P - 79274REQUEST FOR ELECTRICAL INSPECTION
�%% � Minnesota Board of Electricity - ?
i 1 1�- 518 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 ;, °—:
. (651) 642-0800 TfY/MRS 1-800-627-3529 www.electricity.state.mn.us
NEW ❑ REMODEL 0 ADDITION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request:
XCEL ENERGY SAVER'S SW3TCH
GENERAL FEES Outdoor Liphting Standard @$1
0 to 400
40i to 8
Above 8
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or aratus $.50
ADD(TIONS T� THE GENERAL FEES
TIFAMILV DWELLINGS {PEI
3 to 12 Units @$50 Per Unit
Each Addi6onal Unit @ $25
F��r��
II�I IillIIll�ll�llllllll�IINIIIII�I Ilill II�I
17735184
Su lemental Fee $20
Transformers u to 10 KVA �$10
Transfortners over 10 KVA $ 20
Transformer I Power Su I for Si ns / Outline L' h6n $5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes ihe Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each D�xeliing Unit @$80
TOTAL FEE I
(minimum total fee is $20) $20,50
TMS RREA Fp21N5PEC1pt USE WlV
� hereby certity that I inspected the electrical instaNalion described hwein on tl�e dates staled:
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Request Date: . Rough-in Inspection Required7 ❑ Yes Inspecti� Other Th� Rough-In: ❑ dy Now ❑ WIII Call
d��JdQ You must call the inspeclw when ready! Date Ready:
I cerfify that I am the �ICENSED CONTRACTOR JCOMPANY ❑ OWNER and hereby request inspection of the electrical work at:
INSTRUC710NS ON BACK OF VELLOW COP1I BOARD OF ELECiRICT' COPV Ctl•WOO1Ml9 e.i. euu