P - 76224REQUEST FOR ELECTRICAL INSPECTION � '
�� �'���� � � � Minnesota Board of Electricity
1821 University Avenue Suite 5-128, Saint Paul, Minnesota 55104
� �' (651) 642-0800 T1Y/MRS 1-800-627-3529 www.edectricity.state.mn.us ,
Desaibe -using the �ck of the white copy'rf necessary - the wark covered by this r�uest:
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401 to 800
Above 800
CIRCUITS OF LESS THAN 50 VOLTS
iystem Device or Apparafi�s @ $.50
ADDITIONS TO THE GENERAL I
CeMer Pivot Irriaation Boom
TH1S INSTALLATION MAY BE ORDERED
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Traflic
ONE 8 N10 FAMILY DFNELLINGS, EACH UPIIT
Irtcludes the Service and/or Power Supply up to 500 Amperes, All
Ciradts and Two Insp�on Trips Each Dwe�ing Unit @$80
Additional Inspection Trips @ $20
Imr�GuaNre Fee
total fee is
i nereny cerarr ma� i�aed ure eteca�c� m�muano� a�,ea nerem on nre aace� �a:
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REC'D A PR 2� 2001
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�� Rough-in Inspection Required7 ❑ Yes �No Inspedion Other Than Rough-In: � Ready Now�W11 Ca0
� t���� You mus[ call the inspector when readyl Date Ready:
I certify that I am thg�jJCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request ins�Ction of the electriral work at
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