Loading...
P - 780431-544-622 � V � ❑NEW EMODEL ❑ADDITION ❑ �b � GENERALFEES SERVICES / POWER SUPPLIES 0 M 400 Am e$25 401 ta 800 funoere � 550 REQUEST FOR ELECTRICAL INSPECTION Minnesota Board of Electriaty 1821 University Avenue Suite S-128, Sairrt Paul, Minnesota 55104 (651) 642-0800 T'fY/MRS 1-800�27-3529 www.electriciry.state.mn.us 2 Describe -using the back M the white copy if necessary - the work covered by this request: scYt � Sl— % %'� — % Outdoor Liahtino Standard (aD Si ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each Svstem Device or Aonaratus � 5.50 2 Units � S50 Per Unit Additional Unit � $25 1ER ADDITIONAL FEES 25 per Fixture i Boom @ 340 P�k Lots E25 Park Sitra m SS / � Transfortners uD � 10 KVA ��10 J Transformers over 10 KVA �$ 20 Transformer / Power Supply tor Signs I Oulline Liqhtinq . E5 ONE & TWO FAMILY DWELLINGS, EACH UNIT Ir�cludes the Service andlor Power Suppiy up to 500 Amperes, All Circuits and Two Inspection Trips Each Dwelling Unit @$80 Additionallnspection Trips $20 Investigafive Fee Reinscec6on Fce (aD $20 (minimum total fee is $20) '� - THISARfAFdtINSPECiOR p11V I hereby cerOfy tlwt I inspected the elec6ical installation described herein on tl�e dates sta0ed: z_3 _a �������N����������������������������������� ���. � 15446222 ;_ I��!I�� � � �Q�� �� Roughin Inspectlon Required7 ❑ Yes Irspedian Other Than Rough-In: �Ready Now I Call �/'�U��%� You must call Me inspedor when ready! Date Ready. I certify ttiat I am the �kICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby �equest inspection of the electrical work at: