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o F State of Oregon <br /> Department of Consumer and Business Services <br /> ASF <br /> Qr•-,'�a j= Building Codes Division <br /> o°i°;0 '1�Z 1535 Edgewater St NW <br /> . .,! Mailing Address: PO Box 14470 <br /> =5g 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 /> 18-12072-TRIP nn- 55514 <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: 11/19/18 Not Valid After Expiration Date: 12/16/18 <br /> Applicant: Homes Direct of Oregon Phone: (541) 928-2083 <br /> 3838 Palm Harbor Drive NE Email: neilaW31@gmail.com <br /> Albany, OR 97321 • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 310HD28603C <br /> Section Serial Number HUD Number <br /> 1 PHH3100R18-12982A ORE543181 <br /> 2 PHH3100R18-12982B ORE543182 <br /> • <br /> Original 3838 PALM HARBOR DR NE County: Linn <br /> Address: MILLERSBURG, OR 97321 <br /> Destination 5861 VILLAGE VIEW SE CT County: Marion <br /> Address: AUMSVILLE,OR 97325 <br /> Transporter: BENNETT TRUCK TRANSPORT Phone: (541) 879-3444 <br /> Email: yor©bennettig.com • <br /> • <br /> 11/19/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />