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oF__ State of Oregon <br /> is�s: ,' . Department of Consumer and Business Services <br /> c.;. <br /> VI ' s.:• Building Codes Division <br /> Ufl : P 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> \� �'' 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 <br /> 23-02345-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 /> Tii•is,permlt must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. • <br /> Tssue Date: 3/15/23 Not Valid After Expiration Date;4/14/23 <br /> Applicant: CRYSTAL JIMENEZ Phone: (503) 851-9054 <br /> 1475 CORINA DR SE Email: CRYSTAUIMENEZ84@ICLOUD.COM <br /> SALEM, OR 97302 <br /> • <br /> Home Information: <br /> Home ID: 280511 <br /> Manufacturer: GOLDEN WEST Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 GWOR23N19064 <br /> 2 GWOR23N19064 <br /> Original 26976 S HWY 213 HWY County: Clackamas <br /> Address: MULINO, OR 97042 <br /> Destination 3347 BROWN NE RD County: Marion <br /> Address: SALEM, OR 97305 <br /> Transporter: JOSE ASTORGA Phone: <br /> • <br /> 3/15/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />