P - 78810REQUEST FOR ELECTRICAL INSPECTION
�' 3 5 2� V� H e° Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity. state. mn. us
❑NEW ❑REMODEL ❑ADDITION �R �`R,()�f
GENERAL FEES
S VICES / POWER SUPPLIES
to 400 Am re � $25
401 to 800 Amoere � S50 Transfortners u to 10 KVA �$10
Transformers over 10 KVA � $20
Transtortner / Power Supply for Si�gns / Outline Li�ghdng �$5
ONE & TWO FAMILY DWELLINGS, EACH UNR
Ir�dudes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$BL
Additional Ins ection Tri s�$20
Investi ative Fee
Reinsoection Fee � $20
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CIRCUITS / FEEDERS
0 to 200 Am re�$5 , n
Abo4e 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each Svstem Device or Aooaratus �$.50
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Manufactured Home Park Lots �
Recreational Vehide Park Sites �
5' Ins ection �$.31 r Mile
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF
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electrical instaAation de�x�ed herein on
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I certiiy that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at