P - 79627REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity �
1 �35 128 �9� �
A � '", 1821 Universiry Avenue Suite S-128, Saint Paul, Minnesota 55104
r (651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us '� ''
Identify the work covered by this request: /j „„
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❑ NEW EMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
401 to 800 Am ere �$50
Above 800 Am ere � $75
C RCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE C(
CIRCUITS, CIRCUITS OF LESS THAN 51
Each Svstem Device or Apparatus �
SIGNALING
07HER ADDITIOMAL FEES
Retrofit � $25 er Fixtur
'ivot Irri ation Boom � $4 r" ;
tured Home Park Lots �$25 I
onal Vehicle Park Sites � $5 `
� Bondina Insoection � $20
�
Su demental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su for Si ns I Outline Li htin �$5
ONE 8 TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$8f
Addftional Inspection Trips � $20
Investiaative Fee
IS INSTALLATION MAY BE ORDERED DISCONNECTED IF !
FOR OFFICE USE ONIY
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total fee is
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� v� You must call the inspector when readyf Date Aeady:
I certify that I am the [�CENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the elecVical wak at: