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._ 0;\ State of Oregon <br /> jYAF: ,,4 Department of Consumer and Business Services <br /> t `s�- Building Codes Division <br /> H, 1V'7�'°'z 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 <br /> 22-01144-TRIP (0 04 ��\\4 U� <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: 2/4/22 Not Valid After Expiration Date: 3/3/22 <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: • FLEETWOOD HOMES Model: MACKSBURG 24342V <br /> Section Serial Number HUD Number <br /> 1 FLE2100R21-21894A ORE'556701 <br /> 2 FLE2100R21-21894B - ORE 556702 <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 6638 COTTONWOOD NE ST V County: Marion <br /> Address: SALEM, OR 97317 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> • <br /> • <br /> 2/4/22 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />