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P - 75722Minnesota Depa ' ent of Labor and Industry 443 Lafayette d North St. Paul, MN 155-4342 Phone: (651 84-5064 TTY/MRS: 1) 297-4198 www.ele .state.mn.us Contractor/Re istered Em Date Rough-In Inspection Required? 8��07 ContractoNEm lo r Must Schedule All Rou h-Ir Address of Inspection — Street 6481 ARTHUR STREET NE Owner Name MAGGIE KENDALL Owner Telephone Number(s) — Include Area Code(s) (763) 571-8764 Yes o�b�7-Ol�� (�� 3 a ���1 V estfor Contractor/Em lo er Must Schedule All Final Ins CitylTownship County FRIDLEY ANOKA Project Description WIRE GAS FIREPLACE Contractor/Registered Employer Name Contractor/Registered Employer Mailing Address COLLINS 278 STATE STREET ST PAUL MN 55107 ContractodEmployer Telephone Number ContractodEmployer E-mail Address Electric _ (��1) 22�-2833 - - j(��- i�_ �Y �� �`� �� � CA00406 � Fee Calculation Service/Power Supply 0— 400 ampere @$35 Technology System Devices ( Separate Bonding Inspections for ; Service/Power Supply 401 — 800 ampere @$60 E ui otential Planes Center Pivot Irrigation Booms ( Service/Power Supply Above 800 ampere @$100 Plus Electrical ) @ 75¢ Each �g Pools and ) (�a. $35 Each 2�07 Ready Now ✓� Will Schedule New/Extended Feeders/Circwts Up To 200 A( I)@$6 Each Luminaire Retroftt Modiflcations ( )@ 25¢ Each Feeders/Circuits Above 200 A ( )@$15 Each Concrete-Encased Electrode Inspection ( )@$35 Each Reconnected Feeders/Circuits ( )@$2 Each Investlgative Fee $70 Or The Total Inspection Fee, Whichever Is Greater U To $1,000 Manufactured Home Park Lot Supply ( )@$35 Each Special Inspectlon Fee ( ) Hours @$80 Per Hour Plus ( ) Miles C� The IRS Mileaae Rate of ( Circuits Ori inatin in the E ui ment $6 Each Street, Parking Lot, Lighting Standard ( )@$5 Each OV@� 6OO VOItS — Add the cornbined service/paNersupply and feededcircuk fee to result in dwble the regutarfee (does rrot appty to electric sign a� ouwne Ughtln9) Transformers Up to 10 kva ( )@$15 Each � ) New Multi-Family Dwellings @$70 Each With Up To 20 Feeders/Circuits Transformers Over 10 kva ( )@$30 Each ( ) Additional Circuits Above The 20 Allowed Per Unit 6 Each Electric Signs and OuUine Lighdng Total (the fee calculated above or $35 multiplied Transformers/Power Su lies $5 Each by the number of required inspecUon trips, �l�� whichever is greater) (., Requests for Electrical InspecUon (RE1) with a fee of $250 or less expire 12 months from the flling date. The eontractor/employer must have the work completed within the 12 month period or submit another REI that inciudes the InspecUon fee for the uncompleted work.lnspeetion fees do not carry over from one REI to anothev. A service char e of $30 wtll be added for all d(shonored ehecks. I hereby certify that I inspected the electripl installation herein on the dates stated: For Departm�nt Use Only Rough — In Inspection(s) Date Final Inspection ,� � �. This material can be ma�e a TDD (651) 297�198. REI 03 (6/07) �`_� `�'��3. �7 I different forms, such as large prtnt, Brail� or on a�pe. To request, call 1 or