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F o - State of Oregon <br /> i <br /> � � Department of Consumer and Business Services'�- vim;'\C Building Codes Division <br /> ' *�"-���' �q 1535 Edgewater St NW <br /> \ e ° / Mailing Address: Po Box 14470 <br /> 8 69 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 <br /> : . :. arl <br /> This,permit authorizes.a qualified transporter to move the identified sections of the identified home to a destination site within the, • • , ___ <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. % 4 a),I <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: 1/29/26 • Not Valid After Expiration,Date: 2/28/26 <br /> Applicant: Scott Hawkins Phone: (503) 551-3285 <br /> 5462 Ahrens Rd Email: hawkisnice@gmail.com <br /> Salem, OR 97317 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 PHH3100R23-15853A <br /> Original 590 N Pacific-Hwy HWY County: Marion <br /> Address: WOodburn, OR 97071 <br /> Destination 200 Meyer ST- County: Marion <br /> Address: Detroit,OR 97342 <br /> Transporter: Superior Home transport Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> • <br /> 1/29/26 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />