P - 81977REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity
'' 1-377-480 � 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 :` '
(651) 642-0800 TTY/MRS 1-500-627-3529
www. electricity, sta te, mn. us
� Identify the work covered by this request:
L
401 to
AIARM, COMMUNICATION, REMOTE CONTROL
CIRCUITS. CIRCUITS Of LESS THAN 50 VOLTS
Each System Device or Apparatus �$.50
ADOITIONS TO THE GENERAL I
MULTIFAMILY DWELLINGS (PER UNIT
3 to 12 Units C�? $50 Per Unit
Each Additional Unit � $25
�THER ADDITIONAL FEES
Li htin Retrofit �$25 per Fixture
Center Pivot Irriqation Boom � $40
XGEL ENERGY �AVER'S SWITCH
Outdoor Liahtino Standard � $1
Transfortners u to 10 KVA �$10
Transformers over 10 KVA � $20
Transfortners i Power Suppiy for Signs / Outline Lighting �$;
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service and/or Power Supply up to 500 Amperes, All
Circuits and Two Inspection Trips Each Dwelling Unit �$80
Additional Inspection Trips � $20
ROUGHIN
FIW1L INSPECTION
Fee �
TOTAL FEE �
total fee is $20) �
on
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FOR OFFICE USE ONLY
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Request Date: Rough-in Inspection Required? ❑ Yes ❑ Inspection Other Than Rough-in: eady Now ❑ Will Call
�$%��i You must call the inspector when readyl Date Ready:
I certify that I am the CI LICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical work at: