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HomeMy WebLinkAboutElectrical Permit 11.272 PERMIT # 11- Z 7 Zie lik my ' ''' ""TN s° `' CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR ELECTRICAL INSPECTION Dat Rough -In Inspection Required? M Yes Inspection Other Than Rough -in: �Ready Now I I Contractor /Employer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final Inspections I� 1 © Will Schedule Address of Inspection - Stre g m it/ i ,/V efy � kS Tina 1 , Sc Project Description: Owner Name le re G Tj /' XceI £y+ e r fat& ' S Owner Ph p�^9, e / (� A /; /� 2/V i'� �/ � Home: 072. I a Uqa Cell: Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address ill 141 etzcneic CO RPo gArn Wi 234 Terri frivrw I goad SI • Pat, I PIN ss1e4 Contractor/Employer Telephone Number Contractor/Employer E-mail - Address Electrical Utility l / Work:051,4 � .64 p y giltectk i fele e. ce7 Ice l Fier y Cont r/Employer Authorized Signature Contractor License Number Job /Project Contact Person: , ��� EPSOM S /3 3 4 t I l 4- FEE CALCULATION Service /Power Supply 0 -400 ampere @ $35 Technology Systems Devices ( ) @ $ .75 Each Service /Power Supply 401- 800 ampere @ $60 Separate Bonding Inspections for Swimming Pools and Equipotential Planes ( ) @ $35 Each - Service /Power Supply Above 800 ampere @ $100 Center Pivot Irrigation Booms ( ) @ $35 Each Plus ( ) Electrical Drive Units @ $5 Each New /Extended Feeders /Circuits Up to 200 A ( ) @$6 Each Luminaire Retrofit Modifications ( ) @ $.25 Each Feeders /Circuits Above 200A ( ) @ $15 Each Concrete - Encased Electrode Inspection ( ) @ $35 Each Reconnected Feeders /Circuits ( ) @ $2 Each Investigative Fee $70 Or The Total Inspection Fee, Whichever is Greater Up to $1,000 Manufactured Home Park Lot Supply ( ) @ $35 Each Special Inspection Fee ( ) Hours @ $80 Per Hour Plus Miles @ The IRS Milea • e Rate of ( ) Recreational Vehicle Site Supply Equipment ( ) Circuits Originating in the Equipment @ $6 Each Other Street, Parking Lot, Lighting Standard ( ) @ $5 Each Over 600 Volts - Add the combined service /power supply and feeder /circuit fee to result in double the regular fee (does not apply to electric sign and outline lighting) Transformers Up to 10 kva ( ) @ $15 Each' ( ) New Multi- Family Dwellings @ $70 Each (i) State Surcharge of $5.00 ( ) Additional Circuits Above the 20 Allowed Per unit @ $6 Each Transformers Over 10 kva ( ) @ $30 Each TOTAL (the fee calculated above or $35 multiplied by the ,,/. O itr number of required inspection trips, whichever is gr Receipt # 763 Requests for Electrical Inspection (REI) with a fee of $250 or less expire 12 months from the filing date. The owner must have the work completed within the 12 month period or submit another REI that includes the inspection fee for the uncompleted work. Inspection fees do not carry over from one REI to another. A service charge of $28 will be added for all dishonored checks. I hereby certify that I inspected the electrical installation herein on the dates stated: Rough - Inspection (s) Date Walt Lusian, Electrical Inspector 952.934.0229 Final Inspection Date e4 • a, a ti W'240.