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j F o State of Oregon <br /> ,;e.'1:t% Department of Consumer and Business Services <br /> Q��? :':it`G� Building Codes Division <br /> N , .�_,� .,Iz , 1535 Edgewater St NW <br /> Mailing Address_ PO Box 14470 <br /> g' 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 S i <br /> 23-01073-TRIP <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: 2/7/23 Not Valid After Expiration Date: 3/6/23 <br /> Applicant: Superior Home Transport LLC Phone: (541) 327-7805 <br /> PO Box 1067 Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 <br /> • <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: WI28684W <br /> Section Serial Number HUD Number <br /> 1 PHH3100R21-14473A ORE 558670 <br /> 2 PHH3100R21-14473B ORE 558671 <br /> Original 2655 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 7988 MARION RD County: Marion <br /> Address: TURNER, OR 97392 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell@gmail.com <br /> • <br /> 2/7/23,10:30 om Page 1 of 1 G:\myReports/repbrts//production/01 <br /> STANDARD <br />