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of State of Oregon <br /> • <br /> • <br /> Department of Consumer and Business Services <br /> F, <br /> /'-f is :•10 Building Codes Division <br /> �\ul EYB{a , r 1535 Edgewater St NW <br /> � /)Z Mailing Address: PO Box 14470 <br /> x$59/ 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 4-321-02588-TRIP � D. <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: 3/12/21 Not Valid After Expiration Date:4/11/21 <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 /> Home ID: Unknown <br /> Manufacturer: FLEETWOOD HOMES Model: EG28483S <br /> Section Serial Number HUD Number <br /> 1 FLE2100R20-21028A ORE 553730 <br /> 2 FLE2100R20-21028A ORE 553731 <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 8302 ELKHORN SE DR County: Marion <br /> Address: LYONS,OR 97358 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 3/12/21 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permit_pr.rpt <br />