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REQUE� ELECTRICAL INSPECTION ������'��,
1 815 615 0 Minnesota Board of Electricity "� ',��, I
1821 University AvenU�uite S-128, Saint Paul, Minnesota 55104
(651) 642-OSbO TfYIMRS 1-800-627-3529 www.electricity.state.mn.us ���
Describe -using the back of the white copy if necessary - the work covered by this request:
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GENERAL EES Outdoor Lightin tandard $1
SERVICES / POWER SUPPLIES Traffic Si nal Standard $5
0 to 400 Ampere $25 Supplemental Fee $20
401 to 800 Am re $50 Transformers u to 10 KVA $10
Above 800 Am re $75 Transfortners over 10 KVA $ 20
CIRCUITS I FEEDERS Transformer I Power Su I for Si ns I Outline Li hti $5
0 to 200 Am re $5 ONE � TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re $10 Includes the Service andlor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwelling Unit @$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins ion Tri s $20
Each S stem Device or A paratus $.50 Investi ative Fee
ADDITIONS TO THE GENERAL FEES Reins ction Fee $20
MULTIFAMILY DWELLINGS PER UNIT TOTAL FEE _n
3 to 12 Units @$50 Per Unit (minimum total fee is $20) p�� � S�
Each Additional Unit @$25 TNI$ RREA FOR INSPECTIXi USE ONLY
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OTHER ADDITIONAL FEES •
L� hti Retfofit $.25 per Fixture I hereby certify thal I in ed e el� Ilation described herein on the dates stated:
Center Pivot I' ation Boom @$40 R�'G"'" ���
Manufactured Home Park Lots $25
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Recreational Vehicle Park Sites $5 /'� � -�
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