P - 79925- REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
1-396-185 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 �
(651) 642-0800 TTY/MRS 1-800-627-3529
www. electricity. sta te. mn. us
IdentiTy the work covered by this request:
O"NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 Am ere �$25
401 to 800 Am ere �$50
Above 8D0 Am ere � $75
CIRCUITS / FEEDERS
0 to 200 Am re �$5
Above 200 Am ere � $10
ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING
CIRCUITS. GIRCUITS OF LESS THAN 50 VOLTS
Each System Device or A paratus �$.50
ADDITIONS T� THF GENERAL FEES
MULTIFAMILY DWELLINGS (PER UNf�
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
OTHER ADDITIONAL FEES
Li htin Retrofit �$25 er Fixture
Center Pivot Irti tion Boom �$40
Manuiactured Home Park Lois � $25
Recreatlonal Vehicle Park Sftes �$5 �
Se arate Bondi ins ion �$20
Special Insaection � $30 �er Hour
XCEL ENER{3Y SAVER'S SWIT�H
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
CircuRs and Two I�pection Trips Each Dwelling Unit �$80
Additional Insoection Trios � $20
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1 herebvi ceAik that 1 insoected the eleclrical inslaVlalbn described herein on the dates sfateE:
EWy1NSPECTION
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FOR OFFlCE USE ONLY
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Reque��� Rough-in Inspection Required? ❑ Yes C]�No Inspection Qther Than Rough-in: I�Ready Now ❑ WiN Call
You must call tFie inspector when ready! Date Feady:
I certity that I am the L� LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: