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i • <br /> of o State of Oregon <br /> ta 'P Department of Consumer and Business Services <br /> ; �f , Building Codes Division <br /> ,f4rd.;,<. <br /> 1535 Edgewater St NW <br /> • Mailing Address: PO Box 14470 <br /> 59 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 /> 23-06402-TRIP °T 3+5 <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: 7/12/23. Not Valid After Expiration Date: 8/11/23 <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: 232749 <br /> Manufacturer: HOMETTE CORP Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 03910174P-A <br /> 2 03910174P-B <br /> Original 950 AIRPORT RD SPC 23 County: Linn <br /> Address: ALBANY, OR 97322 <br /> Destination 2091 KENNEDY;NE CIR County: Marion <br /> Address: KEIZER, OR 97303 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 • <br /> Email: ritahartzell@gmail.com <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> • <br /> 7/12/23 10:30 pm Page 1 of 1 G:\myReports/reports%/production/01 <br /> STANDARD <br />