P - 80001REQUEST FOR ELECTRICAL INSPECTION
�' Minnesola Board of Efectricity
� 1-396-167 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity. s ta te, mn. us
IdenGty the work covered by this request:
OililEW ❑ REMODEL ❑ ADDITION ❑ REPAIR XCEL ENEROY SAVER'S SWI7C�-i
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES J POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am ere �$25 Su lemental Fee �$20
401 to 800 Am ere �$50 Transformers u to 10 KVA �$16
Above 800 Am ere �$75 Transformers over 10 KVA �$20
CIRCUITS ( FEEDERS Transformers / Power Su I for Si ns / OuUine Li htin �$5
0 to 200 Am ere �$5 ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am ere �$10 Includes the Service and/or Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwelling Unif �$80
CIRCUITS. CIRCUITS OF LESS THAN 50 VOLTS Additional Inspection Trips (� $20
Each S stem Device or Ap aratus �$.50 Investi tive Fee
ADDITIONS TO THF GENERAL FEES Rei ection Fee �$20
AAl ll TIFAMII Y I1WFI I INC;R (PFR I IN1T ' TOTAL FEE
3 to 12 Unfts �$50 Pef Unit �IIIIfIIfllUlll Nltil ICtl IS �yLV�
Each Additional Unit � $25 WR�NSPECTOPUSEONLV
OTHER ADDITIONAL FEES
Li htin Retrofit �$.25 er Fi�Aure
Center Pivot Irti tion Boom �$40
Manufactured Hane Park Lots �$25 I hereby certify ihat I in5pecled the electncel installation desGMbed herein On Me dates Steted:
Flcrre�rinnnt Vchir�e Pnr4 Cilna � 4:S iV � ROUGM IN �ATE
� �. J C
FOR OFFICE USE ONLY
I Il�fl� �� �tlI IIm nlll II.II � ��
*13961677* �?� a�,�
Reque ate$A2 Rough-in Inspection Required? ❑ Yes [1NO Inspectian Other Than Rough-in: QReady Now � Will Call
You must call the inspecto� when ready! J4 Date Ready: �(
I cerGfy that I am the C� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
Job Address (Street, Box, or Route No.) Ciry Zp Code
6449 PIE�E ST NE FRIDLEY 5�r13
Section Township Range Fire No. Counry A��A
Occupant � � � Phone
KRACL ADAM R ti
Power Supplier Address
XCEL ENERGY
Electrical Contractor / Company Name Contractor Lice�se Number Master License Number
HUNT ELE�TRI� GORPORATION CA 00883
Mailing Address (Contractor, Company or Owner Performing Installation)
23t10 TE�iRITCSRIAL ROAO , SA{MT PAUL, MN 55114
Authorized Signature (Contractor, Company or Owner Performing Installation) Ptwne
� �� S51 6�-2#�11
EB-00001A-13 7/1/2000 BOARD OF ELECTRICITY COPY INSTRUCTIONS ON BACK OF YELLOW COPY