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.F o State of Oregon <br /> Department of Consumer and Business Services <br /> /i;:;,. :'` `1 Building Codes Division <br /> N':e:��L,x•�/ 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 59 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 /> 23-11564-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 permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 12/13/23 Not Valid After Expiration Date: 12/20/23 <br /> Applicant: BLANCA LEON BELTRAN Phone: (503) 269-0590 <br /> PO BOX 7912 Email: ELISANDRA2424@HOTMAIL.COM <br /> SALEM, OR 97303 <br /> Home Information: <br /> Home ID: 402848 • <br /> Manufacturer: BENDIX Model: PACIFICA <br /> Section Serial Number HUD Number <br /> 1 ME2775A ORE 072041 <br /> 2 ME2775B ORE 072042 <br /> Original 860 SE BOOTH BEND RD County: Yamhill • <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination SCOFIELD MOBILE HOME PAK County: Marion <br /> Address: 5972 SILVERTON NE RD <br /> SALEM,OR 97305 <br /> Transporter: PHIL STERLING HOME SERVICE INC Phone: (503) 932-2629 <br /> Email: PHILSTERLING1@GMAIL.COM <br /> 12/13/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />