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F O State of Oregon <br /> 4/� :r Department of Consumer and Business Services <br /> .4(/•-!r >j:CI Building Codes Division <br /> • art g X 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> /869• 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 /> 21-11682-TRIP _ D 3 c4)- <br /> This permit authorizes aqualified transporter to move the identified sections of the identified home to a destination site within the — <br /> P -- <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: 11/17/21 Not Valid After Expiration Date: 12/16/21 <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 PHH3100R21-14651A ORE 555995 <br /> 2 PHH3100R21-14651B ORE 555996 <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 6456 LANDS END NE LN County: Marion <br /> Address: SALEM, OR 97305 <br /> Transporter: Bennett Trucking Phone: (541) 879-3444 <br /> VC* \- -(tc-IC <br /> CIY <br /> w6) <br /> ti‘r c� <br /> 5E <br /> r-v�� 1, <br /> 11/17/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />