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State of Oregon <br /> hr�� P <br /> ` Department of Consumer and Business Services <br /> Buildin9 Codes Division <br /> •Gxt�i�� _ �n3•C <br /> U1 F i7 :.Z 1535 Edgewater St NW <br /> : Mailing Address: PO Box 14470 <br /> _ 5 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 3 <br /> 23-11005—TRIP <br /> 4.3 <br /> OYl <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the 5state 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: 11/29/23 Not Valid After Expiration Date: 12/20/23 <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: EG 28443S <br /> Section Serial Number HUD Number <br /> 1 FLE2100R23-23628A ORE 562762 <br /> 2 FLE2100R23-23628E ORE 562763 <br /> Original 590 N PACIFIC HWY County: . Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 130 GATES HILL RD County: Marion <br /> Address: GATES, OR 97346 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 <br /> Email: ritahartzell©gmail.com <br /> • <br /> 11/29/23 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />