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• <br /> o = State of Oregon <br /> ' • Department of Consumer and Business Services <br /> Q;� :1� Building Codes Division <br /> NI,:. �!°r"i ' z • 1535 Edgewater St NW <br /> _ Mailing Address: PO Box 14470. <br /> I Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit 113 58 <br /> 25-04666-TRIP rl <br /> This:permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the " `� 5/ 040 <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried'by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified:' • . . :- <br /> Issue Date: 5/27/25' . p <br /> _ Not Valid After,Ex irationDate: 6/16/25 <br /> Applicant: FEDERICO ROCHA Phone: (503) 509-3409 • <br /> 8527 STAYTON ROAD SE Email: ROCHAREFORESTATION@GMAIL.COM <br /> TURNER, OR 97392 <br /> • <br /> Home Information: <br /> Home ID: 298007 <br /> Manufacturer: PALM HARBOR Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 PH206151A <br /> 2 PH206151B <br /> Original 88241 THOMAS LN County: Lane <br /> Address: VENETA, OR 97487 <br /> Destination 8527 STAYTON SE RD County: Marion <br /> Address: TURNER,OR 97392 <br /> Transporter: A-ACTION MOBILE HOME MOVING & Phone: • <br /> DEMOLITION LLC Email: ROCHAREFORESTATION@GMAIL.COM <br /> • <br /> • <br /> 5/27/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />