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State of Oregon <br /> q ' Department of Consumer and Business Services <br /> A . F: <br /> Building Codes Division <br /> 1535 Edgewater St NW <br /> (11 ..474- Mailing Address: PO Box 14470 <br /> 8 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 (, 1 1 -5 3( e <br /> 25-00910-TRIP 6 D (MO <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: 1/30/25 Not Valid After Expiration Date: 2/28/25 <br /> Applicant: Champion Retail Housing Inc Phone: (971) 267-5024 <br /> 550 SW Booth Bend Road Email: cmulligan@championliomescenter.com <br /> McMinnville, OR 97128 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: 4402-6 <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A102022A ORE561577 <br /> 2 245-000-H-A102022B ORE561578 <br /> Original 550 SW Booth Bend RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination 17944 Elk PL County: Marion <br /> Address: Sublimity,OR 97385 <br /> Transporter: Blue Haul Phone: (818) 434-5501 <br /> Email: blue.haul@yahoo.com <br /> • <br /> • <br /> 1/30/25 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />