P - 80474� REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
, 1-381-452 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www. e/ectricity. sta te. mn. us
identiiy the work covered by thls request:
QREW ❑ REMODEL U ADDITION ❑ REPAIR xCEL ENERGY �AVER�� SWITCH
0 to 4i
401 to
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Lighdng ReVofR � $25 per Fixture
Center Pivot Irrigation Boom �'$40
Manufactured Home Park Lots � $25
Recreatlonal Vehicle Park Sites � $5
Seqarate Bondinq Inspection � $20
Transfortners u to 10 KVA �$10
Transfortners over 10 KVA � $20
Transfortners I Power Supply for Signs / Outline Lighting �
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspedion Trips Each Dwelling Unit �$!
Additional Inspection Trips � $20
FOF INSPECTOfl USE IXJLV
I hereby ceRify that I
ROUGH IN
FINAL INSPECTION
�
�.� - -
>���
,,....,:......t:: �:-...:...;.:
TOTAL FEE a.5(1
(minimum total fee is $20
tne electricalinstallatlon described nerein on tha detes aletetl:
DATE
' ,�- � �% a
FOR OFFICE USE ONLY �
I IIIIII lllll IIIII IIIII IIIII IIHI �III � N� I�I �-���
* 1 381 4520'` ���
RequeQ�Da��i Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough-in: ❑ Ready Now ❑ Will Call
You must call the inspector when ready! Date Ready:
1 cedify that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
E&OOOOtA-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY