P - 75578Mlnnesota �e
443 Lafayett$
St. Paul, MN
Phone: (851)
1TY/MRS; (6
Date
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Address f Insp
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Owner Name �
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Owner Telephoi
of La�or and Industry
,�198
e. n.us
Request for Electrical
Rough-In Inspection Required?^
Contrador Must Schedule All Rou
on — Street
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Contra�tor Name
STANDARD LECT
Contracto Te hone N
(651) �4 044 �
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�ction — One Family Dwellin
Yes Single Inspection Other Than
Final
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— nclude Area Code(s) (� � ]�D ��%�/�Gt fi�C�
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Contractor Mailing Address
CO., INC. 2672 MAPLEWOOD DR. - MAPLEWOOD, MN 55109
net
Structure
Ready Now
�' Will Schedule
,,% CA01715
Fee Calculation
New Home or Assoclated Structure Exfsting Home/Structure Remodel or Addltlon
New Dwelling Service/Power Supply 0— 400 ampere �$35 New ServtcetPower 5upply )➢ 0— 400 ampere (d� $35
6
New Dwelling 5ervtce/Power Supply 401— 800 ampere (c� $60 New Seroic�/Power Supply 401— 800 ampere @$60
New Dwelling Feeders/Circuits New/Extended Feeders/Circuits — Up to 15 Feeders/Circuits
30 Feeders/Cvcwits -
�
Other (Speclfy)
Detached Garage or Other Associated Structure
New ServicelPower Supply 0-- 400 ampere �$35
New Feeders/Circuits ( ) � $6 Each
Other (Spedfy)
Detached Garage or Other Assoctated Structure
New Service/Power Supply 0-400 ampere �$35
New/Extended Feeders/Circuits ( ) @ $6 Eech
Reconnected Feeders/CircuRs ( ) � $2 Each
TOtal (the fee calculated above or $35 multiplied TOt�I (the tee calculated above or $35 multlpUed �
by the number of required tnspection trips, by the number ot required inspection trips, �� �� _
whichever is greater) - whichever is greater)
Requests for Electricel In�Rectlon (RE1) with e fee oi 5260 or less expire 12 months irom the flling dete. The contrector muat have the work completed within
the 12 morrth petlod or submit another REI that Includea the Inapectlon fee tor the uncompleted wark. Ir�spectlo� fees do not carry over from one REI to
anctthher.
A servlce cherge of S30 wlll ba added for eIl dlahonored ch�ks.
I hereby certiry that 1 inapeded the electrical InstallaUon herein on the dates stated: For Denertment Uae bnlv
Rough — In Inspection(s)
Date
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Thls matertal can be mada availabla In dlH6rent iprma, Buch as large pMi
TDD (661) 287-4188.
REI 02 (6/07}
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REC'D S � 2 2008
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