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F State of Oregon <br /> Department of Consumer and Business Services <br /> •I r�.5�ra <br /> , � w � Building Codes Division <br /> MIs-141K" l <br /> F vwttC 1535 Edgewater St NW <br /> ` ./ Mailing Address:PO Box 14470 <br /> 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 /> 21-00958-TRIP <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: 1/27/21 Not Valid After Expiration Date: 2/5/21 <br /> • <br /> Applicant: BRIDGES RV STORAGE INC Phone: (503) 363-3920 • <br /> 876 TAYBIN ROAD NW Email: BRIDGESSTORAGE@GMAIL.COM <br /> SALEM, OR 97304 <br /> Home Information: <br /> Home ID: 283932 <br /> Manufacturer: GUERDON Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 GDSTOR149618154 <br /> 2 GDSTOR149618154 • <br /> Original 4750 HAZELGREEN RD NE County: Marion <br /> Address: SALEM, OR 97305 <br /> Destination 6848 WINDSOR ISLAND N RD County: Marion <br /> Address: KEIZER, OR 97303 <br /> Transporter: DOUG ZIELINSKI Phone: <br /> • <br /> • <br /> 1/27/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/0.1 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />