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• <br /> o F • State of Oregon <br /> 'A Department of Consumer and Business Services <br /> Building Codes Division <br /> F ? •�±urrf <br /> N !Iry-•3 ,z 1535 Edgewater St NW <br /> ;a! ;•-i Mailing Address: PO Box 14470 <br /> 1•=5 Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov _ Email:mhoils.bcd©oregon.gov <br /> Manufactured Structure Transportation Permit (� / -2 <br /> 19-09090-TRIP `/ ` 3s-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: 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 FLE2100R19-200988 <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 /> 1A)L nDt- re-CU-VC and) C63' iic) <br /> pcyrn D <br /> DWtpCAcuc <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 />