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• o F State of Oregon <br /> 4ij r Department;of Consumer and Business Services <br /> - ; Building Codes Division <br /> 1-1 .�; ;;; 1535 Edgewater St NW <br /> \.` .:gin n-gr,t% <br /> •. �.� Mailing Address: PO Box 14470 <br /> 454 Salem, OR 97309-0404 <br /> (503)378-4530, FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emaihmhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 21-09320-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: 9/7/21 Not Valid After Expiration Date: 10/3/21 <br /> Applicant: Factory Homes Clearance Center, Inc Phone: (971) 224-2244 <br /> P 0 Box 2176 Email: janetm@gunnerllc.com <br /> Tualatin, OR 97062 • <br /> Home Information: <br /> Home ID: 277904 <br /> Manufacturer: FUQUA HOMES Model: Fuqua <br /> • <br /> Section Serial Number HUD Number <br /> 1 13232 ORE 362850 <br /> 2 13232 ORE 362851 <br /> Original 555 Pioneer RD County: Polk <br /> Address: Dallas, OR 97338 <br /> Destination 4735 Turner SE RD County: Marion <br /> Address: Salem, OR 97317 • <br /> Transporter: Doug's MH Setup &Service Inc Phone: (503) 799-0539 <br /> Email: dugwalton@aol.com <br /> • <br /> 9/7/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />