P - 81598. . REQUEST FOR ELECTRICAL INSPECTION
1 0 2 2^��� Minnesota Board of Electriciry
� � ��w 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
°^ �� (651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us
Identify the work cavered by this request:
EW ❑ R�DEL ❑ ADDITION ❑ REPAIR
to 800 Ampere �
re 800 Ampere �
S / FEEDERS
200 Amoere � $
;UITS, CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or Apparatus �$.50
ADDITIONS TO THE GENERAL F
TIFAMILY DWELLINGS (PER UNI�
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
LigMing Retrofil � $25 per Fi�Ru
Center Pivot Irrigation Boom � $
Manufactured Home Park Lots �
� $30 per Hour
� $.31 per Mile
.LATION MAY BE
Outdoor Li htin Standard � $1
Traffic Si nal Standard � $5
Su lemental Fee (� $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin �$5
ONE � TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Suppty up to 500 Amperes, All �
Circuits and Two Inspection Trips Each Dwellin Unit �
Additional Ins ection Tri s f� $20
Investi ative Fee
Reinsoection Fee � $20
(minimum total fee is $20)
ONLY �
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tl�at I inspected tl�e electrical installadon desaibed herein on the detes s�ted:
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Request Date: Rough-in Inspection Fiequired? es ❑ No Inspection Other Than Rough-In: .❑ Ready N Will Call �
� You must call the inspector when ready! Date Ready: � �
I certify that I am the LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: