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State of Oregon <br /> 4i� i a Department of Consumer and Business Services <br /> . BuildingCodes Division <br /> vmrr�-„': <br /> 11". <br /> ^f9 � 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 59 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 /> 18-02654-TRIP <br /> X13 5 5a sCe <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. <br /> • <br /> Issue Date: 3/13/18 Not Valid After Expiration Date:4/12/18 <br /> Applicant: TARRILLO CARLOS Phone: (503) 586-4230 <br /> 1855 HAWTHORNE AVE NE Email: N/A <br /> SALEM, OR 97301 <br /> Home Information: <br /> Home ID: 145676 <br /> Manufacturer: CMH MFG WEST, MARLETTE Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 H020993A <br /> 2 H020993B <br /> 3 H020993C <br /> Original 8553 OAK CREEK DR County: Benton <br /> Address: CORVALLIS, OR 97330 <br /> Destination 2429 STEIWER SE RD County: Marion <br /> Address: JEFFERSON, OR 97352 <br /> Transporter: 3-A CONSTRUCTION LLC Phone: (971) 218-3568 <br /> Email: N/A <br /> 3/13/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />