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CI <br /> 9—F--0 <br /> State of Oregon <br /> De artment of Consumer and Business Services <br /> •el, Building Codes Division <br /> N' Y ';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 Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 19-04885-TRIP nri ? 5-74:25/ <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: 5/24/19 Not Valid After Expiration Date: 6/20/19 <br /> Applicant: LAGUNAS, ALBERTO HERNANDEZ Phone: (971) 533-0319 <br /> 1572 N HOLLADAY LN Email: AR.SONIAH@GMAIL.COM <br /> CORNELIUS, OR 97113 • <br /> Home Information: <br /> Home ID: 240467 —) <br /> Manufacturer. CORINTH Model: U <br /> Section Serial Number HUD Number <br /> 1 95764 <br /> 2 95764 <br /> original 36650 SE TRACY RD 3 County: Clackamas <br /> Address: • ESTACADA, OR 97023 <br /> Destination 245 N SANTIAM HWY E,SPC 18 County: Marion <br /> Address: GATES, OR 97346 <br /> Transporter: DAVE @ TRAPPERS Phone: (503) 780-2539 <br /> 5/24/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />