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State of Oregon <br /> �-• � Department of Consumer and Business Services <br /> /.%Obr.. c1 Building Codes Division <br /> vtitir=._ �^: <br /> � .. �. 1535 Edgewater St NW <br /> 2 <br /> \\ NA-VO Mailing Address:PO Box 14470 <br /> -59 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 /> 21-00781-TRIP 3( lj to <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: 1/22/21 Not Valid After Expiration Date: 2/21/21 <br /> Applicant: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> 33964 Oakville Rd. Email: erbml@comcast.net <br /> Albany, OR 97321 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 28563L <br /> Section Serial Number HUD Number <br /> 1 FLE2100R20-21227 A 554340 <br /> 2 FLE2100R20-21227 B 554341 <br /> Original 38964 OAKVILLE RD SW County: Linn <br /> Address: ALBANY, OR 97321 <br /> Destination 13090 BLACKBERRY NE LN County: Marion <br /> Address: HUBBARD,OR 97032 <br /> Transporter: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> Email: erbml@comcast.net <br /> 1/22/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />