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of o State of Oregon <br /> y�`� P Department of Consumer and Business Services <br /> Q; , ;� Building Codes Division <br /> I"' iurrr��;�' <br /> � Z 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 59 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit -1 ��� <br /> 20-02141-TRIP n� 35 <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: 4/9/20 Not Valid After Expiration Date: 4/9/20 <br /> Applicant: Theodore Viandi Phone: (417) 259-9298 <br /> 4882 Lancaster DR NE unit 83 Email: tedviandi@gmail.com <br /> Salem, OR 97305 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: Broadmore 2602L _ <br /> Section Serial Number HUD Number <br /> 1 31841 ORE499391 <br /> Original 610 Ellingson RD SE County: Linn - <br /> Address:_ Albany, OR 97322 <br /> Destination Starlite Mobile Village County: Marion <br /> Address: 4882 Lancaster SE DR, SPC 83 <br /> Salem, OR 97305 <br /> Transporter: JC Crawler Service Phone: (503) 510-9580 <br /> • <br /> 4/9/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br /> 5 <br />