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oF___ a State of Oregon <br /> ,/ °=40 ••''% Department of Consumer and Business Services <br /> F.,' Ott,, f.,f) ';�\ Building Codes Division <br /> ' Viiiii.0 ,z1535 Edgewater St NW <br /> �: % <br /> Mailing Address: PO Box 14470 <br /> 6-4 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 /> 21-10376-TRIP <br /> • <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination-site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 10/5/21 Not Valid After Expiration Date: 11/4/21 <br /> Applicant: Homes Direct of Oregon LLC Phone: (541) 928-2083 <br /> 3838 Palm Harbor DR NE Email: tanya.abadilla@homes.direct <br /> Millersburg, OR 97321 <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: PALM HARBOR Model: 310HD30763A <br /> Section Serial Number HUD Number <br /> 1 PHH3100R21-14499A ORE 555033 <br /> 2 • PHH3100R21-14499B ORE 555034 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> • <br /> Destination 8300 SAMS WAY County: Marion <br /> Address: AUMSVILLE, OR 97325 <br /> Transporter: Bennett Trucking Phone: (541) 879-3444 <br /> • <br /> • <br /> • <br /> • <br /> 10/5/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />