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• <br /> -o FStateOregon <br /> of Ore on <br /> ; <br /> 7 ,;:,- Department of Consumer and Business Services <br /> I ,Fv"J��: .a�� ;V°O Building Codes Division <br /> i <br /> N Mr:45P;.. <br /> IZ 1535 Edgewater St NW <br /> ... Mailing Address: PO Box 14470 <br /> t59/ Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emaii:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 17-11290-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of m 3 51 ef 5 <br /> 1.1 <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: 12/4/17 Not Valid After Expiration Date: 12/30/17 <br /> Applicant: Superior Home Transport LLC Phone: (503) 551-3454 <br /> 257 N. 6th. st. 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 18446A <br /> 2 18446B <br /> Original 9760 Portland RD NE County: Marion <br /> Address: Salem, OR 97305 <br /> Destination +WA.NE Tumbleweed CIR County: Marion <br /> Address: Salem, OR 97305 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> P•err MiloO 5 <br /> oar-es5 i 5 5 70-3 not- 4-103 / 3 ` Is <br /> •\,,,,t1 co r-ec J- p-e ' eVY1ai it ta-S-t`1 <br /> wl w <br /> 12/4/17 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />