P - 79845REQUEST FOR ELECTRfCAL INSPECTION
1 3 0 7 O 5 O �� Minnesota Board of Electricity
� � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
, �� p (651) 642-OS00 TTY/MRS 1-800-627- 9
www.electricity.state.mn.us � �
Identify the work covered by this request:
❑NEW ❑REMODEL ❑ADDITION ❑REPAIR
GENERAL fEES
SERVICES / POWER SUPPLIES
0 to 400 Ampere � $25
401 to 800 Am re �$50
Above S00 Am re � $75
CIRCUITS / FEEDERS
0 to 200 A re �$5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SI
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each Svstem Device or Apparatus �$.50
3 to 12 Units �$50 Per
�hting Retrofit � $25 per Fixture
CeMer Pivot Irrigation 800m � $4(
Manufactured Home Park Lols � �
� $20
Hour
r Mile
� nnaY
/� �
• Outdoor Li htin Startdard � $7
Tralfic Si nal Standard � $5
Su lemental Fee � $20
Transfortners u to 10 KVA (� $10
Transformers over 10 KVA � $20
Transformer / Power Su I for S' / Outline Li htin �$5
ONE & NVO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
GNALING Circuits and Two Inspection Trips Each Dweiling Unft �$8(
Additional Ins ion Tri s�$20
Investiaative Fee
POR OFFICE USE ONLY
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Request Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspe
•� � 4 You must call the inspector when readyl Date
! certify ihat I am ih�,jJCE�ISED CONTRACTOR ❑ COMPANY ❑ OWNER
total fee is
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and hereby request inspection of the electrical work at: