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O State of Oregon <br /> Department of Consumer and Business Services <br /> .41 Building Division <br /> Qr:�ir�r '��:� <br /> �Gi; 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> • <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 I(YL.3 al cog S <br /> 18-10010-TRIP <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 /> • <br /> Issue Date: 9/21/18 Not Valid After Expiration Date: 10/18/18 <br /> Applicant: BAKER, LISA Phone: (541) 990-7929 • <br /> 4224 JEFFERSON-MARION RD SE Email: LISAB@PEAK.ORG <br /> JEFFERSON, OR 91352 <br /> Home Information: <br /> Home ID: 289495 • <br /> Manufacturer: CAVCO Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 46NPB358W6002889 <br /> • <br /> Original 12714 MARLATT RD S County: Marion <br /> Address: JEFFERSON, OR 97352 <br /> Destination 4224 JEFFERSON-MARION SE RD County: Marion <br /> Address: JEFFERSON,OR 97352 <br /> Transporter: BAKER, LISA Phone: (541) 990-7929 <br /> Email: LISAB@PEAK.ORG <br /> • <br /> (A" <br /> • <br /> • <br /> • <br /> 9/21/18 10:30 pm • Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />