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P - 77184REQUEST FOR ELECTRICAL INSPECTION - ... .. ��F � 4 31 Minnesota Board of Electnciry � � 1821 Universiry Avenue Suite S-128, Saint Paul, Minne - 5104 ' �ssi� sa2-osoo TTY/MRS 1-800-627-3529 www. electricity. state. mn. us Identify the wor�c-�overed by this request: ❑ NEW p REMODEL ❑ ADDITION ❑ REPAIR GENERAL FEES pW�� ' ' g�b � $� SERVICES / POWER SUPPLIES Traryic � nal g�endard � g5 0 to 400 Am re�$25 Su lemental Fee �$20 401 to 800 Am re �$50 Transfomiers u to 10 KVA �$10 Above 800 Am re�$75 Transformers over 10 KVA �$20 CIRCUITS / FEEDERS Transformer / Power Su I for Si ns / Outline Li hti �$5 i0 to 200 Am re�$5 ONE & TWO FAMILY DWELLINGS, EACH UNIT i Above 200 Am re �$10 Includes the Service andlor Power Supply up to 500 Amperes, All I ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits arni Two Inspection Trips Each Dwellin Unit �$80 CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additbnal 1 ion Tri �$20 Each S stem Device or A aratus �$.50 Investi ative Fee ADDfTIONS TO THE GENERAL FEES Rei ' Fee �$20 MULTIFAMILY DWELLINGS PER UN TOTAL PEE � 3 to �2 Un�s �$50 Per unit (minimum total fee is $20) � Each Additional Unit � $25 w" ��� � �Y � � � � _ � � �,� ' OTHER ADDITIONAL FEES �7i,�; �l. q�c 3 3� ���� s C.2 Z�� ' � ' h6n Retrofit � $25 r FoAure �"'� i Center Pivot Irri tion Boom �$40 �H i�•�„ � G/� -� -�J,�� � Manufactured Home Park Lots �$25 I nereby ceruy mat I ir�p�ed tl�e e�ctric� instal�alion described herein on �he dates s iiecreational Vehicle Park Sites ��5 1q1°"" `�� (8tB BOM�I �� IOf1 � �� � r �. S �al I �on � 330 r Hour '*� �"�'p" ' �� ; . ' I I on �$.31 r Mile j Z_ —'2 /�cf j j THiS INSTALLA710N MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITNIN 18 MONTHS _ --- -- _ �.—�-- _ �- . Fon o�cE uee o�r R ��� W Il�l�llf��fl�i{fIl�fNf�lE ��I - � �� � : � II{II�IIH{IIII �� � � �� � �E 1 3 4 7 4 3 1 7�E S� �� �„� �. �%s� ab"'t � f ♦ � �t�yh� �mpeclbn Required? � Pb Inapecdon Olhsr Then Ra�ph-Irr. Rsidy Now � CM ¢ 1� �` V�► You nrn! cd tl�e Nmpecfpr yd�en readyl � q�y. �- 1 certl(y tl�at I am the ❑ UCENSED CONTRACTOR ❑ COMPANY �ONMER and herebY request rt�pectlon of ihe el� wt�k et ° - Job Mldnes lstreet. 9ox. w Route No.) �y �� � - . ,: I �,*� �/ Y �. �fl�' ����.. Sechon ToYmsMp Ranys Flre No. Co�nty .f l - � , ... . "i �R .�l.t�.�l� -�'���G�/E ' � � �►�� �'� "��! 4'��� ` � �� � contreoeor � company r�eme convacto► u�e. rN.roe� ►�lesro► uoari„ ;, � - ` �; , Meilir� Address (Contrador, Camparry Owner Per(ormin9lrroMNatlp�) ° � � � Comp11�1.Y ,r . �_.. ��, PI1dW �> � , . . :. ,� � � � � � s :� - :� _ !tl�een :, . ; �D oF �C'tnlarY cOw _ �i - - - - - ,� -_ . . ... . . � �.. .� /OTAtICIw�M oN �11qt.6F' .