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o_F State of Oregon <br /> r�/ � �� Department of Consumer and Business Services • <br /> QI!.!'M1 Vic. 1;`y41 Building Codes Division <br /> • <br /> N 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 69 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 <br /> 18-12686-TRIP 3 5Coo(00 <br /> R 3 514.30 <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 /> Issue Date: 12/6/18 Not Valid After Expiration Date: 1/5/19 <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 ALB0380580RABCAC <br /> 2 <br /> 3 <br /> Original 2445 Pacific HWY County: Linn <br /> Address: Albany, OR 97322 <br /> Destination 2999 Buena Crest NE LN ✓ County: Marion <br /> Address: Salem, OR 97303 <br /> • <br /> Transporter: Blue Haul Phone: (818) 434-5501 <br /> 12/6/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />