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o F State of Oregon <br /> 4,j �=`a� Department of Consumer and Business Services <br /> � a <br /> •, In.fit ����:O Building Codes Division <br /> 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 1:59 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 18-01416-TRIP V <br /> • <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. ►v . 355 /- 1 / <br /> Issue Date: 2/8/18 Not Valid After Expiration Date: 3/8/18 <br /> Applicant: DEWALD JACOB Phone: (971) 258-6634 <br /> 21095 EHLEN ST NE Email: DEWMASTER37@YAHOO.COM <br /> DONALD, OR 97020 <br /> Home Information: <br /> Home ID: 395857 <br /> Manufacturer: CMH MFG WEST, MARLETTE Model: Unknown <br /> • <br /> • Section Serial Number HUD Number <br /> 1 K12360KKET51814 • <br /> Original 27300 REESE CREEK RD County: Benton <br /> Address: MONROE, OR 97456 <br /> Destination WESTERN WAGON VILLAGE County: Marion <br /> Address: 21356 HUBBARD CUTOFF NE RD, <br /> SPC 9 <br /> AURORA, OR 97002 <br /> Transporter: VERN EVANS TRUCKING LLC Phone: (541) 279-5419 <br /> Email: N/A <br /> • <br /> • <br /> • <br /> • <br /> 2/8/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />