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E <br /> - FEB LICENSE ELECTRICAL LOG• <br /> O4 Z021 �� <br /> MARION COUNTY DEPARTMENT OF PUBLIC WORKS IVIARiC�l" COUTY <br /> -L-915 <br /> N <br /> BUILDING INSPECTION DIVISION BUILDfNG INSPECNTIO <br /> P.O.BOX 14500 2) -00p q 6, <br /> SALEM,OREGON 97309 <br /> PHONE#(503)588-5147 <br /> FAX#(503)588-7948 <br /> MASTER ELECTRICAL PERMIT <br /> LICENSE LOG <br /> PLANT NAME Salem-Keller School District PHONE#: 503-399-3290 <br /> 0 <br /> PLANT LOCATION: 3630 State Street FAX#: <br /> MAILING ADDRESS: 3630 State Street <br /> CITY: Salem STATE Oregon ZIP 97301 <br /> TYPE OF STRUCTURE: School <br /> TYPE OF BLDG USE:School <br /> - SUPERVISING ELECTRICIAN: Barry Lindholm <br /> CONTACT PHONE#: 971-701-1180 <br /> • DATE NAME LICENSE#/TYPE EXPIRATION DATE <br /> 2/21/18 Barry Lindholm 3804S 10/1/22 <br /> 2/21/18 Kowitz, Mark 22817J 10/1/21 <br /> 2/21/18 Bollinger, Demi 4411PJ 10/1/23 <br /> 2/21/18 McAllister, Tim 3181PJ 10/1/23 <br /> 2/21/18 Mock, Jon 7011 LME 10/1/23 <br /> 2/21/18 Strode Johnny 3989LEB 10/1/23 <br /> 2/21/18 Wood, Denny 4501 LEA 10/1/23 <br /> 2/21/18 Zimmerman, Jim 5182PJ 10/1/23 <br /> 2/21/18 DeCoster, Darrin 3833LEA 10/1/23 <br /> 2/21/18 Gonzalez, Alex 5462PJ 10/1/23 <br /> SIGNATURE OWNER/SUPERVISOR: t-L . //27 DATE: <br /> I UNDERSTAND THAT THE MASTER PERMIT NSP ;E TION 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 /> I <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 /> G:1Master Permits12016 Industrial Permits\LICENSE ELECTRICAL LOG.doc 7/09 <br /> i <br /> • <br /> i <br /> i <br />