P - 79775.
REQUEST FOR ELECTRICAL INSPECTION
, ❑ Minnesota Board of Electricity
� 1-396-557 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-OS00 TTY/MRS 1-800-627-3529
www. electricity. sta te. mn. us
Identify the work covered by this request:
X XCEL ENERQY SAVER'S SWITCH
❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am ere �$25 Su lemental Fee �$20
401 to 800 Am ere �$50 Transformers u to 10 KVA �$10
Above 800 Am ere �$75 Transfortners over 10 KVA �$20
CIRCUITS / FEEDERS Transfortners / Power Su I for Si ns / Outline Li htin �$5
0 to 200 Am ere �$5 ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am ere �$10 Includes the Service antllor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROI, SIGNAIING Circuits and Two Inspection Trips Each Dwelling Unit �$80
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS Additional Inspection Trips �$20
Each S stem Device or aratus �$.50 Investi ative Fee
ADDITIONS TO THE GENERAL FEES Reins ection Fee �$20
MULTIFAMILY DWELLINGS (PER UNI� TOTAL FEE •
3 to 12 Units �$50 Per Unit (minimum total fee is 5201
yZS I I FOP INSPECTOF USE ONL�
Park Lots �$25 I hereby cerUfy Mat I inspeaeA Me electrical insiallation described herein on Me dates s
Pafk Sites �$5 ROUGH M DATE
3 @ectio� � $20
�p.3O ef HOUf FlNAL INSPECTION . DATE
5.31 oer Mile 2-� 7—
` FOR OFFICE USE ONLY
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Reque Rough-in Inspection Required? ❑ Yes No Inspectian Other Than Rough-in: Ready Now ❑ Will Call
You must call the inspector when ready! Date Ready:
I certify that I am the L7 LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and herebv reauest insoection of the a�rrrMAi W�� fl�•
ovnnu vr c��� i nici i r WF'Y INSTRUCTIONS ON BACK OF YELLOW COPY