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L State of.Oregon <br /> OF <br /> 4� � ; Department of Consumer and Business SeNlces <br /> FCS ,•tel+ % . <br /> Building Codes Division <br /> `PirSi ':' 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> l`g9, • Salem,OR 97309-0404 <br /> - (503)378-4530, FAX(503)378-4101,TTY(503) <br /> Web:rnhods.oregon.gov Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit • <br /> • <br /> •21-10614-TRIP • (4 ' 33 <br /> • <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. � �a�) Lc/ &IThis ` 00 permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections J <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 /> • <br /> Home•Information: <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY • Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 ALB040284ORAB • <br /> 2 • . <br /> Original 2445 Paclfic•BLVD . County:• Linn <br /> Address: Albany, OR 97321 <br /> Destination 340 5th AVE • County: Marion • <br /> Address: Mill City, OR 97360 • . <br /> Transporter: Superior Transport Ilc Phone: <br /> • IL <br /> • <br /> 1J10 \C•0 • <br /> • <br /> C°\ <br /> • <br /> • <br /> • <br /> 10/13/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />