Electrical Permit - Permit# L 21-38 - 3910 Del Otero Avenue - 9/30/2021CITY OF SPRING PARK t*nv useotvt.v
ELECTRICAL PERMIT Ekctric Pe V L -Z I - V
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
ouentitr DESCRIPTION OF WORK FEES suwaw
Includes up to 4
Addsti000l irt�as
$ 40.00 per,
9 40.00 par
RES�#AUp3 Mps included in fee
1. New C>,eRLh% Unit, up to and Inciudinia a 200 8rn0 servxe _ $ 125.00 per uni
2. New Dweiliria _Unit, 201 amp to 400 amp service S 176
1Existing Dwelling Unit, additions, alterations, or r rs up to Including -a- 200 amp 9ervies,
tees as per C 3 D below but not to exceed S 125.00 per un#
4 Existing Dwelling Unit, additions, atterations, or repairs 201 amp to 400 amp service
_. fees as oe+r C b_D below but not to exc,+ d _ $ 175.DD per Wii
5 New or Existing Dwelling Unit, 401 Arne service or above See C & D beian
more than 4 we Sec. D below
1 Up to and including a 200 amp service
S 60.00 each
_
2 201 amp to and including 400 amp service _
$ 100 pp each
3.401 amp and including 800 amp service
S 200.00 each
4- 001 amp service and above
1300.00 each
t: �S l pvm its TRAN WO#V 1M
_._
0 to 200 amp
S 10 00 per circuil
Above 200 wm _.
S 15 00 per circus!
Transformer's up to 10 KVA _ _
u $ 20.00 each
Transformers over 10 KVA
,
$ 30.00 each
MULTWPAULY OWELUNW
Each curetting unit $50.00 unli
III ±ww, COIIMIUNrICATIOf+i, SIGNALING ClItCUITS. OF LESS THAN ao VOLTB
Each System Device oar Apparatus $
%,�,, ....-,-- -. .....,. .
.5
0 each _
,1oiTMEREQtiRD'PERM, Fge
Sty Surcharge .f1003 of the permit fee (minimum of $1.00) 1.00
TOTAL AMOUNT DUE S
(Do not forget State Surcharge Fee
You must call 952442-7520 when work is ready for Inspection!
Deserilbc Propmed Work: Zidcridr 1-046- 2 — _'
Separate Ptrmits arc required for any building, mechanical, fire, or plumbing work.
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Sftet Address: 31 j0 U/ A4C M &V%
OR Legal rkscriptiaw Lot:
Property ID (PIN No):
Subdivision:
Applicant is: Contractor: LY +I)r Owner: El
Can I ructor/Caiiapany Name: 4e— co IjCeww#,gfA7m1)
Address: lL.d� .�+ �k� JT' • City/St+aw. ��S ,11'!!1J Zip:
TCICpIIUrItl::c Mlle:-
E-mail: LOA
BuDder/Owoer Name;
Addrew (if di IT, rrom Site); Ciry/State: :
Teltrphacle: C)ff-eoa/lIcxnc: (�) - Mobile: (�---�._/
E-mail' Fax: (_
I NkUSY APPLY FOR A13 RJrf RWAL PERMIT, AND I AC'xNr> 1.FT", 'I'HA 1111E LNEURMATION ADONT IS CrA(PI.I, t ), AND A('('URATE. I
UNDUWAND WORT: T.4 N(Y( `IYi START EM OUT A Pt7tM_ jr 1 t )Nt7t M S rAND AND HMMY ACIRI E MAT TI IF wY )Ilk H)R WHICH THE
P[ItNU IS IR.StlHD SHALL BE PERFORMED ACCORDING TO THE FOLLi79fM. (1) TIIL D)NIVI-IoNs (.W rHE PERMIT, (2) THE APPROVU)
K AM AND SPKIFICATtONS, IT NIMMU (3) THE APPtKABLE CITY APMOVALS, ORDINANCES, AND ILWL), AND (4) TIM STATE
Rll P040A3Xk11ULAl. (YN)F. I[ tNnFRSTAND TITAT TIM WKWI WIU_ aMRF, ANn tIFC0W NIT1.L AND VM IF WORK IS Nor
L()M lJ>riM WI11UN u WX'4Tfft (>P VAI.Ir ATED DATE AND, IIIA I I Ali RI NA NSIBLE FOR MUMG 771AT ALL RI.-Q(1IRI-7)
I'WFCTIO is A)tL KLA I vrk:D 14 Cc)NFORIMANIM, wni I I'I It S I ATE OUIUMNUMLECT RICAL COW.
signnutre: hate: 24GZ-
PAYMENT MUST ACC= NY APPLICATION (fg sure to elude State Surci argc%nnnt)
o Chock attached - Chock p MAKIB CHECKS PAYABLE to MNSPECT
EMAIL: e1*;t&a1@=spcct-comm
PAX+ 952.442-73ZJ
MAU JDELiVER: MNSPECY, 235 West Firg Straw Waomia, MN 55387
416
nr''visemasterr Card - w , - _ S� --
:laeaaaM Nunbw �aa I)we t.1� Ambont to be wldIdtme
Ctodn Card Addmt . F _ + It Ai
�4�. — nro« Adds c ay, qtw zip CO&
8eH A -
ray ha mw Nintare (KLQVIRLD) Print Name oa credit and (REQUIRED)
952-442-7520 Fax 952-442-7521 888-446-1801
Sold To
AAE Inc Co
Sales Receipt
Date
Sale No.
9/30/2021
7=436
Payment Method Check No.
Visa
Description
Qty
Rate
Amount
Electrical Inspection/Permit Fee - L21-38 - 3910 Del Otero Ave
40.00
40.00
Electrical Inspection/Permit Fee - L21-39 - 3914 Del Otero Ave
40.00
40.00
State Surcharge - Electrical
1.00
2.00
Total $82.00