P - 81902REQUEST FOR ELECTRICAL INSPECTION
1� � � � � � � � � � Minnesota Board of Electricity ``�
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
���`°' (651) 642-0800 TTY/MRS 1-800-627-3529
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www. electricity.state. mn. us
Identify the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
fl Tn dflfl Amnera � �9S . . .H A - _
Above 800 Am ere � $75
IRCUITS I FEEDERS
0 to 200 Am ere �$5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem De�rice or A aratus �$.50
ADDITIONS TO THE GENERAL i
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Addrtional Unit � $25
Recreational Vehicle Park
TION MAY
Outdoor Lighting Standard C�
Traffic Sional Standard (� $5
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Tra�former I Power Supply ior Signs 1 Outline Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Suppty up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$8(
Additional Insoection Trips � $20
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FOR OFFlCE USE ONL�a s
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total fee is
I(�/' l J, V 1 I You must can me inspector when readyl � Date Ready: �
I certify that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical wo�k at