P - 824391-0�8-051 �a��:
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us
ItlentiTy the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION EPAIR R�� o r� � e� � �L� r��iC E�
GENER,4L FEES Outdoor Liahtina Siandard �$1
SERVICES I POWER SUPPLIES
0 to 400 Am ere �$25
401 to S00 Am re �$50
Above 800 Am re � $75
CIRCUITS I FEEDERS
0 to 200 Am re �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIG
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Unfts �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Liahtina Retrofit � $.25 oer Fixture
I
Vehicle Park SRes �
�ding Inspection � $2i
�ction � $30 per Hour
:ction � $.31 cer Mile
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Supply for Signs / Outline Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Inctudes the Service and/or Power Suppty up to 500 Amperes, All
Circuits and Two Inscection Trips Each Dwelling Unit �$80
Fee �
total fee is
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I inspected ihe electm;al installatlon described herein
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FOR OFFICE USE ONLY
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Request Date: Rough-in Inspeclion Required? ❑ Yes ❑ No Inspection O[her Than Rough-In: Ready Now 0 WiU Call
'� p�g `D� You must call the inspector when readyl Date Ready:
I certify ihat I am ihe �ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at