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o F o State of Oregon <br /> i, � ' Department of Consumer and Business Services <br /> Q':M,< �-W%0 Building Codes Division <br /> vFll i)51, 1535 Edgewater St NW <br /> •.0.430./ <br /> �t� 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@ore on. ov <br /> 9 9 <br /> Manufactured Structure Transportation Permit abO-r? <br /> 21-13159-TRIP <br /> 35"Bc ' <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: 12/21/21 Not Valid After Expiration Date: 1/20/22 <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: 1471 CT <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A101014A <br /> 2 245-000-H-A101014B <br /> 3 245-000-H-A101014C <br /> Original 550 SE BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97071 <br /> Destination 703 1ST ST County: Marion <br /> Address: SCOTTS MILLS, OR 97375 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> • <br /> • <br /> r • <br /> CD(5) <br /> G <-3" <br /> 12/21/21 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />