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,o F _.,..9 State of Oregon <br /> 4, ,F Department of Consumer and Business Services <br /> ./: .\ • Building Codes Division <br /> � _ ..p 1535 Edgewater St NW <br /> F,:Tilitri:V.i - <br /> ` , Mailing Address: PO Box 14470 <br /> • <br /> rAii.74T,0 I/ <br /> �j ggSalem,OR 97309-0404 <br /> (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Email:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 18-08395-TRIP ✓ nrl 35 5 ct5 <br /> This permit authorizes a qualified transporter to move the identified sections of the identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections identified. <br /> • <br /> Issue Date: 8/14/18 Not Valid After Expiration Date: 9/13/18 <br /> Applicant: Superior Home Transport LLC Phone: (503) 551-3454 . <br /> 257 N. 6th. st. Email: ritahartzell@gmail.com <br /> Jefferson, OR 97352 <br /> Home Information: <br /> Home ID: Unknown <br /> Manufacturer: PALM HARBOR Model: 4G28362A <br /> Section SeriaLNumber HUD Number <br /> 1 PHH3100R18-12894A ORE 542033 . <br /> 2 PHH3100R18-12894B ORE 542034 <br /> original 3737 PALM HARBOR DR County: • Linn <br /> Address: MILLERSBURG, OR 97321 <br /> • <br /> Destination 20498 N 99E HWY County: Marion <br /> Address: AURORA, OR 97002 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> • <br /> • <br /> 8/14/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />