P - 81733REQUEST FOR ELECTRICAL INSPECTION
1 yo �� O�� �� v Minnesota Board of Electricity —
� � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
� � (651) 642-0800 TTY/MRS 1-500-627-3529
� www. electricity. state. mn. us
mentity me work covered by this request RELOCATE SWITCHES & RECEPTACLES
❑NEW Q#iEMODEL ❑ADDITION ❑REPAIR ADD 2 SMOKE DETECTORS
GENERAL FEES Outdoor Lighiing Standard �$t
0 to 400 Ampere � $
401 to 800 Amoere �
0 to 200 Ampere �
CIRCUITS, CIRCUITS OF LESS THAN 50
Each S stem Device or A aratus �
ADDITIONS TO THE GE�
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Addi6onal Unit � $25
OTHER ADDITIONAI
L' hfin Retrofit �$25 r Focture
Center Pivot Irri tion Boom �$40
Manufactured Home Park Lots � $25
� $3�) p2f HOUf ��
� $.31 per Mile
,LATION MAY BE
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / OuNine Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Suppty up to 500 Amperes, All
SIGNALING Circuits and Two Inspection Trips Each Dwellin Unit �$80
Addftional Insoection Trips � $20
Fee
linsoected the eleclricalinstallatlan
total fee is
40.5p
18 MONTIi:
FOR OFFICE UfE ONLY
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Request Date: Rough-in Inspeclion Required? Yes ❑ No Inspection Other Than Rough-In: ❑ Ready Now ❑ Will Call
3-15-01 You must caN the inspector when ready! Date Ready:
I certify that I am the �LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
Job Address (Street, Box, or Rotrte No.) Cily Zip Code
710 OVERTON ST FRIDLEY
Section Township Range Fre No. CouMy
OccuP�
FRANKLIN BUILDERS
Power Supplier Q � � ^ Address
Q •J
�,r
Electrical Contractor / Company Name
WEST STAR ELECTRIC, YNC.
Mailing Address (Contractor Company or Owner Pertorming Inst
Phone
Contrac[or License Number I Master Licerwe Number
CA01936
6324 LAKELA D AVE N BROOKLYN PARK MN 55428
A : ignAnxe (CoMra �, pany or Owner Performing Insfallation) Phone 7 6 3— 5 3 7— 0 8 0 7
EB-0OOOtA 3 /1l2000 � BOAND OF ELECTRICITY COPY INSTRUCTIONB ON BACK OF YELLOW COPY