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O <br /> •FState of Oregon <br /> . �� ttN Department of Consumer and Business Services <br /> i 9-ti‘o Building Codes.Division <br /> - ":K+ur rpf:i• 1535 Edgewater St NW <br /> \\ .,' Mailing Address: PO Box 14470 <br /> -;5.9- <br /> _., <br /> � 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 �a„00,f S�j <br /> 21-01109-TRIP C� "� / <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: 2/1/21 Not Valid After Expiration Date: 3/1/21 <br /> Applicant: Clayton Homes Phone: (541) 967-8555 <br /> 1437 Century Drive NE Email: hc613@claytonhomes.com <br /> Albany, OR 97322 <br /> Home Information: <br /> Home ID: Unknown • <br /> Manufacturer: CMH MFG WEST, ALBANY Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 ALB0400620RAB <br /> 2 <br /> Original • 2445 SW Pacific BLVD County: Linn <br /> Address: . Albany, OR 97322 <br /> Destination 360 E Central AVE County: Marion <br /> Address: Gates, OR 97346 <br /> Transporter: Superior Phone: <br /> 2/1/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />