P - 80015. REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1-396-136 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 —
� (651) 642-0800 TTY/MRS 1-800-627-3529
www. elec tricity. sta te. mn. us
Identify the work covered by this request:
0"aEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere (� $5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A paratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS iPER UNI11
�
XCEL EPJEROY SAVER'S SWITCH
to
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$80
Additional Insoection Trips � $20
FOP INSPECTOR USE ONLY
ROUGH IN
fINA� N!$PECTION
TOTAL FEE
total fee is $20}
DATE
J�-_S�
FOR OFFICE USE ONLY
����11�I1�I�II�N�I��I��II�1�� �l� ��s�
* 1 3961 362* c�0-Su
Reque���2 Rough-in fnspection Required'? ❑ Yes I�No Inspection Other Than Rough-in: I� Ready Now ❑ Will Call
You must call the inspector when ready! Date Ready:
I certify that I am the �l LIGENSED CONTRAGTOR ❑ CAMPANY ❑ OWNER and hereby request inspection of the electrical work at:
Job Address {s�, eaX�a� ao�ce No. aVE NE c�i� ��Y zP coae �3a
1
Section Township Range Fire No. Counry Ai�a
�cU KUHLMEYER ERIKA L � � Phone
Power Supplier Address
XCEL ENERGY
Electrical Contractar / Company Name Contractor License Number Master license Number
HUNT ELEGTRIC G4RPORATION CA 00883
Mailing Address {Cantractor, Company or Owner PeAormingJnstallaYwn)
2300 TERl31TORIAL RDAD , SAINT PAUL, MN 55114
Authorized Signature (Contractor, Company or Owner Performing Installation) Phone
� ,'�� 651 64�-2911
EB-00001A-13 7/i/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY