P - 81833-
, . _, REQUEST FOR ELECTRICAL INSPECTION
1�0 7 5 6 31 EE ; Minnesota Board of Electricity
►s � 1821 University Ave�ue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
J� www.electricity.state.mn.us
Itlentity the work covered by this request:
❑NEW ❑REMODEL ❑ADDITION
GENERAL F
SERVICES / POWER SUPPLIES
0 to 400 Am ere C� $25
401 to 800 Am ere C� $50
Above S00 Am ere � $75
CIRCUITS / FEEDERS
- Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIG
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus �$.50
ADDITIONS TO THE GENERAL FEES
MULTIFAMILY DWELLINGS PER UNI
3 to 12 Unfts �$50 Per Unit
Each Additional Unit � $25
Ughdng Retrofd � $25 per FbAure
Center Pivot IrrigaGon Boom � $4(
Manufactured Home Park Lots � $
Recreatlonal Vehi�e Park Sites � '
Seoarate Bondina Insnection � $2f
�111 1��— q v J� r `
� �
Outdoor Li htin Standard � 1
Traffic Si nal Standard � $5
Su lemental Fee C� $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer / Power Su 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 Dwelling Unft �$8(
Additional Inspection Trips � $20
Investigative Fee
� Reinsoection Fee � $20
that I
total fee is
— ! a - 2'4 •-�
WITHIN 18 MONTHS
FOR OFFlCE USE ONLY � _ ���
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� 1 O 7 5 E, 3 1 D�E
R est Date• Rough-in Inspectbn Required9 ❑ Yes No Inspection Other Than Rough-In: eady Now 0 wit Call
You must call the inSpec[or when readyl Date Ready:
I certify that I am the� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: