P - 75512Minnesota Departrnen f Labor and Industry
443 Lafayette Road � orth
St. Paul, MN 55- -4342
Phone: (651) 5064
TTY/MRS: 1) 297-4198
www.electri ty.state.mn.us
Contractor Re uest for Electrical Ins
Date Rough-In Inspection Required?
8/3/2007 Contractor Must Schedule All Rou h-In
Address of Inspection — Street
1511 SOUTH TIMBER RIDGE NE
BARBARA BERRY
— Include Area
���—�I���
REC'D AUG � 9 2007
tion — One Famil Dwellin /Associated Structure
Yes Single Inspection Other Than Rough-In: � Ready Now
:ctions Contractor Must Schedule All Final Insoections n Will Schedule
FRIDLEY � ANOKA
Project Description
WIRE/RECONNECT AIR CONDITIONER
(763) 571-4307
Contractor Name Contractor Mailing Address
CENTERPOINT ENERGY 9320 EVERGREEN BLVD NW SUITE B COON RAPIDS, MN 55433
Contractor Telephone Number Contractor E-mail Address Electrical Utility
(763 757-620 , ° joann.zinken@CenterPointEnergy
Co r ctor th e t r Contractor License Number Job/Project Contact Person
r CA01796 JOANN ZINKEN
Fee Calculation
New Home or Associated Structure Existing Home/Structure Remodel or Addition
New Dwelling Service/Power Supply 0— 400 ampere �$35
New Dwelling Service/Power Supply 401 — 800 ampere @$60
to 30 Feeders/Circuits - $100
New Home — More than 30 Feeders/Circuits (in a
above) ( ) Feeders/Circuits Up•To 200 A
Other (Specify)
Detached Garage or Other Associated Structure
New Service/Power Supply
New Feeders/Circuits
Other (Specify)
0 — 400 ampere @ $35
( ) � $6 Each
New Service/Power Supply
New Service/Power Supply
Reconnected Feeders/Circuits
0 — 400 ampere @ $35
401 — 800 ampere @ $60
ts — Up to'fSF�eders/Circaits
$6 Each or 16 to 30 @$100
— More Than 30 Feeders/Circui
ts Un to 200 A Cc� $6 Each
( 1 ) Feeders/Circuits @ $2 Each I $2
Detached Garage or Other Associated Structure
New Service/Power Supply 0— 400 ampere @$35
New/Extended Feeders/Circuits ( ) @ $6 Each
Reconnected Feeders/Circuits ( ) @ $2 Each
Other (Specify)
Total (the fee calculated above or $35 multiplied TOtal (the fee calculated above or $35 multiplied �
by the number of required inspection trips, by the number of required inspection trips, �� ��
whichever is greater) whichever is greater)
Requests for Electrlcal Inspectfon (REI) with a fee of $250 or less expire 12 months from the flling date. The contractor must have the work completed within
the 12 month perfod or submlt another REI that includes the Inspectlon fee for the uncompleted work. Inspection fees do not carry over from one REI to
another.
A service charge of $30 will be added for all dishonored checks.
I hereby certify that I inspected the electrical installation herein on the dates stated: For Department Use Only
Rough — In Inspection(s) Date
Thls matenal can bi
TDD (657) 297�L198.
REI 02 (6/0�
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