P - 82035REQUESi FOR ELECTRICAL INSPECTION
(1Q Minnesota Board of Electricity �
1� V V�- Z 7 2 �°�e 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 ❑REPAIR � d' �V/� �C(J /��~ ��
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Sianal Standard �$5
Above 800 Am ere (� $75 �
CIRCUITS ( FEEDERS
0 to 200 Am ere �$5
Above 200 Am re � $70
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A ratus �$.50
AODITIONS TO THE GENERAL FEES
Retrofit � $25 uer Flxture
nspection � $2(
� $30 oer Hour
Transformers over 10 KVA � $20
Transformer i Power Supply for Signs 1 Outline Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and�or Powei Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unft �$8(
fee �
total fee is
I insoected the electrical installafian des�xibed herein on the da�s
FOR OFFICE U8E ONLY
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I certity d�at 1 am the,�[ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the eiectrical work at:
EB��W001A-13 7/i/2000 . BOARD OF EtECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOYi1 COPY