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P - 79272❑ REQUEST FOR ELECTRICAL INSPECTION �� 1.� �- 516 p Minnesota Board of Electricity - 1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104 (651) 642-0800 TTYlMRS 1-80�-627-3529 www.electric�ty.state.mn.us fl NEW ❑ REMODEL ❑ ADDITION ❑ REPAIR Describe -using the back of the white copy if necessary - the work covered by this request: 7lCEL ENERGY SAVER'S SWITCH GENERAL FEES Outdoor Liqhting Standard na. $1 SERVICES / POWER SUPPLIES 0 to 400 Amcere C� $25 Above 800 Am ere $75 Transformers over 10 KVA $ 20 CIRCUITS / FEEDERS Transfortner / Power Su I for Si ns I Outline Li htin $5 0 to 200 Am e $5 ONE 8 TWO FAMiLY DWELLINGS, EACH UNIT Above 200 Am re $10 Includes the Service andlor Power Supply up to 500 Amperes, All ALARM, COMMl1NICATION, REMOTE COtSTROL, SIGNALING Circuits and Two Inspection Trips Each Daelli� Unit @$80 CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS Addilional Ins tion Tri $20 Each S stem Device or A araius $.50 Investi ative Fee ADDITIONS TO THE GENER4L FEES Reins tion Fee $20 MULTIFAMiLY DWELLINGS PER UNIT TOTAL FEE 3 to 12 Units @$50 Per Unit (minimum tota� fee is $20) $2�.5� EeCh Additi0nel Unl[ @ $25 rwsa�aFOarcsrECroauseaar I hereby certiy that I inspected the elecbical installation described h�rein on tlie dates stated: Center Pivot Irriqation Boom Hour l�ll II Ilf � Iii {{ I� II I II H�I INH N�I h III I IIH 17735],[�8 � a : R. � 271 °�Q c�0 Request uate: Rough-in Inspection Required? U Yes L_YNo I�spad'+on Other Than RaugMn: L3Ready Novr LJ Will Call �gJ��(� You must call the inspector when ready! Date Ready. I certi(y lhat I am the C�.ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspecdon of the electrical work at: INSTRUCTIONS ON BACK OF YELLOW COPY BOARD OF ELECTRIGTY COPY EB-0OD01M11 8.1. 2002 �