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(Ob 3 o 1(0 <br /> oF State of Oregon <br /> 0 <br /> r- <br /> 1 <br /> � \ Department of Consumer and Business Services <br /> s �;:'� Building Codes Division <br /> N!. x4�� ' Z <br /> - J 1535 Edgewater St NW <br /> • ..r. ......- // Mailing Address: PO Box 14470 <br /> -.:*--4.-, 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 /> 21-10751-TRIP <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: 10/18/21 • Not Valid After Expiration Date: 11/17/21 <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: CHAMPION Model: Unknown <br /> Section Serial Number HUD Number , <br /> • <br /> 1 245000HA100368AB <br /> 2 <br /> original 1437 Century DR NE County: Linn <br /> Address: Albany, OR 97322 <br /> Destination 32246 North Fork RD County: Marion • <br /> Address: Lyons, OR 97358 <br /> • <br /> Transporter: Superior Transport Ilc Phone: <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 10/18/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />