P - 76523REQUEST FOR ELECTRICAL INSPECTION
���/� Minnesota Board of Electricity `�
1— J�F �- 3 8 6 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 ��
www. electricity. state. mn. us
IdeMi(y the work covered by this request: �
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❑ NEW REMODEL ❑ ADDITION REPAIR
GENERAL FEES p�� � ry� g�� �$�
SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am re �$25 Su lemental Fee �$20
401 to 800 Am re �$50 Transformers u to 10 KVA �$10
Above 800 Am re �$75 Transfortners over 10 KVA �$20
RCUITS / FEEDERS Trensformer / Power Su for Si ns / Outline Li htin �$5
0 to 200 Am ere � ONE & TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re �$10 Includes the Service and/or Power Supply up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CANTROL, SIGNALING Circuits and Two Inspection Tri Each Dwellin Unit � S80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional In bn Tri �$20
Each S stem Device or A ratus �$.50 Investi tive Fee
ADDITIONS TO THE GENERAL FEES iiein 'on Fee �$20
MULTIFAMILY DWELLIN�S PER UNI TOTAL FEE s
3 to �2 units �$50 Per Unit (minimum total fee is $20)
Each Additional Unit �$25 wr+ ir+sr�cTOn use axv
OTHER ADDITIONAI. FEES N � C�a [.i �; 5�, Y-2 �• � C
Li hti Retrofil �$25 r Fixlure
Center Pivot Irri ation Boom �$40
Manufactured Home Park Lots �$25 I hereby cer6ty that 1 inspected Cie electrical installa�on described herein an the dates stated:
Recreational Vehide Park Sdes �d $5 PD1�"" w,�
Se rate Bondin Ins ion � E20
S ial In ion �$30 r Hour ���PE�� �� � onh
S'al In on �$.31 r Mile �� ie�.�tl..,
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THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MvNTHS
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