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GENERALFEES
CIRCUITS OF LESS THAN 50 VOLTS
Per UnR
@ $25
Hour
Mile
4Y BE
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1821 University Avenue Sufte S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529 www.edectrdcity.state.mn.us
��e'�� „�Y�a'S�;�'S S�JT�'CH
Traffic Siqnal Standard
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Inctudes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit @$80
Additional Inspection Trips @ $20
Investiaative Fee
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total fee is
I hereby certity that I inspected the electrical ir�stallation described herein on Ne dates sfeted:
DISCONNECTED IF NOT
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12 MONTHS
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You must call the inspector when ready! Date Ready:
t c�rtify that I am the C� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at