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o F o State of Oregon <br /> --" 4r4's.r • Department of Consumer and Business Services <br /> I'-A---1 <br /> �\\� Building Codes Division <br /> NN f37�� • <br /> to: vuTrz':x 1535 Edgewater St NW <br /> • \ ./ Mailing Address: PO Box 14470 <br /> i:69� Salem, OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 21-11682-TRIP � et <br /> • <br /> This,permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 3/. _ - /^ j <br /> state``of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. _`� • <br /> �/ liJ�/ <br /> 'iliiis 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.abadilfa@homes.direct <br /> Millersburg, OR 97321 <br /> Home Information: - <br /> Home ID: Unknown • <br /> Manufacturer: PALM HARBOR Model: 310HD30763A <br /> • <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 /> \Vr‘ <br /> :,,. -, <br /> v r.' ,\I"". ,..23 , , <br /> Ns <br /> r7 t <br /> , Y <br /> • <br /> 11/17/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />