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• <br /> F State of Oregon <br /> 4° Department of Consumer and Business Services <br /> E,�;C$1cYs_azi\Q Building Codes Division <br /> N`: _�� 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 5 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 /> 20-10121-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: 11/23/20 Not Valid After Expiration Date: 12/19/20 <br /> Applicant: Advanced Home Brokers, Inc. Phone: (503) 650-0304 <br /> 10762 SE Hwy.212 Email: john@a-h-b.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: 116133 <br /> • <br /> Manufacturer: FLEETWOOD HOMES Model: WAVERLY CREST <br /> Section Serial Number . HUD Number <br /> 1 WAFLV31A14903WC13 <br /> • <br /> 2 WAFLV31B14903WC13 <br /> 3 WAFLV31C14903WC13 <br /> Original 15995 S 211 HWY County: Clackamas <br /> Address: MOLALLA, OR 97038 - <br /> Destination 814 N SANTIAM HIGHWAY WEST County: Marion <br /> Address: GATES, OR 97436 <br /> c <br /> Transporter: CT WILSON Phone: (541) 980-5711 <br /> • <br /> • <br /> 11/23/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> • STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />