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• <br /> I <br /> • 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 UFP Woodburn, LLC PHONE#: 503-226-6251 <br /> PLANT LOCATION: 2895 Progress Way FAX#: 503-226-4825 <br /> MAILING ADDRESS: PO Box 296 <br /> CITY: Woodburn STATE OR GIP 97071 <br /> TYPE OF STRUCTURE: <br /> TYPE OF BLDG USE: Wood products remanufacturing <br /> SUPERVISING ELECTRICIAN: Elson Strubhar <br /> CONTACT PHONE#: 503-209-0680 <br /> • DATE NAME LICENSE#(TYPE EXPIRATION DATE <br /> 01.06.2021 Elson Strubhar 4324S 10.01.2022 <br /> 01.06.2021 Shad Wolfer 5519S 10.01.2022 <br /> 01.06.2021 Jonathan Strubhar A190899 06.25.2023 <br /> SIGNATURE OWNER/SUPERVISOR DATE: 01.06.2021 <br /> I UNDERSTAND THAT THE MASTER PERMIT INSPECTION FEE IS S67.25+12%STATE <br /> SURCHARGE/HOUR PORTAL-TO-PORTAL,(MINIMUM ONE HOUR FOR A TOTAL OF S75.32).PAYABLE <br /> PRIOR TO THE RELEASE OF THE INSPECTION REPORT.(OAR 918-309-0100.) <br /> Complete thin 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 /> • P:IBUILDING INSPECIIONS\INDUSTRIAL\2012 PACKAGE\LICENSE ELECTRICAL LOG.doc 7/09 <br />