P - 75660Minnesota De
443 Lafayette
St. Paul, MN
Phone: (651�
TTY/MRS: (�
snt of Labor and Industry
North
1)297-4198
.state.mn.us
Cont ctor Re uest for Electrical Ins ectio
Date Rough-In Inspection Required? ❑ Yes
6/11/08 Contractor Must Schedule All Rouah-In Ins�ectio�
Address of Inspection — Street
140 MISSISSIPPI PLACE APT 3, & 4
Owner Name
ENES GL(,� (-�" ( �
Owner Telephone Number(s) — Include Area C
(612) 245-9255
Contractor Name
WIRE-RITE ELECTRIC CO
Contractor Telephone Number
(7�i1574-9015
— One Family Dwelli
Contractor Must Schedule All
City/Township County
FRIDLEY ANOKA
Project Description
INSTALL GFI OUTLET IN APTS 3 8� 4
Contractor Mailing Address
BOX 396 CIRCLE PINES MN 55014
Contra�tor E-mail Address
Contractor License Number
CA 1958A
Fee Calculation
New Home or Associated Structure
New Dwelling Service/Power Supply 0— 400 ampere @$35
New Dwelling Service/Power Supply 401 — 800 ampere @$60
w. i eedersiCircu� _ _ _ _ _ _ _ __ �-
U to 30 Feeders/Circuits - $100
New Home — More than 30 Feeders/Circuits (in addition to
above Fe�ers/Circuits U To 200 A $6 Each
Other (Saecifi�)
Detached Garage or Other Associated Structure
New Servicc�//Power Supply
New Feeders/Circuits
Other (Specify)
Other
0 — 400 ampere @ $35
( ) @ $6 Each
KCEL
Job/Project Contact Person
PERRY 612.366.5697
Structure
] Ready Now
1 wu s�n��ie
Existing Home/Structure Remodel or Addition
New ervi ower Supply 0— 400 ampere �$35 3�
New Service/Power Supply 401 — 800 ampere �$60
$6Eachor16to30@$1
— More Than 30 Fee.ders/Ci�
�ts Uo to 200 A CcD $6 Each
( ) Feeders/Circuits @ $2 Each �
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)
Total (the fee calculated above or $35 multiplied Total (the fee calculated above or $35 multiplied 3�o �o
by the number of required inspection trips, by the number of required inspection trips, � o
whichever is greater) whichever is greater) ,�d
Requests for Electrical Inspection (REI) with a fee of $250 or I�s expire 12 months from the flling date. The contractor muat have the work completed within
the 12 month period or submk another REI that includ� the f�pection fee for the uncompleted vrork. Ir�pection fees do not carry over from one REI to
another.
A service charge of $30 will be added for all dlshonored checks.
I hereby certify that I inspecte
Rough — In Inspection(s)
on the dates :
Date
This mateNal can be made available In different forms, such as
TDD (651) 297-4188.
REI 02 (6/0�
r�� vvpa�unvn�
° �,����6�� 0
��p J U N 1.1 2008
Brallle or on a tape. To request, call '
vo�ce or