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• <br /> I' State of Oregon <br /> A• ✓ ON Department of Consumer and Business Services <br /> • O Building Codes Division <br /> ul;ftYtr—rv ,i Z 1535 Edgewater St NW <br /> • Mailing Address: PO Box 14470 <br /> •B9 Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd©dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit �� � � <br /> 26-05123-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 6/16/26 Not Valid After Expiration Date: 7/11/26 <br /> Applicant: HERMAN, GAYLE LAVONNE Phone: (503) 510-0558 <br /> PO BOX 903 Email: APRLLAVONNE@GMAIL.COM <br /> AUMSVILLE, OR 93725 <br /> Home Information: <br /> Home ID: 192755 <br /> Manufacturer: MARLETTE Model: Unknown • <br /> Section Serial Number HUD Number <br /> 1 F12260FLE60111 <br /> Original 2200 LANCASTER DR SE SPC 9D County: Marion <br /> Address: SALEM, OR 97317 <br /> Destination 12795 BRICK SE RD County: Marion <br /> Address: TURNER,OR 97392 <br /> Transporter: BENTLEVEL Phone: (503) 650-5883 <br /> Email: OFFICE@BENTLEVEL.COM <br /> • <br /> VO <br /> (c(..„ <br /> `c<\ • <br /> • <br /> • <br /> 5 � <br /> v../\(,r\e/ <br /> • <br /> 6/16/26 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />