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State of Oregon <br /> • { Department of Consumer and Business Services <br /> • Building Codes Division <br /> 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 /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> • <br /> Manufactured Structure Transportation Permit r -� <br /> 22-00828-TRIP 44-l5' <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: 1/27/22 Not Valid After Expiration Date: 2/26/22 <br /> • <br /> Applicant: TORIZ,JUAN Phone: (503) 954-7705 <br /> 4155 LANCASTER DR NE Email: CHEMEKETAMV@GMAIL.COM <br /> SALEM, OR 97305 <br /> Home Information: <br /> Home ID: 223367 • <br /> Manufacturer: HOMETTE Model: UNKNOWN <br /> Section Serial Number • HUD Number <br /> 1 03910457MA <br /> • <br /> 2 03910457MB <br /> Original 4155 NE THREE MILE LN SPC 104 County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination CHEMEKETA MV County: Marion <br /> Address: 4155 LANCASTER NE DR,SPC 44 <br /> SALEM, OR 97305 <br />• Transporter: SITE INSPECTION SERVICES Phone: (503) 375-9440 <br /> Email: UNKNOWN <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 1/27/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />