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o F State of Oregon <br /> ; �? •� Department of Consumer and Business Services <br /> -;� \0 Building Codes Division <br /> BxJ1ir ,Z�.y <br /> NI t:W.40r�l;'•Z 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 /> 18-02092-TRIP4 <br /> M355013 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of 1 ' <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 /> Issue Date: 2/28/18 Not Valid After.Expiration Date: 3/14/18 <br /> Applicant: Homes Direct of Oregon Phone: (541) 928-2083 <br /> 3838 Palm Harbor Drive NE Email: neilaw31@gmail.com <br /> Albany, OR 97321 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 3104G28563B <br /> • <br /> Section Serial Number HUD Number <br /> 1 PHH3100R17-12496A ORE538620 <br /> 2 PHH3100R17-12496B ORE538621 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination PARADISE ISLAND PARK County: Marion <br /> Address: 3100 TURNER SE RD, SPC 151 <br /> SALEM, OR 97302 <br /> Transporter: BENNETT TRUCK TRANSPORT Phone: (541) 879-3444 <br /> Email: yor@bennettig.com <br /> 2/28/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />