P - 75276Minnesota Department of L.abor and Industry
443 Lafayette R North
St. Paul, MN 5-4342
Phone: (851) 5064
TTY/MRS: ( 1) 297-4198
uwwv.electri .state.mn.us
ContractoriRe ister
Date Raugh-In Inspectlon Required?
2-� u� Con6�actor/Em lo r Must Schedule �
Address of InspecUon — Street
`13 I�'l'� i sS i Ss i� i 5-1— o�l �
Own r Name
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SUBURBA(V ELE
Contractor/Employer Tel
763-498-7215
Yes
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t #or Electrical Inspectioi
Ready Now
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INC. I 14800 28TH AVE N; SUITE_125, PLYMO
Contractor/Employer Authorized Slgnature Contrector Licsnse Number Job/Project Cai
��ti CA02503 1 v �
� Fee Calculation
Service/Power Supply 0— 400 ampere �$35 Technology System Devices (
Service/F'rnver Suppiy 401 — 800 empere (ci� $60 �pa�� �nding Inspectlons for Swimm
E ul tentlal Planea
Service/Power Supply Above 800 ampere @$100 � Center Pivot Irrigatlon Booms (
Plus Elactr(cal Drive i
IVew/Extanded Feeders!Circuits Up To 200 A( )�$6 Each Luminaire Retrofit Modifl�tlons (
Feeders/f:ircuita Above 200 �: ( )@$15 Each Concrete-�ncased Electrode Inspecdon (
Reco�nected FeederslC(rcuits ( �,, $2 Each Invest'gative Fee $70 Or The Total Inspe�
° Whichever Is Greater U To $1,OQ0
Manufactured Home Park Lot Supply ( )@$35 Esch Speclal InspecUon Fee ( ) Hours
Plus Mlles The IRS Mp
Recreat(onal Vehide Site Su�olv Eauloment Other
( ) CVcults Originuting in �e Equtpment @$6 Each
Street, Parking Lo� Ltghtlng Standard ( )(c� $5 Each
Transformers Up to.10 kva ( )�$15 Each
j � 75¢ Each
�a Pools end
�
) � 25¢ E�ch
) Q $35 Each
Over 80U Volts — nad ue eomwrtea �e�oma� �r ana re�aenonm� ree m
result in double the re8�de� fae (does irot sAp1Y to elacMc eign and aulpne tl9�9)
WiU� Up 70 20 Feeders/Cfrcufts
Transformers Over 10 kva ( )@$30 Each ( ) AddiUanal Clrcuits Above The 20 Allow�l Per Unft
6 Eaah
ElecMc Signs artd Outllne UghUng TOt81(the fee �slculated above or $35 muftiplied
TransformersJPower Su Iles $5 Each by the number of requlred inspectlon trips, ,�j.�. .5 �
whichever is greater)
Requests tor Electrlcal U�spectlon (REI).wlth e(oe oi $2� or less expire 12 moMhs irom the titMg date. The aoMractorJemploye� mus! have the arork
completed wtthln the 12 mooth period or aubmit enother RE! that tncludes tlte MapeoHoa tee for the unaomplsted work. lnspeetlon f�s do Rot car►Y over
irom ons REI to another.
Rough — In Inspectlon(s)
Tms matarie� can bi
TDD (851) 297-4198.
REI 03 (6/07)
on
Date
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is. such qs large prlM, Brallle or on a tape.
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