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o State of Oregon <br /> �j .27—��� QDepartment of Consumer and Business Services <br /> :.5.-M,.. 047.4.1° Building Codes Division <br /> r-. +nYs z 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> l 59Salem,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 /> 20-10999-TRIP l a9, 56,0 <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: 12/18/20 Not Valid After Expiration Date: 1/14/21 <br /> Applicant: 123 HMJ, LLC Phone: (503) 362-1281 <br /> 1351 31st Ave NE Email: orchardmobilehomepark@gmail.com <br /> Salem, OR 97301 <br /> Home Information: <br /> Home ID: 230652 <br /> Manufacturer: FLEETWOOD HOMES Model: NA <br /> Section Serial Number HUD Number • <br /> 1 ORFL1A850381557 <br /> Original 4155 LANCASTER DR NE SPC 62 County: Marion <br /> Address: SALEM, OR 97305 <br /> Destination 3125 ELLIS NE AVE, SPC 62 County: Marion <br /> Address: SALEM, OR 97301 <br /> Transporter: SITE INSPECTION LLC Phone: (503) 375-9440 <br /> 12/18/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />