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C - ' <br /> ---0-FState of Oregon <br /> r? �• Department of Consumer and Business Services <br /> •j:. W41 :\ Building Codes Division <br /> •C•s hi:' �: <br /> 1-",•p 'reurr� :i. 1535 Edgewater St NW <br /> WI <br /> •, Mailing Address:PO Box 14470 <br /> Ig 59 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> j <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 18-03384-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 bythe transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 4/2/18 -\ Not Valid After Expiration Date:4/28/18 <br /> Applicant: Central Homes • Phone: (541) 699-2676 <br /> 629 NW Kingwood Ave. Email: casie.centralhomes@gmail.com <br /> Redmond, OR 97756 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CHAMPION Model: APHPM514GFD <br /> Section Serial Number HUD Number <br /> 1 1C9113244J8324231 <br /> • <br /> Original 1425 Sunnyside RD County: Out of State <br /> • <br /> Address: Weiser, ID 83672 <br /> Destination 770 NW Alder ST ' County: Marion <br /> Address: Mill City, OR 97360 . <br /> Transporter: Central Homes Phone: (541) 699-2676 <br /> Email: casie.centralhomes@gmail.com <br /> CCLO€j - AirNe ay.e Q n j <br /> ' It ovr eS 0y V��5 101`- <br /> not-seek.- In rery•f+' <br /> Pe., 1/ Ca_S�'� �e �3 C`ase��ln 4 +r,P pe.✓ry-a+ <br /> CU( Cat NJ A Jo liths oIn <br /> S G w1 Cil y of it^ 1.I <br /> a hol,Y,e5 �,l l <br /> • <br /> `17O Nu%- P4eir <br /> 34D7.0 -7 bo N <br /> W - 1'tld:e✓ <br /> I <br /> 4/2/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />