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LICENSE ELECTRICAL LOG <br /> • MARION COUNTY DEPARTMENT OF PUBLIC WORKS <br /> BUILDING INSPECTION DIVISION <br /> P.O.BOX 14500 <br /> SALEM,OREGON 97309 <br /> PHONE#(503)588-5147 <br /> FAX#(503)588-7948 <br /> MASTER ELECTRICAL PERMIT <br /> LICENSE LOG <br /> PLANT NAME: Northwest Hazelnut Co. PHONE#:503-982-8030 <br /> PLANT LOCATION: 19748 HWY 99E NE FAX#: 503-982-8028 <br /> MAILING ADDRESS:PO Box 278 <br /> CITY: Hubbard STATE Oregon ZIP 97032 <br /> TYPE OF STRUCTURE:Metal <br /> TYPE OF BLDG USE:Hazelnut/Food Processing <br /> SUPERVISING ELECTRICIAN: Ronald J.Riopelle <br /> CONTACT PHONE#:503-266-2583 Cell#503-939-3831 <br /> DATE NAME LICENSE#/TYPE EXPIRATION DATE <br /> 12-31-19 Patrick Shawn Epp General Journeyman Electrician 25127J 10-1-2021 <br /> 12-31-19 Ronald J. Riopelle General Journeyman Electrician 12308J 10-1-2021 <br /> 12-31-19 Ronald J.Riopelle Supervisor's 4498S 10-1-2022 <br /> 12-31-19 Mark J.Shearer General Journeyman Electrician 17688J 10-1-2021 <br /> 12-31-19 Juan A Morales-Ruiz General Journeyman Electrician 29283J 10-1-2021 <br /> SIGNATURE OWNER/SUPERVISOR: DATE: / "z b Z O <br /> I UNDERSTAND THAT THE MASTER PERMIT SPECTION FEE IS$67.25+12%STATE <br /> SURCHARGE/HOUR PORTAL-TO-PORTAL,(MINIMUM ONE HOUR FOR A TOTAL OF$75.32).PAYABLE <br /> PRIOR TO THE RELEASE OF THE INSPECTION REPORT.(OAR 918-309-0100.) <br /> • Complete this form and return it to Building Inspection Division. The Electrical Inspector will contact you to schedule a <br /> date and time for your inspection. <br />