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