P - 80176REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1-396-159 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 �
(651) 642-OS00 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us '
Identity the work covered by this request:
�t�EW ❑ REMODEL ❑ ADDITION ❑ REPAIR XCEL ENEROY SAVER�S SWITCH
GENERAL FEES Outdoor Liqhtina Standard �$1
0 to 400 Ampere � $;
401 to S00 Ampere �
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS
Each System Device or aratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS (PER UNIn
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAI FEES
Lighting Retrofit (� $25 per Fixture
Vehicle Park
Transfortners u to 10 KVA �$10
Transfortners over 10 KVA � $20
Transformers / Power Supply for Signs / OuNine Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service ancUor Power Supply up to 500 Amperes, PJI
Circuits and Two Inspection Trips Each Dwelling Unit �$80
Additional Inspeclion Trips � $20
Investi ative Fee
Reinspection Fee � $20
TOTAL FEE
(minimum total fee is $20)
FOq INSPECTOP IISE ONLY
RWGH IN
FttUL INSPECTION
herein on fhe dates sfeted:
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FOR OFFICE USE ONLY
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I certi(y that I am the � LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW GOPY