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•F State of Oregon <br /> Department of Consumer and Business Services <br /> � �' <br /> `I''c' �1c • Building Codes Division <br /> N„ 'rirr� ,,,z 1535 Edgewater St NW <br /> ": t <br /> K. �W-` Mailing Address: PO Box 14470 <br /> 59 Salem,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 /> 18-11184-TRIP <br /> • <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 /> Issue Date: 10/25/18 Not Valid After Expiration Date: 11/22/18 <br /> • <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: FLEETWOOD HOMES Model: Unknown <br /> Section Serial Number HUD Number <br /> 1 FLE2100R18-19322A <br /> 2 FLEZ100R18-193228 . <br /> Original 2555 PROGRESS WAY County: Marion <br /> Address: WOODBURN, OR 97071 <br /> Destination 3890 WARD DR County: Marion <br /> Address: SALEM, OR 97305 <br /> Transporter: Superior Home Transport LLC Phone: (503) 551-3454 <br /> Email: ritahartzell@gmail.com <br /> • <br /> J . <br /> 6\C)3 ))()1* v <br /> cbCb <br /> 3(a <br /> 10/25/18 10:30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std_Trip_Permit_pr.rpt <br />