P - 75531el,� l p3 �l S �a
°Minnesota Depa t of Labor and Industry
443 Lafayette Ro North
St. Paul, MN 342
Phone: (651) � 5064
TTY/MRS: 1) 297-4198
www.electri state.mn.us
Contractor Re uest for Electrical I
Date Rough-In Inspection Required?
04/28/2008 Contractor Must Schedule All Rou I
Address of Inspection — Street
303 LONGFELLOW ST NE
Owner Name
1 CAIIlA QCTC�l1\/1/�
Owner Telephone Nu ber(s) — Include Are
(763) 786-9110 � (763) 245-9110
Contractor Name '"
CENTERPOINT ENERGY
(763) 757-6202
Yes
— One Famil Dwellin /Associated
Single Inspection Other Than Rough-In: [
Contractor Must Schedule All Final Ins ctions [
City/Township County
FRIDLEY ANOKA
Project Description
WIRE/ RECONNECT FURNACE AND AIR
CONDITIONER
Structure
] Ready Now
1 Will Schedule
9320 EVERGREEN BLVD NW SUITE B COON RAPIDS. MN 55433
joann.zinken@CenterPointEnergy
Contractor License Number
CA01796
Fee Calculation
ome or Assoclated Structure
New Dwelling Service/Power Supply — ere @$35
New Dwelling Service/Power Supply 401 — 800 ampere @$60
30 Feeders/Circuits - 5100
To 200 A
Detached Garage or Other Associated Structure
New Service/Power Supply
New Feeders/Circuits
Other (SpeciTy)
Other (Soecifv)
0 — 400 ampere @ $35
( ) @ $6 Each
�obiProject contact Person
JOANN ZINKEN
Existing Home/Structure Remodel or Addltion
New Service/Power Supply 0— 400 ampere @$35
New Service/Power Supply 401— 800 ampere @$60
New/Eutended Feeders/Circuits — Up to 15 Feeders/Circuits
Feeders/Circuits $6 Each or 16 to 30 $100
Npw/Fxfanrlarl Faatlprc/C:im� iifc _ Mnro TF��n Zf1 Fowicr�/r`ir�� �No
Each
( 2 ) Feeders/Circuits $2 Each I $4
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
Other (Specify)
i ota� (the fee calculated above or $35 multiplied Total (the fee calculated above or $35 multiplied
by the number of required inspection trips, by the number of required inspection trips, $35 �6 �
whichever is greater) whichever is greater)
Requests for Electrical Inspectlon (REI) wlth a fee of $250 or less expire 12 months from the flling date. The contractor must e the work completed wlthin
the 12 month perlod or submk another REI that Includes the InspecUon fee for the uncompleted work. InspecUon fees d not carry over from one REI to
another.
A service charge of $30 wtll be added for all dlahonored checks.
I hereby certity that I inspeded the electrical installation herein on the dates stated: For D rtment Use Only
Rough — In Inspecction(s)
e
Final
TDD (651) 297�198.
REI 02 (6/0�
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