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o�o State of Oregon <br /> '' ,i +',t <br /> Department of Consumer and Business Services <br /> t/' a 0 • Building Codes Division <br /> tFe' ,vfyr2��,r ),K 1535 Edgewater St NW <br /> r <br /> �Ji' Mailing Address: PO Box 14470 <br /> , i: 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 y,, O21-05714-TRIP v `j <br /> C Sci Bq 3) <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: 6/2/21 Not Valid After Expiration Date: 6/25/21 <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 ALB0406350RAB <br /> 2 <br /> Original 2445 Pacific BLVD County: Linn <br /> Address: Albany, OR 97321 <br /> • <br /> Destination 250 Tumble Weed ST,/ County: Marion <br /> Address: Detroit, OR 97342 <br /> Transporter: Superior Home Transport Phone: (541) 327-7805 <br /> s 1 b \CI ViCr" J\ <br /> ,,D. 0 <br /> r <br /> çN <br /> 0 i\c`(C) \.)'-k., <br /> 6/2/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />