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(-:).. <br /> • <br /> --6-1', State of Oregon <br /> G ,• Department of Consumer and Business Services <br /> Building Codes Division <br /> N; +frrr�;,Z 1535 Edgewater St NW <br /> 3!1 .040 <br /> • Mailing Address: PO Box 14470 <br /> 59 Salem,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 �j <br /> - 20-02650-TRIP 3 59. 6,54 <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 /> O`gon. 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: 3/25/20 • Not Valid After Expiration Date: 4/18/20 <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: CHAMPION Model: Unknown <br /> Section Serial Number , HUD Number <br /> 1 2F910243LBA ORE54043 <br /> 2 <br /> Original 1437 Century DR NE County: Linn <br /> Address: Albany, OR 97322 <br /> Destination 12213 Summit LOOP County: Marion <br /> Address: Turner, OR 97392 <br /> Transporter: Clayton Homes Phone: (541) 967-8555 <br /> . • Email: hc613@claytonhomes.com <br /> • <br /> • <br /> 3/26/20 7:17 am Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />