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•F State of Oregon <br /> g <br /> 4i ��.�' • Department of Consumer and Business Services <br /> 1/ !• dl Building Codes Division <br /> F,: �11. <br /> i+i'4. 1535 Edgewater St NW <br /> in\, i1°l at.. iZ <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 r� z <br /> 19-01736-TRIP J `�51 35`j <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: 2/26/19 Not Valid After Expiration Date: 3/22/19 <br /> Applicant: Amber Homes LLC Phone: (253) 221-1757 <br /> 201 Silvia Court Email: clare.amberhomesllc@gmail.com <br /> Los Altos, CA 94024 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 14602S <br /> Section Serial Number HUD Number <br /> 1 fle210or19-19670 <br /> Original 2655 progress WAY County: Marion <br /> Address: woodburn, OR 97071 <br /> Destination Kennedy Meadows NI County: Marion <br /> Address: 2053 KENNEDY CIR, SPC 46 <br /> KEIZER, OR 97303 <br /> Transporter: Doug's Mobile Homes Phone: (541) 730-6191 <br /> Email: charligirl95@gmail.com <br /> • <br /> 2/26/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />