P - 78305REGIUEST FOR ELECTRICAL INSPECTION
1�4 7 3 5 0 Minnesota Board of Electricity
� � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
' www.electricity.state.mn.us
Identify the work covered by this request:
❑ NEW ❑ REMODEL �1DDITION ❑ REPAIR
GENERAL FEES
SERVICES I 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 re �$5
•Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A ratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Addftional Unit � $25
OTHER ADDITIONAL FEES
Center Pivot IrtigaGon Baom � $
Manufactured Home Park Lots �
� $30 oer Hour
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Outdoor Li htin Standard � $1
Traffic Si nal Standard � $5
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su for Si ns I Outline Li hti �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$80
AddiGonal Insoection Trins � $20
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FOR OFFICE USE ONLY
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total fee is $20) � '7 �
he elecxr'cal installaGon described herein on the dates stated:
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COMPLETED WITHIN 18 MONTHS
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I ceRify that I am the ❑ LICENSED CONTRACTOR ❑ COMPANY ,�OWNER and hereby request inspection of the electrical work at: