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(e-1---,* <br /> :�_ State of Oregon <br /> s��� �;v• Department of Consumer and Business Services <br /> -, . :• Building Codes Division <br /> ;:Y;G . .i.�bi: <br /> .�" °r�L`r r'•I 1535 Edgewater St NW <br /> vim.: ,.,:.:m. <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 ``11 <br /> Co <br /> 21-03628-TRIP <br /> 5 - 4c 43 <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: 4/9/21 Not Valid After Expiration Date: 5/7/21 <br /> Applicant: FACTORY HOMES CLEARANCE Phone: (971) 224-2244 <br /> CENTER INC <br /> 18150 SW BOONE FERRY ROAD Email: JANETM©GUNNERLLC.COM <br /> PORTLAND, OR 97224 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: WEST RIDGE <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A100727A <br /> 2 245-000-H-A100727B <br /> 3 245-000-H-A100727C <br /> Original 550 BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination 8050 ETZEL SE RD County: Marion <br /> Address: STAYTON,OR 973083 <br /> Transporter: STERLING, PHIL Phone: (503) 932-2629 <br /> Email: PHILSTERLINGI@GMAIL.COM <br /> • <br /> • <br /> 4/9/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />