P - 77729REQUEST FOR ELEC.�TRICAL INSPECTION
1 3 4� 3 3 2 Minnesota Board of Electriciry
� � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 =
www. electrici ry. state. mn. us
Identity the work covered by this request:
❑ NEW REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am re �$25
401 to 800 Am re �$50
Above 800 Am re � $75
CIRCUITS / FEEDERS
0 to 200 Am � $5
Above 200 Am re (� $10
ALARM, COMMUNICATION, REMOTE CONTROL, SI
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S em Device or ratus �$.50
ADDITIONS TO THE GENERAL FEE
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Li htin Retrofit �$25 r Fixtu
Center Pivot Irti ation Boom �
ManuFactured Home Park Lots � E25
� $30 cer Hour
�
Su lemental Fee � $20 — 1'�' �
Transformers u to 10 KVA (� $10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / OuUine Li htin �$5
ONE � TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspedion Trips Each Dwellin Unft �$8(
Additional Ins ection Trips � $20
Investi ative Fee
Reinsoecfion Fee � $20
oe
FOR ORFICE USE ONLY
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(minimum total fee is $20) � 5
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that I inspected the electrical installatlon �rein on me Cates sfated:�
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I certi(y ihat I am the ❑ LICENSED CONTRACTOR ❑ COMPANY �OWNER and hereby request inspection of the electrical work at: