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• <br /> o_ State of Oregon <br /> .-' +' Department of Consumer and Business Services <br /> A,; to <br /> •Qj;f 3.011% Building Codes Division <br /> Irl•�',,,Y.",.YfYTfI'';i <br /> m:�:�,��;�•.rZ 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 21-06435-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: 6/21/21 Not Valid After Expiration Date: 7/16/21 <br /> Applicant: MONTOYA, KRISTINA Phone: (831) 261-7123 <br /> 708 N SANTIAM HWY Email: KTINA39380729@GMAIL.COM <br /> GATES, OR 97346 <br /> Home Information: <br /> Home ID: 400081 <br /> Manufacturer: PALM HARBOR Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 PH205480A ORE 423296 <br /> 2 PH205480B ORE 423297 <br /> 3 PH205480C ORE 423298 . <br /> Original 9515 RIVER RD NE County: Marion <br /> Address: SALEM, OR 97303 <br /> Destination 708 N SANTIAM HWY County: Marion <br /> Address: GATES, OR 97346 <br /> Transporter: BLUE HAUL Phone: (818) 434-5501 - <br /> • <br /> • <br /> • <br /> 6/21/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />