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P - 75657Mienesot� t of Labor and trtdt�y 443 Lafa Road North St Peul, 55155-4342 • • Phone: ( 1)284-50&4 TTY/AA (651) 297�L198 wanar.e ' .state.mn.us Con ctor Re uest for Electric Date Raigh-fn Inspection Require�i? �� - Contractor Must Sc�edub AN R e�rl.ccn nf �nenaM;ru, _ Sr.atat ���n�� - �� =-��' '.��-" � u�e N r ►�,�`�� � s�e Yes — One Gityll'ownship $$tIC�1�1� Ready Now � Vl�tl ScheduN .,ry,,,,. ..........r..,... / /� � ��J9'1G1�'6� O1�/ rit/�Y�.� /��Y'A �/�. �' @�s� ntS�.►// �- J'`���.� �.y,� /.�hr,� Contractor MaTing Fee Calculation New Home or Associet�i Structure New Dweffing ServfoetPower Supply 0— 4� ampere �$35 t�► owe�l�t�g sen►ice/Pov�r sup�y 449 — aao em�e �$� 0 Detach� t3araga or Other Associat+ed Structure Neair 5enicoe/Pw�er Supµh+ D— 400 ampere ��35 New Fe�lers/Circ�iits ( / ) f� $6 Eec� Otlter (SpecHy) Exlsting Home/Structure Remadel or Addition t�nr serviaeJP� supply a— 40t1 ampe►e �$35 Id�r SenricelP�►er Sup�r 409 — 8a0 ampere �� � Detach�! Garage or Other Ass�iated Strvdure New ServiceiP�rer Supply 0— 400 amPeroa � S35 New/Extend� FeedersnCirca�its ( ) Cc� S6 Each FeedecslC��s ( i � 5L Each Totai (the i� calaileted et�ave �$35 mutt�"� To1�1(the fee c�aiwlated abave or $35 mnftiPlied by the number of required insPecdon trips, bY �e number of requtred inspet�ion trips, � �rhichever is greater) whicfia�re� ls greater) Raquests for � Insp�n �RE11 �h e tee � iT80 or tess �Ire t2 montlfs trom tl�e t8�g da� The oo�r �s! I�e tlfe waic completed wfF1� fi� 12 mo�rth perlod or subml! ano�er RE! tl� includes the laspe�on fee Wr tlre � MroAc � tees d� uot carr�► wrer traa aie 1�1 to ar� A servi� ct� ot �i� be addad for ali �Hshono� cAecka 1 here6v aeriifir iF� 1 insDeCted the dec6iCe1 in�etlation h�e� � tha dptes sffited: FOr Departnrent llse OeIY Rougfi — tn Inspec�ion(s) A ��-�- Th� �be�ial wn be �de availab� In dfffereM TDD (861� 297�188. REI 02 (610� 9 ��' ��� � �L � �� ��-�..��—�� REC'Q J U L 2' zooe �„ suoh � large pdM, BraUle or on � tape. To requ�t, call 7-600,942• � or