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o F State of Oregon <br /> 4 §F Department of Consumer and Business Services <br /> tc.Qr: _ Building Codes Division <br /> 1". <br /> F . r± ;i <br /> N\ t°fi!t r u.'ura�K„r Ix • <br /> 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 5 <br /> 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 /> 21-10835-TRIP <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: 10/21/21 Not Valid After Expiration Date: 11/20/21 <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 /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 310HD28443A <br /> Section Serial Number HUD Number <br /> 1 PHH3100R21-14588A ORE 555672 <br /> 2 PHH3100R21-14588B ORE 555673 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 33635 SE NORTH FORK ROAD County: Marion <br /> Address: LYONS, OR 97358 <br /> Transporter: Bennett Trucking Phone: (541) 879-3444 <br /> • <br /> • <br /> 10/21/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />