P - 79457� REGlUEST FOR ELECTRICAL INSPECTION
, ' Q /� � �� Minnesota Board of Electricity
`��� V`t - 011 `�' ° 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
�� � (651) 642-0800 7TY/MR��0-627-3529
www.electricitv.stat .�r,.us; _
Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ADDITION ❑
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am re �$50
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am re�$5
Above 2W Am ere � $10
ALARM, COMMUNiCATION, REMOTE CONI
CIRCUITS, CIRCUITS OF LESS THAN 50 V�
Each Svstem Device or Aooaratus �$.E
OTHER ADDITIONAL FEES
Lighting Retrofit f� $25 per Fixture
Center Pivot Irtigation Boom � $40
Manufactured Home Park lots � $25
Recreational Vehide Park Sites � $5
Separate Bonding Inspection � $20
Special Inspection � $30 per Hour
Soecial Insoection � $.31 cer Mile
� �� JYL.
tdoor Li htin Standard � $i
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transformers u to 70 KVA �$10
Transformers over 10 KVA � $20
Transfortner / Power Su ! for Si ns ( �utline Li hti �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$8!
Additional Ins ection Tri s�$20
investi ative Fee
Reinsoection Fee � $20
F�R , : • - ; J,°aE ONLY
'{N�{I Ilifl illll II�{� IIIII11fl{ IIIN I{II{ 111I II�I
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that
Ii(n �/ U VaIT� You must call the inspector when readyl I Date
1 certify that I am thee�CENSED CONTRACTOR ❑ COMPANY ❑ OWNER
total fee is
� COMPLETED
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hher Than fiouaFl�
on tlie �tes s�ted:
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ao,sa
and hereby request inspection of the electrical work at: