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P - 76745�tlinn�sota D�p�rttr�ent of �aia�r ar�d f€�dus�y �3 L�afay'ett� Rc��9 i�c�rth �t. P�ul, FrtN �5���-d3d� �tusne: (651 j 2�34-�,�f�3 TTYIMi��: (651}2�7-41�J8 �a�r.eteetri aty. s€ate. mn� us Contractvr Request for Electricai �ns �ate Roug�-Is� Ins�ectiQn Required? 11/30/07 Gontractw Must Sche�dui� tti� Rt� h-[r� �cidf�s� � tctsp�cti�n - �t�eet 403 RICE CREEK TER NE BUNDY. LYNN M 763-502-1626 HU�iT ELEGTFtI� �{�f�C�F�ATIU�J Gant�ac�ar Tele�tt4ne Nurnk�r (651) 6��-29i 1 7�nm Nafner �� � �, � o.�,,, �a��-���� REC'D D E C- 5 2�p� ti4n — On+� Fam�ly i�wetlinglAssociat�d Siructure Y�� �'rngE� I�spe�f�on O�her Th�n Rs�ugh-ln: r" F.e��fy Na+� ctians Goa�#raetar A11�st Sch�dul� A!1 Final i�s ections ❑'v1�'iil Sct�e�iufe ��tytT�wn�hip Co�r�ty FRIDLEY Pr4�ect t7�sct�pt�ra KCEL ENEF�C�Y SAV�R SV�t{TCH Go��ra�far iv9a�lir�y Address 23Q0 TERRIT�3Fi�A� RC;., ST� PAUL, I�N �5�1i4 Contr,aetor �-ma�l Addr�ess El�ctricaf U#ilify TH�fi�r�E�uniel�c.c+�rr� Can#ra�ctor License Number ,k�%iPmject C�rtta� CA(}Q�83 TOM HAFN�R Fee Galculai��il New H��ne or As�aciat�� Structure �few [�weilinq �er��cefPnrarer ��spply 0 —40t1 �rnpere � $�S �lew Cwelling Senraee�P�a�sr S�pg�y 40't — 3=,��� �m�er�e �$6�7 iJ to 3{§ ��ede�f��rcu� - $1� t �lew Hoett� —149a� than 3Q Fsed�rs#�icct�i� {i� ad�itic��t to ai�av�l Feeder�ir+�it� U Ta 2ti0 #� �6 Each Other (Specsfy� XC�L ENERGY �4VER SWITCH � Eietacf��d G�r�ge or C}ther Associateri Structure t�te�tt �er+��e��c�aver SuP�SE� �e�r F�e�rslCi�cu�ts L)ther (Specfiy} �7ther {7 — 4t�0 arrr�>er� � $35 Existing Horr�elStruct�sre Remodel or Ac�dition Newa Serv�ceJPc�we� S�p��y tleevw Ser��s:e,'Power Su�soly tdenu�E�ended r• (I — �#f}i8 �rnpe� � �35 4i19 — 8tH1 antpete � �EIl � — �1� to 9 6 Fe�derslCircui€s �s�a�n��st�sa�s��a — Mor� Th� 3C) Feede�iC�rcui ts UD ts� 2t}f3 A d� �6 E�ch 35 { ) �eeder�l'G�cuit� � �32 EacFa Det�ched �arage or Other A�soci�ied Structure �lew �ervicelPnwer Suppip Q —4Eld} acnpere � S35 ( j�$6 EacFr �,lewl�xt�nded Feeders/C�cu€ts { 3� S6 Each Reccsnnect�ti �e�eciers�C�rc�ri�s { j �,a �2 Each C3liiee f��ci�r! T�Jt�I �ths fee calcu�a€ed ��aave or S35 rz�ultip@ied TOt�I (�e �e calcu�s#ed �l�ov� or $3S €nulti�ri�d Esy fh� nt�mi�r of required 'rns�ct� 3rsps; ��'�`� $35.50 ey tt� numb�r o# requir�d �nspection t�pst E'� �'��>"� � w�icheves i� �gre�t�r} � =. �.�-�� � vhich��e� is gre�t�r� �=� �.�.� � Req�t�fs iar Eie�trical tir��ctiatt �REIj vri#h a fee of �r25f! �ur less expiae 12 m�ths fr�n �te filimg �date. The contract�or m�rst haYe the w�ric cornpleted wdEhin #he 12 month {�riod or suh�it another R€1 that anelucEes ihe inspection fee far the unce,mpletred work. inspection fees da not earty nver from one REI to arta#her. A setvice r.harge af �30 witl 6e added �or ali dishonared cheaks. ! h�r�by certi€y that � inspeeteri zh�e e�ecuical instat�aaion here� cm iire dates stated: Ft�r [)epartmettt Use OnFy RoUgh - In ln�rect��(5� ��te �--�' � ' � - C�' I This mafena[ ca� be made �vai[�t�9�e �n ci�fferee�t fcxms, s3u�ch as Garge print, BraitFe or un a TEEAt} (651} 29i�'l98. �E! �12 (fi�di7} �