P - 75710Minnesota Departm ,� of Labor and Industry
443 Lafayette Ro�North
St. Paul, MN 5, 5-4342
Phone: (651 5064
TTY/MRS: 1) 297-4198
www.ele ity.state.mn.us
Contractor Re uest for Electrical I
Date Rough-In Inspection Required?
08/06/2007 Contractor Must Schedule All Rou I
Address of Inspection — Street
801 KENNASTON DRIVE NE
Owner Name
VERA PAINTER
Owner Telephone Number(s) — Include Area Code(s)
(763) 572-9753
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��'p AU G 13 2007
tion — One Famil Dwellin /Associated Structure
Yes Single Inspection Other Than Rough-In: � Ready Now
actions Contractor Must Schedule All Final Ins ections �❑ Will Schedule
CitylTownship County
FRIDLEY ANOKA
Project Description
WIRE/ RECONNECT AIR CONDITIONER
Contractor Name Contractor Mailing Address
CENTERPOINT ENERGY 9320 EVERGREEN BLVD NW SUITE B COON RAPIDS, MN 55433
Contractor Telephone Number Contractor E-mail Address Electrical U61ity
(763) 757-6202 joann.zinken@CenterPointEnergy
Cont� or Au hori d e Contractor License Number Job/Project Contact Person
�L � ���� CA01796 JOANN ZINKEN
Fee Calculation
New Home or Associated Structure
New Dwelling Service/Power Supply 0— 400 ampere @$35
New Dwelling Service/Power Supply 401 — 800 ampere �$60
New Home — More than 30
(Speciry)
30 Feeders/Circuits - $
;ircuits (in addition to
io To 200 A[�D $6 Each
Detached Garage or Other Associated Structure
New Service/Power Supply
New Feoders/Circuits
Other (SpecifY)
(Speciry)
0 — 400 ampere @ $35
( ) @ $6 Each
Existing Home/Structure Remodel or Addition
New Senrice/Power Suppiy
New Seroice/Power Supply
0 — 400 ampere @ $35
401 — 800 ampere @ $60
ts — Up to 15 Feeders/Cirt�+ts
$6 Each or 16 to 30 �$100
— More Than 30 Feeders/Circui
its Uo to 200 A Cc� $6 Each
,.----- • ----�-- -- — --
( � ) 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 muitiplied TOt81 (the fee calculated above or $35 multiplied �
by the number of required inspection trips, by the number of required inspection trips, a� �
whichever is greater) whichever is greater)
Requests for Electrical Inspectlon (REI) wtth a fee of $250 or less expire 12 months from the flling date. The contractor must have the work completed within
the 12 month perfod or subm(t another REI that includes the inspectlon fee for the uncompleted work. InspecUon fees do not carry over from one REI to
another.
A service charge of $30 will be added for all dishonored checks.
I hereby certify that I inspected the
Rough — In Inspection(s)
This material can bi
TDD (651) 287-4198.
REI 02 (6/0�
on the dates stated: For Department use oniy
Date
Date
�- �- 3 _�
such as Iarge print, Braille or on a tape. To request, call 1-800-342-5354 (DIAL-DLI) Voice or