P - 81824REQUEST FOR ELECTRICAL INSPECTION
1 � � � � � � � � � Minnesota Board of Electricity � '�
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
�'e (651) 642-0800 TTY/MRS 1-800-627-3529
/�/O �"� (I� s www.electricity.state.mn.us n _ _ � ,
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dentify the work covered by this request: �
dNEW ❑REMODEL C]ADDITION �RE
GENERAL FEES
0 to 400 Ampere C� $25 �/� ,
401 to S00 Ampere � $50
Above 800 Ampere � $75
�UITS / FEEDERS
0 to 200 Ampere � $5
Above 200 Ampere � $10
RM, COMMUNICATION, REMOTE CONTROL,
�UITS, GIRCUITS OF LESS THAN 50 VOLTS
Each Svstem Device or Auoaretus �$.50
Additional Unit �
Center Pivot Irrigation 800m � $
Manufactured Home Park Lots �
Outdoor Li htin Standard � $1
Traffic Si nal Standard C� $5
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transtormers over 10 KVA � $20
Transfortner I Power Su I for Si ns / Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Irtcludes the Serv�ce and/or Power Supply up to 500 Amperes, All
Circuits and 7wo Inspedion Trips Each Dwellin Unit �$8(
Additional Inspection Trips � $20
Investiaative Fee
�v�w� rcc
total fee is $201 �.S
I insoected the elec[rical installation descnbed herein ai the t�tes sNated:
S ial Ins ection �$30 r Hour ^' � i t) F""`"'"�°'""' /'
S ial Inspection �$.31 per Mile (�
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COI
FOR OFFICE ll� ONIY
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Request Date: � Rough-in Inspection Required? ❑ Yes o Inspection Other TI
O �
ETED WITHIN 18 MONTHS
•
ough-In: ❑ Ready Now Call
IYou must call ihe inspector when readyl pate Ready: �
I certify that I am the ❑,M;tNSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work aF.