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• <br /> .Fo State of Oregon <br /> Department of Consumer and Business Services <br /> Q;:MAW*: Building Codes Division <br /> i••lcxfic': i�k:�t 0 <br /> 2 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 /> 21-10771-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: 10/19/21 Not Valid After Expiration Date: 11/18/21 <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: 28482V <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21799 A ORE 556675 <br /> 2 FLE2100R21-21799 ORE556676 <br /> • <br /> Original 33964 OAKVILLE RD SW County: Linn <br /> Address: ALBANY, OR 97321 <br /> Destination 21979 CHALET NE CT County: Marion <br /> Address: AURORA, OR 97002 <br /> Transporter: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> Email: erbml@comcast.net <br /> • <br /> • <br /> 10/19/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />