P - 76828Minnesota Depa nt of Labor and Industry
443 Lafayette d North
St. Paul, MN 155-4342
Phone: (65 84-5064
TTY/MRS' S1) 297-4198
www.ele city.state.mn.us
Contractor Re uest for Electrical I
Date Rough-In Inspection Required?
11/20/2007 Contractor Must Schedule All Rougl
Address of Inspection - Street
382 IRONTON STREET NE
Owner Name
MICHAEL KANE
Owner Telephone Number(s) - Include Area Code(s)
(763) 783-5655
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REC'D N 0 V' 2 6 2007
tion — One Famil Dwellin /Associated Structure
Yes Singie Inspection Other Than Rough-In: � Ready Now
:ctions Contractor Must Schedule All Final Ins ections ✓0 Will Schedule
City/Township Counry
FRIDLEY — ANOKA '
Project Description ��
WIRE/ RECONN ATTIC AIR HANDLER
Contractor Name Contractor Mailing Address
CENTERPOINT ENERGY 9320 EVERGREEN BLVD NW SUITE B COON RAPIDS, MN 55433
Contractor Telephone Number
(763) 757-6202
Contractor Authorized Signature
,�
New Dwelling Service/Power
joann.zinken@CenterPointEnergy
Contractor License Number
CA01796
or Associated Structure
Fee Calculation
Job/Project Contact� Person
JOANN ZINKEN
Existing Home/Structure Remodel or Addition
@$35 I I New Service/Power Supply 0- 400 ampere @$35
New Dwelling Service/Power Supply 401 - 800 ampere @$60
Feeders/Circuits
Up to 30 Feeders/Circuits - $100
ome - More than 30 Feeders/Circuits (in addition to
( 1 Feeders/Circuits Uo To 200 A Caa $6 Each
Detached Garage or Other Associated Structure
New Service/Power Supply 0- 400 ampere @$35
New Feeders/Circuits ( ) @ $6 Each
Other (Specify)
New Service/Power Supply 401 - 800 ampere @$60
New/Extended Feeders/Circuits - Up to 15 Feeders/Circuits
( ) Feeders/Circuits @$6 Each or 16 to 30 @$100
New/Extended Feeders/Circuits - More Than 30 Feeders/Circui
( ) Feeders/Circuits Up to 200 A@$6 Each
Reconnected Feeders/Circuits
( � ) Feeders/Circuits @ $2 Each $2
Detached Garage or Other Associated Structure
New Service/Power Supply 0- 400 ampere @$35
New/Extended Feeders/Circuits ( ) @ $6 Each
Reconnected Feeders/Circuits ( ) @ $2 Each
�
Total (the fee calculated above or $35 multiplied Total (the fee calculated above or $35 multiplied N
by the number of required inspection trips, by the number of required inspection trips, Fl 3�, S�
whichever is greater) whichever is greater)
Requests for Electrical Inspection (REI) with a fee of E250 or less expire 12 months from the filing date. The contractor must have the work completed within
the 12 month period or submit another REI that includes the inspection fee for the uncompleted work. Inspection fees do not carry over from one REI to
another.
A service charge of S30 will be added for all dishonored checks.
I hereby CBrtify that I inspeCtetl the el2CtnC2l �nstallation herein on the tlates statetl:
Rough - In Inspection(s) Date
Finallnspecti � Date
_..�Z /z..� tl' ca7
or on a tape. To fequest, call 1-$00-342-5354 (DIAL-DLI) Volce or
TDD (651) 297-4198.
REI 02 (6/07)