P - 78853REGIUEST FOR ELECTRICAL INSPECTION
c Minnesota Board � Etectricity
1� V�-115 1821 Universiry Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY 7�529
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1f18 WOfk COVCfBd by UIIS f8QU8SC
❑REMODEL ❑ADDfT10N ORfPAIR
0 to 400 Mroere �
/FEEDERS
ALARM, COMMUNICATION, REMOTE CONTROL,
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each stem Device a �aratus 0 5.50
ADDITIONS TO THE GENERAL F
MULTIFAMILY DWEWNGS ER UN
3 to 12 Units � i50 Per Urot
Each AddiUOnal Unit 4 S25
OTHER ADDITIONAL FEES
Recreadonal Vehide
� Trar�fortr�er / Power SWPN tor Signs / Outl'me Li�tio9 � SS
ONE A TWO FAMILY DWEWNGS, EACH UNR
k�udes tlie Setvice andlar Power Supply up to 500 Amperes, Atl
Cirw�s and Two Irs edion Tri s Eech DwelGn Unit � S8(
/�d�Uor�al Ins edion T' s � =20
Imresti� afNe Fee
R ' ' Fee � S20
TOTAL FEI
(minimum total fee is $20
ran �er�ax ue� a�r
I I�erebvi ceNN G� I iisPeded tlie eledrie� h�slalaEOn deea�ed I�ein m the
FOR OFFlCE USE ONLY
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va, � ean a�e inspec�or wne�, readyn ' � oate Reaay: �
EB-00001A-13 7/1/2000
IIiSTRUCf10rIS ON BACIC OR YELL0IM �P1�