P - 79800REQUEST FOR ELECTRICAL INSPECTION
= Minnesota Board of Electricity �
1�� 7 O� 6 7 2 � 1821 Universiry Avenue Suite S-128, Saint Paul, Minnesota 55104
�' m���.e� (651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us " '
Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION
0 to 400 Am ere �$25
401 to 800 Am ere �$50
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere (� $10
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
.TIFAMILY DWELLINGS (PER UNI�
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Lighting Retrofit � $25 per Fixture
Center Pivot Irrigation Boom � $40
Manufactured Home Park Lots � $25
Recreational Vehicle Park Sites � $5
Separate Bonding Inspection � $20 �
Soecial Insoection �$30 cer Hour �
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Outdoor Liqhting Standard � $t _
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transformers u io 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin (� $5
ONE b TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$8(
Additional Insoection Trios � $20
Fee �
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�0( Q U� You must call the inspector when ready! Date Ready:
I certify that I am the �ENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: