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State of Oregon. <br /> /"44 Department of Consumer and Business Services <br /> QI ;/C i ` Building Codes Division <br /> ftxrurl�� j <br /> 7i 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 6 d 8� <br /> 24-00597-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: 1/22/24 Not Valid After 24 Expiration Date: 2 12 <br /> p / / <br /> Applicant: JERRY DAVID GRAHAM III Phone: (503) 507-7781 <br /> 14822 JEFFERSON HWY 99E SE #33 Email: JERRYGRAHAM58@HOTMAIL.COM <br /> JEFFERSON, OR 97352 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: LIBERTY HOMES INC Model: 147011 <br /> Section Serial Number HUD Number <br /> 1 09633302 ORE 375586 <br /> Original 1925 BAY AVE County: Out of State <br /> Address: OCEAN PARK, WA 98640 • <br /> Destination 9874 GOLF CLUB RD,SPC 70 County: Marion <br /> Address: STAYTON, OR 97383 <br /> Transporter: SUPERIOR HOMES Phone: (541) 327-7805 <br /> Email: JERRYGRAHAM58@HOTMAIL.COM <br /> 1/22/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />