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Up State of Oregon <br /> y � Department of Consumer and Business Services <br /> Q; W- Building Codes Division <br /> N,.. '�'rrrtF'; <br /> l�L.ueu , Z 1535 Edgewater St NW <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 Emaii:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit � , <br /> 19-03285-TRIP `✓5 �w'a <br /> nn 5 <br /> iz <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of .- 4-9 cff-‘23 <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must R 3 A -7 Z(p <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 4/11/19 Not Valid After Expiration Date: 5/10/19 <br /> Applicant: Factory Expo Homes Phone: (503) 981-0770 <br /> 2555 Progress Way Email: moconnell@factoryexpohomes.com <br /> Woodburn, OR 97071 <br /> Home Information: <br /> Home ID: 19-03282-NEW <br /> • <br /> Manufacturer: FLEETWOOD HOMES Model: McCloud 28663V <br /> Section Serial Number HUD Number <br /> 1 FLE2100R19-19657 ORE 545585 • <br /> 2 FLE2100R19-19657 ORE 545586 <br /> Original 2555 Progress WAY County: Marion <br /> Address: Woodburn, OR 97071 <br /> Destination 21277 Hazelnut Ridge RD County: Marion <br /> Address: Scotts Mills,OR 97375 <br /> Transporter: Bennett Transport (customer Phone: (503) 981-7939 <br /> changed from Superior to Bennet) Email: wbo@bennettig.com . <br /> 11 11 t �� X45 <br /> N0-i't - vJ`rlen t Ced�k was rete c�' i <br /> coy an ownev 6h' P <br /> clo C. , n 6 I- a 4-r; V Pev v,1,=� <br /> (serP1-k0as 4-l' -/c1 C 5� wha>�- <br /> 4419 Ire el . <br /> •5 can�;n i'n tri eY►Mi -� oX15 <br /> c,,i- 44N is �-i rye <br /> iuSw <br /> 4/11/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />