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•F <br /> State of Oregon <br /> �, Department of Consumer and Business Services <br /> �. .111 C BuildingCodes Division <br /> +e•rn+x: i 1535 Edgewater St NW <br /> 2 <br /> �cMailing Address: PO Box 14470 <br /> 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 / b O4c <br /> 4,9, <br /> 21-04306-TRIP l�11 <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: 4/27/21 Not Valid After Expiration Date: 5/26/21 <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: SKYLINE HOMES Model: G560 <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A100744A <br /> 2 245-000-H-A100744B <br /> original 590 N PACIFIC HWY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 27860 N SANTIAM HWY County: Marion <br /> Address: MILL CITY, OR 97360 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> Ops ai,01 ca.-A-, 4 <br /> q VTC : ev ,m ;4_ � aL5 on -e. 0111 , ne • j II <br /> N o �'e ue5 -i-a .-1-1r9er ion l'4 <br /> Lo c>rs 6 cam.b m ; ��d 1--42 <br /> 4/27/21 10:30 pm 35 55o r 5 a aTc_f Page 1 of 1 C:\myReports/reports//production/01 <br /> / STANDARD REPORTS/std Trip_Permit_pr.rpt <br />