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F o •. <br /> State of Oregon <br /> 4. s:01. <br /> � Department of Consumer and Business Services <br /> (M s I;: Building Codes Division <br /> \ i�Z1535 Edgewater St NW <br /> Mailing Address: PO Box 14470 <br /> 69 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 £1 <br /> 20-09263-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 <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 /> • <br /> Issue Date: 10/29/20 Not Valid After Expiration Date: 11/16/20 <br /> Applicant: Superior Home Transport LLC Phone: (541) 327-7805 <br /> PO Box 1067 Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 <br /> Home Information: <br /> • <br /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: WELLINGTON 28482R <br /> Section Serial Number HUD Number <br /> 1 FLE2100R-2-1039A ' <br /> 2 FLE2100R-21039B <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 11420 ROWENA±SE AVE County: Marion <br /> Address: LYONS,OR 97358 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> • Email: ritahartzell@gmail.com <br /> • <br /> • <br /> 10/29/20 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />