Loading...
P - 81603REQUEST FOR ELECTRICAL INSPECTION 1�3 0 g 3 2 q0 m Minnesota Board of Electricity � - 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 � � (651) 642-0800 TTY/MRS 1-500-627-3529 ' www.electricity.state.mn.us " ' Identity the work covered by this request: �,�S,�,s O ,/�.�t/�� ❑ NEW ❑ REMODEL ❑ADDITION EPAIR GENERAL FE S Outdoor Li htin Standard (� $1 401 to 800 Am ere �$50 Above 800 Am ere � $75 CIRCUITS / FEEDERS 0 to 200 Am ere (� $5 Above 200 Am re (� $10 ALARM, COMMUNICATION, REMOTE CONTROL, SIGI CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Each S stem Device or A aratus �$.50 ADDI710NS TO 7HE GENERAL FEES MULTIFAMILY DWELLINGS PER UNI 3 to 12 Units �$50 Per UnB Each Additional Unit � $25 OTHER ADDITIONAL FEES Li htin Retrofd �$25 r Fixture Center Pivot Irri ation Boom �$40 Manufactured Home Park Lots � $2 Recreational Vehicle Park Sites � $5 S rate Bondin Ins ection �$20 S ial Ins 'on �$30 r Hour Soecial Insoection � $.31 per Mile Traffic Si nai Standard � $5 Su lemental Fee � $20 Transformers u to 10 KVA �$10 Transformers over 10 KVA � $20 Transformer / Power Su I for Si ns / Outline Li han �$5 ONE & TWO FAMILY DWELIINGS, EACH UNIT Includes the Service and/or Power Supply up to 500 Amperes, All Circuits and Two Inspection Trips Each Dwellin Unit �$S( Additional Inspection Trips � $20 Investiaative Fee I herebvi certily that 1 FOR OFFlCE USE OlILY tlilll11111111111!lllllllllll�lllllllllllll ���7os �E 1 O 3 Q 9 3 2 6� �o ��� total fee is ��' the dates �ated: I certify that I am the' "LICENE Job Address (Street, Box, or Route � ✓� � _5��99/�. Sedion Township upant a��� � POWBf SUpDll9f CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at ���3Lv� c��� Z,P� Range Fre No. County � Electrical Contractor / Company Name �/Z tD O l� Mailing Address (Contredor, Company or Owner Perfortning Installation) .�' �.�- .0 �- Aythprized Signature (Contrador, Cop�pany or Owner Perfortning In IIt Phone r� /�7��<! r V! 7/1/200D BOARD OF ELECiRICRY COPY Number % SS��/ .�3 7- S�� / INSTRUCTIONS ON BACK OF YEILOW COPY