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V <br /> o State of Oregon <br /> .,� ,\ Department of Consumer and Business Services <br /> ' . a .:, ;••f1 Building Codes Division <br /> �( �!�'�-'j ' 1535 Edgewater St NW <br /> , ;,- Mailing Address: PO Box 14470 <br /> Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> Web:mhods.oregon.gov- Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 23-00843-TRIP (V b (p 5 a co <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 /> • <br /> • Issue Date: 1/31/23 Not Valid After,Expiration Date:,3/1/23 <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: Unknown <br /> Section Serial Number HUD Number <br /> 1 FLE2100R22-22624A • <br /> 2 FLE2100R22-22624E <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 197 CLEARWATER NE AVE County: Marion <br /> Address: SALEM, OR 97301 <br /> Transporter: Superior Home Transport LLC • Phone: (541) 327-7805 . <br /> Email: ritahartzell@gmail.com <br /> • <br /> • <br /> 1/31/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> • • •STANDARD <br />