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lJ <br /> o F o State of Oregon <br /> Department of Consumer and Business Services <br /> 1ft �;�f� Building Codes Division <br /> P xiuri+'` <br /> Ufl L�u, � ifZ 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> • <br /> • ate/ Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> • <br /> Web:mhods.oregon.gov . Email:mhods.bcd©dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit (00 Co 5 <br /> 23-00669-TRIP <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: 1/31/23 Not Valid After Expiration Date: 2/24/23 <br /> Applicant: Factory Homes Clearance Center, Inc • Phone: (971) 224-2244 <br /> P 0 Box 2176 Email: janetm@gunnerllc.com <br /> Tualatin, OR 97062 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: Waverly Crest • <br /> ' Section Serial Number HUD Number• <br /> 1 FLE2100R22-22696A ORE 559545 <br /> 2 FLE2100R22-22696E ORE 559546 <br /> Original 2917 N Pacific HWY County: Marion <br /> Address: Woodburn, OR 97071 . <br /> Destination 3100 Turner RD, SPC 422 County: Marion <br /> Address: Salem, OR 97302 <br /> Transporter: Doug's MH Setup &Transport Inc Phone: (503) 799-0539 <br /> Email: dugwalton@aol.com <br /> • <br /> • <br /> • <br /> • <br /> 1/31/23 10:30 pm - • Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />