P - 82478REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity °�
1� 0.% 7� g 3 L�, m� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
� �� ��� (651) 642-0800 TTY/MRS 1-500-627-3529
, www.electricity.state.mn.us
Identify the work covered by this request: �� .�� •�.
�NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
0 to 400 Am ere �$25
401 to 800 Am ere (� $50
Above 800 Am re � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S tem Device or ratus �$.50
ADDITIONS TO THE GENERAL FEES
Each Additbnal Unit � $25
OTHER A[
Lighting Retrofit � $25 per
Center Pivot Irrigation Boom
Manufactured Home Park Lc
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Outdoor Li htin Standard � $1
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transfortners u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service anNor Power Suppty up to 500 Amperes, All
Circuits and Two Ins ection Trips Each Dwellin Unit �$8(
e
Additional Ins eclion Tri s�$20
Investi ative Fee
Reinsoection Fee � $20
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total fee is
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FOR OFFICE USE ONLY �
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Request Date: Rough-in Inspection Required7 �[i1Yes ❑ No Inspectlon Other Than Rough-In: ❑ Ready Now II Cal�
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— .-() You must call the inspector when readyi Date Ready:
I cemfy that 1 am the ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at
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