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o F State of Oregon <br /> • Department of Consumer and Business Services <br /> �.•�is-----.4w-177".,04 , Building Codes Division <br /> E itva:1V:I 1535 Edgewater St NW <br /> � r'•' Mailing Address:PO Box 14470 <br /> • • Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,Ti','(503) <br /> • <br /> Web:mhods.oregon.gov Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation 'Permit Yrk 5-7 4 C <br /> 19-02803-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 /> • <br /> Issue Date: 3/29/19 Not Valid After Expiration Date: 4/27/19 <br /> Applicant: Amber Homes LLC Phone: (253) 221-1757 <br /> 201 Silvia Court Email: clare.amberhomesllc@gmail.com <br /> Los Altos, CA 94024 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: 1233ct <br /> Section Serial Number HUD Number <br /> 1 bz-91-0646-I-a • <br /> 2 bz-91-0646-I-b <br /> Original 550 booth bend RD County: Yamhill <br /> Address: Mcminnville, OR 97128 <br /> • <br /> Destination sunset village County: Marion <br /> Address: 4915 swegie NE RD, SPC 60 <br /> Salem,OR 97301 <br /> Transporter: dougs mobile homee transport Phone: (541) 730-6191 <br /> Email: charligir195@gmail.com <br /> • <br /> • <br /> • <br /> 5/ 3 B29164(441_ 6 0-- <br /> 3/.29/19 <br /> 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_T ip_Permit_pr.rpt <br />