P - 80480� REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
. 1-381-447 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 -
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us ' �
Identify The work covered by this request:
QNEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
I CIRCUITS /
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
FAMILY DWELLINGS (PER UNI�
to 12 Units �$50 Per Unit
3ch Additional Unit � $25
OTHER ADDITIONAL FEES
RecreaUonal Vehicle Park Sites �
Separate Bonding Inspection � $2�
�ial Inspection � $30 per Hour
Special Insoecfion � $.31 oer Mile
XGEL EMERGY SAVER'S SWITCH
Outdoor Liahtinq Standard � $1
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transfortners / Power Supply for Signs / Outline Liphting �$!
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspedion Trips Each Dwelling Unk �$SO
Additional Insoeclion Trios � $20
TOTAL FEE
total fee is $20)
FOF INSPECTOIi USE ONLV
I hereby certify that I inspected ihe electrical installatbn tlescribed harein on the dates stated:
ROUGHIN DATE
FINAL INSVECTION DATE
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FOR OFFICE USE ONLY
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* 1 381 4470* �� ��
Request Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough-in: ❑ Ready Now ❑ Will Call
��8ro� You must call the inspector when ready! Date Ready:
I certi(y that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
Job Address (Street, Box, or Route No.) Ciry Zip Code
6347 BAKER AVE NE FRIDLEY 55432
Section Township Range Fire No. County
ANfiM{A
Occupant Phone
BARG RdBERT E
Power Supplier Address
?CCEI EtdERGY
Electrical Contractor / Company Name Contractor License Number Master License Number
HUNT ELECTRIC GORPORATI4N GA Q0�83
Mailing Address (Contractor, Company or Owner Performing Inslallation)
2300 TERRIT�RIAL ROAD , SAINT PAUI.� MN 55114
Authorized Signature (Contractor, Company or Owner Pertortning Installation) Phone
661 848-2911
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY