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P - 79320REQUEST FOR ELECTRICAL WSPECTION ��` 7 7 3- 5 8 5 3� Minnesota Board of Electricity - 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 (651) 642-0800 TTYlMRS 1-800-627-3529 www.electricity.stqte.mn.us P� NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request: XCEL EhlERGY SAVER'S SVVITC� / POWER SUPPLIES CIRCUITS OF LESS THAN 50 VOLTS 3 to 12 UniGs @$50 Pe Each Additional Unit @ I(�� il 111 II�N{ I( IN ll itl H�I ll �1 II �1 II �I I�II 17��Sa.�3 Transformers uD to 10 ONE 8 TWO FAMILY DWELLINGS, EACH UNIT I�cludes the Service andlw Power Supply up to 500 Amperes, AII Circuits and Two InspecGon Trips Each Dwelling Unit �$80 Reins tion Fee $20 TOTALFEE {minimum total fee is $20) $20.60 rws �nEa F«a naaECra+use «ar I hereby certiry that I inspecled the ek�c6ical installation described herein on the dates stated: O �� �Y � � � i � �� Request Date: Rough-in Inspection Required? ❑ Yes O'No Inspection Other Than Rough-In: ORpady Now O Will Call pg�pj[� You must call the inspector when ready! oace rteady: I ceRi(y that 1 am tt�e [�¢ICENSED CONTRACTOR ❑COMPANY ❑ 01NNER and hereby request inspecGon of the electricai work at: INS7RUCTONS ON BACK OF YELLOIN COPY BOARD OF ELECTRICITY COPV EB�00001M1I 9.7.'LOOz