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o F •• State of Oregon <br /> F <br /> Department of Consumer and Business Services <br /> .116-ft-M.:` Building Codes Division <br /> tn,•:vlyor= .:21535 Edgewater StNW, .� 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 /> 18-06636-TRIP J✓ <br /> m3557-3/ <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: 6/28/18 Not Valid After Expiration Date: 7/27/18 <br /> Applicant: Homes Direct of Oregon Phone: (541) 928-2083 <br /> 3838PalmHarbor Drive NE Email: neilaw31@gmail.com <br /> @9 <br /> Albany, OR 97321 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 310HD30703A <br /> Section Serial Number HUD Number <br /> 1 PHH3100R18-12797A ORE541482 <br /> 2 PHH3100R18-12797B ORE541483 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 • <br /> Destination 7446 LAKESIDE NE DR County: Marion • <br /> Address: SALEM, OR 97305 <br /> Transporter: BENNETT TRUCK TRANSPORT Phone: (541) 879-3444 <br /> Email: yor@bennettig.com <br /> • <br /> • <br /> 6/28/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />