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o F State of Oregon <br /> w/ \� Department of Consumer and Business Services <br /> /; 5 ' Building Codes Division <br /> :vvrr� : <br /> vi\;V; lz 1535 Edgewater St NW <br /> �., Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 17-11247-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. M 3 5,61q5--1 <br /> Issue Date: 12/4/17 Not Valid After Expiration Date: 1/1/18 <br /> Applicant: Advanced Home Brokers, Inc. Phone: (503) 650-0304 <br /> 10762 SE Hwy 212 Email: john@a-h-b.com <br /> Clackamas, OR 97015 <br /> Home Information: <br /> Home ID: 222832 <br /> Manufacturer: GUERDON Model: CAMELOT <br /> Section Serial Number HUD Number <br /> 1 7948 <br /> 2 7948 <br /> Original 33695 SE WILDCAT MOUNTAIN County: Clackamas <br /> Address: RD <br /> EAGLECREEK, OR 97022 <br /> Destination ORCHARD MOBILE HOME PARK County: Marion <br /> Address: 1361 31ST NE ST,SPC 28 <br /> SALEM, OR 97301 <br /> Transporter: WHEEL ESTATES Phone: <br /> \\\ICC:4 <br /> Cp .0 <br /> 12/4/17 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />