service
disconnect or main circuit breaker, or the total rating of all service disconnects or main circuit
breakers where more than one are installed. If the rating is up to 400 amperes, the fee is $35;
enter 35 in the fee box. If the rating is 401 to 800 amperes, the fee is $60; enter 60 in the fee
box. If the rating is more than 800 amperes, the fee is $100; enter the service rating under
other and 100 in the fee box.
2. First 30 Feeders and Circuits: Enter 100 for the first 30 feeders and circuits.
3. Additional Feeders and Circuits: If there are more than 30 feeders and circuits, enter the
number in the parenthesis. If the form is completed online, the fee will be automatically entered
in the fee box. If a printed form is being completed, multiply the number written in the parenthesis
by $6 and enter the result in fee box.
4. Other Structures/Total: If there are no other structures detached from the home wired at this
time, click on the sum box if the form is completed online and the total will automatically
calculate. If a printed form is being completed, add the fees entered in the fee boxes and enter
the total. If wiring of other structures is part of this job, complete the section for Detached
Garages or Other Associated Structures (see instructions below).
5. Submit: Print or copy the number of forms needed, sign and submit the completed form and fee
payment to the Department of Labor and Industry at the address located on the upper left-hand
corner of the form. The electrical utility will require a copy of the completed form for connection of
the electrical service. Retain a copy for your records.
For a New Garage or Other Associated Structure:
1. Service/Power Supply: Enter the fee for the service based on the ampere rating of the service
disconnect or main circuit breaker, or the total rating of all service disconnects or main circuit
breakers where more than one are installed. If the rating is up to 400 amperes, the fee is $35;
enter 35 in the fee box.
2. Feeders and Circuits: Enter the number of feeders/circuits in the parenthesis. If the form is
completed online, the fee will be automatically entered in the fee box. If a printed form is being
completed, multiply the number written in the parenthesis by $6 and enter in fee box.
3. Other: Refer to the fee schedule for fees for other categories. Enter the category and associated
fee under other.
4. Total: Click on the sum box if the form is completed online and the total will automatically
calculate. If a printed form is being completed, add the fees entered in the fee boxes and enter
the total.
5. Submit: Print or copy the number of forms needed, sign and submit the completed form and fee
payment to the Department of Labor and Industry at the address located on the upper left-hand
corner of the form. The electrical utility will require a copy of the completed form for connection of
the electrical service. Retain a copy for your records.
For an Existing Home Remodel or Addition
1. Service/Power Supply: If a new service is installed, enter the fee for the service based on the
ampere rating of the service disconnect or main circuit breaker, or the total rating of all service
disconnects or main circuit breakers where more than one are installed. If the rating is up to 400
amperes, the fee is $35; enter 35 in the fee box. If the rating is 401 to 800 amperes, the fee is
$60; enter 60 in the fee box. If the rating is more than 800 amperes, the fee is $100; enter the
service rating under other and 100 in the fee box. If no service is installed as part of this job,
no entry is required in the fee box.
Refer to the fee schedule available at
http://www.electricity.state.mn.us/pdf/2007FeeSchedule.pdf
for
the complete fee schedule. One-Family Dwelling and Associated Structure Fee Calculation Instructions
Page 2 of 2

2. First 15/30 Feeders and Circuits: Enter the number of new feeders or circuits installed as part
of this job in the parenthesis. If the number of new feeders or circuits installed as part of this job
is up to 15, the fee is $6 for each. If the number of new feeders or circuits installed as part of this
job is 16 to 30, the fee is $100. Enter the correct amount in the fee box. If no new feeders or
circuits are installed as part of this job, no entry is required in the fee box.
3. Additional Feeders and Circuits: If there are more than 30 new feeders and circuits installed
as part of this job, enter the number in the parenthesis. If the form is completed online, the fee
will be automatically entered in the fee box. If a printed form is being completed, multiply the
number written in the parenthesis by $6 and enter in fee box.
4. Reconnected Feeders and Circuits: If there are existing feeders and circuits reconnected as
part of this job, enter the number in the parenthesis. If the form is completed online, the fee will
be automatically entered in the fee box. If a printed form is being completed, multiply the number
written in the parenthesis by $2 and enter in fee box.
5. Total: If there are no other structures detached from the home wired at this time, click on the
sum box if the form is completed online and the total will automatically calculate. If a printed
form is being completed, add the fees entered in the fee boxes and enter the total. If wiring of
other structures is part of this job, complete the section for Existing Detached Garages or Other
Associated Structures (see instructions below).
6. Submit: Print or copy the number of forms needed, sign and submit the completed form and fee
payment to the Department of Labor and Industry at the address located on the upper left-hand
corner of the form. The electrical utility will require a copy of the completed form for connection of
the electrical service. Retain a copy for your records.

For an Existing Detached Garage or Other Associated Structure:
1. Service/Power Supply: If a new service is installed, enter the fee for the service based on the
ampere rating of the service disconnect or main circuit breaker, or the total rating of all service
disconnects or main circuit breakers where more than one are installed. If the rating is up to 400
amperes, the fee is $35; enter 35 in the fee box. If the rating is 401 to 800 amperes, the fee is
$60; enter 60 in the fee box. If the rating is more than 800 amperes, the fee is $100; enter the
service rating under other and 100 in the fee box. If no service is installed as part of this job,
no entry is required in the fee box.
2. Feeders and Circuits: Enter the number of new feeders and circuits installed as part of this job
in the parenthesis. If the form is completed online, the fee will be automatically entered in the fee
box. If a printed form is being completed, multiply the number written in the parenthesis by $6
and enter in fee box. If no new feeders or circuits are installed as part of this job, no entry is
required in the fee box.
3. Reconnected Feeders and Circuits: If there are existing feeders and circuits reconnected as
part of this job, enter the number in the parenthesis. If the form is completed online, the fee will
be automatically entered in the fee box. If a printed form is being completed, multiply the number
written in the parenthesis by $2 and enter in fee box.
4. Other: Refer to the fee schedule for fees for other categories. Enter the category and associated
fee under other.
5. Total: Click on the sum box if the form is completed online and the total will automatically
calculate. If a printed form is being completed, add the fees entered in the fee boxes and enter
the total.
6. Submit: Print or copy the number of forms needed, sign and submit the completed form and fee
payment to the Department of Labor and Industry at the address on the upper left-hand corner of
the form. The electrical utility will require a copy of the completed form for connection of the
electrical service. Retain a copy for your records.
07_07