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State of Oregon <br /> Department of Consumer and Business Services <br /> �fapi�C Building Codes Division <br /> "tltt C <br /> : + rturiPr(z 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> •gg 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 /> 21-04652-TRIP (oOO 1151 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of 54 (63✓ <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: 5/4/21 Not Valid After Expiration Date: 5/29/21 <br /> Applicant: SCHWELTZER, MARK J. Phone: (503) 400-1798 <br /> 126 GATES HILL ROAD Email: SCHWELTZERMARKJ1@GMAIL.COM <br /> GATES, OR 97346 <br /> Home Information: <br /> I <br /> Home ID: 245504 <br /> Manufacturer: GOLDEN WEST Model: ESPIRT <br /> Section Serial Number HUD Number <br /> 1 GW3OREES05884A ORE 138561 <br /> 2 GW300REES05884B ORE 138562 <br /> Original 8144 MYRTLE RD County: Douglas <br /> Address: MYRTLE CREEK, OR 97457 <br /> Destination 126 GATES HILL RD County: Marion <br /> Address: GATES,OR 97346 <br /> Transporter: OTT TRUCKING/JERRY P. OTT Phone: (541) 517-8018 <br /> Email: A1OTT2696@YAHOO.COM <br /> 5/4/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />