P - 79510REQUEST FOR ELECTRICAL INSPECTION
1 � � � � � � � � ° � Minnesota Board of Electricity
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55t�4
��, �� (651) 642-0800 TTY/MRS 1-800-627- 9
www. electricity. state. mn. us
Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ���� ' � (�,! ��`� '
GENERAL FEES Outdoor Li htin Standard �
SERV{CES I POWER SUPPLIES Trattic Si nal Standard �$5
0 to 400 Am ere �$25 Su lemental Fee �$20
401 io 800 Am ere �$SQ Transformers u to 10 KVA �$10
Above 800 Am re �$75 Transformers over 10 KVA �$20
IRCUITS / 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, COMARUNICATION, REMOTE CONTROL, SIGNAL{NG Circuits and Two ins ection Trips Each Dwelling Unit �$80
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Additionai Ins ection Tri s�$20
Each S stem Device or A aratus (� $.50 Investi Uve Fee
ADDITIONS TO THE GENERAL FEES Reins ectbn Fee �$20
MULTIFAMILY DWELLINGS PER UNI TOTAL FEE �
3 to 12 Un'its �$50 Per Unit (minimum total fee is $2
OTHER ADDITlONAL FEES
Li htin Retrofit �$25 r Focture
Center Pivot Ini ation Boom �$40 �
Manufactured Home Park Lots �$25 hereby cenity
Fecreatlonal Vehicle Park Sites � $5 �"'"
S rate 8ond'm ins ection �$20
S ecial In ction �$30 er Hour F1'�""�T01
S ial Ins ection �$.31 er Mile
THIS INSTALLATION MAY BE ORDERED DISCONNECTE
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Rough-in Inspection Required? ❑ Yp ❑ No Inspection Other
You must call the inspector when ready! Date Ready: �
INSED CONTRACTOR ❑ COMPANY ❑ OWNER and h
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IPLETED WITHIN 18 MONTHS
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4ough- n e Now ❑ Will Call
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request inspection of the electrical work aT.
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BOARD OP ELECTRICPTY COPY INSTRUC710NS ON BACK OF YELLOW COPY