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F • State of Oregon <br /> Department of Consumer and Business Services <br /> :r 5:asyi3\4� Building Codes Division <br /> •F:y . )z 1535 Edgewater St NW <br /> •e•�S�L'io u'�+ <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 Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit � <br /> 20-09548-TRIP 3 ,Q C°4. <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: 11/6/20 • <br /> Not Valid After Expiration Date: 12/6/20 <br /> Applicant: 123 HMJ, LLC Phone: (503) 362-1281 <br /> 1351 31st Ave NE Email: orchardmobilehomepark@gmail.com <br /> Salem, OR 97301 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: GLEN RIVER Model: Unknown <br /> Section Serial Number HUD Number <br /> • <br /> 1 GR2340X20A <br /> 2 GR2340X20B <br /> Original 326064 4TH AVE AVE NW County: Out of State <br /> Address: STANWOOD, WASHINGTON <br /> 98292 <br /> Destination 4155 LANCASTER DR NE DR,SPC 8B County: Marion <br /> Address: SALEM,OR 973:05 <br /> Transporter: SITE INSPECTION SERVICES, LLC Phone: (503) 375-9440 <br /> • <br /> 11/6/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />