P - 81871� REQUEST FOR ELECTRICAL INSPECTION
�� 1 o V- 9 61 �i�� 821 Unover ity A e�ueESu ter�S 28, Saint Paul, Minnesota 55104 `�
� ��` (851) 642-0800 TTY/MRS 1-500-627-3529
www. e lectricity. state. mn. us
Identity the wark covered by this request: ��� �,y
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EW ❑ REMODEL ❑ADDITION ❑ REPAIR
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am re �$25 Su lemental Fee �$20
401 to 800 Am ere �$50 Transfortners u to 10 KVA �$10
Above 800 Am ere �$75 Transformers over 10 KVA �$20
CIRCUITS / FEEDERS Transformer I Power Su for Si ns / Outline Li htin �$5
Y 0 to 200 Ampere �$5 .-� ONE & iW0 FAMILY DWELLINGS, EACH UNI7
Above 200 Ampere � $10
RM, COMMUNICATION, FEMOTE CONTROL,
�UITS, CIRCUITS OF LESS THAN 50 VOLTS
Each Svstem Device or Aooaratus �$.50
Lighting Retrofit � $.25 per FuRure
Center Pivot Irri ation Boan �
Manufactur2Q'Hane Park Lots
Recreational Vehicle Park Sites
Separate Bonding Inspection � $2i
Special Inspection � $30 per Hour
Soecial Insnection � $.31 per Mile
Includes the Service andlor Power Suppty up to 500 Amperes, All
Circuits and Two Inspecfion Trips Each Dwellin Unit �$80'
AddiGonal Ins ection Tn�s � $20
InvesN ative Fee
Reinsoectlon Fee � $20
total fee is
thatlinsoecled lhe electricalir�tallati�an described herein anlhe
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FOR OFF�E USE ONLY
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Request Dete: Rough-in Inspection Required? ❑ Yes o Inspection Other Than Rough-In: �eady Now ��II Call
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_ 3 �� l7 � You must call the inspector wt�en readyl Date Ready:
I certfy that I am the'�ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at