Loading...
P - 79557REQUEST FOR ELECTRICAL INSPECTION 1� 214 - 9 3 7 g tl Minnesota Board of Electricity 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 (651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us Identity the work covered by this request: ❑NEW ❑REMODEL ❑ADDITION 0 to 400 Am ere �$25 401 to 800 Am ere �$50 Above 800 Am ere � $75 CIRCUITS / FEEDERS 0 to 200 Am ere (� $5 Above 200 Am ere � $10 ALARM, COMMUNICATION, REMOTE CONTROL, SIG CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each S iem Device or A aratus (� $.50 ADDITIONS TO THE GENEFiAL FEES MULTIFAMILY DWELLINGS PER UNI 3 to 12 Units �$50 Per Unit Each Additional Unit � $25 OTHER ADDITIONAL FEES Li htin Retrofit �$25 r Fixture Center Pivot Irri ation Boom �$40 Manufactured Home Park Lots � $25 Recreational Vehicle Park Sites � � � _ / �l i��;� O�i/"v%.�I� 7� /�.%'� Outdoor Liahtina Standard � $1 Traffic Si nal Standard � $5 Su demental Fee c� $20 Transformers u to 10 KVA �$10 Transformers over 10 KVA � $20 Transiormer / Power Su I for Si ns / Outline Li htin �$5 ONE & TWO FAMILY DWELLINGS, EACH UNIT Includes ihe Service and/or Power Supply up to 500 Amperes, All Circuits and Two Inspection Trips Each Dwellin Unit �$80 Additional Inspection Trips � $20 InvestiaaGve Fee �ecial Inspection �$.31 per Mile � � 'HIS INSTALLATION MAY BE ORDERED DISCONNECTE FOR OFFlCE USE ONLY I III1i I�I�i Illfl Illll IIIII Eilli IIIII IIIII I�i1�111 �E 1 c� 4 9 3 7�� total fee is $20) �=� s . �SN?� that I insoected ll�e electrical installation described ���f3 ��� C� I certity that I am the �LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspectiai of the electrical wak at: Job Address (Street, Box, or Rou[e No.) City Zip Code 7650 Arthur �t. TIE Fridley 55432 Sec[ion Township Range Fire No. County A jl O�t a o����t A�� �� Phone � 6 3- 2 41- 8 4 2 9 Jerry Wedebrin J � � Power Supplier Address XC21 ElecVical CoMractor / Company Name Conhactor License Number Master License Number Bassing Electric, Inc. CA00237 Mailin Address (Contrec[or, Company or Owner Performing Installation) 13.�4 McKay Dr. NE, Ham Lake, Mid `>'�:;�;)�; nutnorized si r$ ( ra J m ner Pe �nsta��ation) Pf'�'e� —(F 3[+ — 3 2 9 H EB-00001A-13 7/1/2000 BOARD OF ELECTHICPrY COPV � INSTpUC'110NS ON BACK OF YELLOW COPY