call the inspector when readyl Date Ready:
I certify that 1 am the�UCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the e�ectrical work at
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7/�/Zppp �� BOARD OF ELECTRICRY COPY INSTHUC710N3 ON BACK OF YELLOW COPY