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o State of Oregon <br />• <br /> ; �,r-,i\ Department of Consumer and Business Services <br /> 1 c p Building Codes Division <br /> am <br /> L ".,Ytifri.'45, <br /> rn' L�j u1Y +' 1535 Edgewater St NW <br /> NigUoil" Mailing Address: PO Box 14470 <br /> 5*� Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit (p 7 tj I S <br /> 24-02055-TRIP <br /> This permitauthorizes a qualified_transporter to move the identified sections of the Identified home to a destination site within,the .. <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> Tliis permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections <br /> identified. <br /> Issue Date: 3/12/24 .. Not Valid After Expiration Date:4/11/24 <br /> Applicant: Superior Home Transport LLC Phone: (541) 327-7805 <br /> PO Box 1067 Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 FLE2100R23-23397A <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination MCNARY OAKS County: Marion <br /> Address: 5355 RIVER N RD,SPC 80 <br /> KEIZER, OR 97303 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 3/12/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />