P - 796441-202-573 ��ma
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Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ADDITION
GENERAL F
SERVICES / POWER SUPPLIES
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity —
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-500-627-3529
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www.electricity.state.mn.us •�I��G� '��
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(lutdnnr I iahtina Standard � $1
0 to 400 Am re �$25
401 to S00 Am re �$50
Above 800 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am re �$5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SfGI
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
annmoNS To THE GENERAL FEES
Uniis � $50 Per Unit
Iditional Unit � $25
OTHER ADDITIONAL FEES
Retrofit � $25 per Fixture
'ivot Irrigation Boom � $40
lured Hane Park Lots �$25 1
onal Vehicle Park Sifes � $5
Traffic Si nal Standard 8$5
Su lememat Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su I for Si ns / Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwellin Unit �$8C
Additional Inspection Trips � $20
Investiaative Fee —
that I
total fee is
S ecial In ion �$.31 r Mile ''
THIS INSTALLATION MAY BE ORDERED DISCONNECTED __NOT COMPLETED WITHIN 18 MONTHS
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fi est Da e: Rough-in Inspection Required? ❑ Yes o Inspection Other Than Rough-In: ❑ Ready Now Will Ca�l
� �� You must call the inspector when ready! Date Ready:
I cert'rfy that I am the �IICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspeclion of the eledrical work at: