P - 79858REQUEST FOR ELECTRICAL INSPECTION
� � Minnesota Board of Electricity �
�� 2 9 2- 5 6 6 ;,821 �n��e�s,�, A�e��e S��te S-,28, Saint Paul, Minnesota 55104
'�`�� (651) 642-OS00 TTY/MRS 1-800-627-3529 � '
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www. electrzca ty. state. mn. us
Identify e rk covered by this request:
E ❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
SERVICES ( POWER SUPPLIES
0 to 4A0 Am ere �$25
401 to 800 Am ere �$50
Above 800 Am re � $75
CIRCUITS / FEEDERS
0 to 200 Am re �$5
Above 200 Am re � $10
ALARM, COMMUNtCATION, REMOTE CONTROL, SI
CIflCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or ratus �$.50
ADDITIONS TO THE GENERAL FEE
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Uniis �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
ti hHn Retro�t �$25 r Fixture
Center Pivot Irriaation Boom � $40
�
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin �$5
ONE � TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuiis and Two Inspection Trips Each Dweflin Unit �$8C
Additional Inspection Trips d $20
Investiaative Fee
I herebv cerblv mat I insDected tlie eledriral
In ion � $30 er Hour '"`"�''""�
Inspection � $.31 per Mile
� INSTALLATION MAY BE ORDERED DISCONNECTI
FOR OFFICE USE ONLY
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IF NOT
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total fee is $2�,'r-'`%i
296�'7
crihed herein an tlie dates stated:
r`7 ZZ�c3� I
V 18 MONTHS
296���
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I cerCdy that I am the �iCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspeciion of the electrical worlc aL
EB-00001A-13 7/1/2000 ewwnu vr easc�n�u�. a.vrr . ...., ............... _" _.._" _. .�__" '__ .