P - 80106REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
, 1� L� O- 8 7 6�� (651) 642 OS 0 ATTY/MRS11 00 62 3529Pau1, Minnesota 55104
www.electricity.state.mn.us "�'
Itlentity the work covered by this request: � �
❑NEW ❑REMODEL ❑ADDITION ❑REPAIR v� t '� !
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am ere �$25 Su lemental Fee �$20
401 to S00 Am re �$50 Transformers u to 10 KVA �$10
Above 800 Am ere �$75 Transfortners over 10 KVA �$20
CIRCUITS / FEEDERS Transfortner / Power Su for Si ns / Outline Li h6 �$5
0 to 200 Am re �$5 ONE & TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am ere �$10 Includes the Service and/or Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwelli Unft �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additlonal Ins ion Tri s�$20
Each S stem Device or A aratus �$.50 Investi tive Fee
ADDITIONS TO THE GENERAL FEES Reins 'on Fee �$20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE
3 to 12 Units �$50 Per Unit (minlmu fee IS $20
C�nti SilAilinnol I IniT 6T C7C FOP INSPECTOP USE ONLY �i
Li htin Retroffi �$25 er Fixture
CeMer Pivot Irri a6on Boom �$40
Manutactured Home Park Lots �$25 i hereb cen
Recreational Vehide Park Sites � $5 �"'"
Se arate Bondin In � $20
S eci81 Ins ction �$30 r Hour """L �""
S ecial Ins ion �$.31 r Mse
THIS INSTALLATION MAY BE ORDERED DISCONNECT
� FOR OFF�E USE ONLY
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I insoect� the electrical insTalla6on de�xibed herein
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I 18 MONTHS
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Requ Rough-m Inspection Required? ❑ Yes No In
spection Other Than Rough-In: �Ready Now ❑ WII Call
You must call the inspectw when readyl Date Ready:
I certi(y that t am the LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at
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