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o F State of Oregon <br /> F./ •tr P Department of Consumer and Business Services <br /> to <br /> Ql;r ;,O • Building Codes Division <br /> N;\; uorrr� ;.2 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> g9 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emafl:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 19-04616-TRIP al I _-3 <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 /> Issue Date: 5/20/19 Not Valid After Expiration Date: 6/16/19 <br /> • <br /> Applicant: JOHANSON, AMBER JUNAY Phone: (503) 874-0850 <br /> 18974 POWERS CREEK LOOP RD Email: JUNAY.JOHANSON@GMAIL.COM <br /> SILVERTON, OR 97381 <br /> • <br /> Home Information: <br /> Home ID: 271340 <br /> Manufacturer: MARLETTE Model: Unknown <br /> • <br /> Section Serial Number HUD Number <br /> 1 H24348DW400444A <br /> 2 H24348DW400444B <br /> Original 182 SILVER FALLS DR SE County: Marion <br /> Address: SILVERTON, OR 97381 • <br /> Destination 18974 POWERS CREEK LOOP RD County: Marion <br /> Address: SILVERTON, OR 97381 <br /> Transporter: DAN BARKER Phone: (503) 339-5410 <br /> • <br /> • <br /> 5/20/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />