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State of Oregon <br /> �� \ Department of Consumer and Business Services <br /> P Building Codes Division <br /> ;i; 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 /> 19-04348-TRIP rn_ 74- <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: 5/10/19 . Not Valid After Expiration Date: 6/9/19 <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 /> • <br /> Home ID: Unknown <br /> Manufacturer: CMH MFG WEST, ALBANY Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 ALB038575ORAB <br /> 2 <br /> Original 2445 Pacific BLVD SW County: Linn <br /> Address: Albany, OR 97321 <br /> Destination 12505 Twin Creek SE LN County: Marion <br /> Address: Jefferson, OR 97352 <br /> Transporter: Blue Haul Phone: <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 5/10/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />