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F State of Oregon <br /> C. ,t • Department of Consumer and Business Services <br /> /.j upZlj 'Ct Building Codes Division <br /> i I,`"' 'e-77:'I /, 1535 Edgewater St NW <br /> )a JYS <br /> "r'� Mailing Address: PO Box 14470 <br /> 6g 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 CO21-00938-TRIP w 0041 -1 -- P <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: 1/27/21 Not Valid After Expiration Date: 2/26/21 <br /> Applicant: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> 33964 Qakville Rd. Email: erbml@comcast.net <br /> Albany, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 28543G <br /> Section Serial Number HUD Number <br /> 1 FLE2100R20-21112 A QRE 554064 <br /> 2 FLE2100R20-21112 B QRE 554065 <br /> Original 33964 OAKVILLE RD SW County: Linn <br /> Address: ALBANY, QR 97321 <br /> Destination 4915 SWEGLE NE RD,SPC 48 County: Marion <br /> Address: SALEM,OR 97301 <br /> Transporter: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> . Email: erbml@comcast.net - <br /> 1/27/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />