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State of Oregon <br /> A.�v �: ' Department of Consumer and Business Services <br /> lri �4' n• <br /> F�• z`����,� Building Codes Division <br /> • 'WpT'ff::�:f <br /> N. 9100,/z 1535 Edgewater St NW <br /> • Mailing Address: PO Box 14470 <br /> 5g Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> • 18-09727-TRIP I ilk"5 5 G O 3 <br /> 12 ace,i803 <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: 9/13/18 Not Valid After Expiration Date: 9/28/18 <br /> Applicant: ROMMEL ENRIQUEZ FLORE Phone: (503) 339-4594 <br /> 4694 DUTCHMAN ST NE Email: NA <br /> SALEM, OR 97305 <br /> Home Information: <br /> Home ID: 215$72 •• <br /> Manufacturer: CAMEL Model: UNKNOWN <br /> Section Serial Number HUD Number <br /> • <br /> 1 1807SF7663A <br /> 2 1807SF7663B <br /> Original 49790 SE 4th ST County: Linn <br /> Address: MILL CITY, OR 97360 <br /> Destination 2818•TIDE NE CT County: Marion <br /> Address: SALEM, OR 97305 <br /> Transporter: ESCAMILLA TRANSPORT Phone: <br /> • <br /> 9/13/18 10:30 pm Page 1 of 1 :.z. C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />