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• <br /> of State of Oregon <br /> Department of Consumer and Business Services <br /> /at-7'W e I‘ Building Codes Division <br /> 46#rr�<';�Z 1535 Edgewater St NW <br /> S!1'46.7411 <br /> 1535 <br /> Mailing Address: PO Box 14470 <br /> 18 5 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 <br /> 20-04564-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 /> Issue Date: 6/9/20 Not Valid After Expiration Date: 7/5/20 <br /> Applicant: O'DELL, ROBERTA Phone: (503) 580-8410 <br /> PO BOX 236 Email: robbert@wvi.com <br /> LYONS, OR 97358 <br /> Home Information: <br /> • <br /> Home ID: Unknown <br /> Manufacturer: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 01910109S <br /> 2 01910109S <br /> Original 22315 SE JENNIE RD County: Marion <br /> Address: LYONS, OR 97358 <br /> Destination 21959 SE EMMA County: Marion <br /> Address: MEHAMA, OR 97384 <br /> • <br /> Transporter: Doug's Mobile Home Services Phone: <br /> Email: DUGWALTON@AOL.COM <br /> • <br /> if <br /> 6/9/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />