P - 77588REGlUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electriciry
1� 4 7- 418 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
� (651) 642-0800 T'fY/MRS 1-800-627-3529
www.electricity.state.mn.us ' �
Identi(y the work covered by this request: n� r a� I
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pNEW ❑REMODEL ❑ADDITION eHHEPAIR
GENERAL FEES Outdoor U htin Standard �$1
RVICES / POWER SUPPLIES Treffic Si nal Standard �$5
0 to 400 Am re� 325 Su lemental Fee �$20
441 to 800 Am re �$50 Transformers u to 10 KVA �$10
Above 800 Am re (� $75 Transformers over 10 KVA �$20
CIRCUITS / FEEDERS Transformer / Power Su tor S' ns I Outlirre hti �$5
0 to 200 Am re �$5 ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re��10 Includes the Service andlor Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwellin Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins ection Tri s�$20 i
Each S stem Device or aratus �$.50 Investi tive Fee
ADDITIONS TO THE GENERAL FEES Reins ' Fee �$20
MULTIFAMILY DWELLINGS PER UN TOTAL FEE �
3 to �2 Units �$5o Per Unit (minimum total fee is $20) ;
Each Additional Unit �$25 F0"1NSPEGOR "� 01Y I
OTHER ADDITIONAL FEES I
CeMer Pivot I' ation Boom �$40
Manufactured Home Park Lots �$25 I hereby ceAi thst I inspected the electrical insta�lation described herein on the dates stated:
Recreational Vehide Park Sites �$5 f01GH1N �'h
S rate Bondi Ins ' � $20
ial Ins 'on �$30 r Hour """` "u°E°10N o�,�
S'al In n�$.31 r Mile ��r � 2��
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 1S MONTHS
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I ceNly 1 tl�e ❑ LICENSED GONTRACTOR ❑ COI�APANIf (�;pWNER and hereby request inePedWn of tlie elecfical wak, at V
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