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o F State of Oregon <br /> Department of Consumer and Business Services <br /> irfare:�/a^m;•� P <br /> �. ="G1 • Building Codes Division <br /> �! i Tri.V, 1535 Edgewater St NW <br /> ul 4 ;; J. <br /> .;f`�r;,•/"/ Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530, FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit /c O 5 a c o <br /> 22-06500-TRIP <br /> move the identified sections of the identified home to a destination site within the _ " 3 a co 3 <br /> This permit authorizes a qualified transporter to ,,.._ <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: 6/23/22 Not Valid After Expiration Date: 7/23/22 <br /> Applicant: Advanced Home Brokers, Inc. Phone: (503) 650-0304 <br /> 10762 SE Hwy 212 Email: john@a-h-b.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: 397644 <br /> • <br /> Manufacturer: FLEETWOOD HOMES Model: LAKEVIEW • <br /> Section Serial Number HUD Number <br /> 1 FLE2100R1919716A ORE 546066 <br /> Original 2640 AUSTIN RD County: Douglas <br /> Address: ROSEBURG, OR 97471 <br /> Destination 330 DETROIT S RD County: Marion <br /> Address: DTROIT, OR 97342 <br /> Transporter: CT WILSON Phone: (541) 890-5711 <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 6/23/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />