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OF • State of Oregon <br /> j��.rV' Department of Consumer and Business Services <br /> /.� 1 F <br /> of 11\40 Building Codes Division <br /> N�,� a E- ix <br /> 1535 Edgewater St NW <br /> � Mailing Address: PO Box 14470 5 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 /> 19-05332-TRIP ',�r y�' a q 4q-7 <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: 6/7/19 Not Valid After Expiration Date:7/7/19 <br /> Applicant: EVANS,3OETTA L Phone: (541) 979-5639 <br /> PO BOX 543 Email: NOEMAIL@NOEMAIL.COM <br /> DETROIT, OR 97342 <br /> Home Information: <br /> Home ID: 162867 <br /> Manufacturer: LAMPLIGHTER Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 9209 <br /> Original 105 FOREST AVE County: Marion <br /> Address: DETROIT, OR 97342 <br /> Destination 245 N SANTIAM E HWY County: Marion <br /> Address: GATES,OR 97346 <br /> Transporter: JERRY OTT Phone: (541) 935-2696 <br /> 6/7/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />