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State of Oregon <br /> rv •.-moi' Department of Consumer and Business Services <br /> E.: •��•� :�`U ���N Building Codes Division <br /> 1. <br /> ';L ;_ 0Z 1535 Edgewater St NW <br /> ' .• Mailing Address: PO Box 14470 <br /> •••=5 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 b4bD'21 <br /> 21-12980-TRIP �v <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: 12/16/21 Not Valid After Expiration Date: 1/15/22 <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 ALBO40666ORAB <br /> 2 <br /> original 2445 SW Pacific BLVD County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 225 Hill S ST County: Marion <br /> Address: Detroit, OR 97342 <br /> Transporter: Superior Transport Ilc Phone: <br /> • <br /> • <br /> 12/16/21 10:30 om Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />