P - 81925. REQUEST FOR ELECTRICAL INSPECTION
1 U 3 8 2 6 0 �° Minnesota Board of Electricity =
� � 1821 Universiry Avenue Suite S-128, Saint Paut, Minnesota 55104
� (651) 642-0800 TTY/MRS 1-500-627-3529
www. electricity. state. mn. us
❑ NEW ❑ REMODEL ❑ AQDITION ❑ REPAIR
GENERAL FEES
SERVICES / POWER SUPPLIES
0 to 400 A re �$25
401 to 800 Am re�$50
Above 800 Am re � $75
CIRCUITS � FEEDERS
„._ .,,,,. .----- a a� � �
CIRCUITS OF LESS THAN 50 VOLTS
ystem Device or Apparatus � $.50
ADDITIONS TO THE GENERAL F
OTHER ADDITI01
Retroffi � $25 oer Fixture
� ��
Hour
r Mile
Outdoor Li htin Standard � $t
Traffic Si nal Standard � $5
'� Su � lemental Fee � $20
Transformers u to 10 KVA �$10
Transtortners over 70 KVA � $20
Transformer i Power Su for Si ns 1 Outline Li htin �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Suppty up to 500 Amperes, All
CircuRs and Two Inspection Trips Each Dwellin UnH �$8(
Additional Inspection Trips � $20
Investiaative Fee
PoP INSPECTOR USE IX$V
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I herebvi ceAifv that I insoected the electrical i
FOR OFFICE USE ONLY
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ninimum total fee is $20) -
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V 18 MONTHS
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Request Daffi: Rough-in Inspection Required? Yes ❑ No kispeCtion Otfier Than Rou�ln: ❑ Ready No� Will Cafl -
You must call the inspector when r dy! Date Ready:
I ce ' that I am Uie LICENSED COMRACTOR ❑ CO Y❑ OWNER and hereby st inspection oi the electrical work ah
Job Address (SVeet, B x, or Route No.) Ciry�J �.,/ /� �p Code
l/2 ., � � / " _ �L / // 4.,%% �� *
Range
28 u.
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� Power
Phone
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EB-0OOOtA-13 7/i . ,. 80AFiD OF ELECTRICRY COPY �
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ON BAdC OF YELLOW COPY, ��