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oF.o State of Oregon <br /> Department of Consumer and Business Services <br /> FV-WS1 Building Codes Division <br /> If"� �.`'•".HNri� l i <br /> w, t dY, 1535 Edgewater St NW <br /> 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 <br /> 23-09427-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'perrimit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> Identified. <br /> Issue Date: 10/6/23 Not Valid After Expiration Date: 11/4/23 <br /> Applicant: Advanced Home Brokers Phone: (503) 320-2224 <br /> 20337 S. Leland Rd Email: johnabraham1958@gmail.com <br /> Oregon City, OR 97045 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 PH204717 ORE 415880 <br /> 2 PH204717 ORE 415881 <br /> 3 PH204717 ORE 415882 <br /> Original 12604 REO RD SE County: Out of State <br /> Address: RAINIER, WA 98576 <br /> Destination 3871 VICTOR POINT NE RD County: Marion <br /> Address: SILVERTON,OR 97381 <br /> Transporter: CT WILSON Phone: (541) 980-5711 <br /> Email: twilson24dad@yahoo.com <br /> 10/6/23 10:30 pm : Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />