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State of Oregon <br /> - t a ; Department of Consumer and Business Services <br /> Building Codes Division <br /> r '•• m - 15351Edgewater St NW <br /> ••'� � "/ Mailing Address:PO Box 14470 <br /> Salem,OR 97309-0404 <br /> 1 <br /> (503)378-4530,FAX,Try <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 24-06869-TRIP O (.61 1 <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:8/8/24 Not Valid After Expiration Date:9/7/24 <br /> Applicant: ANNETTE DARLENE RAMSEUR Phone: (436)353-8427 <br /> 2405 KALAMA RIVER ROAD Email: ANNETTERAMSEUR@YAHOO.COM <br /> KALAMA,WA 98625 <br /> Home Information: o <br /> Home ID: 222837 <br /> Manufacturer: GIBRALTER Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 24X5294039 - <br /> 2 24X5294039 <br /> Original 15013 FERN RIDGE RD County: Marion <br /> Address: STAYTON,OR 97383 <br /> Destination 143 FREDDIE LANE County: Out of State <br /> Address: LONGVIEW,WA 98632 <br /> Transporter: CT WILSON TRANSPORT Phone: <br /> Email: TWILSON24DAD@YAHOO.COM <br /> 8/8/24 9:29 am <br /> Page 1 of 1 GAmyReports/reports[/production/01 <br /> STANDARD <br /> • <br /> 9 <br /> .f_l <br />