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iof o State of Oregon <br /> � a"'. Department of Consumer and Business Services <br /> tea 0�`;fir fi: Building Codes Division <br /> !''1!t117.t: i Z 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 3 a a3 q (a <br /> 24-05824-TRIP - On - - .. <br /> • CY7VBi <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: 7/8/24 Not Valid After Expiration Date: 7/28/24 <br /> • <br /> Applicant: JAY HYSLOP Phone: (503) 873-3515 <br /> PO BOX 1357 Email: NONE . • <br /> OROFINO, ID 83544 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: RODAR Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 S1956 <br /> Original _ 1913 LEICHNER RD SPC 15 County: Out of State <br /> Address: VANCOUVER, WA 98686 <br /> Destination 21047 HAZELNUT RIDGE NE RD County: Marion • <br /> Address: SCOTTS MILLS, OR 97375 <br /> Transporter: JAY HYSLOP Phone: (503) 873-3515 <br /> Email: NONE <br /> 7/8/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br /> . <br />