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o F State of Oregon <br /> - <br /> F, :�� Department of Consumer and Business Services <br /> } Building Codes Division <br /> 1535 Edgewater St NW 2 9 <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 Transport tion Permit _ <br /> VJ <br /> 18-08420-TRIP 4. <br /> M -555A°C) <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 /> Issue Date: 8/14/18• Not Valid After Expiration Date: 9/8/18 <br /> Applicant: • MEYER, GEORGE Phone: (503) 871-3998 <br /> 13274 MARLATT RD S. Email: GMMEYERFARMS@GMAIL,COM <br /> JEFFERSON, OR 97352 <br /> • <br /> Home Information: <br /> Home ID: 323233 <br /> Manufacturer: PALM HARBOR Model: NSV46SA4 <br /> Section Serial Number HUD Number <br /> 1 PH207856A ORE 474861 <br /> 2 PH207856B ORE 474862 <br /> 3 PH207856C ORE 474863 <br /> Original 38165 LU LAY RD County: Linn <br /> Address: SCIO, OR 97374 • <br /> Destination 3335 TALBOT S RD County: Marion <br /> Address: JEFFERSON, OR 97352 • <br /> Transporter: SUPERIOR HOME TRANSPORT LLC Phone: (541) 990-6888 <br /> • <br /> 8/14/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />