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Identity the work covered by this request:
❑NEW ❑REMODEL ❑ADDITION
GENERAL FEES
0 to 400 Ampere � $�
401 to 800 Amcere �
0 to 200 Ampere � $5
Above 200 Ampere � $10
RM, COMMUNICATION, REMOTE CONTROL,
�UITS. CIRCUITS OF LESS THAN 50 VOLTS
TIFAMILY DWELLINGS (PER UNI�
3 to 72 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Liahtina Retrofit � S25 oer Fi�ure
Center Pivot Irrigation Boom �
Manufactured Home Park Lots
Recreational Vehicle Park Sites
Seoarate Bondina Insoection �
REQUEST FOR ELECTRICAL INSPECTION
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 " '
R�o � n�� �Gc�naGE?
Standard �
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transtortner / Power Supply for Signs / Outline Lighting �$5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$80
Additional Insoection Trios � $20
total iee is
instaliation described
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FOR OFFICE USE ONLY
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Request Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection O[her Than Rough-In: Ready Now � Will Call
" �—� You must call the inspector when ready! Date Ready:
I certify that i am the �.LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at