P - 79823REQUEST FOR ELECTRICAL INSPECTION
1 2� 9 9 O O Minnesota Board of Electricity —
� � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
, (651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us
Itlentiry the work covered by this request:
❑NEW pREMODEL ❑ADDITION�EPAIR �(,(
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am re �$50
Above S00 Am re � $75
CIRCUITS / FEEDERS
0 to 200 Am ere �$5
Above 200 Am ere � $10
ALARM, CAMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIACUITS OF LESS THAN 50 VOLTS
Each S stem Device or ratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
Lighting Retrofd � $25 per Falure
Center Pivot Irrigation Boom � $40
Manufactured Home Park Lots � $
Recreatbnal Vehicle Park Sites � ;
Seoarate Bondina Insoection � $2(
- C61 � �l�cz����
� Outdoor Li hti Standard �$i
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, Ali
Circuits and Two Inspection Trips Each Dwelli Unit �$80
Additional Inscection Trios � $20
ron
Fee �
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
um total fee is $20) � ed.�:
n destxibed herein on the dates sfffied:
onre
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� WITHIN 18 MONTHS
1 certify that I am the CENSED CONTRACTOR ❑ CAMPANY ❑ OWNER and hereby request inspection of the electrical work at