P - 80110REQUEST FOR ELECTRICAL INSPECTION
1 � ,,, � � � � �� Minnesota Board of Electricity -
_�,j � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
�- � (651) 642-OS00 TTY/MRS 1-800-627-3529
' www.electricity.state.mn.us " '
❑NEW ❑REMODEL ❑ADDITION ❑REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am re �$25
401 to 800 Am ere (� 0
Above 800 Am re � 75
CIRCUITS / FEEDERS
0 to 200 Am re �$5
Above 200 Am re � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SI
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
ADDITIONS TO THE CaENERAL FEE
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
Manufactured Home Park Lots �
Recreational Vehicle Park Sites �
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Tra�formers over 70 KVA � $20
Transformer / Power Su I for Si ns / OuHir�e Li htin C� $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 Dwellin Unft �$8(
Additional Ins ection Tri s�$20
Investi ative Fee
Reins�ection Fee � $20
total fee is
S ecial In ion �$30 er Hour -" v V F'""""�GTO" �
Special Inspection � $.31 per MMil�e
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN
FOR OFFlCE USE ONLY
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� �i(.� Qj( � You must call the inspec[or when ready! � Date Ready:^(�,�' � f�� � i_ ,��/� �
I certify that I am the �ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at