P - 75591Minnesota De
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St. Paul, MN
Phone: (651)
7'7'Y/MRS: (6�
www.electriciti
arrt of Labor and Industry
North
297-4198
Re uest for Electrical Ins ection - One
Rough-In Inspedion Requtred? y� Single
Contracbr Must Schedule Ali Rou h-In Ins o�ts Cantra
City/Town
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" Fee Calculation
Ideav Hcme or Associated Structure Existing Home/Structure Remodet or Addition
New Dwellirtg Seroice/Power Supply 0— 4� am�re @$35 tde�ro ServicelPower Supply 0— 400 ampere @$35 .
New DweUing Senrice/Power Supply 401— 8� amp� � gfiQ- New Serv+cefPower Supphy— 401— 800 ampere @$60
New Dwelling FeBders/Cirq�Its New/Extended F�ders/Circuitc _ � �r, tr, � S G���r:r..�.:.�
0
0
Detached Garage or Other Associated Structure
New Senrice/Pawer Supply 0— 4� ampere (� $35
Nevv Feeders/Circuits ( � @ $6 ��
�
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Ai
'� Detached Garage or Other Associateci Structure
New ServiceJPower Supply 0— 400 ampere Q$35
NewlEMend� FeederslCircuits ( j @ $6 Each
Reocnnected Feeders/Circuits ( ) @ S2 Each
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Totel (the fee calculated abave or $35 multiplied Totai (the fee caiculated above or $35 multiplied
by the num6er of required inspecdnn trips, by tFre number af required inspec(lon Mps, ��
whichever is greater) whichever is g►eater)
Requests fw Electricall�pecUon (REI) with a fee oi 5250 or lesa expire 12 aiontlwa from the flUng date. Ttee coMracto► must have the work completed within
the 12 month period o� submit another REI fhat includes the i�specqo� iee for tl�e urteompteted work, i�pectbn fees do not carry over irom one REI to
artothsr.
A servke charga of S30 wai be added tor ap olsho�wrer! checks.
1 hereby �rtifyr U�t 1 insµeded fhe eledrical ir�adation herein on the dat� s�ted: For �Partmern Use Only
Rough - In Inspection(s) Date r-,
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TDD (881) 297-4198.
REI 02 (8/0n
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�va(lable in di(ferent forms, such as lame i
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REC�D �u'� � 9 �
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or on a tape. To request, caR 1-800-34:
or