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o F o State of Oregon <br /> V'�vj + Department of Consumer and Business Services <br /> i` �i".•` Building Codes Division <br /> uhil `! V- )) 1535 Edgewater St NW <br /> ;•.!'-'.. :/) <br /> .; ,:' Mailing Address: PO Box 14470 <br /> I <br /> 86' Slalem,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 11 2r 7__ _ <br /> 24-07514-TRIP 5.4 bt0 2/_ <br /> • This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the ""1 f J(/1 <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: 8/26/24 Not Valid After Expiration Date: 9/21/24 <br /> Applicant: Sebastian Max Harangozo Phone: (503) 930-5054 <br /> 18633 Old Mehama RD Email: max@wvi.com <br /> Stayton, OR 97383 <br /> Home Information: <br /> Home ID: 290153 <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 21910649KA I <br /> 2 21910649KB <br /> original 22885 North Fork RD County: Marion <br /> Address: Lyons, OR 97358 <br /> Destination 18693 Old Mehama SE RD County: Marion <br /> Address: Stayton, OR 97383 <br /> Transporter: Sebastian Max Harangozo Phone: (503) 930-5054 <br /> Email: max@wvi.com <br /> 8/26/24 10:30 pm - Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />