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i it . • St./ 1-6Th <br /> F I h f l�CLIC) ! <br /> o_ State of Oregon <br /> x �°r <br /> .,; tts De., z t of Consumer and Business Services <br /> C:P. ? .;i O Building Codes Division <br /> N.1 1 fig!z 1535 Edgewater St NW <br /> `,...'02'.4%.91�,, .' ,y•/ 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 Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit . 5 r/,(0 <br /> 19-10354-TRIP Lf <br /> 6/ <br /> LtThis permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within tNe slate ofo 0� <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: 10/16/19 Not Valid After Expiration Date: 11/15/19 <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 ALB038913ORAB <br /> 2 <br /> original 2445 SW Pacific BLVD County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 1214 Hold Up SE LN County: Marion <br /> Address: Stayton,OR 97383 <br /> Transporter: Clayton Homes Phone: (541) 967-8555 <br /> Email: hc613@claytonhomes.com <br /> • <br /> ' Nure,9,_ Alkbe be , a 14 l (Oup iii _sE <br /> t. \9...91--- <br /> , <br /> ck.s.\..i\-,\-/ filly <br /> 1/4...ii..)) ,cc,t, c)) •-;v-•,--- • SCAPIN1 <br /> ....),\cc\ , cai , k <br /> 6.0 <br /> 10/16/19 10:30 pm Page 1 of 1 r ` <br /> �,� ,,),(\'` C:\myReports/reports//production/01 <br /> - 0STANDARD REPORTS/std Trip_Permit_pr.rpt <br />