Permits - Permit# L22-14 - 4238 West Arm Drive - 4/6/2022 CITY OF SPRING PARK OFFICE USE ONLY
ELECTRICAL PERMIT Electric Pe mit# L Et I`�
Date Issued 6 Z Receipt#
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Quantity DESCRIPTION OF WORK FEES Sub/Total
A. MINIMUM FEE PER INSPECTION TRIP
Includes up to 4 circuits if more than 4 see Sec. D below $40.00 per 40.00
Additional Inspection trips for Reinspection/Bonding/Equipotential Plane/etc. $40.00 per
B. RESIDENTIAL One and Two-family dwelling units Up to 3 trips included in fee
1. New Dwelling Unit, up to and including a 200 amp service $ 125.00 per unit
2. New Dwelling Unit, 201 amp to 400 amp service $ 175.00 per unit
3. Existing Dwelling Unit, additions, alterations, or repairs up to& including a 200 amp service,
fees as per C & D below but not to exceed $ 125.00 per unit
4. Existing Dwelling Unit, additions, alterations, or repairs 201 amp to 400 amp service
fees as per C & D below but not to exceed $ 175.00 per unit
5. New or Existing Dwelling Unit, 401 amp service or above See C & D below
C. FEES FOR NEW OR UPGRADED SERVICES, TEMP. SERVICES,GENERATORS,
OTHER POWER SUPPLY SOURCES OR FEEDERS TO SEP STRUCTURES
1. Up to and including a 200 amp service $ 50.00 each
2. 201 amp to and including 400 amp service $ 100.00 each
3. 401 amp to and including 800 amp service $200.00 each
4. 801 amp service and above $ 300.00 each
D. FEES FOR CIRCUITS/FEEDERS &TRANSFORMERS
0 to 200 amp $ 10.00 per circuit
Above 200 amp $ 15.00 per circuit
Transformers up to 10 KVA $20.00 each
Transformers over 10 KVA $ 30.00 each
E. MULTI-FAMILY DWELLINGS
Each dwelling unit $ 50.00 per unit
F.ALARM, COMMUNICATION, SIGNALING CIRCUITS, OF LESS THAN 50 VOLTS
Each System Device or Apparatus @ $ .50 each
G.WORK BEGUN OR FINISHED WITHOUT PERMIT,IS 2X THEREQUIRED PERMIT.,,FEEM
State Surcharge .0005 of the permit fee(minimum of$1.00) 1.00
41.00
TOTAL AMOUNT DUE $
(Do not forget State Surcharge Fee)
You must call 952-442-7520 when work is ready for inspection!
Describe Proposed Work: AC replacement
Separate Permits are required for any building, mechanical, fire, or plumbing work.
Zo222
PLEASE PRINT OR TYPE ALL INFORMATION AND COMPLETE ITEMS ON BOTH PAGES
Job Site: Street Address: 4238 W. Arm Dr Spring Park, MN Zip: 55384
OR Legal Description: Lot: Block: Subdivision:
Property ID (PIN No): _
Applicant is: Contractor: V Or Owner: ❑
Contractor/Company Name: Live Wire Electrical Services License#: EA006172
Address:PO Box 446 City/State:Isanti Zip: Mn
Telephone: Office/Home: (651 )688 _ 2400 Mobile: ( ) -
E-mail: livewire-electric@hotmail.com Fax: ( ) -
Builder/Owner Name: Terrie Myers
Address (if diff. from Site): City/State: Zip:
Telephone: Office/Home: (612 ) 554 _ 2900 Mobile: ( ) -
E-mail: Fax: ( ) -
I HEREBY APPLY FOR AN ELECTRICAL PERMIT,AND I ACKNOWLEDGE THAT THE INFORMATION ABOVE IS COMPLETE AND ACCURATE;I
UNDERSTAND WORK IS NOT TO START WITHOUT A PERMIT. I UNDERSTAND AND HEREBY AGREE THAT THE WORK FOR WHICH THE
PERMIT IS ISSUED SHALL BE PERFORMED ACCORDING TO THE FOLLOWING:(1)THE CONDITIONS OF THE PERMIT,(2)THE APPROVED
PLANS AND SPECIFICATIONS,IF NEEDED(3)THE APPLICABLE CITY APPROVALS,ORDINANCES,AND CODES,AND(4)THE STATE
BUILDING/ELECTRICAL CODE. I UNDERSTAND THAT THE PERMIT WILL EXPIRE,AND BECOME NULL AND VOID IF WORK IS NOT
COMPLETED WITHIN 12 MONTHS OF VALIDATED DATE AND,THAT I AM RESPONSIBLE FOR ENSURING THAT ALL REQUIRED
INSPECTIONS ARE REQUESTED IN CONFORMANCE WITH THE STATE BUILDING/ELECTRICAL CODE.
Signature: /�@Cn,ylta Date: 04/05/2022
PAYMENT MUST ACCOMPANY APPLICATION(Be sure to include State Surcharge in payment)
❑ Check attached—Check# MAKE CHECKS PAYABLE to MNSPECT
EMAIL: electrical@mnspect.com
FAX: 952-442-7521
MAIL/DELIVER: MNSPECT, 235 West First Street Waconia,MN 55387
V Visa/Master Card— $41.00
Account Number Expiration Date CS V Amount to be withdrawn
Credit Card Owner Billing Address: PO Box 446 Isanti 55040
Street Address City,State Zip Code
7 Laura Schoenrock/Live Wire Electrical Services
Payment Auth�on Signature(REQUIRED) Print Name on credit card(REQUIRED)
M NSPECTLLC Sales Receipt
HELPING YOU COMPLY WITH THE COO
Date Sale No.
952-442-7520 Fax 952-442-7521 888-446-1801
4/6/2022 7594
Sold To
Live Wire Electrical
Payment Method Check No.
Visa
Description Qty Rate Amount
Electrical Inspection/Permit Fee-L22-14-4238 West Arm Dr 40.00 40.00
State Surcharge-Electrical 1.00 1.00
Total $41.00