P - 79332REQUEST FOR ELECTRICAL INSPECTION
_ ❑
�����- 5 9 9 4 Minnesota Board of Electricity -
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
• (651) 642-0800 TTY/MRS 1-800-627-3529 www.electricity.state.mn.us
P] NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request:
XCEL EPVERGY SAVER'S SVVITCH
SERVtCES / POWER SUPPLIES
0 to d00 Am ere $25
401 to 800 Am ere S50
Above 800 Am re $75
CIRCUITS f FEEDERS
0 to 200 Ampere @ $5
Above 200 Ampere @$10
ALARM, COMMUNICATION, REMOTE CONTROL
CIRCUITS, CIRCUITS OF LESS THAN 50 VOL7S
Each System Device or Apparatus @$.50
ADDITIONS TO THE GENERAL I
MULTIFAMILY DWELLINGS PER UNIT
3 to 12 Units @$50 Per Unit
Each Additional Unit @ $25
OTHER ADDITIONAL FEE6
Li hUn Retrofit $.25 er Fixture
Center Pivot Irti ation Boom $40
Manufactured Hane Park Lots $25
Recrea6onal Vehicle Park Sites $5
arate Bondin Ins tion $20
Soecial Insoection � $36 oer Hour
I l�l !I �! II �I II III II IH I� Ili Il�lll Il �l II �I I li�
1 7? 3 5 9 9 4
Transformers over 10 KVA $ 20
Transformer I Power Supply fa Sipns I Outline Lighting @$5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$80
Additional Inscection Trios � $20
(minimum total fee is $20) � $20.50
THIS�REAFOR�NSPECtptU5E0l1Y
I hereby cer6fy Mat I inspected the electrical install�on described herein on tlie dates 51aOed:
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Request Date: Rough-in I�spection Requirad? ❑ Yes �No Inspection O[h� Than Raigh-In: OKEady Nav� � Will Call
���%� � You must call the inspedor when ready! Date Ready:
I certify that I am the CI�ICENSED CONTRACTOR ❑COMPANY � OWNER and hereby request inspection of ihe electrical work at:
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