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State of Oregon <br /> ty� Department of Consumer and Business Services <br /> TiV ,i0 <br /> : Building Codes Division <br /> " <br /> ur; Z 1535 Edgewater St NW <br /> •��� � <br /> .i�'. Mailing Address: PO Box 14470 <br /> • 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 /> 21-05589-TRIP OD-D-C1 <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: 5/28/21 Not Valid After Expiration Date: 6/26/21 <br /> Applicant: DANA HUNDLEY Phone: (503) 762-1915 <br /> 7921 SE KING ROAD Email: DANA_NWHB@MSN.COM <br /> ST 1 <br /> MILWAUKIE, OR 97222 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: MARLETTE Model: 55MJC28523CH21 <br /> Section Serial Number HUD Number <br /> 1 HER0327650RA NTA 2016134 <br /> 2 HER0327650RCH21 NTA 2016135 <br /> Original 400 W ELM AVE County: Umatilla <br /> Address: HERMISTON, OR 97838 <br /> Destination 2232 42ND SE AVE, SPC 908 County: Marion <br /> Address: SALEM, OR 97317 <br /> Transporter: ROGERS HEAVY HAUL, LLC Phone: (360) 507-7015 <br /> Email: YELMHAULING@GMAIL.COM <br /> • <br /> 5/28/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />