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Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION �REPAIR
GENERAL FEES
0 to 400 Am re �$'
401 to 800 Am re �
Above 800 Am ere �
CIRCUITS / FEEDERS
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
ADDIT{ONS TO THE GENERAL F
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
ReVofit � S25 oer Fixture
Park Sites �
Mile
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electriciry �°
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us '� '
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Outdoor Liahtino Standard � $1
Supplememai Fee � $20
Transformers up to 10 KVA �
Transfortners over 10 KVA �
� Transformer / Power Supply for Signs / Outline Lighting �$5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$8C
Additional Inspection Trips � $20
Investiaative Fee
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FOR OFFICE USE ONLY
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total fee is
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You must call the inspector when ready! Date Ready: �� D�
I cert that am the �, LiCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: