P - 76147REQUEST FOR ELECTRICAL
�� o C� 7� 12 � a Minnesota Board oi Electricity
� 1821 University Avenue Suite S-128, S' P
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(651) 642-0800 TTY/MRS 1�00-627 52�
D the bac of th ite copy'rf necessary - the work covered fhis request:
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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
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n m , FpP. OFFiCE USE ONLY . :'� . '
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I cerMy that I am ttt�CENSED CQNTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at
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