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'o F State of Oregon <br /> ° .a . Department of Consumer and Business Services <br /> F!: �^'`O Building Codes Division <br /> w; WWI <br /> E� •J2 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 189 • 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 /> 18-06312-TRIP 5505- <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of R 34"57940 <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: 6/19/18 Not Valid After Expiration Date: 7/19/18 <br /> Applicant: Jaden Anderson/Factory Expo Homes Phone: (971) 267-5020 <br /> 550 SW Booth Bend rd Email: janderson@factoryexpohomes.com <br /> McMinnville, OR 97128 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 KW91-0113-L A/B ORE 541345 <br /> 2 KW91-0113-L A/B ORE 541346 <br /> original 550 SW Booth Bend RD County: Yamhill <br /> Address: McMinnville, OR 97128 <br /> • <br /> Destination 648 Roylaty Circle County: Marion <br /> Address: Salem, OR 97305 <br /> Transporter: Rita Hartzell/Superior Transport . Phone: (503) 551-3454 <br /> • <br /> • <br /> 6/19/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />