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IdentiTy the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION
GENERALF
SERVICES / POWER SUPPLIES
0 to 400 Amoere � $25
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CO
CIRCUITS, CIRCUITS OF LESS THAN 50
Each S stem Device or aratus �
ADDITIONS TO THE GEP
MULTIFAMILY DWELLINGS PER UNI
3 to 1 Units �$50 Per Unit
Each Additlonal Unit � $25
OTHER ADDITIONAI
Li htin Retrofit �$25 r Fixlure
CeMer Pivot Irti ation Boom �$40
Manutactured Home Park Lots �
Recreational Vehicle Park Sites
� $.31 oer Mile
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity "�
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-500-627-3529
www. electricity. state. mn. us
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Traffic Si nal Standard � $5
Su lemenTal Fee � $20
Transformers u to 10 KVA �$10
Transiormers over 10 KVA � $20
Transformer I Power Su I for Si ns / Outline Li h6 �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
., SIGNALING Circuits and Two Inspection Trips Each Dwellin Unit �$80
i Additional Ins ion Tri s�$20
Investi a6ve Fee
FEES Rein ion Fee � $20
TOTAL FEE �
(minimum total fee is $20) -
Wp INSPECTOH USE ONLY
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I he cerdly tl�at I inspected the eleclricel installedon described herein on the da�s stated:
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THIS INSTALLATION MAY BE ORDERED DISCONNEGTED �F NvT ctmnr�t i eu wi � n�n �a m�r� � na
FOR OFFICE USE ONLY
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Request Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough-In: Ready Now ❑�II Call
'�' � � Q You must call the inspecYor when ready! Date Ready:
I certify that I am the � LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request ir�spec�on of the electrical work at