P - 79908REQUEST FOR ELECTRICAL INSPECTION
� m Minnesota Board of Electricity �"�
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� � � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
� � �s (651) 642-0800 TTYIMRS 1-800-627-3529 ��� "°- � �
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www.electricity.state.mn.us � ,
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Identity the wark covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to S00 Am ere �$50
Above 800 Ampere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SI
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or aratus �$.50
ADDITIONS TO THE GENERAL FEE
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
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Su plemental Fee � $20
Transformers up to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Senrice andlor Power Supply up to 500 Amperes, All
Circuds and Two Inspection Trips Each Dwelling Unit �$8C
total fee is
Li hGn RetrofR �$25 er Fizture
Center Pivot Irri alion Boom �$40
Manufactured Home Park Lots �$25 I hereby ce' that I inspected �he eledrical installation described herein on �he dates s�ted:
Recreational Vehicle Park Sites �$5 P01GN �' ��
Se arate Bondin Ins ection �$20
S ial Ins ction �$30 er Hour """"`�PEO10" o��
S ecial Ins ection �$.31 er Mile " l�/ ~
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF COMPLETED WITHIN 18 MONTHS
� _ _ _ FOR OFFICE USE ONLY
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Request Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough-I dy Now � Will Call
f�! O�� You must call the inspecto� when ready! Date Ready:
I certify that I am the�fCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of tl�e elecUical work at