P - 80027l REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
,. 1-396-126 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651} 642-0800 TTY/MRS 1-500-627-3529
www. elect�icity. sta te, mn. us
Identity the work covered by this request:
dI�IEW ❑ REMODEL ❑ ADDITION ❑ REPAIR XCEL ENEROY SAVER�S SWITCH
to
IALARM, COMMUNICATION, REMOTE CON7ROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each Svstem Device or Aonaratus ��.50
3 to 12 Units �$50 Per
Su lemental Fee � $20
Transformers u to 10 KVA (� $10
Transformers over 10 KVA � $20
Transformers / Power Su I for Si ns / Outline Li htin �$!
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$80
Additional InsuecGon Trios � S20
FOF
Fee �
,.,��-,_" -
�,�.
TOTAL FEE � � e�l
total fee is $201
Manufacturetl Home Park Lots �$2 I hereby certity Mat 1 inspected Me electrical inslallatbn described herein on ihe detes stetetl:
Recreational Vehicle Park Sftes � RWGH IN DATE
Se arate Bondin Ins 'on � $20
S ecial Ins ection �$30 Bf HOUf FINAL INSPECTION DATE
S ecial Ins 'on �$.31 rMile G—%3"63
THI,,,S.J�ISTALLATION MAY BE ORDERED�J$�Q��EQ�EdS2I�QMQLEIELZ_NIITHIN 18 NI�NTHS
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
FOR OFFlCE USE ONLY
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Request�ate:�� Rough-in Inspection Required? ❑Yes f�No {nspection OtherThan Rough•in: ❑Ready Now ❑Witl Call
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You must call the inspedor when ready! Date Ready:
I certify that I am the Ijd LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspecction of the eledrical work at:
Job Address (Street, Box, or Route No.) City Zip Code
1550 CAMELQT LN NE FRIbLEY 55�32
Section Township Ra o. County At�KA
OccupaM PMne
MASSERANO FRANK C JR
Power Supplier Address
XfCEL EhIERIGY
Electrical Contractor / Company Name Contractor License Number Master License Number
HUNT EIECTRIG CARPORATIOM CA 00883
Mailing Address (Contractor, Company or Owner Performing Installation)
2300 TERlZIT�RIAL RQAO , SAIhCT PAUL, MN 55114
Authorized Signature (Contractor, Company or Owner Performing Installation) Phone
�M1�s �ai1�iM1� �i1 64�-2�i 1
EB-OOOOtA-13 7/1/2000 BOARD OF ELECTRICITY COPY ItJSTRUCTIONS ON BACK OF YELLOW COPY