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State of Oregon <br /> •�,,� ' Department of Consumer and Business Services <br /> ;� rr I Building Codes Division <br /> ��,.�,,.,��8lu► ' <br /> tIi.�:tgta�•:1Z) • 1535 Edgewater St NW <br /> '.;` ..• Mailing Address: PO Box 14470 <br /> • 6' Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTy <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oegon.gov <br /> Manufactured Structure Transportation Permit 626 a. 5 3 <br /> 25-00026-TRIP <br /> • <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: 1/6/25 Not Valid After Expiration Date: 2/5/25 <br /> Applicant: Commonwealth Homeowner Services Phone: (503) 244-2300 <br /> 18150 SW Boones Ferry Road Email: MELISA.000K©CWRES.COM <br /> Portland, OR 97224 <br /> • <br /> Home Information: • <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 310AF14371C <br /> Section Serial Number HUD Number <br /> 1 PHH3100R24-16133A ORE 564607 <br /> Original 3737 PALM HARBOR DR County: Linn <br /> • <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 4882 LANCASTER NE DR,SPC 2 County: Marion • <br /> Address: SALEM, OR 97305 <br /> Transporter: NEWMANS MOBILE HOME TRANSPORT Phone: (503) 932-5142 <br /> • <br /> • <br /> • <br /> 1/6/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />