P - 79586z REGlUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity �
`� - 216 - 019 �'� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
a
�� �: (651) 642-0800 TfY/MRS 1-800-627-3529
www. electricity. state. mn. us `'�'
Identity the work covered by this request: �
❑ NEW : MODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
S RVICES I POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am re �$50
Above 800 Am re � $75
CIRCUITS I FEEDERS
0 to 200 Am re �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S tem Device or A aratus �$.50
ADDITIONS TO THE GENERAL FEES
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL
Ligh6ng ReVOfit � $25 per Fixture
Center Pivot Irrigation Boom � $40
Manufactured Home Park Lots � $2.y
Recreational Vehicle Park Sites � $5�
Separate Bonding Inspeclion � $20
Special Inspection (� $30 per Hour
Soecial Insoection � $.31 oer Mile
p
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TraHic Si nal Standard � $5
Su plemental Fee � $20
Transformers up to 10 KVA �$10
Transformers over 10 KVA (� $20
Transformer / Power Su I for Si ns / Outiine Li htin (� $5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$S(
Additional Ins ection Tri s�$20
Investi ative Fee
Reinsoection Fee C� $20
(minimum total fee is
SPECTOF USE ONLV
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I herebv ceitilv tliat I inscected the
FOR OFF�E USE ONLY
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desaibed here� on me
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I ce�tify that I am the�JJCENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the elecVical work at