P - 78225REQUEST FOR ELECTRICAL INSPECTION
1� 4 7 5- 013 � 182� Unvers�, Avenue Sui�S- 28, Saird Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800�27-3529 www.electricity.state.mn.us
O NEW ❑ REMODEL O ADDITION �REPAIR Describe -using Me bxk of the white copy rf necess�y - the work covered by this request:
GENERALFEES
JICES I POWER SUPPLIES
0 to 400 Amcere � S25 ,
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device w atus 5.50
ADDITIONS TO THE GENERAL FEES
3 to 12 Units @$50 Per Unit
Each Additional Unit � L25
OTHER ADDITI01
Lighting Retrofit @ $.25 per Fixture
Center Pivot Irrigation Boom � E40
Manufaclured Home Park LoYs � S
Recrea6onal Vehicle Park Sites � ;
Separate Bonding Inspectbn @ E2�
Special Inspection � $30 per Hour
Special Inspection �? 5.31 per Mile
Tralfic Signal Standard
Supplemental Fee @ $
Transformers uo to 10
Includes ihe Service andlw Power Suppiy up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit � SBO
TOTALFEE
(minimum total fee is $20) ��w
iH15 ARFA FOR INSPECTOR USE ONLY �
I hereby tlw[ I i�SpecOed th� instaBaEOn described h�
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You must call the inspector when readyt Dete Ready
I cerMy that I am Cie jt� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request insoectio„ of thP ,�,r,;�i ,,,,,,r ,w.
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