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NEBRASKA TATS ELECTRICAL DIVISION Wiring Permit CONTRACTOR PERMIT APPLICATION New Construction (Other Y of Installation) NEC 2011 PROJECT DESCRPTION: GROUND UP CASEY'S GENERAL STORE. STORE PLUS 6 FUELING DISPENSERS. Inspection Fee Received: Estimated Completion Date: 08/01/2014 FEE DESCRIPTION LOCATION/ BUILDING # QUANTITY COST TOTAL BRANCH CIRCUIT FEE 125 $5.00 $625.00 NEW 701 -800A SVC 1 $155.00 $155.00 APPROVAL NOTICE FEE 1 $3.00 $3.00 .............................. . ............................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Basic Fees for this Permit: $783.00 Additional Service Fees for this Permit: $0.00 .......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . ................... ....... . ........... . .......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ALL Service Fees for this Permit: $783.00 NEBRASKA STATE ELECTRICAL DIVISION ROUGH INSPECTIONS Date Date Date 800 South 13th Street PO Box 95066 Suite 100 Inspector Inspector Inspector Lincoln, NE 68509 -5066 TEL (402) 471 -3550 FAX (402) 471 -4297 FINAL INSPECTION STATUS Wiring Permit #2053695 Site Information Site Owner /Manager CASEY'S GENERAL STORE CASEY'S GENERAL STORE 2028 KELLIE DRIVE ONE SE CONVENIENCE BLVD BLAIR ANKENY, IA 50021 WASHINGTON COUNTY (515) 965 - 6100 FOREMAN: TIM KRIVOLAVEK 402 - 432 -5444 Power Supplier Issued To: OPPD TK ELECTRIC, INC 716 FRONT STREET 8431 PINEDALE AVE BLAIR, NE 68008 LINCOLN, NE 68520 (402) 426 -4151 PHONE: (402) 432 -5444 TIMOTHY KRIVOLAVEK LICENSE # EC 14371 For Inspection Contact: DENNIS CARRAHER NEC 2011 105 MEADOW LANE GRETNA, NE 68028 PHONE: (402) 332 -5044 DISTRICT #13 Date: 2014/04/09 10:38:58 By: SED Online Permitting j I