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o F \o State of Oregon <br /> Fi : \' Department of Consumer and Business Services <br /> FJ ` �Q ::0 Building Codes Division <br /> N; t # '•',Z 1535 Edgewater St NW <br /> .. r..' <br /> Mailing Address:PO Box 14470 <br /> 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 /> 18-03913-TRIP <br /> 355513 <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 /> Issue Date: 4/13/18 Not Valid After Expiration Date: 5/10/18 <br /> Applicant: FIRST AMERICAN Phone: (971) 273-4129 <br /> 777 COMMERCIAL ST SE Email: DYRAY@FIRSTAM.COM <br /> SUITE 100 <br /> SALEM, OR 97301 <br /> Home Information: <br /> Home ID: 386181 • <br /> Manufacturer: PALM HARBOR Model: N41563D <br /> Section Serial Number HUD Number <br /> 1 PHH3100R1511446A ORE 527522 <br /> 2 PHH3100R1511446B ORE 527523 ` <br /> Original 8894 LITTLE RD SE County: Marion <br /> Address: AUMSVILLE, OR 97325 <br /> Destination 6893 76TH SE AVE County: Marion <br /> Address: SALEM,OR 97317 • <br /> Transporter: OTT TRUCKING Phone: (541) 935-2696 <br /> f rF <br /> ze <br /> - „e <br />' 4/13/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />