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o_ State of Oregon <br /> `%. . Department of Consumer and Business Services <br /> ' � ! Building Codes Division <br /> N' `.��!°-El! =K1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> -..[B' - Salem,OR 97309-0404 <br /> (503)378-4530,FAX,Try <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit b <br /> _ O )3 s <br /> 23 08784 TRIP <br /> c)n <br /> This,permit authorizes a qualified transporter to move the identified sections of the Identified home to a destination site within the c q ` r a 1 <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. J �L l0 <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: 9/18/23 Not Valid After Expiration Date: 9/18/23 <br /> Applicant: JORGE MARTINEZ Phone: (503) 881-4034 <br /> PO BOX 628 Email: JORGEDESLEYRA@GMAIL.COM <br /> MILL CITY, OR 97360 <br /> Home Information: <br /> Home ID: 284674 <br /> Manufacturer: FUQUA HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 16250A <br /> 2 16250B <br /> Original 60220 PAWNEE LN County: Deschutes <br /> Address: BEND, OR 97702 <br /> Destination 245 N SANTIAM EAST C County: Marion <br /> Address: GATES,OR 97346 cJ �� <br /> Transporter: B&B MOVERS Phone: (541) 213-1559 <br /> Email: BANDBMOVERS57@GMAIL.COM. <br /> 9/18/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />