Fillable Inspection fee (check or money order) made payable (North Dakota State Electrical Board)

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Inspection fee (check or money order) made payable (North Dakota State Electrical Board)

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• Inspection fee (check or money order) made payable to the North Dakota State Electrical Board
must accompany this application.
• Please submit a wiring diagram of the structure and a copy of the license of the master electrician
supervising the work.
Model Series/Number
Serial Number
Dealer’s Name
Telephone Number
Address
City
State
ZIP Code
Owner
Home Telephone Number
Work Telephone Number
Address
City
State
ZIP Code
Location of Structure
One & Two Family Dwellings Inspection Fee
☐ One Family - $100.00 ☐ Two Family - $150.00
Other Structures Inspection Fee (Based on Job Cost – See Fee Schedule Below)
☐ Apartments, Motels & Other Buildings - $50.00 (Minimum)
Inspection Fee
$50.00 (minimum fee)
$50.00 for the first $500.00 plus 1.25% on balance up to
$20,000.00
$293.75 for the first $20,000.00 plus 1/10 of 1% on balance over
$20,000.00
Submit completed application to:
North Dakota State Electrical Board Phone: 701-328-9522
PO Box 7335 Fax: 701-328-9524
Bismarck, ND 58507 Email address: electric@nd.gov
Website: www.ndseb.com
APPLICATION FOR INSPECTION OF FACTORY BUILT STRUCTURES
NORTH DAKOTA STATE ELECTRICAL BOARD
SFN 53259 (12-2020)
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Completed 21 April 2021

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