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P - 76526
�- ' REQUEST FOR ELECTRICAL INSPECTION 1� 4 1- 6 0 3� Minnesota Board of Electricity f2 _�i���'����� 1821 University Avenue Suite S-128, Saint Paul, Minnesota 5510� ' � (j � (651) 642-0800 TTY/MRS 1-800�27-3529 www.electricity.state.mn.us ❑ NEW ❑ REMODEL �ADDITION ❑ REPAIR Describe -using the bxk of ihe white copy'rf necessary - the wak cove2d by this request: A'!1n �� JS,E=v ��+� /�Li.K��-��'fvr.. � F>rd-Crviy<i ,�-�-'r� /av .,,-e-f� GENERAL FEES Outdoor Li htin Standard $1 SERVICES I POWER SUPPLIES Trafic ' nal Standard SS Oto 400 re S25 Su ment� Fee E20 �i 8� �$50 '� s' �f � Transformers u to 10 KVA $10 "' Above Am re 575 Transfortners over 10 KVA $ 20 Sb0 y!. ) y� _ CIRCUITS I FEEDERS Transfom�er I Power Su for S' ns / OuUine Li htin $5 0 to 200 Am S5 L. J1,^ ONE & TWO FAMILY DWELLINGS, EACH UNIT Above 200 Am S10 I�cludes fhe Service andla Power Supply up ta 500 Amperes, All ALARM, COMMUNICATION, REMOTE CONTROL, SIGNALING Circuits and Two Inspection Trips Each Dwelling Unit � a80 CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additional Ins tion Tri a20 Each S stem Device w A atus $.50 Investi ative Fee ADDITIONS TO THE GENERAL FEES Reins 5on Fee $20 MULTIFAMILY DWELLINGS PER UNI TOTAL FEE 3 to 12 Unils @$50 Per Unit (minimum total fee is $20) �� ��b E2Ch Addi60n21 Uflif �$25 rws uaen Fars rcasr�cror� usE orar I hereby certify tlwt 1 inspected the electrical inslaY�on desaiped herein on tlie dates sf�d: OTHER ADDITIONAL FEES fr�t` -�r y — G.. 1— G' htin Retrofit 5.25 Fixlure sf �!_� � Center Pivot Irti ation Boom "� �N wre M�ufaclured Home P�k LoLS ,LG� C y. Recreational Vehicle Park Sites $5 � ���T �,.E ara� Bondin Ins tion $20 -�r'� L�� �,;Ct!_ � s - - - ---- ...... . . � � -��,` l, �µ.� _ � # .�- . = � � . �.. _:'=`'..-'' ���. , � ' ��'��'�` � CC./ �f (/`' �L - ' ' ` �. ��,� � � �� �� ., � �� �'ilU" ���< j ��91�!� �rea� res t�o,i.9�,�r nuw �; _ .: p�e " �I . _ .. ' �%L' � . lloaa�kierl U�s inePSa�ir�n,madyl , oNSEaWY � �-�Mlt�d� �-: - - ��� . JWdren, a AouB4 .) �, � " �" �' -- �j.�/�+�. � : N'f�. ; �'�>� rS'�c5�3� _ <.: � � �a„o. F„ � .' �n��'�"' ="��"i` ' P�sa Provi� �wc � n .. /s�,'���'u,� �"4�. ���?�'"� ,f+�,��t w-:yt�-�� r - �► �E �.-�.. . _ , ���� - .r� - �?�rh-a► ' ��, t ��=� a z� ; �'- 'c' ��! . .�'� ' �`�� , �h. ..3.� �f � ��°� t , . ^ _�. �ip�M.+ :. . «a�+ir � , .�+r =; ""::. :> _ +� . �. . . ° ..i d� � '_ `'S•• � S- ```j _ _. - �' a ' �aieno�s �°� ,� .: - - ��1M!IIbOF . _ .. - - ;,;A::�, . . - _- _ . .. _ _ _ _ .:_. - - ,�_...�.�.� _. iJ