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l� <br /> State of Oregon <br /> ,"III ;,\ Department of Consumer and Business Services <br /> ' �.�7'F I , Building Codes Division <br /> I ki*a4.14: . � 1535 Edgewater St NW <br /> "'! .:; : <br /> ...t '� Mailing Address. PO Box 14470 <br /> fes_._,/ 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 M <br /> , <br /> 20-00236-TRIP 1 J 1 35830 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of e t?slzi 55 <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 ail home sections identified. <br /> Issue Date: 1/9/20 Not Valid After Expiration Date: 2/2/20 <br /> Applicant: Homes Direct of Oregon Phone: (541) 928-2083 <br /> 3838 Palm Harbor Drive NE Email: neilaw31@gmail.com <br /> Albany, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 310HD30763C <br /> Section Serial Number HUD Number <br /> 1 PHH3100R19-13654A ORE548948 <br /> 2 PHH3100R19-13654B ORE548949 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 11198 CROSBY NE RD County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Transporter: BENNETT TRUCK TRANSPORT Phone: (541) 879-3444 <br /> Email: yor@bennettig.com <br /> 1/9/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />