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rAV <br /> f o <br /> State of Oregon <br /> a ,4 Department of Consumer and Business Services <br /> � ° Building Codes Division <br /> tiaff•ill. 1535 Edgewater St NW <br /> , Mailing Address: PO Box 14470 <br /> 1.8-54 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 /> 18-00088-TRIP .1 <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: 1/3/18 Not Valid After Expiration Date: 2/2/18 <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: PALM HARBOR Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 12520-A <br /> 2 12520-B <br /> Original 3737 Palm Harbor DR County: Linn <br /> • <br /> Address: Millersburg, OR 97321 <br /> Destination 15978 NE Mt.Angel-Scotts Mills County: Marion <br /> Address: HWY <br /> Silverton, OR 97381 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> 1/3/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />