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"6 F O State of Oregon <br /> Department of Consumer and Business Services <br /> Q��ns` Building Codes Division <br /> F;: _ ;:ID <br /> lf.1.vu 1535 Edgewater St NW <br /> - ,. Mailing Address: PO Box 14470 <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 <br /> 21-08516-TRIP D 1 b 1 6 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 8/17/21 Not Valid After Expiration Date: 9/17/21 <br /> Applicant: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> 33964 Oakville Rd. Email: erbml@comcast.net • <br /> Albany, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 28523P <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21718 A ORE 556147 <br /> 2 FLE2100R21-21718 ORE 556148 <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 9185 STAYTON RD County: Marion <br /> Address: AUMSVILLE, OR 97325 <br /> Transporter: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> Email: erbml@comcast.net <br /> • <br /> 8/18/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />