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/ �\ State of Oregon <br /> r�: Department of Consumer and Business Services <br /> 14 \�uin� Building Codes Division <br /> ::,!*:,41:44, <br /> y� ++o►�+� �) 1535 Edgewater St NW <br /> *.= • "�'.' / Mailing Address: PO Box 14470 <br /> '��j\,•:EV 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 �. 5, 3s' /J <br /> 19-09090-TRIP (\'l <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: 9/11/19 Not Valid After Expiration Date:9/26/19 <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: EV2 24362V <br /> Section Serial Number HUD Number <br /> 1 FLE2100R19-20098A <br /> 2 FLE2100R19-20098B <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 11160 STOCK PILE SE LN County: Marion <br /> Address: STAYTON, OR 97383 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> IA) dA:00( n Di— re_eaVIC A10104 ea-411/) feo/C i Kw <br /> ,i,prIiiii_ ) ty-) 1,d_. Ay, r OW 0eksli <br /> c,,,( exit <br /> � w�e ,_., w .. <br /> ,,,A, , , <br /> ,-,) <br /> ,.. .p.ei44.3w <br /> �`� or \J_ <br /> 9/11/19 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />