P - 80032REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
� 1-396-122 � 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:
O,10EW ❑ REMODEL ❑ ADDITION ❑ REPAIR
to
ALARM, GOMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 5Q VOLTS
Each System Device or aratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS (PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Li dn Retrofit �$25 er Fxture
Cer�ter Pivot Irri ation Boom �$40
Manufactured Home Park Lots � $25
Recreational Vehicle Park Sites � $5
Se arate Bondin Ins ction �$20
S ial Ins 'on �$30 er Hour
Special InSpection � $.31 per Mile
Transfortners u to 10 KVA �$10
Transfortners over 10 KVA � $20
Transfortners / Power Supply for Signs / Outline Lighting �$!
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, Ail
Circuits and Two Inspection Trips Each Dwelling Unit �$80
Additional Inspection Trips � $20
FOF INSPECTOR USE ONLV
FINRL
FOR OFFICE USE ONLY
TOTAL FEE
total fee is $20)
oare
DATE
,� 3.. G�
IIIIIIIIII811NIIIIIIINIINI{i{4111�1�1�1 �s�
*13961222* ��
Request Date: Rough-in Inspectlon Required? ❑ Yes ❑ No Inspection O[her Than Rough-in: ❑ Ready Now ❑ WfN CaN
08l18/02 You must call the inspector when readyl X Date Ready: x
I certi(y that I am the F� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
dab Address (Street, Box, ar Houte No.) Ci1y Z+p Code
7488 BAC�1 DR NE FRIDLEY 5&432
Seclfon Township Rang2 9 Fire No. County ��
Occupant Phone
b'�A JEREMY JAMES
Power Supplier Address
�. �Y
Electrical CoMrador / Company Name Contractor License Number Master License Number
HUNT ELEGTRlG 04RPORATIQN CA 00883
Mailing Address (Contractor, Company or Owner Performing Installation)
2300 TERiiITCKtiAL {3�AD , SAINT PAUL, MN 55114
Authorized Signature (Contrector, Company or Owner Pertortning Installation) Phone
�51 6�fi-2911
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY