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i <br /> o_o State of Oregon <br /> i <br /> —i � ; Department of Consumer and Business Services <br /> r =l �� Building Codes Division <br /> E'' :374Ri.'• <br /> N' u=;�• Z • <br /> 1535 Edgewater St NW <br /> ' ' Mailing Address: PO Box 14470 <br /> = =9 Salem,OR 97309-0404 <br /> (503)378-4530,FAX,TTY <br /> • <br /> Web:mhods.oregon.gov Email:mhods.bcd@dcbs.oregon.gov <br /> Manufactured Structure Transportation Permit (40 8C0 17 <br /> . 24-01921-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: 3/7/24 Not Valid After Expiration Date:4/6/24 <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: SKYLINE HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 245-000-H-A101280A <br /> 2 245-000-H-A101280B <br /> Original 550 SE BOOTH BEND RD County: Yamhill <br /> Address: MCMINNVILLE, OR 97128 <br /> Destination 5355 RIVER N RD, SPC 7 County: Marion <br /> Address: KEIZER, OR'97303 <br /> Transporter: Superior Home Transport LLC Phone: (541) 327-7805 ' <br /> Email: ritahartzell@gmail.com <br /> • <br /> 3/7/24 10:30 pm Page 1 of 1 G:\myReports/reports//production/01 <br /> STANDARD <br />