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0F State of Oregon <br /> i/A:,t' Department of Consumer and Business Services <br /> 17" �9 .• <br /> BuildingCodes Division <br /> .i it z <br /> N\;• f `57 1535 Edgewater St NW <br /> `\\\•., Mailing Address: PO Bpx 14470 <br /> \f-•54 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 a <br /> 18-05997-TRIP ✓ R 3 55 5 6 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> • <br /> Issue Date: 6/12/18 Not Valid After Expiration Date: 7/12/18 <br /> Applicant: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> 33964 Oakville Rd. Email: erbm1@comcast.net <br /> Albany, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 284835 <br /> Section Serial Number HUD Number <br /> 1 FLE2100R16-17925A ORE533875 <br /> 2 FLE2100R16-17925B ORE533876 <br /> Original 33964 OAKVILLE RD SW County: Linn <br /> Address: ALBANY, OR 97321 <br /> Destination 4510'FELLOWSHIP NE WAY County: Marion <br /> • <br /> Address: Salem,OR 97305 <br /> Transporter: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> Email: erbml@comcast.net <br /> • <br /> • <br /> a <br /> 6/12/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />