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F State of Oregon <br /> Ai. E, 9 <br /> Department of Consumer and Business Services <br /> urate ;Iz Building Codes Division <br /> \ ,..` 1535 Edgewater St NW <br /> 7859/ <br /> Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov <br /> Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 17-11954-TRIP J <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> TY1 5 4-` 14 3 <br /> Issue Date: 12/19/17 Not Valid After Expiration Date 1/18/18 <br /> Applicant: Advanced Home Brokers, Inc. Phone: (503) 650-0304 <br /> 10762 SE Hwy 212 Email: john@a-h-b.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: 395654 <br /> Manufacturer: COMMODORE Model: UNKNOWN <br /> Section Serial Number HUD Number <br /> 1 10929A <br /> 2 10929B <br /> Original 8240 SE 282ND. AVE County: Multnomah <br /> Address: GRESHAM, OR 97080 <br /> Destination .6934-5UNNYVIEW NE RD County: Marion <br /> Address: SALEM,OR 97305 <br /> Transports : VERN EVANS TRUCKING Phone: <br />, 629 ilii <br /> Sent- ernC0 n 4-OMOS i; .meq-/7 <br /> 40 tej . -1 he:YY1 "()W 54=314t dk<5 --:'nj; °r) <br /> a ac\riss 1 S n C� r tr. ��- <br /> I J <br /> 12/19/17 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />