P - 75820REQUEST FOR ELECTRICAL ! SP TI Q
1���F �- 5 2 2� M�; �°� � A 8���� , S�t Paul, Minn �`ta/�5104
❑ �ssi� sa2-oeoo rrr�nnas �-soo-s2�-a�zs -
www.electricity.state.m,n.us
� Identlty the wrork covered by this request
ONEW ODEL ❑ADDITION ❑REPAIR
SERVICES / POWER SI
0 to 400 Am re�
401 to 80t1 re
Above 800 Am re
CIRCUITS / FEEDERS
■ '�I �:l:li4�
Traffic Si; al SYendard � $5
Su lametdal Fee � $20 "dR.tn/�
.�
Transtormers � to 10 KVA � $10
Trerafortrters over 10 KVA � �0
Tiansformer ! Power S for Si / OuUrte Li �$5
ONE 8 TNfO FAMILY DWEWN(iS, EACH UNR
Includ� the Seroice andlor Power Suppty up to 500 Amperea, NI
Circufts artd Two IrGSpectlon T Each Dwel Unit �$6L
AddlUonall on T' � $20
Each Device or �$.50 Irnestl ative Fes
ADDITIONS TO THE GENERAL FEES Reins on Fee ��0
MULTIFAMILY DWEWNGS ER UN TOTAL FEE
3 m 12 Units �$5o Per Unit (minimum total fee is $20) I.S
EeCh AddiU'o�l Unit C� $25 rw+uava�onu�orur
oni� aoomowu. �s 2,c';e �' c�L Q'f�1,
a� LI Retrofit �$25 r FbRure -�
CeMer Pivot I ' Bflom � $40 ,._ . �^
Manufactured Home Park Lots �$15 I thaz I inspecmd the electr�al herem m� �� s�:'
R�eatlonel Vehide Park SRe.s � $5 �' � _�
Se Bo Ir� 'on � $20
S I n�$30 r Hour FTM"� �' a�
S I n�$.31 r NGIe —� a— e�
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF fdOT COMPLETED WITHIN MONTHS
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FOH OFFlCE USE ONLY �
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Request Date: Rough-in Insp�Non Required? es o Inspectton Other Than Rough-In: ❑ Ready Nrnu WN Cell
You must call the Irepector wfien readyl Date Ready:
I certiiy that I am tlie ❑ LIGENSm CONTRACTOR ❑ COMPANY �OWNER and hereby request inspec�on of ffie electrical work at
ttl-0OW7A-73 7/1/2000 BOARD OF ELECTHICd1Y COW O�ISIRIJCTIONS Od BACK OF YELI.OW COPY.