P - 77184REQUEST FOR ELECTRICAL INSPECTION
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��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 �"'�
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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
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�- 1 certl(y tl�at I am the ❑ UCENSED CONTRACTOR ❑ COMPANY �ONMER and herebY request rt�pectlon of ihe el� wt�k et °
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