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o'= State of Oregon <br /> Iii °'�a� +' Department of Consumer and Business Services <br /> QR '`s3.il <br /> Building Codes Division <br /> �4 _t <br /> 1535 Edgewater St NW <br /> > Mailing Address: PO Box 14470 <br /> f88' Salem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 21-07633-TRIP <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the <br /> state of Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. <br /> This permit must be carried by the transporter during the actual move.This permit authorizes movement of all home sections • <br /> Identified. <br /> Issue Date: 7/23/21 Not Valid After Expiration Date: 8/22/21 <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: ' 210EG284835 <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21572A ORE 556067 <br /> 2 FLE2100R21-21572B ORE 556068 <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 8329 82ND AVE County: Marion • <br /> Address: SILVERTON, OR 97381 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 7/23/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />