P - 77587REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
��, `�F 1- 4 3 5 �82� University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 T'fY/MRS 1-800-627-3529
s � www.electricity.state.mn.us
Identify the work covered by this request: /J / ' _
❑ NEW p REMODEL ❑ ADDITION ❑ REPAIR A✓" l N� � C� I�CV � 7S L►Q ��
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES I POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am re �$25 Su ntal Fee �$20
401 to 800 Am re�$50 Transfortners u to 10 KVA �$10
Above 800 Am re �$75 Transformers over 10 KVA �$20
CIRCU TS / FEEDERS Transformer / Power Su I for S' ns / Outline Li Min �$5
0 to 200 Am re � a5 ONE � TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re� 310 Includes ihe Service arxllor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwellin Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins ion Tri s�$20
Each em Device or tus �$.50 Inves � tive Fee
ADDITIONS TO THE GENERAL FEES Rein ' Fee �$20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE /.�
3 to 12 UnAs �$50 Per Unit (minimum total fee is $20) J
Ea� Addili0nal Unit �$25 f0" "�CfO" � Y ��
OTHER ADDITIONAL FEES 1��'�--�' ���. ��'� j
Li htin Retrofit �$25 r Fixture ;
Center Pivot Irri tion Boom �$40 �� vc-c � S y�L s£�-t�-.>if -]� C�-� _�ce�'
M21lU�aCtUfBd HO�IIE P81'k LOtS � a25 I he certiffy I� 1he e�cf�caqnslallafbn described herein an tlie dates slated:
Recrestionel Vehide Park SiteS �$5 P01tl1N o��
rate Bondin Ins ion � $20 � �+—P�
S 'al In �$30 r Hour Fl""` "�"�110N ��r
S ' I In 'on � $.31 r Mile -"'�� �~ �`�✓
THIS INSTALLATION MAY BE ORDERED DISCONNECT COMPLETED WITHIN 18 MONTHS
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