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F State of Oregon <br /> �. Department of Consumer and Business Services <br /> a~�� Building Codes Division <br /> Q ruTis; F 1535 Edgewater St NW <br /> �'tHif.F :I <br /> • <br /> •. '% Mailing Address: PO Box 14470 <br /> .g 9 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 /> 18-08868-TRIP V <br /> WI 5 CD 603- <br /> • <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: 8/24/18 Not Valid After Expiration Date:9/23/18 <br /> Applicant: Amber Homes LLC Phone: (253) 221-1757 <br /> • 201 Silvia Court • <br /> Email: clare.amberhomesllc@gmail.com <br /> Los Altos, CA 94024 <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: SKYLINE HOMES Model: Westridge 1218ct <br /> Section Serial Number HUD Number <br /> 1 bz-91-0217-I-a <br /> 2 bz-91-0217-I-b <br /> original 550 booth bend RD County: Yamhill • <br /> Address: mcminnville, OR 97128 <br /> Destination Sunset Village County: Marion <br /> Address: 4915 Swe le NE RD,SPC 12 <br /> Salem,OR 97301 I\D OTE -Tis hone was cicif- 4 i n 5f) a <br /> Transporter: Blue Haul Phone: (971) 218-3568 <br /> Email: jesusandrade3a@gmail.com <br /> • <br /> ' . • per p al.rk mcu c t" <br /> • <br /> to • IS <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 8/24/18 10:30 pm Page 1 of 1 •C:\myReports/reports//production/01 <br /> • • STANDARD REPORTS/std Trip_Permit pr.rpt <br />