P - 79797REQUEST FOR ELECTRICAL INSPECTION
1����- 5 8 4 K 8'21 Un'��vters� A eoue Sutte'St 28, Saint Paul, Minnesota 55104
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(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us '� �
Identify the work covered by ihis request:
❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR 1 .Q/� �
GENERAL FEES Outdoor Li htin Standard �$t
SERVICES I POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am re �$25 Su lementai Fee �$20
401 to 800 Am ere (� $SQ Transformers u to 10 KVA �$10
Above 800 Am re �$75 Transfortners over 10 KVA �$20
CIRCUITS / FEEDERS Transformer / Power Su i for Si ns / Outline Li htin �$5
0 to 200 Am re �$5 ONE & TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re �$70 Includes the Service andlor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwelli Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOlTS Additiona! I ection Tri s�$20
Each S tem Device or A aratus �$.50 Investi ative Fee
ADDITIONS TO THE GENERAL FEES Reinsoection Fee �$20 C�
3 to 12 Units �$50 Per Unit
Each Additional Unft � $25
OTHER ADDITIOPlAL FEES
Lighting Retrof� � $25 per Fixture
Center Pivot Irrigation Boom � $40
Manufactured Home Park Lots � $25
Recreational Vehicle Park Sites �$5 �
Separete Bondina Insoection � $20
total fee is
�al I ection � $30 r Hour '�yLN6PE0"0N /'� `i ��QL�
S ial Ins�ection �$.37 per Mile ( I
THIS INSTALLATION MAY BE ORDERED: DISCONNECTED tF N OMPLETED WITHlN 18 MONTHS
FOR OFFICE USE ONLY
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Req est Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough- • y Now ❑ Will Call
��O O You must call the inspector when ready! Date Ready:
I certify that I am th��ENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at
Job Address (Street, Box, or Route No.) ZP ��8
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