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• <br /> • <br /> • <br /> o e O State of Oregon <br /> 4 Department of Consumer and Business Services <br /> :h,- i..0 Building Codes Division <br /> YiR <br /> N La7i Z 1535 Edgewater St NW <br /> • • Mailing Address: PO Box 14470 <br /> 859 •Salem,OR 97309-0404 <br /> (503)378-4530, FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit 3 aI 9C0`). <br /> 23-01122-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: 2/7/23 Not Valid After Expiration Date: 3/6/23 <br /> Applicant: MARY MARFA MARTUSHEV Phone: (907) 775-3375 <br /> 1800 E LINCOLN RD Email: MRYMARTUSHEV@GMAIL.COM <br /> WOODBURN, OR 97071 <br /> • <br /> Home Information: <br /> Home ID: 293667 <br /> Manufacturer: GOLDEN WEST Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 ' GWOR23N21487A <br /> • <br /> 2 GWOR23N21487B <br /> • <br /> Original 1385 COOLEY RD County: Marion • <br /> Address: WOODBURN, OR 97071 <br /> Destination 1800 E LINCOLN RD County: Marion <br /> • <br /> Address: WOODBURN, OR 97071 <br /> Transporter: JASON HAMLIN Phone: <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 2/7/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />