cn-2010-00158_0001 (4).jpg ,,Nebraska State Electrical Division Online Permit System
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_._. ORDER RECEIPT PAGE ............................. .............. _.._...................... ....................._........`
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If you wish, you may print a copy of this page for your records. A copy of the permits applied for is
provided below for your convenience.
I FEE INFORMATION:
Transaction Date: Thu Oct 21 08:43:54 2010
Card Holder Name: Cheryl Keyes
Card Number: MasterCard XXXXXXXXXXXX03
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Permit 2029474
- Relocate Winch, Relocate Light on Dock on M
Job Description: 1868 -183 issour River
Wi
Electrician: NICHOLAS COLE (EC 00597)
Owner /Manager: Novozymes
......................................................................................... ............................... Or # :.. 538486 ...............................
Success Permit #: 2029474
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Permit Fees: Unit Cost Units Total
Description $5 2 $10
BRANCH CIRCUIT FEE $25 1 $25
EXISTING FEE
Additional Services: Unit Cost Units Total
Description
Total for this permit: $35
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NEBRASKA
STATE ELECTRICAL DIVISION
Certificate of Electrical Inspection
The wiring and equipment installed under ,wing
�fl 2 1 Y 7y was inspected.
permit number _- --
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�_ ��.�cpFC'TOR
DATE
SED - - A
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10/21/2010