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State of Oregon <br /> � 1• Department of Consumer and Business Services <br /> i" a41 Building Codes Division <br /> xrvrri•z 1535 Edgewater St NW <br /> ,!!!c •• Mailing Address: PO Box 14470 <br /> • g Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit o 40 S S i <br /> 23-01004-TRIP <br /> 5 }` 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 cif 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: 2/3/23 Not Valid After Expiration Date: 3/2/23 <br /> Applicant: - Future Homes Albany DBA Leisureland Phone: (541) 928-1555 <br /> Homes LLC <br /> 33964 Oakville Rd, SW Email: nichol@futurehomesalbany.com <br /> Albany, OR 97321 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 28523P <br /> Section Serial Number HUD Number <br /> 1 FLE2100R2121554A ORE555586 • <br /> 2 FLE2100R2121554B ORE555587 <br /> Original 33964 OAKVILLE RD SW County: Linn <br /> Address: Albany, OR 97321 <br /> • <br /> Destination 2293 NE 47TH ST County: Marion <br /> Address: SALEM, OR 97305 <br /> • <br /> Transporter: Future Homes Albany DBA Leisureland Phone: (541) 928-1555 <br /> Homes LLC Email: nichol@futurehomesalbany.com <br /> • <br /> • <br /> 2/3/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />