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aavaLlf'5S— <br /> o F State of Oregon <br /> �.` � Department of Consumer and Business Services <br /> Building Codes Division <br /> to**, ,,,,rr�rr���s�P,Z 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 59 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 /> 19-11433-TRIPo <br /> 11 <br /> • <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: 11/19/19 Not Valid After Expiration Date: 12/18/19 <br /> Applicant: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> 33964 Oakville Rd. Email: erbml@comcast.net <br /> Albany, OR 97321 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: 28603G <br /> Section Serial Number HUD Number <br /> 1 FLE2100R19-19926A ORE547453 <br /> 2 FLE2100R19-19926B ORE547454 <br /> Original 33964 OAKVILLE RD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 12255 BUDLONG SE LN County: Marion <br /> Address: MILL CITY,OR 97360 <br /> Transporter: Michael c. Erb/Leisureland Homes Phone: (541) 928-1555 <br /> Email: erbml@comcast.net <br /> • <br /> 11/19/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />