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_ State of Oregon <br /> - ,� Department of Consumer and Business Services <br /> r �p j��t Building Codes Division <br /> I gas vmrar�;.' ID <br /> �,"��=T, Z 1535 Edgewater St NW <br /> `\\• �``v Mailing Address: PO Box 14470 <br /> `,,l="' 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 CoC� <br /> 23-08263-TRIP 6 0 V 9 I 9 <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: 9/1/23 Not Valid After Expiration Date: 9/28/23 <br /> Applicant: Commonwealth Homeowner Services Phone: (503) 244-2300 <br /> 18150 SW Boones Ferry Road Email: MELISA.COOK©CWRES.COM <br /> Portland, OR 97224 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CHAMPION Model: 11 G560 <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A101453A ORE 530220 <br /> 2 245-000-H-A101453B ORE 560221 <br /> Original 550 BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination 2200 LANCASTER SE DR, SPC 27 County: Marion <br /> Address: SALEM,OR 97317 <br /> Transporter: NEWMANS MOBILE HOME TRANSPORT Phone: (503) 932-5142 <br /> 9/1/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />