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LICENSE ELECTRICAL LOG <br /> • MARION COUNTY DEPARTMENT OF PUBLIC WORKS <br /> BUILDING INSPECTION DIVISION <br /> 5155 SILVERTON RD NE <br /> SALEM,OREGON 97305 <br /> PHONE#(503)588-5147 <br /> FAX#(503)588-7948 <br /> MASTER ELECTRICAL PERMIT <br /> LICENSE LOG <br /> PLANTNAME BLAZER INDUSTRIES INC. PHONE#: (503) 749-1900 <br /> PLANT LOCATION: 945 OLNEY STREET FAX#: (503) 749-3969 <br /> MAILING ADDRESS: P.O. BOX'489 <br /> CITY. <br /> AUMSVILLE STATE OR zip 97325 <br /> TYPE OF STRUCTURE: INDUSTRIAL / MANUFACTURING <br /> TYPE OF BLDG USE: MODULAR BUILDING MANUFACTURING <br /> SUPERVISING ELECTRICIAN: JOEL FRESHOUR - 6405S <br /> CONTACT PHONE#: (503) 749-1900 <br /> • DATE NAME LICENSE#/TYPE EXPIRATION DATE <br /> 1/11/2021 AARON R SMITH 5726S 10/1/2022 <br /> JOEL G FRESHOUR 6405S <br /> SCOTT M SHETLER 6426S <br /> FRANCIS X SMITH 20237J 10/1/2021 <br /> JARED CINNAMON 24364J <br /> ISAAC POND 27262J <br /> RYAN BIELEMEIER 23321J <br /> BRAD HERMAN 29544J <br /> • <br /> SIGNATURE OWNER/SUPERVISOR: DATE: 1/11/2021 <br /> I UNDERSTAND THAT THE MASTER PERMIT INSPECTION FEE IS$67.25+12%STATE <br /> SURCHARGE/HOUR PORTAL-TO-PORTAL,(MINIMUM ONE HOUR FOR A TOTAL OF$75.32). <br /> PAYABLE 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 /> G:\Master Pecmits\L.icense Electrical Log.doc 4/18 <br />