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rF \� State of Oregon <br /> A '\� Department of Consumer and Business Services <br /> l , j\� Building Codes Division <br /> I„�, Fig — <br /> Ul:�.'.�,vyur 1 i <br /> eek:ue;,4•�!2 1535 Edgewater St NW <br /> ..14.1:!4.W.:., <br /> ','% Mailing Address:PO Box 14470 <br /> 1-f- 9 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregan.govEmail:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit'19-10364-TRIP i01 35Q9D' (' <br /> \04(1 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of r, <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must /�I'llllJJJi a <br /> ___1� <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> 0 <br /> Issue Date: 10/16/19 Not Valid After Expir tion D te: 1/10/1 <br /> Applicant: KIRKPATRICK, SHARON Phone: (541) 261-5688 <br /> 16005 S HOLCOMB BLVD. Email: SHARMARIE49@GMAIL.COM <br /> OREGON CITY, OR 97045 , <br /> Home Information: <br /> Home ID: 377573 <br /> Manufacturer: GOLDEN WEST Model: Unknown <br /> Section • Serial Number HUD Number <br /> 1 ALB0349340RA ORE 524183 <br /> 2 ALB0349340RB <br /> • <br /> Original 16005 S HOLCOMB BLVD County: Clackamas <br /> Address: OREGON CITY, OR 97045 <br /> Destination 15984 SANTIAM SE HWY County: Marion <br /> Address: STAYTON,OR 97583 <br /> Transporter: UCUBE CONSTRUCTION LLC Phone: (503) 701-8356 <br /> i <br /> 10/16/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />