P - 81772� . REQUEST FOR ELECTRICAL INSPECTION
1— O��-��� �`��� (65 ) 642t08 0 ATfY/ RS t1r800-627 3529Paul, Minnesota 55104
www.electricit��.state.mn.us '� "'
Identity the work covered by this request: �M��; � �► �`'�� �L ����m A �v� !l� i,,� �
❑NEW �tEMODEL ❑ADDITION ❑REPAIR ��S�j (,�}:+9 ,j�y�'
GENERAL FEES Outdoor Liahtina Standard �$1
IVICES ! POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am ere �$50
Above 800 Ampere � $75
CUITS / FEEDERS
0 to 200 Ampere � $5
Above 200 Ampere � $10
RM, COMMUNICATION, REMOTE CONTROL, SIGNALING
�UITS, CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus �$.50
ADDITIONS TO THE GENERAL FEES
_TIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Recreational
Park Lots �
Hour
Transfortners u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Supply for Signs / Outline Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UN1T
Inciudes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$8(
Additional ins ection Trips f� $20
Irnesti ative Fee
Reinsoection Fee � $20
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FOR OFFICE t1�E ONLY
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total fee is
I insoected ihe eleciricel installation described herein on the � s�ted:
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Than Rough-In: ❑ Ready Now
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�! You must call the inspector when readyl Date Ready:
I cer�iy that I am the ICENSED COMRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of ihe electrical work at
EH-OOOOtA-13 7/1/2000 � BOApD OF ELECTRICRY COPY INSTRUC7WMS OW BACK OF YELLOW COPY