P - 80034� REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
� 1-396-121 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity. sta te. mn. us
IdentiTy the work covered by this request:
O`NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR XCEL EFIEROY SAVER�S SWITCH
0 to 400 Am ere �$25
401 to 800 A ere �$50
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or A aratus (� $.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNi�
3 to 12 Units �$50 Per Unit
�iOUf
Mile
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transfortners / Power Supply for Signs / Outline Lighting �
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/oi Power Supply up to 500 Amperes, All
Circuits and Two Inspedion Trips Each Dwelling Unit �$i
Additional Insoection Trips � $20
FOF INSPECTOF USE ON�Y
ROUGM IN
FINAI INSPECTION
Fee
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TOTAL FEE
total fee is $201
OII tlle deIBB Sfe�Bd:
FOR OFFICE USE ONLY
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Reque Rough-in Inspection Required? ❑ Yes o Inspection Other Than Rough-in: Ready Now ❑ WII Call
You must call the inspector when ready! Date Ready:
I certify that I am the C� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspecNon of the electrical work at:
Job Address�. eoXA��n�.� NE 01y FRIDLEY ziP °ode 55�3
Section Township Range Fire No. County a�(A
Occupant Phane
soaeo Ka�sri Ma�E
Power Supplier Address
X�L ENERGY
Electrical Contractor / Company Name Contractor License Number Master License Number
HUNT ELEG?RIC t�RATIQN CA 00883
Maili�g Address (Contractor, Company or Owner Performing Installation)
2300 TEF�ITO(iIAL R+�AD , SAINT PAUL, MN 55114
Authorized Signature (Contractor, Company or Owner Performing Installation) Phone
�IMA� �41fIf�IMM1+IM� 651 646-2911
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF VELLOW COPY