P - 82493REQUEST FOR ELECTRICAL INSPECTION
1 t,J �-} � 910 � T Minnesota Board of Electricity =
�� � 1521 University Avenue Suite S-128, Saint Paul, Minnesota 55104
, �� "° (651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us ' �'
I ❑NEW ❑REMODEL ❑ADDITION
� GENERAL F
0 to 400 Ampere (� $;
407 to 800 Amoere �
0 to 200 Ampere � $5
Above 200 Am ere (� $10
ALARM, COMMUNICATION, REMOTE C(
CIRCUITS, CIRCUITS OF IESS THAN 5l
Each S stem Device or aratus �
ADDITIONS TO THE GE
MULTIfAMILY DWELLINGS PER UNI
3 to 12 Units �$50 Per Unit
Each Additional Unit � $25
FEES
Center Pivot Irrigation Boom � $4
Manufactured Home Park Lots �
Recreational Vehicle Park SRes �
Outdoor LigMng Standard � $1
Traffic Si �nai Standard d$5
Su lemental Fee � $20
Transformers u to 10 KVA �$10
Transformers over 10 KVA � $20
Transformer I Power Su I for Si ns ! Outline Li htin �$5
ONE & TWO FAMILY OWELLINGS, EACH UNIT
Inciudes the Service and/or Power Suppty up to 500 Amperes, All
CircuRs and Two Inspection Trips Each Dwelling Unit �$8(
AddRional Insoedion Trius � $20
Fee �
I insoected the electrical inspllation
FON OFFICE USE ONLY
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total fee is
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Now
Q You must call the inspector when ready! � Date Ready: �
I certify that I a the ❑ LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical wak at