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P - 76147REQUEST FOR ELECTRICAL �� o C� 7� 12 � a Minnesota Board oi Electricity � 1821 University Avenue Suite S-128, S' P � (651) 642-0800 TTY/MRS 1�00-627 52� D the bac of th ite copy'rf necessary - the work covered fhis request: �'- '�, 6 � � �1 C� 6°' I E RAL FEES Outdoor Lig SERVICES / POWER SUPP IES TraRc Signal Standard (rD. CIRCURS, CIRCUITS OF LESS THAN 50 VOLTS Each S stem Device or aratus (a� $.50 ADDITIONS TO THE GENERAL I MULTIFAMILY DWELLINGS PER UNI 3 to 12 Uniis @$50 Per Unit Each Additlonal Unit @ $25 OTHER ADDITIONAL FEES Lightin Retrofit $.25 r FaWre CeMer Pivot Ir�aatlan Boom Ca1$40 ION 55104 V.state.mn.us ONE 8 TWO FAMILY DWEWNGS, EACH UNR Includes the Service and/or Power Supply up ro 500 Amperes, All Circuits and Two Inspectlon Trips Each Dweuing Unft �•$80 Addfional Inspedion Trips Q $20 Im«stiaative F� total fee is I inspe�ed tlre electrical inslallatlon d� hsrehi on f�J I _� n m , FpP. OFFiCE USE ONLY . :'� . ' �II II111 II �U II �II I) I�I I) II) II IU U W� W I� % .__r,- '�� 20571287 �o�l�'�U�o �� I cerMy that I am ttt�CENSED CQNTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at �o�s� /� � 0 1;� /� 1 I:! , ,/ l i C��,/l f�'l / %� � C , �--.�(,-C < <�1 Electricel Uti�ty Ac �tne L2— ,Q � �1/ ( �- , Compa or �r Perfor ing Instalhatlor 'V 1 tor o er Pertortning Installa ) �V l�. �FVFl�nwmw cneo.,.,� Lf� N�nnber �\ �