P - 76520RE(2UEST FOR ELECTRICAL INSPECTION
�� � � � _ AMnnesota Board of Electricity
� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 ,.: �
www. electriciry. state. mn. us
Identity the work covered by Mis request: �� .
❑NEW EMODEL XJADDITION ❑REPAIR ��j�-j G'��� " �
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traific Si nal Standard �$5
0 to 400 Am re �$25 Su lemental Fee �$20
401 to 800 Am re�$50 Transformers u to 10 KVA �$10
Above 800 Am re� 375 Transformers over 10 KVA �$20
CIRCURS / FEEDERS Transfortner / Power Su for Si ns / Outline ' hdn f� $5
0 to 200 Am re�$.5 ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re �$10 Includes ihe Service and/or Power Suppty up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Tn s Each Dwelli Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins ction Tri �$20
Each S em Device or ratus �$.50 Investi tive Fee
ADDITIONS TO THE GENERAL FEES Fiein �on Fce �$20
MULTIFAMILY DWELLINGS PER UN TOTAL FEE s
3 to t2 units �$5o Per Unit (minimum total fee is $20)
Each Addi'tional Unit � $25 w" "'�"0fl "� °NLV
OTHER ADDITIONAL FEES
Li htin Retrofit �$.25 r Fixture �,
CeMer Pivot Irri adon Boom �$40 �
Manufactured Home Park Lots �$25 I hereby ce that I inspect e electricel installabon described herein or[�e d�te�.�
Recreadonal Vehicle Park Sites � fl011fHIN onh
rate Bondin Ins 'on � GUI� "g'
' I 'on � S30 r Hour '�'�"0" ,A"re
' I ' � $.31 r Mile � %�s ��-`��
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS
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