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State of Oregon <br /> 4'1" 0 Department of Consumer and Business Services <br /> Qr IV-5T'3 1. Building Codes Division <br /> \N f�.lm.4^' i• <br /> 1535 Edgewater St NW <br /> !!L d=b <br /> ` 'I!L� 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 /> • <br /> Manufactured Structure Transportation Permit &0-7 3(e( <br /> 25-00613-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: 1/22/25 Not Valid After Expiration Date: 2/21/25 <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 /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 3104G24523A <br /> Section Serial Number HUD Number. <br /> 1 PHH3100R24-16223A ORE 565666 <br /> 2 PHH3100R24-16223E ORE 565667 <br /> • <br /> Original 3737 PALM HARBOR DR County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 2410 LANCASTER SE DR, SPC 1012 County: Marion <br /> Address: SALEM,OR 97317 <br /> Transporter: NEWMANS MOBILE HOME TRANSPORT Phone: (503) 932-5142 <br /> • <br /> • <br /> • <br /> 1/22/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />