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State of Oregon <br /> t.r- <br /> M <br /> Department of Consumer and Business Services <br /> • �nBuilding Codes Division <br /> F. .v 'v4 :� 1535 Edgewater St NW <br /> US\: -; 2 9 <br /> �, ��� Mailing Address: PO Box 14470 <br /> :69 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 /> 20-10291-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: 12/1/20 Not Valid After Expiration Date: 12/20/20 <br /> Applicant: CHEMEKETA MV Phone: (503) 362-1281 <br /> 4155 LANCASTER DR NE Email: chemeketamv@gmail.com <br /> Salem, OR 97305 <br /> Home Information: <br /> Home ID: 395124 <br /> Manufacturer: FLEETWOOD HOMES Model: NA <br /> Section Serial Number HUD Number <br /> 1 24X64S2482A <br /> 2 24X64S2482B: <br /> Original 37946 MOUNTAIN HOME DR County: Linn <br /> Address: Brownsville, OR 97327 <br /> Destination 4155 LANCASTER NE DR County: Marion <br /> Address: SALEM, OR 97305 <br /> Transporter: SITE INSPECTION SERVICES LLC Phone: (503) 375-9440 <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 12/1/20 10:30 pm i Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />