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HomeMy WebLinkAboutElectrical Permit 12. 132 3' ©` PERMIT # 12- /OZ ` -e �, `ooA CONTRACTOR /REGISTERED EMPLOYER REQUEST FOR �' ELECTRICAL INSPECTION Date Rough -In Inspection Required? 0 Yes Inspection Other Than Rough -in: 0 Ready Now April 23, 2012 Contractor /Employer Must Schedule All Rough -In Inspections Contractor /Employer Must Schedule All Final Inspections -->. X Will Schedule Address of Inspection - Street 4 Project Description: 16261 Arcadia Ave. SE S7 o G A ,c j L C `-ve c.,k Service and traffic signal poles with lights for future traffic signal Owner Name [ system at the intersection of Eagle Creek Ave. SE (CSAH 21) and City of Prior Lake Arcadia Ave. SE. Owner Phone (952) 447 -9830 �✓ L Q Home: Cell: 6 - / 8 b, j _ S Contractor /Registered Employer Name Contractor /Registered Employer Mailing Address Killmer Electric Co. Inc. 5141 Lakeland Ave. N., Crystal, MN 55429 Contractor /Employer Telephone Number Contractor /Employer E -mail Address Electrical Utility Work: (763) 425 -2525 Cell: (612) 363 -3114 dballing @killmerelectric.com Xcel Energy .ntractor /EmployerA orize ignature Contractor License Number Job /Project Contact Person: 1 big. EA001003 Daniel Balling f '1ga WInN, 6, FEE CALCULATION Service /Power upply 0 -400 ampere @ $35 35.00 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 (5 ) @$6 Each 30.00 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 ( 4) @ $5 Each 20.00 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 ( X) State Surcharge of $5.00 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 $90.00 number of required inspection trips, whichever is greater) Receipt # (€37e 7r 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 -In Inspection (s) Date Walt Lusian, Electrical Inspector 952.934.0229 Final Inspection Date