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o o State of Oregon <br /> Department of Consumer and Business Services <br /> E Jbce I:C Building Codes Division <br /> F• 1941 <br /> N `emu z-f�• 2 1535 Edgewater St NW <br /> •• Mailing Address: PO Box 14470 <br /> 9 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 tip B <br /> • <br /> 23-09870-TRIP <br /> 5_.j <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 dragon. 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: 10/25/23 Not Valid After Expiration Date: 11/16/23 <br /> Applicant: VASSA SHARABARIN Phone: (780) 623-0359 <br /> 17189 HARMONY LANE Email: VASSASHARA@GMAIL.COM <br /> WOODBURN, OR 97071 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 2G910696IA ORE 304961 <br /> 2 2G910696IB <br /> Original 63 N BEAR CREEK RD County: Lincoln <br /> Address: OTIS, OR 97368 <br /> Destination 19537 GRIM SE RD County: Marion <br /> Address: AURORA,OR 97002 <br /> Transporter: CHARLES THOMAS Phone: (541) 980-5711 <br /> Email: twilson24dad@yahoo.com <br /> • <br /> 10/25/23 10:30 pm Page 1 of 1 G:\myReports/reports%/production/01 <br /> STANDARD <br />