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35(a05 <br /> F State of Oregon <br /> • Department of Consumer and Business Services <br /> %• Building Codes Division <br /> 1 rhxi rs :'O <br /> '.'Y" <br /> ;v�rrrF�. 1535 Edgewater St NW <br /> NI <br /> •' Mailing Address: PO Box 14470 <br /> 69 • 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 /> 18-10858-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 by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> Issue Date: 10/15/18 Not Valid After Expiration Date: 11/12/18 <br /> Applicant: Jerry Newman/Newman's Mobile Phone: (503) 932-5142 <br /> Home Transport <br /> • P.O. Box 236 Email: jlnwmn@gmail.com <br /> Silverton, OR 97381 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 FLE2100R18-19150-A <br /> --2 - – FLE2100R18-19150-B — — — --- - _.-- <br /> Original 2655 Progress WAY County: Marion <br /> Address: Woodburn, OR 97071 <br /> Destination 269 Church ST County: Marion <br /> Address: Jefferson, OR 97352 <br /> Transporter: Jerry Newman/Newman's Mobile Phone: (503) 932-5142 <br /> Home Transport Email: jlnwmn@gmail.com <br /> • <br /> • <br /> • <br /> 10/15/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/O1 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />