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•F • State of Oregon <br /> Department of Consumer and Business Services <br /> :�Y 1) Building Codes Division <br /> ;101 <br /> 1535 Edgewater St NW <br /> ;.•'•' Mailing Address: PO Box 14470 <br /> 46.4 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 /> 21-03630-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: 4/23/21 Not Valid After Expiration Date: 5/6/21 <br /> Applicant: ANFILOFIEFF, PETR Phone: (503) 428-4960 <br /> P.O. BOX 243 Email: HOODVIEWCONSTRUCTION@GMAIL.COM <br /> WOODBURN, OR 97071 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: MODULINE IND INC Model: Unknown <br /> Section Serial Number • HUD Number <br /> 1 1-10771 WA5044671/044672 <br /> 2 1-10771 <br /> Original 4270 JUBB RD County: Clackamas <br /> Address: ESTACADA, OR 97023 <br /> Destination 2229 MOLLALA NE RD County: Marion <br /> Address: WOODBURN,OR 97071 <br /> Transporter: BENT LEVEL CONSTRUCTION INC Phone: (503) 650-5883 <br /> 4/23/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />