P - 80491REQUEST FOR ELECTRICAL INSPECTION
� � � � � � � Minnesota Board of ElecVicity ' °�
� � � �
� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
� �� ��° (651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us �� "�'
Identify the work cavered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am re �$50
Above 800 Am re � $75
RCUITS / FEEDERS
0 to 200 Am re �$5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S tem Device or A ratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
� $25 �er Fixture
Manufactured Home Park Lots �
Recreational Vehicle Park Sites (�
�
�
C.
Traffic Si nal Standard � $5
Sup lemental Fee � $20
Transformers 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 andlor Power Supply up to 500 Amperes, All
Circuits and Two Insoec6on Trips Each Dwelling Und �$8(
Fee �
U3E ONIY
total fee is
I insoected the electrical installa8on described herein an the dahs
FOR OFFICE U8E ONLY �
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8 MONTHS
I certi(y that I am the�LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at