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o F o <br /> State of Oregon <br /> 4ii •.- Department of Consumer and Business Services <br /> F Wfr .'' Building Codes Division <br /> Niigi�!L�#'�tf',f i�:%Z 1535 Edgewater St NW <br /> \,• T 'y. <br /> • '' Mailing Address: PO Box 14470 <br /> 859 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 <br /> 21-08553-TRIP 6) V 5O9 <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: 8/18/21 Not Valid After Expiration Date: 8/30/21 <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: BAUMAN 28403A <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21675A ORE 556073 <br /> 2 FLE2100R21-21675B ORE 556074 . <br /> Original 2655 PROGRESS WAY• County: Marion <br /> • Address: WOODBURN, OR 97071 <br /> Destination 22314 RIVER NE RD, SPC 4 County: Marion <br /> Address: ST PAUL, OR 97137 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 8/18/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/O1 <br /> STANDARD <br />