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-6F 7---0--, State of Oregon <br /> wA:;r +,' Department of Consumer and Business Services <br /> • V, .'pl Building Codes Division <br /> IF::wwi ,, ; ,f ,: <br /> NI:E:. If,7j iZ 1535 Edgewater St NW <br /> -•^`� � <br /> ' �% Mailing Address: PO Box 14470 <br /> •N. F 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 J� Co 04 / 3 <br /> 21-05745-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: 6/3/21 Not Valid After Expiration Date: 7/3/21 <br /> Applicant: HOMES DIRECT LLC Phone: (541) 928-2083 <br /> 3838 PALM HARBOR DRIVE Email: mark.gorman@homes.direct.com <br /> MILLERSBURG, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 310PL15582B <br /> Section Serial Number HUD Number <br /> 1 PHH3100R18-12591A ORE539707 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 2348 WILLA LN County: Marion <br /> Address: --(/ <br /> LYONS,OR 97358 <br /> Transporter: BENNETT Phone: (541) 879-3444 <br /> Email: yor@bennettig.com <br /> ' - 6-0 - • <br /> , __ <br /> 7.:,..)A 0 U5 <br /> e <br /> .... \\„, 'I/AN\\,....) , <br /> D C-' <br /> 1,_,i6`R5 <br /> q-135 ?/ <br /> 6/3/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />