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o F State of Oregon <br /> 4,i x Department of Consumer and Business Services <br /> ;•l::•O Building Codes Division <br /> Nit u ';iz/// 1535 Edgewater St NW <br /> / Mailing 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 �� f `�� <br /> 21-12688-TRIP <br /> cr <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 5A 1 )--"CP <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: 12/9/21 Not Valid After Expiration Date: 12/15/21 <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: OAKLAND 40644G <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21967A <br /> 2 FLE2100R21-21967B <br /> 3 FLE2100R21-21967C <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> • <br /> • <br /> Destination 25445 SANTIAM PARK RD County: Marion <br /> Address: LYONS, OR 97358 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> 12/9/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />