P - 80188, REQUEST FOR ELECTRICAL INSPECTlON
�, �' Minnesota Board of Electricity
�-396-� 47 � t82f University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us ' �
ldentity the work crovered by this request:
0 NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
to
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or aratus �$.50
ADDITIONS TO THE GENERAL
MULTIFAMILY DWELLINGS PER UNI�
3 to 12 Units ��50 Per Unit
Home Park Lots � $
ehicle Park Sites � ;
ling Inspection � $21
tion � $30 per Hour
XCEL ENEROY SAVER'S SWITC�i
Transtormers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformers I Power Supply for Signs / Outline Lighting �
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
CircuRs and Two Inspection Trips Each Dwelling Unit �$F
Addftional Inspection Trips � $20
FOF INSPECTOR USE ONLY
I hereby certify that I inspectetl the electncal installation
ROUGH IN
FINAL INSPECTION .
TOTAL FEE
d fee is $201
onre
�=1�
FOR OFFlCE USE ONLY
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Reque Rough-in InspecNOn Required? ❑ Yes o Inspection Other Than Rough-in: Ready Now � WIII Call
You must call the inspector when ready! Date Ready:
I certiiy that I am the L� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY