HomeMy WebLinkAboutElectrical Permit 12.215 41INNE4ti‘_ CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR
ELECTRICAL INSPECTION
Date06 /13/2012 Rough -In Inspection Required? 0 Yes Inspection Other Than Rough -in: k'i Ready Now
Contractor /Employer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final lnsp cti. s
0 Will Schedule
Address of Inspection - Street Project Description:
17273 WILDERNESS TRL SE CHANGE OUT ELECTRIC WATER HEATER, PUT AC AND WTR HTR
Owner Name ON NEW OFF PEAK SYSTEM
CRAIG MAIWURM
Owner Phone
Home: Cell: 952- 226 -6530
Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address
STASNEY ELECTRIC LLC 15970 320 5T, NEW PRAGUE, MN 56071
Contractor /Employer Telephone Number Contractor /Employer E -mail Address Electrical Utility
Work: Cell: MVEC,JORDAN
952- 758 -2546
Cont - . Employer Authorized Signature Contractor License Number Job /Project Contact Person:
EA006286 BRUCE STASNEY
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
apply to electric sign and outline lighting)
Transformers Up to 10 kva ( ) @ $15 Each ( ) New Multi - Family Dwellings @ $70 Each 5.00
( X ) State Surcharge of
( ) 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 40.00
_ number of required inspection trips, whichever is greater)
Receint # (' 2/( 2
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.
1 hereby certify that I inspected the electrical installation herein on the
dates stated:
Rough -In Inspection (s) Date Walt Lusian, Electrical Inspector
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