P - 79275REQUEST FOR ELECTRICAL INSPECTION
�� 1 1�- 5 2 2 6� 8'21 Un� ersBy Ave �ue 6uRerSl128, Saint Paul, Minnesota 55104
(651) 642-0800 TTYIMRS 1-800-627-3529 www.etectricity.state.mn.us
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TION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request:
XCEL EtVERGY SA�lE4?'S S'JV4TCH
/ POWER SUPPLIES
CIRCUITS OF LESS THAN 50 VOLTS
3 to 12 U�its @$50 Per Unit
Each Additional Unit @ $25
$30 oer Hour
{il{ II i� N 111 II � II ffl � Ill II�1111 �I {I Iil I lill
17735226
Su lemental Fee $20
Transfortners u to 10 KVA $10
Transformers over 10 KVA $ 20
Transfortner ) Power Su for Si ns I Outline Li htin $5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Cirouits and Txro Inspection Trips Each Dwelling Unit @$80
(minimum totai fee is $20) � $�0,50
rws uiEn Foa nisaECrae usE orar
I hereby certily that I inspected the electrical insWlation described herein on Me da4e5 sfated:
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Request Oate: RougMn Inspection Required? ❑ Yes Q�No Inspedion Other Than Raugh-In: Ofaeady Now LI N�II CaU
0912aQ� You must call the inspecta when ready! Dale Ready:
I certiry that I am the C�.ICENSED CONTRACTOR � COMPANY ❑ OWNER a� hereby request inspection of the electrical work at::