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o State of Oregon <br /> z-rrDepartment of Consumer and Business Services <br /> Q';'� }3�• Building Codes Division <br /> UI'1�%tu;7, 1535 Edgewater St NW <br /> `f�T Mailing Address: PO Box 14470 <br /> 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 .- 5 3 , op, <br /> 23-09232-TRIP <br /> _. , o v� _ <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 5 a ,-7 D ce <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: 9/29/23 Not Valid After Expiration Date:,10/27/23 <br /> Applicant: LORICA DIANE BIELEMEIER Phone: (503) 508-9355 <br /> 6888 INDIGO ST NE Email: LORICA_B©MSN.COM <br /> SALEM, OR 97305 <br /> Home Information: <br /> Home ID: 392400 <br /> Manufacturer: SKYLINE HOMES Model: RAMADA VALUE 9214CT <br /> Section Serial Number HUD Number <br /> 1 KL91-0334-I-A ORE 531008 <br /> 2 KL91-0334-I-B ORE 531009 <br /> Original 6888 INDIGO ST NE County: Marion <br /> Address: SALEM, OR 97305 <br /> Destination 4100 60TH NE AVE County: Marion <br /> Address: SALEM,OR 97305 <br /> Transporter: PHIL STERLING HOME SERVICE INC Phone: <br /> 9/29/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />