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o F o State of Oregon <br /> lvj • Department of Consumer and Business Services <br /> / <br /> �6r BuildingCodes Division <br /> EQ,�� s�'iiI <br /> y; 'rG%';i 1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> • <br /> 859 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 /> 18-10656-TRIP tM 35 Co 0 51 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of `l <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: 10/5/18 Not Valid After Expiration Date: 11/4/18 <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: SKYLINE HOMES Model: MICRO <br /> Section Serial Number HUD Number. • <br /> 1 KWI ORE 543012 <br /> Original 550 SW BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> • <br /> Destination 4940 SUNNYSIDE RD ./' 1/4_ County: Marion <br /> Address: SALEM, OR 97306 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell©gmail.com <br /> .-k1214 -41 <br /> • <br /> • <br /> • <br /> • <br /> 10/5/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />