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HomeMy WebLinkAboutElectrical Permit 12. 219 es ) 2/ O4 PERMIT #12- 2/ P �` f • '.. 4/NNEriA CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR ELECTRICAL INSPECTION Date Rough -In Inspection Required? 0 Yes Inspection Other Than Rough -in: Xi Ready Now 6/20/12 Contractor /Employer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final Inspections Q Will Schedule Address of In p 5 0 TH Street SE, PRIOR LAKE, MN 55372 Project Description: Owner Name ELECTRICAL FOR FURNACE & A/C DALE & DEBRA EDMAN REPLACEMENT & ELECTRICAL FOR Owner Phone Home: 952.226.5897 Cell: GAS FIREPLACE INSERT Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address SUBURBAN ELECTRIC 873 MEANDER COURT, MEDINA, MN 55340 Contractor /Employer Telephone Number Contractor /Employer E -mail Address Electrical Utility Work: Cell: 763.498.7215 debg ©subelect.com Contractor /Employer Authorized Signature Contractor License Number lob /Project Contact Person: 4� // ^1 CfccA_A EA002503 DEB GAUGLER 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 Mileage 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 3nnly to electric sign and outline lighting) Transformers Up to 10 kva ( ) @ $15 Each ( ) New Multi- Family Dwellings @ $70 Each ( ) State Surcharge of 55.00 ( ) 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 number of required inspection trips, whichever is greater) 35.00 Receipt # Requests for Electrical Inspection (RE1) 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 -In Inspection (s) Date Walt Lusian, Electrical Inspector 952.934.0229 Final Inspection Date