P - 77456REQUEST FOR ELECTRICAL INSPECTION �
�J �F 1- 3 9 3 Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-OS00 TTY/MRS 1-800-627-3529 �`
www. electricity. state. mn. us
Ideirtify the work covered by this request:
❑ NEW ❑ REMODEL �ADDITION ❑ REPAIR �' U 2 �— �'1 —
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPUES � Tra(Fic Si nal Standard �$5
0 to 400 Am re�$25 D /'h Su lemental Fee (� $20
�� ta � ��$� Transformers u to 10 KVA �$1
Above 800 Am re �$75 Transtomrers over 10 KVA � S20
CIRCUITS / FEEDERS Transformer / Power Su for Si ns / Outline Li htin �$5
0 to 200 Am re�$5 ONE & 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 Dwelli Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional In ion Tri �$20
Each em Device or ratus �$.50 InvesT tive Fee
ADDITIONS TO THE GENERAL FEES Rei ' n Fee �$20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE '
3 to �2 units �$5o Per unit (minimum total fee is $20) .
Each Additional Unit � $25 w" "��� � �Y
OTHER ADDITIONAL FEES �G, c l{„� DC� "�J:�B
' hti Retrofit � $.25 Fixtu
CeMer Pivot I' don Boom �
Manufactured Home Park Lots �$25 1 hereby ce ' that I' the electrical installaLOn described herein on the dates stated:
Recreational Vehicle Park Sites �$5 R0101'" �� �
rate Bondi I @q�'on � $20 � � � �
I ��Vw � HOU( FlW1L INSiECfION DAIE :�'.
S ' I ' � $.31 r Mile � _2'" Q �
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS �
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