P - 82429REQUEST FOR ELECTRICAL INSPECTION
�� VJ2 9� o O� ee� e g121 Unoters'ity Aven� e 3u ter'S 28, Saint Paul, Minnesota 55104
� � (651) 642-0800 TTY/MRS 1-500-6273529
www. electricity.state.mn. us
IdentiTy the work covered by this request:
EW REMODEL ❑ADDITION ❑REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am re (� $25 '
' 401 to 800 Am re �$50
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unft � $25
OTHER ADDITIONAL FEES
Manufactured Nome Park Lots � $
Recreadonal Vehide Park Sites �
Separate Bonding Inspection � $21
Special Inspection � $30 per Hour
Soecial InsoecUon � $.31 oer Mile
Outdoor Liahtina Standard �
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Supplq br Signs / Outlirre Lighting �$5
ONE & 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 �$8(
Additional Insoection Trios � $20
that I inspected the
FOR OFFICE USE ONLY
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Request Date: Rough-in Inspection Required? 6iYes � Na Inspection Other Than Rough-In: �J Reatly Now�Will Gall
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� You must call the inspector whe� ready! Date Ready:
I certity that I am the�[LICENSED C01�(TRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of U�e electrical work at