P - 81894f REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electr+city �"
1�� O 1 1- 4 6 7 1821 University Avenue Suite S-128, Saint Paui, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electriciiy.state.mn.us "��'�
Ident' the work covered by this request: ��
NEW ❑ REMODEL ❑ ADDITION ❑ REPAIfl !� ' �� �'�`°
GENERAL FEES Outdoor Li htin Standard �$1
SERVICES / POWER SUPPLIES Traffic Si nal Standard �$5
0 to 400 Am ere �$25 Supplemental Fee �$20
401 to 800 Am re C� $50 Transformers u to 10 KVA �$10
Above 800 Am re �$75 Transformers over 10 KVA �$20
CIRCUITS / FEEDERS Transformer / Power Su I for Si ns / Outline Li htin �$5
0 to 200 Am ere �$5 ONE & TWO FAMILY DWELLINGS, EACH UNIT
Above 200 Am re �$10 Includes the Service and/or Power Suppiy up to 500 Amperes, All
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Tri s Each Dwellin Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional in ion Tri �$20
Each S stem Device or A aratus �$.50 Invesd tive Fee
ADDITIONS TO THE GENERAL FEES Rein ion Fee �$20
MULTIFAMILY DWELLINGS PER UNIT TOTAL FE
.. ._ .,, � �_.._ �, ��„ o... � �.... (minimum total fee is $20 � �
Retrofit � $25 per Fbcture •
'ivot Irriaation Boom � $A�1
ihat i
S ecial Ins �on �$30 r Hour °°'�'"" �
Special Inspection � $.31 per Mile
T411C INCTeI 1 ATIAN MAY RF AR�ERED D13CANNECTED IF NOT (
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I ceRity that I am the
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CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at:
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BOARD OF ELECTRICRY COPY INS'TRUC710NS ON BACK OF YELLOW COPY