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o F State of Oregon <br /> Atk Department of Consumer and Business Services <br /> Q j;C� r �s ;o Building Codes Division <br /> If ....vrvrrl ,I <br /> uli A, ; ••1Z 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 /> Manufactured Structure Transportation PermitCD b4 S S 9 <br /> 22-02543-TRIP <br /> 54 Itc) <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 /> • <br /> Issue Date: 3/16/22 Not Valid After Expiration Date:4/10/22 <br /> Applicant: JASON HAMLIN CONSTRUCTION Phone: (503) 983-4339 <br /> 10273 MILL CREEK RD SE Email: NONE PROVIDED <br /> AUMSVILLE, OR 97325 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: GOLDEN STATE Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 SN14261A <br /> 2 SN14261B <br /> Original 83456 RATTLESNAKE RD County: Lane <br /> • <br /> Address: DEXTER, OR 97431 <br /> Destination 120 E SORBIN AVE County: Marion <br /> Address: GATES, OR 97346 <br /> Transporter: JASON HAMLIN CONSTRUCTION Phone: (503) 983-4339 <br /> • <br /> 3/16/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />