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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 /> • <br /> MASTER ELECTRICAL PERMIT <br /> LICENSE LOG <br /> PLANT NAME Hostetler Farms PHONE#: 503 390 6410 <br /> PLANT LOCATION: 4455 Quinaby Rd FAX#: 503-390-6461 <br /> MAILING ADDRESS: Same <br /> CITY: Salem STATE OR LIP 97305 <br /> TYPE OF STRUCTURE: <br /> TYPE OF BLDG USE: Agricultural Processing <br /> SUPERVISING ELECTRICIAN: Elson Strubhar <br /> CONTACT PHONE#: 503-209-0680 <br /> • DATE NAME LICENSE#/TYPE EXPIRATION DATE <br /> 01.11.2020 Elson Strubhar 4324S 10.01.2022 <br /> 01.11.2020 _Shad Wolfer 5519S 10.01.2022 <br /> 01.06.2021 Jonathan Strubhar A190899 06.25.2023 <br /> SIGNATURE OWN.ER/SUPERVISOR: DATE: 01.06.2021 <br /> I UNDERSTAND THAT THE MASTER PERMIT INSPECTION FEE IS S67.25+12%STATE <br /> SURCHARGF/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 /> • P:IBUILDING INSPECTIONS UNDUSTRIAL12012 PACKAGEILICENSE ELECTRICAL LOG,doc 7/09 <br />