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o F State of Oregon <br /> tv�''�: Ol•• Department of Consumer and Business Services <br /> Q/ i '1\C1 Building Codes Division <br /> t- • ,r-?..4,,i <br /> N4; T�� <br /> ,a� z 1535 Edgewater St NW <br /> \ Mailing Address: PO Box 14470 <br /> ,59 Salem,OR 97309-0404 <br /> (503)378-4530, FAX(503)378-4101,TTY(503) <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit • <br /> 21-10614-TRIP W 3co33 <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. / Ov�a )Zen[/, <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections ` l <br /> identified. <br /> Issue Date: 10/13/21 Not Valid After Expiration Date: 11/11/21 <br /> Applicant: Clayton Homes Phone: (541) 967-8555 <br /> 1437 Century Drive NE . Email: hc613@claytonhomes.com <br /> Albany, OR 97322 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: Unknown <br /> Section Serial Number HUD Number . <br /> • <br /> 1 ALB040284ORAB <br /> 2 <br /> Original 2445 Pacific BLVD ' County:. Linn <br /> Address: Albany, OR 97321 <br /> • <br /> • <br /> Destination 340 5th AVE County: Marion <br /> Address: Mill City, OR 97360 <br /> Transporter: Superior Transport Ilc Phone: <br /> • 1L <br /> 1,11)ISD CD <br /> \� <br /> n' • <br /> • <br /> 10/13/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />